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psnet.ahrq.gov/issue/voluntarily-reported-emergency-department-errors
June 20, 2011 - approximately half of errors were recovered, mainly by nurses, and that unrecovered errors impacted patients … October 19, 2022
The impact of electronic health record interoperability on safety and … Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey … on United States operating rooms. … safety culture?
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psnet.ahrq.gov/issue/last-person-youd-expect-die-childbirth
May 03, 2017 - a patient whose diagnosis of preeclampsia was missed by her providers, despite persistent concerns … July 10, 2024
2012 User Comparative Database Report: Medical Office Survey on Patient … Safety Culture. … July 27, 2011
Maternity ward at Highland under fire from patients. … June 28, 2006
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Labor and Delivery
Patients
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psnet.ahrq.gov/issue/novel-analysis-clinically-relevant-diagnostic-errors-point-care-devices
June 21, 2016 - normalized ratio measurements (INR, a measurement of blood clotting ability) obtained simultaneously on … , the point-of-care analyzer results were systematically biased toward normal measurements, putting patients … January 6, 2018
Evaluation of the culture of safety: survey of clinicians and managers … June 13, 2011
Prevalence of medication transfer errors in nephrology patients and potential … View More
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Effects of racial bias in pulse oximetry on
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psnet.ahrq.gov/node/853062/psn-pdf
August 30, 2023 - This survey of 52 obstetrics and gynecology departments at academic medical centers
found that few departments … time or financial support for quality improvement
activities, and only 5% of departments included a patient … representative on the quality committee. … quality-and-safety-practices-among-academic-obstetrics-and-gynecology-departments
https://psnet.ahrq.gov/issue/association-between-health-care-staff-engagement-and-patient-safety-outcomes-systematic … https://psnet.ahrq.gov/primer/patient-engagement-and-safety
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psnet.ahrq.gov/issue/hospitalization-hell-patients-perspective-quality
July 19, 2023 - A hospitalization from hell: a patient's perspective on quality. … A hospitalization from hell: a patient's perspective on quality. … November 28, 2012
The safety of emergency care systems: results of a survey of clinicians … June 7, 2008
Professionalism in medicine: results of a national survey of physicians. … March 28, 2012
Physicians and electronic health records: a statewide survey.
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psnet.ahrq.gov/issue/dispensing-errors-community-pharmacy-perceived-influence-sociotechnical-factors
October 03, 2011 - Respondents felt that dispensing errors were relatively frequent and were more likely when pharmacists … August 15, 2018
Prescription drug time guarantees and their impact on patient safety … 10, 2018
Exploring safety systems for dispensing in community pharmacies: focusing on … September 27, 2016
An investigation of occupational subgroups with respect to patient … safety culture.
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psnet.ahrq.gov/issue/no-bad-apples
May 15, 2019 - Download Citation
Related Resources From the Same Author(s)
Virtual patients … safety culture in medical homes: a coincidence analysis. … September 19, 2016
Talking with patients about other clinicians' errors. … December 18, 2014
The effect of an organizational network for patient safety on safety … July 2, 2014
Motivational antecedents of incident reporting: evidence from a survey of
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psnet.ahrq.gov/issue/proposal-surgical-checklist-ambulatory-oral-surgery
January 17, 2012 - January 17, 2012
The clinical safety of disabled patients: proposal for a methodology … Fundamentals of patient safety, the safety culture and implementation of patient safety measures in dental … matters when it comes to adverse events: associations of adverse events during implant treatment with patients … March 8, 2023
Effect of the surgical safety checklist on provider and patient outcomes … teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey
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psnet.ahrq.gov/issue/nowhere-safe-record-number-patients-contracted-covid-hospital-january
November 18, 2020 - November 18, 2020
AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative … September 28, 2022
The impact of COVID-19 workflow changes on radiation oncology incident … June 16, 2021
Provider-patient communication and hospital ratings: perceived gaps and … December 16, 2020
Burnout and sources of stress among health care risk managers and patient … December 21, 2022
Safety gaps in medical team communication: closing the loop on quality
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psnet.ahrq.gov/issue/quality-safety-time-coronavirus-design-better-learn-faster
March 29, 2017 - Using co-design to develop a collective leadership intervention for healthcare teams to improve safety … culture. … February 5, 2020
Effect of genetic diagnosis on patients with previously undiagnosed … March 3, 2011
Findings of the first consensus conference on medical emergency teams. … considerations in using personal protective equipment in the COVID-19 pandemic context: a bi-national survey
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psnet.ahrq.gov/node/848107/psn-pdf
April 26, 2023 - clinician surveys or experts’ definitions. … Reducing misdiagnosis in these
situations may have broader, population-level effects on patient safety … In patient-centered work to categorize diagnostic error, patients emphasized that
communication breakdowns … Current efforts to study
diagnostic safety are fragmented and stem primarily from surveys and expert … These barriers
may be difficult to change, such as reimbursement models based on patient volume, or
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psnet.ahrq.gov/issue/interpretability-doctor-identification-badges-uk-hospitals-survey-nurses-and-patients
October 07, 2013 - Study
The interpretability of doctor identification badges in UK hospitals: a survey … of nurses and patients. … The interpretability of doctor identification badges in UK hospitals: a survey of nurses and patients … The interpretability of doctor identification badges in UK hospitals: a survey of nurses and patients … June 22, 2017
Burnout in the NICU setting and its relation to safety culture.
