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psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
September 23, 2024 - Innovation Patient Safety Focus
A study was conducted on 84,730 patients from 2005 to 2007 using data … or in person after the RIC with clear changes to clinical practice Evaluation using a short online survey … innovation included qualitative semi-structured interviews with 12 surgical faculty and staff plus surveys … Respondents had positive perceptions of all five indicators: educational value (mean=6.07 with SD 0.96 … or in person after the RIC with clear changes to clinical practice Evaluation using a short online survey
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psnet.ahrq.gov/issue/rapid-response-systems-and-collective-incompetence-exploratory-analysis-intraprofessional-and
June 19, 2012 - Clinical staff often fail to call rapid response teams to evaluate deteriorating patients, even when … February 2, 2022
Findings of the first consensus conference on medical emergency teams … February 23, 2022
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Related Resources
Patient … attitudes and barriers to a medical emergency team among nurses and medical doctors: a multi-centre survey … February 25, 2015
Burnout in the NICU setting and its relation to safety culture.
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psnet.ahrq.gov/issue/agency-information-collection-activities-national-healthcare-safety-network-nhsn-comment
April 06, 2022 - September 7, 2016
Making health care safer: protect patients from antibiotic resistance … May 20, 2015
Patient Notification Toolkit. … November 30, 2023
Agency information collection activities: Nursing Home Survey on Patient … Safety Culture Database; comment request. … May 27, 2020
Patient Safety Improvement Act of 2020.
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psnet.ahrq.gov/issue/overtreatment-united-states
November 21, 2017 - Overuse of medical care can lead to patient harm. … In this survey study, physicians were queried about the overuse of health care as well as contributing … care can harm patients. … August 11, 2021
Association of safety culture with surgical site infection outcomes. … September 29, 2017
Development of a high-value care culture survey: a modified Delphi
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psnet.ahrq.gov/issue/tort-claims-and-adverse-events-emergency-medical-services
January 02, 2008 - September 30, 2014
Variation in emergency medical services workplace safety culture. … November 10, 2010
The Emergency Medical Services Safety Attitudes Questionnaire. … March 28, 2010
The association between EMS workplace safety culture and safety outcomes … of a national Delphi survey by the Children's Safety Initiative-Emergency Medical Services for Children … June 11, 2014
Perceived patient safety culture in a critical care transport program.
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psnet.ahrq.gov/issue/patient-safety-and-quality-outcomes-ed-patients-admitted-alternative-care-area-inpatient-beds
October 19, 2022 - Study
Patient safety and quality outcomes for ED patients admitted to alternative … Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds. … October 19, 2022
Effect of genetic diagnosis on patients with previously undiagnosed … October 30, 2019
Impact of teamwork and communication training interventions on safety … culture and patient safety in emergency departments: a systematic review.
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psnet.ahrq.gov/issue/busy-day-effect-perinatal-complications-delivery-weekends-retrospective-cohort-study
January 16, 2019 - Study
A 'busy day' effect on perinatal complications of delivery on weekends: a retrospective … A 'busy day' effect on perinatal complications of delivery on weekends: a retrospective cohort study. … the covid-19 pandemic using OpenSAFELY: population based, retrospective cohort study of 57 million patients … units: findings from the LaborRNs survey. … March 16, 2022
Psychometric properties of the perinatal missed care survey and missed
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psnet.ahrq.gov/issue/identifying-medical-errors-developing-consensus-classifications-and-consequences
July 14, 2010 - Study
Identifying medical errors: developing consensus on classifications and consequences … Citation Text:
Identifying medical errors: developing consensus on classifications and consequences … Cite
Citation
Citation Text:
Identifying medical errors: developing consensus on … February 15, 2017
Does employee safety matter for patients too? … Employee safety climate and patient safety culture in health care.
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psnet.ahrq.gov/node/49819/psn-pdf
February 01, 2018 - errors and patient safety. … Describe the role of closed-loop communication in patient handoffs. … care system have exacerbated handoff problems, including the
increasing complexity of hospitalized patients … nonvalidated provider surveys
alone, with little collection of objective data on effectiveness.(5) … Following implementation of the I-PASS program across all nine sites, errors that harmed patients
(preventable
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psnet.ahrq.gov/issue/characteristics-healthcare-organisations-struggling-improve-quality-results-systematic-review
August 14, 2019 - April 13, 2011
The influence of organizational context on quality improvement and patient … July 3, 2014
Evaluation of the association between Hospital Survey on Patient Safety … Culture (HSOPS) measures and catheter-associated infections: results of two national collaboratives. … June 7, 2018
The effect of facility characteristics on patient safety, patient experience … November 8, 2017
The weekend effect in hospitalized patients: a meta-analysis.
