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psnet.ahrq.gov/primer/reporting-patient-safety-events
March 30, 2022 - number only reflects a fraction of all such events) but do not supply the denominator (the number of patients … While event reporting utilization can be a marker of a positive safety culture within an organization … However, health care providers and PSOs may aggregate patient safety event information on a voluntary … March 21, 2017
The elephant of patient safety: what you see depends on how you look. … Michelle Schreiber on Measuring Patient Safety
December 14, 2022
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psnet.ahrq.gov/issue/making-health-care-safer-ii-updated-critical-analysis-evidence-patient-safety-practices
March 13, 2013 - at hospitals nationwide and provided a stimulus for further rigorous research on PSPs. … November 12, 2014
Pragmatic insights on patient safety priorities and intervention strategies … October 1, 2014
Promoting engagement by patients and families to reduce adverse events … March 18, 2020
Improving Patient Safety Systems for Patients With Limited English Proficiency … March 20, 2018
Medical Office Survey on Patient Safety Culture: 2014 User Comparative
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psnet.ahrq.gov/issue/gender-based-differences-surgical-residents-perceptions-patient-safety-continuity-care-and
February 14, 2017 - Changes in duty hours had mixed effects on these self-reported outcomes and seemed to exacerbate gender … September 9, 2015
Impact of the 2011 ACGME resident duty hour reform on hospital patient … July 26, 2017
Association between hospital safety culture and surgical outcomes in a … safety culture, higher employee engagement and lower burnout. … September 4, 2013
The 80-hour work guidelines and resident survey perceptions of quality
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psnet.ahrq.gov/issue/identifying-risks-and-opportunities-outpatient-surgical-patient-safety-qualitative-analysis
November 10, 2010 - Respondents identified safety vulnerabilities including patient adherence, equipment, safety culture … June 15, 2011
Validity of selected AHRQ Patient Safety Indicators based on VA National … matters when it comes to adverse events: associations of adverse events during implant treatment with patients … An interpretative phenomenological analysis of vulnerability as experienced by patients with complications … 2019
Perception of safety of surgical practice among operating room personnel from survey
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psnet.ahrq.gov/issue/patient-safety-monitoring-acute-care-decentralized-national-health-care-system-conceptual
July 27, 2022 - Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey … September 29, 2021
Variation in the reporting of elective surgeries and its influence on … December 9, 2020
Hospital cultural competency and attributes of patient safety culture … by Engaging Patients and Families. … June 22, 2022
Occurrence of no-harm incidents and adverse events in hospitalized patients
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psnet.ahrq.gov/node/844541/psn-pdf
February 15, 2023 - factors-differentiating-nursing-homes-strong-resident-safety-climate-qualitative-
study
Nurses’ willingness to speak up about resident safety concerns varies based on … pandemic-nurses-experiences-organizational-disregard-and-silence
https://psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture
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psnet.ahrq.gov/issue/explainable-artificial-intelligence-safe-intraoperative-decision-support
October 13, 2015 - October 13, 2015
Healthcare professionals' perception of safety culture and the Operating … Room (OR) Black Box technology before clinical implementation: a cross-sectional survey. … March 20, 2024
Impact of team performance on the surgical safety checklist on patient … March 10, 2011
Electronic alerts to prevent venous thromboembolism among hospitalized patients … 17, 2010
Information technology-based approaches to reducing repeat drug exposure in patients
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psnet.ahrq.gov/issue/preventing-surgical-site-infections-are-safety-climate-level-and-its-strength-associated-self
July 19, 2023 - J Patient Saf. 2023;19(4):264-270. doi:10.1097/pts.0000000000001111. … Based on responses from nearly 2,800 operating room personnel in Sweden, only commitment and social norms … November 12, 2014
Prevalence and causes of diagnostic errors in hospitalized patients … June 1, 2022
Hospital acquired infections in surgical patients: impact of COVID-19-related … April 22, 2020
Association of safety culture with surgical site infection outcomes.
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psnet.ahrq.gov/issue/retrievals
August 16, 2023 - February 12, 2016
SOPS Ambulatory Surgery Center Survey: What You Need to Know. … June 12, 2024
Patient Safety Supplement. … July 22, 2015
Final Report on Prioritization of Patient Safety Practices for a New Rapid … January 24, 2024
Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety … Culture to Improve Equitable Maternal Healthcare Delivery and Outcomes.
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psnet.ahrq.gov/issue/alarm-fatigue-impacts-patient-safety
December 02, 2020 - Review
Alarm fatigue: impacts on patient safety. … Alarm fatigue: impacts on patient safety. … Alarm fatigue: impacts on patient safety. … June 23, 2021
Patient and visitor aggression in healthcare: a survey exploring organisational … safety culture and team efficacy.
