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psnet.ahrq.gov/issue/relationship-between-high-reliability-practice-and-hospital-acquired-conditions-among
March 20, 2019 - This survey of 25 pediatric organizations participating in a patient safety collaborative identified … an inverse association between safety culture and patient harm, but found that elements of high-reliability … March 20, 2019
Hospital cultural competency and attributes of patient safety culture: … September 23, 2020
When doctors share visit notes with patients: a study of patient and … November 4, 2020
Effect of a multispecialty faculty handoff initiative on safety culture
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psnet.ahrq.gov/issue/selecting-quality-and-resource-use-measures-decision-guide-community-quality-collaboratives
November 17, 2010 - November 17, 2010
Hospital Survey on Patient Safety Culture: 2010 User Comparative Database … March 16, 2016
Hospital Survey on Patient Safety Culture: 2009 Comparative Database Report … Patient Safety. … March 22, 2024
Culture as a Cure: Assessments of Patient Safety Culture in OECD Countries … July 15, 2020
HANYS' Report on Report Cards.
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psnet.ahrq.gov/issue/comparing-catheter-associated-urinary-tract-infection-prevention-programs-between-veterans
December 21, 2017 - December 21, 2017
Do safety culture scores in nursing homes depend on job role and ownership … October 29, 2017
Evaluation of the association between Hospital Survey on Patient Safety … October 17, 2017
Evaluation of the association between Nursing Home Survey on Patient … Safety culture (NHSOPS) measures and catheter-associated urinary tract infections: results of a national … December 3, 2018
Evaluation of the association between Nursing Home Survey on Patient
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psnet.ahrq.gov/issue/board-quality-scorecards-measuring-improvement
June 16, 2011 - safety culture. … January 3, 2017
Handoffs, safety culture, and practices: evidence from the hospital survey … on patient safety culture. … August 24, 2016
Hospital Survey on Patient Safety Culture: 2016 User Comparative Database … January 31, 2011
How do black-serving hospitals perform on patient safety indicators?
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psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-ambulatory-care
December 24, 2008 - It is organized around a four-point decision aide and contains resources on using a stewardship program … December 18, 2008
AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative … October 27, 2021
Medical Office Survey on Patient Safety Culture. … December 18, 2014
2012 User Comparative Database Report: Medical Office Survey on Patient … Safety Culture.
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psnet.ahrq.gov/issue/just-culture-its-more-policy
July 05, 2017 - This survey study examined the relationship between just culture —a culture of fairness and responsibility … The authors call for adoption of the just culture model to enhance patient safety. … June 2, 2019
Barriers and facilitators of adverse event reporting by adolescent patients … March 29, 2017
Effect of a central call center on employee perceptions of safety culture … March 21, 2018
Improving patient safety by practicing in a just culture.
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psnet.ahrq.gov/issue/plan-achieving-significant-improvement-patient-safety
September 23, 2020 - The authors describe the use of a patient safety culture survey to assess staff knowledge and perceptions … Results from the survey were used to design a plan for safety improvements. … September 29, 2021
Impact of pharmacist-led discharge medication reconciliation on … Don’t Reach the Bed
August 26, 2020
Impact of a restraint management bundle on … August 4, 2010
Nursing 2006 Patient-safety survey report.
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psnet.ahrq.gov/issue/speaking-extension-socio-cultural-dynamics-hospital-settings-study-staff-experiences-speaking
May 19, 2021 - This survey of healthcare staff working at seven sites across one hospital network in Australia found … September 28, 2022
Patient safety culture as a space of social struggle: understanding … infection prevention practice and patient safety culture within hospital isolation settings - a qualitative … March 8, 2023
Hospital cultural competency and attributes of patient safety culture: … April 29, 2020
Supplement on Deepening our Understanding of Quality in Australia (DUQuA
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psnet.ahrq.gov/issue/which-aspects-safety-culture-predict-incident-reporting-behavior-neonatal-intensive-care
June 15, 2011 - Study
Which aspects of safety culture predict incident reporting behavior in neonatal … Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? … Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? … Improving Diagnostic Safety and Quality
April 26, 2023
A factorial survey … on safety behavior providing opportunities to improve safety.