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psnet.ahrq.gov/issue/things-we-carry-scope-and-impact-second-victim-syndrome
November 12, 2014 - The second victim concept encompasses an important concern for the impact of unsafe care on health care … harm due to errors can heal, and in doing so, provide safe care to their patients. … February 26, 2025
Longitudinal analysis of culture of patient safety survey results in … Workplace violence pervasiveness in the perioperative environment: a multiprofessional survey … patient safety.
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psnet.ahrq.gov/issue/surgeon-scorecard
January 22, 2014 - Transparency has been advocated as a key element of safe, patient-centered care, but data on individual … Medicare patients to provide performance records and enhance patient decision-making when selecting … 6, 2015
View More
Related Resources
Ambulatory Surgery Center Survey … on Patient Safety Culture. … November 5, 2008
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See More About The Topic
Operating Room
Patients
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psnet.ahrq.gov/issue/situ-simulation-based-team-training-and-its-significance-transfer-learning-clinical-practice
June 14, 2023 - This study reports on an anesthesia team’s transfer of NTS into clinical practice through focus groups … January 17, 2024
An evidence synthesis on perioperative handoffs: a call for balanced … April 5, 2023
Healthcare professionals' perception of safety culture and the Operating … Room (OR) Black Box technology before clinical implementation: a cross-sectional survey. … teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey
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psnet.ahrq.gov/node/866395/psn-pdf
July 23, 2024 - attendees, using a 7-point
Likert scale evaluation, and interviewing 12 surgical faculty and staff.1 The survey … innovation included qualitative semi-structured interviews with 12 surgical faculty and
staff plus surveys … Respondents
had positive perceptions of all five indicators: educational value (mean=6.07 with SD 0.96 … Innovation Patient Safety Focus
A study was conducted on 84,730 patients from 2005 to 2007 using data … or in person after the RIC with clear changes to clinical practice
Evaluation using a short online survey
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psnet.ahrq.gov/issue/work-related-critical-incidents-hospital-based-health-care-providers-and-risk-post-traumatic
April 12, 2023 - 2023
The effect of computerised decision support alerts tailored to intensive care on … February 14, 2024
Adverse drug events in surgical patients: an observational multicentre … August 19, 2015
Adverse drug events caused by three high-risk drug-drug interactions in patients … August 31, 2022
Multispecialty physician online survey reveals that burnout related to … September 27, 2016
Patient safety culture and the second victim phenomenon: connecting
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psnet.ahrq.gov/issue/patients-and-doctors-views-and-experiences-patient-safety-trajectory-breast-cancer-care
December 08, 2021 - Study
Patients' and doctors' views and experiences of the patient safety trajectory … Patients' and doctors’ views and experiences of the patient safety trajectory of breast cancer care. … Patient safety issues impacting cancer care can have significant impacts on patients. … This cross-sectional survey of physicians and patients at one cancer center in Ireland explored perspectives … May 5, 2021
What has been the impact of Covid-19 on safety culture?
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psnet.ahrq.gov/issue/2022-john-m-eisenberg-patient-safety-and-quality-awards
August 02, 2023 - This special issue highlights the efforts of the 2022 Eisenberg Award honorees and their impact on improving … patient safety and quality. … Safety Culture Survey. … March 22, 2023
Providers' and patients' perspectives on diagnostic errors in the acute … December 7, 2022
Complications associated with the anesthesia transport of pediatric patients
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psnet.ahrq.gov/issue/long-term-outcomes-medication-intervention-using-screening-tool-older-persons-potentially
July 31, 2024 - retrospective study assessed the sustainability of orally communicated medication recommendations based on … considerations in using personal protective equipment in the COVID-19 pandemic context: a bi-national survey … The effect of a program to shorten the decision-to-delivery interval for emergent cesarean section on … safety culture in a tertiary maternity unit. … beliefs: the Seniors Empowerment and Advocacy in Patient Safety (SEAPS) survey.
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psnet.ahrq.gov/node/43125/psn-pdf
December 12, 2014 - The authors attribute improvements to systems strategies,
including checklists, safety culture surveys … psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
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psnet.ahrq.gov/issue/measurement-and-monitoring-safety-impact-and-challenges-putting-conceptual-framework-practice
January 24, 2018 - October 25, 2023
The WHO surgical safety checklist: survey of patients' views. … February 8, 2018
Impact of the introduction of electronic prescribing on staff perceptions … of patient safety and organizational culture. … June 28, 2017
Do hospital boards matter for better, safer, patient care? … March 8, 2017
Junior doctors' views on reporting concerns about patient safety: a qualitative