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psnet.ahrq.gov/node/60212/psn-pdf
January 29, 2021 - that requires a system orientation to diagnosis,
management and post-acute care to keep clinicians, patients … This set of
recommendations is anchored on a human factors approach to provide overarching direction … The recommendations focus on team communication and
organizational culture; the diagnostic process; … triage decision ethics; discharge communications;
home isolation; psychological safety of staff and patients … https://psnet.ahrq.gov/issue/psychological-safety-and-infection-prevention-practices-results-national-survey
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psnet.ahrq.gov/issue/addressing-patient-safety-hazards-using-critical-incident-reporting-hospitals-systematic
June 08, 2022 - May 26, 2021
Impact of teamwork and communication training interventions on safety culture … Characteristics of critical incident reporting systems in primary care: an international survey … September 29, 2017
Occurrence of no-harm incidents and adverse events in hospitalized patients … December 8, 2021
Do patient engagement interventions work for all patients? … August 26, 2020
Scoping review of patients' attitudes about their role and behaviours
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psnet.ahrq.gov/issue/decision-making-emergency-medicine-biases-errors-and-solutions
January 20, 2021 - clinical reasoning in the emergency department and shares tactics that minimize their potential impact on … April 15, 2020
Patient Safety: A Case-based Innovative Playbook for Safer Care. … A qualitative study of emotions, triggers, regulation strategies, and effects on patient care. … April 1, 2020
Emotionally evocative patients in the emergency department: a mixed methods … management course for emergency medicine, phase 1: results from an interdisciplinary needs assessment survey
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psnet.ahrq.gov/issue/flawed-self-assessment-hand-hygiene-major-contributor-infections-clinical-practice
September 02, 2020 - This survey study found that physician and nurse self-assessments of their hand hygiene was better … Participants also rated their own hand hygiene higher, on average, than their peers. … September 26, 2016
Patient Safety in Dialysis Access. … an improved patient safety culture. … February 2, 2011
Chemotherapy safety and severe adverse events in cancer patients: strategies
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psnet.ahrq.gov/node/38047/psn-pdf
January 31, 2011 - While single-patient rooms have been associated with patients feeling safer, there is some
debate about … whether patients' satisfaction equates to their safety. … However, they conclude
that efforts at hospital design could have greater impact on patient safety and … /issue/through-patients-eyes-understanding-and-promoting-patient-centered-care
https://psnet.ahrq.gov … /issue/adoption-patient-centered-care-practices-physicians-results-national-survey
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/mail-service-and-community-pharmacies-must-work-tandem
December 07, 2022 - This article discusses how community pharmacies are contributing to patient safety and suggests that … November 30, 2016
IV push medications survey results—part 1 and part 2. … February 13, 2019
ADC survey shows some improvements, but unnecessary risks still exist … May 2, 2018
ISMP 2007 survey on high-alert medications. … June 16, 2019
Two steps forward and one step back for patient safety?
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psnet.ahrq.gov/perspective/conversation-withrichard-p-shannon-md
August 01, 2010 - , solid tumor patients, and bone marrow transplant patients. … and quality defects in American medicine.( 2 ) Recently, leaders of AMCs have taken up the mantle: a survey … Luckily, there are a number of validated instruments, such as the Safety Attitudes Questionnaire, that … Impact of CRM-based training on obstetric outcomes and clinicians' patient safety attitudes. … Assessing safety culture: guidelines and recommendations. Qual Saf Health Care. 2005;14:231-233.
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psnet.ahrq.gov/issue/situ-simulation-program-quantitative-and-qualitative-prospective-study-identifying-latent
March 25, 2021 - Simulation training is used by hospitals to improve patient care. … safety culture improves during an in situ simulation intervention: a repeated cross-sectional intervention … emergency department: important prescribing discrepancies between the shared medication record and patients … , 2016
Analysis of clinical decision support system malfunctions: a case series and survey … December 9, 2014
Improving teamwork: impact of structured interdisciplinary rounds on
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psnet.ahrq.gov/issue/digitizing-diagnosis-review-mobile-applications-diagnostic-process
October 10, 2018 - Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey … July 27, 2022
Identifying facilitators and barriers for patient safety in a medicine … label design system using patient simulation and interviews. … November 19, 2016
Creating a safety culture at the Children's and Women's Health Centre … Settings Help Improve Management of Sepsis
May 31, 2023
Perspectives on
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psnet.ahrq.gov/node/36475/psn-pdf
January 07, 2011 - determine their experiences with safety incidents and found that
understaffing and lack of emphasis on … a culture of safety contributed to patient safety problems.
