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Healthcare Failure Mode and Effect Analysis. | PSNet

psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis

May 24, 2017 - National Center for Patient Safety. … National Center for Patient Safety. … May 3, 2006 Patient Safety Curriculum. … May 24, 2015 Training Program for Nurses on Shift Work and Long Work Hours. … August 31, 2022 Medical Office Survey on Patient Safety Culture.

Enhancing patient safety: a national standard for cyber resiliency in healthcare. | PSNet

psnet.ahrq.gov/issue/enhancing-patient-safety-national-standard-cyber-resiliency-healthcare

September 23, 2020 - September 23, 2020 'Not another safety culture survey': using the Canadian patient safety … climate survey (Can-PSCS) to measure provider perceptions of PSC across health settings. … January 15, 2014 WHO research agenda on the role of the institutional safety climate … and safety framework: a health system’s response to airway complications in mechanically ventilated patients … November 21, 2021 End-to-end lung cancer screening with three-dimensional deep learning on

Paramedic self-reported medication errors. | PSNet

psnet.ahrq.gov/issue/paramedic-self-reported-medication-errors

January 14, 2011 - July 21, 2021 Impact of pharmacist interventions provided in the emergency department on … 2023 Using medication containers during pharmacist transitional care visits and impact on … August 4, 2021 Medication dosing safety for pediatric patients: recognizing gaps, safety … of a national Delphi survey by the Children's Safety Initiative-Emergency Medical Services for Children … September 4, 2016 Perceived patient safety culture in a critical care transport program

A systematic review of patient safety measures in adult primary care. | PSNet

psnet.ahrq.gov/issue/systematic-review-patient-safety-measures-adult-primary-care

March 15, 2016 - compounded in ambulatory care , as most existing metrics have sought to measure safety in hospitalized patients … December 15, 2014 Examining the impact of the AHRQ Patient Safety Indicators (PSIs) on … Michelle Schreiber on Measuring Patient Safety December 14, 2022 … systematic review of primary care safety climate survey instruments: their origins, psychometric properties … August 12, 2016 Medical Office Survey on Patient Safety Culture: 2016 User Comparative

Novel, High-Impact Studies Evaluating Health System and Healthcare Professional Responsiveness to COVID-19 (R01). | PSNet

psnet.ahrq.gov/issue/novel-high-impact-studies-evaluating-health-system-and-healthcare-professional-responsiveness

May 01, 2017 - quality and patient safety. … AHRQ expects to fund critical research focused on topics such as the effects on quality, safety, and … December 18, 2008 Hospital Survey on Patient Safety Culture: 2014 User Comparative Database … monitoring of patients with COVID-19: a systematic review. … considerations in using personal protective equipment in the COVID-19 pandemic context: a bi-national survey

Multi-professional simulation-based team training in obstetric emergencies for improving patient outcomes and trainees' performance | PSNet

psnet.ahrq.gov/issue/multi-professional-simulation-based-team-training-obstetric-emergencies-improving-patient

July 29, 2020 - Teamwork training simulation programs can improve communication and safety culture in obstetric teams … 2008 The aspects of healthcare quality that are important to health professionals and patients … deterioration on acute adult hospital wards. … April 13, 2022 Psychometric properties of the perinatal missed care survey and missed … January 19, 2022 Prevention of failure to rescue in obstetric patients: a realist review

Identifying unintended consequences of quality indicators: a qualitative study. | PSNet

psnet.ahrq.gov/issue/identifying-unintended-consequences-quality-indicators-qualitative-study

March 04, 2020 - specific aspects of care), tunnel vision (missing important contextual information due to focusing on … April 11, 2011 Involving patients and carers in patient safety in primary care: a qualitative … study of a co-designed patient safety guide. … May 2, 2012 Safety First: Top of Your Board's Agenda: 100 Day Challenge Survey Report … August 2, 2011 Patient safety culture in primary care: developing a theoretical framework

Is the drug shortage affecting patient care in your critical care unit? | PSNet

psnet.ahrq.gov/issue/drug-shortage-affecting-patient-care-your-critical-care-unit

November 22, 2017 - discusses how drug shortages influence critical care and invites readers to share their experiences via a survey … November 22, 2017 Associations between patient safety culture and workplace safety culture … Safety Culture in Healthcare March 27, 2024 Multicomponent pharmacist intervention … did not reduce clinically important medication errors for ambulatory patients initiating direct oral … January 20, 2021 Linking patient safety culture to quality ratings in the nursing home

Patient race/ethnicity, age, gender and education are not related to preference for or response to disclosure. | PSNet

psnet.ahrq.gov/issue/patient-raceethnicity-age-gender-and-education-are-not-related-preference-or-response

April 11, 2011 - May 24, 2010 The influence of the causes and contexts of medical errors on emergency … students' abilities to probe for contextual issues in simulated patients. … July 30, 2012 Error disclosure: a new domain for safety culture assessment. … : Evidence from survey data. … September 20, 2011 Disclosing harmful mammography errors to patients.

Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. | PSNet

psnet.ahrq.gov/issue/reducing-hospital-cardiac-arrests-and-hospital-mortality-introducing-medical-emergency-team

March 11, 2013 - cross-sectional survey. … July 24, 2013 EAU policy on live surgery events. … September 30, 2010 Comparing trainee and staff perceptions of patient safety culture. … Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety … culture.