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psnet.ahrq.gov/issue/initial-assessment-patient-handoff-accredited-general-surgery-residency-programs-united
October 19, 2022 - States and Canada: a cross-sectional survey. … patient handoffs . … Errors related to handoffs were common: more than 60% of respondents from each country said they had … States and Canada: a cross-sectional survey. … May 22, 2024
EAU policy on live surgery events.
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psnet.ahrq.gov/issue/josie-king-foundation
May 25, 2016 - It supports the Josie King Pediatric Patient Safety Program, which promotes a safety culture at Johns … February 24, 2016
Opinions of nurses and physicians on a patient, family and visitor … April 27, 2005
Symposium on Simulation Science in Health and Medicine. … Engagement of leadership in quality improvement initiatives: executive quality improvement survey … Health Care Providers
Health Care Executives and Administrators
Non-Health Care Professionals
Patients
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psnet.ahrq.gov/issue/nurse-burnout-predicts-self-reported-medication-administration-errors-acute-care-hospitals
August 25, 2021 - This survey of acute care nurses in Alabama identified high levels of nurse burnout; burnout was a significant … All types of burnout – personal, work-related, and client-related – were significant predictors of self-reported … Association between language use and ICU transfer and serious adverse events in hospitalized pediatric patients … August 17, 2022
Patient safety culture: the impact on workplace violence and health worker … patient safety and employee quality of working life.
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psnet.ahrq.gov/node/43128/psn-pdf
August 25, 2015 - surveillance: a
multimethod approach to peer assessment, hazard
identification, and prioritization of patient … Surveillance: A
Multimethod Approach to Peer Assessment, Hazard Identification, and Prioritization of Patient … J Patient Saf. 2015;11(3):143-51. doi:10.1097/PTS.0000000000000059. … The authors detail the numerous methods they applied, including
surveys, ethnographic direct observation … Safety culture, teamwork and
communication, infection prevention, handoffs, failure to adhere to standard
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psnet.ahrq.gov/issue/combined-sna-and-lda-methods-understand-adverse-medical-events
November 15, 2023 - WebM&M Cases
Complications of Vascular Access Procedures in Patients … June 24, 2020
The impact of post-fall huddles on repeat fall rates and perceptions of … safety culture: a quasi-experimental evaluation of a patient safety demonstration project
October … 16, 2019
Implementing a survey for patients to provide safety experience feedback following … October 9, 2019
Real-time clinical alerting: effect of an automated paging system on
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psnet.ahrq.gov/issue/application-electronic-trigger-tools-identify-targets-improving-diagnostic-safety
January 26, 2022 - threats: a national survey of interns and residents. … patients and families: state-wide cross-sectional survey. … 2021
Work–life balance behaviours cluster in work settings and relate to burnout and safety … culture: a cross-sectional survey analysis. … in Safety
January 1, 2018
Identifying patients with sepsis on the hospital
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psnet.ahrq.gov/issue/do-pharmacist-led-medication-reviews-hospitals-help-reduce-hospital-readmissions-systematic
July 31, 2024 - Pharmacists play a crucial role in ensuring patient safety in hospitalized patients. … safety culture. … patient safety. … November 10, 2021
When illegitimate tasks threaten patient safety culture: a cross-sectional … survey in a tertiary hospital.
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psnet.ahrq.gov/issue/national-cross-sectional-cohort-study-relationship-between-quality-mental-healthcare-and
May 04, 2022 - patients and families: state-wide cross-sectional survey. … 2020
Work–life balance behaviours cluster in work settings and relate to burnout and safety … culture: a cross-sectional survey analysis. … safety threats: a national survey of interns and residents. … February 16, 2022
When doctors share visit notes with patients: a study of patient and
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psnet.ahrq.gov/issue/review-australian-incident-monitoring-system
July 23, 2008 - Monitoring System (AIMS) to determine its value for organizing and learning from data, promoting a safety … culture , and increasing awareness of patient safety. … Related Resources From the Same Author(s)
Measurement for improvement: a survey … culture in hospital nursing units. … January 18, 2011
Antiretroviral medication errors among hospitalized patients with HIV
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psnet.ahrq.gov/issue/incidence-never-events-among-weekend-admissions-versus-weekday-admissions-us-hospitals
November 03, 2015 - January 13, 2010
Did duty hour reform lead to better outcomes among the highest risk patients … February 18, 2011
Nursing home staff turnover and perceived patient safety culture: results … from a national survey. … November 4, 2020
Perceived patient safety culture in nursing homes associated with "Nursing … September 28, 2023
Towards international consensus on patient harm: perspectives on pressure