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psnet.ahrq.gov/issue/outcomes-after-out-hospital-endotracheal-intubation-errors
July 20, 2010 - mortality of critically ill patients. … general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues. … safety culture in a tertiary maternity unit. … a national Delphi survey by the Children's Safety Initiative-Emergency Medical Services for Children. … March 24, 2011
Effect of a comprehensive obstetric patient safety program on compensation
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psnet.ahrq.gov/issue/team-checkup-tool-evaluating-qi-team-activities-and-giving-feedback-senior-leaders
November 27, 2012 - Jt Comm J Qual Patient Saf. 2008;34(10):619-23, 561. … January 22, 2017
Assessing content validity and user perspectives on the Team Check-up … Tool: expert survey and user focus groups. … December 21, 2014
Improving teamwork: impact of structured interdisciplinary rounds on … June 13, 2011
I-CaRe: a case review tool focused on improving inpatient care.
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psnet.ahrq.gov/node/72696/psn-pdf
February 03, 2021 - about perceived safety climate, but the authors did not find an association
between organizational safety … culture and failure to rescue or inpatient mortality. … primer/failure-rescue
https://psnet.ahrq.gov/issue/healthcare-climate-framework-measuring-and-improving-patient-safety
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psnet.ahrq.gov/issue/improving-critical-incident-reporting-primary-care-through-education-and-involvement
September 07, 2022 - Based on study findings, the authors concluded that before practices can profit from web-based CIRS, … they should provide basic training on safety culture and error management and implement an offline CIRS … Characteristics of critical incident reporting systems in primary care: an international survey … May 1, 2024
Impact of the communication and patient hand-off tool SBAR on patient safety … Vaccination errors in general practice: creation of a preventive checklist based on
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psnet.ahrq.gov/issue/us-compounding-pharmacy-related-outbreaks-2001-2013-public-health-and-patient-safety-lessons
August 24, 2022 - threats: a national survey of interns and residents. … June 1, 2022
Does employee safety matter for patients too? … Employee safety climate and patient safety culture in health care. … on Preventing Diversion of Controlled Substances. … Nosocomial transmission and outbreaks of coronavirus disease 2019: the need to protect both patients
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psnet.ahrq.gov/issue/emergency-department-crowding-and-risk-preventable-medical-errors
November 23, 2011 - November 23, 2011
Impact of teamwork and communication training interventions on safety … culture and patient safety in emergency departments: a systematic review. … January 9, 2013
The safety of emergency care systems: results of a survey of clinicians … September 23, 2020
Analysis of risk factors for patient safety events occurring in the … August 4, 2021
Effect of genetic diagnosis on patients with previously undiagnosed disease
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psnet.ahrq.gov/issue/nurse-decision-making-prearrest-period
July 29, 2020 - Rather than relying on specific vital sign abnormalities , nurses relied on a combination of clinical … The study reveals the importance of a positive safety culture in ensuring that frontline staff feel … October 19, 2022
Survey of nurses' experiences applying The Joint Commission's medication … June 1, 2011
The impact of the medical emergency team on the resuscitation practice of … February 23, 2011
How RNs rescue patients: a qualitative study of RNs' perceived involvement
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psnet.ahrq.gov/issue/safety-enhancements-every-hospital-must-consider-wake-another-tragic-neuromuscular-blocker
June 19, 2019 - This newsletter article reports on the findings of a government investigation into the death of a patient … February 9, 2022
Partnering with families and patient advocates: another line of defense … August 14, 2019
ADC survey shows some improvements, but unnecessary risks still exist … May 2, 2018
Just Culture and its critical link to patient safety—part 1 and part 2. … February 27, 2019
Speaking up about patient safety requires an observant questioner and
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psnet.ahrq.gov/issue/effect-work-hours-adverse-events-and-errors-health-care
August 20, 2014 - Study
The effect of work hours on adverse events and errors in health care. … The effect of work hours on adverse events and errors in health care. … The effect of work hours on adverse events and errors in health care. … September 7, 2016
Focus on Patient Safety. … April 17, 2013
Nursing 2006 Patient-safety survey report.
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psnet.ahrq.gov/node/33639/psn-pdf
September 01, 2006 - We did our first cultural survey back in 1998 to set the benchmark. … We had a number of assumptions
before the survey. … It makes our patients
safer, but it doesn't directly impinge on what we do for patient safety. … Because if we're wasting money taking care of fewer patients that means there
are other patients who … I will say though—and this might sound strange—that most of the benefit to the patients for patient safety