Patient falls in the operating room setting: an analysis of reported safety events. | PSNet

psnet.ahrq.gov/issue/patient-falls-operating-room-setting-analysis-reported-safety-events

November 17, 2021 - The author suggests strategies to identify patients at high risk for falls, improve fall-related training … May 4, 2022 Safety culture in the operating room: variability among perioperative healthcare … Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey … on United States operating rooms. … Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey

An adverse event screening tool based on routinely collected hospital-acquired diagnoses. | PSNet

psnet.ahrq.gov/issue/adverse-event-screening-tool-based-routinely-collected-hospital-acquired-diagnoses

July 23, 2008 - An adverse event screening tool based on routinely collected hospital-acquired diagnoses. … This study found high levels of physician agreement using an adverse event screening tool for patients … Related Resources From the Same Author(s) Measurement for improvement: a survey … Opportunities and challenges for quality and safety applications in ICD-11: an international survey … August 17, 2011 Strategies for improving patient safety culture in hospitals: a systematic

Association between surgeon technical skills and patient outcomes. | PSNet

psnet.ahrq.gov/issue/association-between-surgeon-technical-skills-and-patient-outcomes

September 02, 2020 - This study examined variation in operative technical skills among patients undergoing colorectal and … comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety … culture. … June 29, 2022 Development and validation of a brief culture-of-safety survey. … Association of low-dose whole-body computed tomography with missed injury diagnoses and radiation exposure in patients

Medicine communication from hospital to residential aged care facilities: a cross-sectional survey of aged care facility staff. | PSNet

psnet.ahrq.gov/issue/medicine-communication-hospital-residential-aged-care-facilities-cross-sectional-survey-aged

December 06, 2023 - Medicine communication from hospital to residential aged care facilities: a cross-sectional survey … care present challenges, such as loss of information or misunderstandings, that can negatively impact patient … September 23, 2020 Patient safety indicators for England from hospital administrative … February 14, 2017 Effect of a hospital-wide measure on the readmissions reduction program … November 15, 2023 Exploring the impact of safety culture on incident reporting: lessons

Safer Dx Checklist: 10 High-Priority Practices for Diagnostic Excellence. | PSNet

psnet.ahrq.gov/issue/safer-dx-checklist-10-high-priority-practices-diagnostic-excellence

August 04, 2021 - January 25, 2017 Joint Statement on Multiple Patients Per Ventilator. … Wears Patient Safety Leadership Award. … Improving Diagnostic Safety and Quality April 26, 2023 National patient … June 1, 2022 Toolkit for Engaging Patients to Improve Diagnostic Safety. … September 1, 2021 Hospital ward adaptation during the COVID-19 pandemic: a national survey

Attitudes and barriers to a medical emergency team system at a tertiary paediatric hospital. | PSNet

psnet.ahrq.gov/issue/attitudes-and-barriers-medical-emergency-team-system-tertiary-paediatric-hospital

April 11, 2011 - Rapid response systems (RRS) have been shown to reduce cardiac arrests in pediatric patients (though … This study highlights the importance of a positive safety culture in ensuring that safety interventions … 12, 2014 Recommended guidelines for monitoring, reporting, and conducting research on … diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient … April 8, 2011 A survey of nurses' beliefs about the medical emergency team system in

The July effect: an analysis of never events in the nationwide inpatient sample. | PSNet

psnet.ahrq.gov/issue/july-effect-analysis-never-events-nationwide-inpatient-sample

November 04, 2020 - recorded across 4 years, hospital-acquired conditions occurred in 4.7% of hospitalizations overall, while patients … safety culture: results from a national survey. … January 13, 2010 Did duty hour reform lead to better outcomes among the highest risk patients … February 18, 2011 Perceived patient safety culture in nursing homes associated with " … November 16, 2022 Effects of rapid response systems on clinical outcomes: systematic

Barriers to self-reporting patient safety incidents by paramedics: a mixed methods study. | PSNet

psnet.ahrq.gov/issue/barriers-self-reporting-patient-safety-incidents-paramedics-mixed-methods-study

November 16, 2022 - This survey study identified fear of professional consequences as the major barrier for paramedics in … The authors suggest that improving safety culture is needed in order to increase event reporting . … September 23, 2020 Adverse events among emergency department patients with cardiovascular … of patients experiencing anticipated and unanticipated death following ED discharge. … December 21, 2011 The association between EMS workplace safety culture and safety outcomes

'Bad apples': time to redefine as a type of systems problem? | PSNet

psnet.ahrq.gov/issue/bad-apples-time-redefine-type-systems-problem

April 19, 2017 - While efforts to improve safety have mainly focused on systems solutions, this editorial comments on … February 7, 2024 Operational failures in general practice: a consensus-building study on … Your actions speak louder than words when it comes to patient safety. … June 18, 2014 'Not another safety culture survey': using the Canadian patient safety … climate survey (Can-PSCS) to measure provider perceptions of PSC across health settings.

Defining speaking up in the healthcare system: a systematic review. | PSNet

psnet.ahrq.gov/issue/defining-speaking-healthcare-system-systematic-review

September 27, 2023 - Clinicians and staff are encouraged to speak up about safety concerns as a part of patient safety … culture. … This review had two aims: to review the literature on speaking up for patient safety, and to develop … The burden of peri-operative work at night as perceived by anaesthesiologists: an international survey … January 10, 2024 Validation and use of the Second Victim Experience and Support Tool questionnaire

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