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psnet.ahrq.gov/node/33764/psn-pdf
April 01, 2014 - the drumbeat of patient safety
and make the case that working on patient safety will help efforts to … see
more partnerships with patients, more patient-family advisory councils, patients involved with … So on
the training side, we need to reinforce to our providers that we want patients who are engaged … Recently we called Brian Sexton who had done pioneering
work on safety culture. … staff are feeling in this regard, which we've started to make progress on with some culture
surveys
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psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
February 26, 2025 - safety culture, existing safety programs, and adequate staffing resources to implement the tool, including … A culture focused on patient safety helps to identify underlying factors that lead to missed diagnoses … Other important qualities and strategies include the following:
A patient safety culture that focuses … Diagnostic error has been measured using autopsies, case reviews, surveys, malpractice claims, and incident … Other important qualities and strategies include the following:
A patient safety culture that focuses
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psnet.ahrq.gov/issue/ahrq-2007-annual-conference
December 24, 2008 - December 18, 2008
Advances in Patient Safety: New Directions and Alternative Approaches … September 29, 2017
Patient Safety and Quality: An Evidence-Based Handbook for Nurses. … April 30, 2008
Hospital Survey on Patient Safety Culture: 2008 Comparative Database Report … The Evolution of Root Cause Analysis
February 26, 2025
SOPS Surveys … November 28, 2023
Advances in Patient Safety: From Research to Implementation.
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psnet.ahrq.gov/issue/need-organizational-change-patient-safety-initiatives
May 12, 2010 - May 12, 2010
Influence of workplace demands on nurses' perception of patient safety. … June 18, 2008
A relational leadership perspective on unit-level safety climate. … approach: a region-wide approach to determining a patient safety culture. … safety culture and the intentions of the nursing staff to report a near-miss event during the COVID- … April 5, 2023
ASHP national survey of pharmacy practice in hospital settings: prescribing
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psnet.ahrq.gov/node/47239/psn-pdf
October 24, 2018 - Effects of individual nurse and hospital characteristics on
patient adverse events and quality of care … Effects of Individual Nurse and Hospital Characteristics on Patient
Adverse Events and Quality of Care … safety culture data and
found that both individual characteristics such as education level and hospital … characteristics such as safety
culture were associated with risks of medication administration errors … The authors conclude that
improving safety culture should be a high priority.
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psnet.ahrq.gov/issue/responding-clinicians-who-fail-follow-patient-safety-practices-perceptions-physicians-nurses
February 24, 2011 - , trainees, and patients. … Efforts to improve patient safety were initially built on the establishment of a no-blame philosophy, … January 27, 2016
Pragmatic insights on patient safety priorities and intervention strategies … October 31, 2014
Effects of the 2011 duty hour reforms on interns and their patients: … April 24, 2013
What is patient safety culture? A review of the literature.
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psnet.ahrq.gov/issue/seen-through-patients-eyes-surgical-safety-and-checklists
May 16, 2018 - safety culture in a community-based primary care setting. … January 8, 2018
A factorial survey on safety behavior providing opportunities to improve … December 5, 2018
Does lean management improve patient safety culture? … An extensive evaluation of safety culture in a radiotherapy institute. … safety culture in the operating theatre: a controlled intervention study.
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psnet.ahrq.gov/node/44279/psn-pdf
August 26, 2015 - Leadership style and patient safety: implications for
nurse managers. … Leadership style and patient safety: implications for nurse managers. … play an important role in establishing safety culture on a hospital unit. … This survey study
found that proactive nursing leadership was associated with higher safety climate … A major limitation of this study is a
small sample size and very low survey response rate.
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psnet.ahrq.gov/issue/how-professionals-make-decisions
July 06, 2011 - This book includes research presented at the 5th Conference on Naturalistic Decision Making. … Cross-sectioned Examination of the Breadth and Depth of Relationships through National Quantitative Surveys … August 6, 2016
Safe Handover: Safe Patients. … outcomes of patient care. … September 29, 2010
What is patient safety culture?
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psnet.ahrq.gov/issue/extent-nature-and-consequences-adverse-events-results-retrospective-casenote-review-large-nhs
March 03, 2011 - March 28, 2011
Fidelity and the impact of patient safety huddles on teamwork and safety … culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project. … Changing experience of adverse medical events in the National Health Service: comparison of two population surveys … View More
Related Resources
Biases in detection of apparent "weekend effect" on … December 16, 2015
Stress on the ward: evidence of safety tipping points in hospitals.
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psnet.ahrq.gov/node/33829/psn-pdf
March 01, 2017 - Our Maturing Understanding of Safety Culture: How to
Change It and How It Changes Safety
March 1, 2017 … Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety. … https://psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it … On the
one hand, the importance of safety culture is widely recognized and acknowledged; on the other … Reducing hospital errors: interventions that build safety culture.