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psnet.ahrq.gov/issue/assessing-patients-2019-experiences-medical-injury-reconciliation-processes-item-generation
June 16, 2021 - : item generation for a novel survey questionnaire. … a novel survey questionnaire. … The final 40-item survey addresses patient and/or family perceptions of communications with healthcare … a novel survey questionnaire. … June 24, 2020
The effects of harm events on 30-day readmission in surgical patients.
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psnet.ahrq.gov/node/47409/psn-pdf
April 16, 2019 - Health care risk managers' consensus on the
management of inappropriate behaviors among hospital
staff … Health care risk managers' consensus on the management of
inappropriate behaviors among hospital staff … among-hospital-staff
Disruptive and unprofessional behavior creates an unhealthy institutional culture and leads to patient … health-care-risk-managers-consensus-management-inappropriate-behaviors-among-hospital-staff
https://psnet.ahrq.gov/primer/disruptive-and-unprofessional-behavior
https://psnet.ahrq.gov/issue/survey-impact-disruptive-behaviors-and-communication-defects-patient-safety
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psnet.ahrq.gov/node/46475/psn-pdf
April 16, 2018 - Incident reporting behaviours following the Francis
report: a cross-sectional survey. … Incident reporting behaviours following the Francis report: A cross-sectional survey. … https://psnet.ahrq.gov/issue/incident-reporting-behaviours-following-francis-report-cross-sectional-survey … Incident reporting is widely utilized to detect patient harm, but underreporting is a well-known challenge … In this mixed-methods study across 11 hospitals in England, researchers
surveyed physicians on incident
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psnet.ahrq.gov/issue/unexpected-intraoperative-patient-death-imperatives-family-and-surgeon-centered-care
August 04, 2021 - July 14, 2010
Interventions to promote safety culture in cancer care: a systematic review … patients and families. … NHS: an online survey study. … December 4, 2016
Patients' and family members' views on how clinicians enact and how … Open disclosure of adverse events to patients and their families.
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psnet.ahrq.gov/issue/systematic-review-falls-hospital-patients-communication-disability-highlighting-invisible
April 15, 2016 - safety in studies on the care and safety of patients with communication disabilities in hospital. … October 19, 2022
Longitudinal evaluation of a programme for safety culture change in … using the internet: a multisite survey. … February 13, 2013
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Related Resources
Final Report on Prioritization … July 13, 2022
Patients' experiences and perspectives of patient-reported outcome measures
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psnet.ahrq.gov/issue/strategies-preventing-distractions-and-interruptions-or
January 23, 2008 - safety culture among physicians and RNs in the perioperative area. … operating room: a narrative review of environmental and self-initiated distractions and their effect on … June 14, 2023
Proactive patient safety: focusing on what goes right in the perioperative … May 24, 2023
Distractions in the operating room: a survey of the healthcare team. … patient safety.
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psnet.ahrq.gov/issue/identifying-potential-predictors-safe-attending-physician-workload-survey-hospitalists
December 21, 2014 - In this national survey of attending hospitalists, 40% of respondents reported an unsafe, high workload … Related Resources From the Same Author(s)
Impact of attending physician workload on … patient care: a survey of hospitalists. … December 21, 2014
Effects of the 2011 duty hour reforms on interns and their patients … Effects of the Accreditation Council for Graduate Medical Education duty hour limits on
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psnet.ahrq.gov/issue/preventing-medication-errors-information-age
February 15, 2023 - February 15, 2023
Evaluation of the association between Hospital Survey on Patient Safety … Culture (HSOPS) measures and catheter-associated infections: results of two national collaboratives. … 12, 2011
Incidence and severity of medication reconciliation discrepancies in trauma patients … August 16, 2023
Clinical deterioration and hospital‐acquired complications in adult patients … September 9, 2011
The enterprise take on patient safety.