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psnet.ahrq.gov/issue/teamwork-inpatient-medical-units-assessing-attitudes-and-barriers
June 11, 2010 - Teamwork on inpatient medical units: assessing attitudes and barriers. … Whereas nurses noted difficulty identifying patients’ providers and their roles as the key barrier to … the implementation of a multifaceted intervention to improve teamwork and quality for hospitalized patients … survey of practices and recommendations. … stress, and collaboration among ward staff in relation to risk of hospital-associated infection among patients
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psnet.ahrq.gov/issue/enhancing-patient-safety-pediatric-emergency-department-teams-communication-and-lessons-crew
April 26, 2023 - Transparent and open discussion of errors does not increase malpractice risk in trauma patients … Related Resources
Impact of teamwork and communication training interventions on … safety culture and patient safety in emergency departments: a systematic review. … January 26, 2022
Impact of simulation-based closed-loop communication training on medical … management course for emergency medicine, phase 1: results from an interdisciplinary needs assessment survey
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psnet.ahrq.gov/issue/safer-paediatric-surgical-teams-5-year-evaluation-crew-resource-management-implementation-and
February 03, 2021 - The pre–post analysis showed sustained improvements in safety culture , checklist adherence, communication … - an international survey. … 9, 2019
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Related Resources
Impact of a daily huddle on … November 28, 2016
Effect of surgical safety checklists on pediatric surgical complications … Reflections on incident reporting in a department of pediatric surgery.
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psnet.ahrq.gov/issue/adverse-drug-events-and-medication-problems-hospital-home-patients
December 16, 2020 - Adverse drug events and medication problems in "Hospital at Home" patients. … : impact of the present on admission indicator. … December 29, 2014
Identification of serious and reportable events in home care: a Delphi survey … December 13, 2013
Toward increased patient safety? … March 11, 2013
Patient safety culture in home care: experiences of home-care nurses.
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psnet.ahrq.gov/issue/long-term-reduction-adverse-drug-events-evidence-based-improvement-model
August 28, 2024 - in-patients. … rates in hospital in-patients: a before and after study. … April 14, 2011
Patient safety culture: factors that influence clinician involvement in … patient safety behaviours. … February 20, 2010
Errors and omissions in hospital prescriptions: a survey of prescription
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psnet.ahrq.gov/issue/association-clinical-knowledge-support-system-improved-patient-safety-reduced-complications
October 19, 2022 - February 17, 2011
Impact of introducing an electronic physiological surveillance system on … March 14, 2022
The AHRQ Report on Diagnostic Errors in the Emergency Department: the … safety events present on admission? … March 12, 2011
How do black-serving hospitals perform on patient safety indicators? … August 13, 2008
Measurement for improvement: a survey of current practice in Australian
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psnet.ahrq.gov/issue/identification-serious-and-reportable-events-home-care-delphi-survey-develop-consensus
November 27, 2013 - Four types of serious preventable events were identified: inappropriate client service plans, medication … Related Resources From the Same Author(s)
Assessing adverse events among home care clients … November 27, 2013
On the ball: leadership for patient safety and learning in critical … October 16, 2024
Effect of digital tools to promote hospital quality and safety on adverse … December 13, 2013
Assessing adverse events among home care clients in three Canadian
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psnet.ahrq.gov/issue/contribution-adverse-events-death-hospitalised-patients
October 27, 2021 - Contribution of adverse events to death of hospitalised patients. … October 27, 2021
Effect of the World Health Organization checklist on patient outcomes … July 27, 2016
Strengthening leadership as a catalyst for enhanced patient safety culture … estimated rates of patient harm. … A cross-sectional survey.
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psnet.ahrq.gov/issue/patterns-medical-and-nursing-staff-communication-nursing-homes-implications-and-insights
December 22, 2018 - Resources From the Same Author(s)
Effect of promoting high-quality staff interactions on … and association with patient harm. … June 11, 2010
Assessing resident safety culture in nursing homes: using the nursing home … survey on resident safety. … patient safety.
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psnet.ahrq.gov/issue/remedies-sought-and-obtained-healthcare-complaints
April 13, 2011 - as patients' requests for compensation or corrective actions were fulfilled in only a minority of cases … December 2, 2020
Does employee safety matter for patients too? … Employee safety climate and patient safety culture in health care. … January 29, 2020
The impact of patient and public involvement on UK NHS health care: … cross-sectional survey.
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psnet.ahrq.gov/issue/resilience-vs-vulnerability-psychological-safety-and-reporting-near-misses-varying-proximity
December 16, 2020 - This survey of radiation oncology staff found that near misses are not processed and reported equally … October 28, 2020
Communication with patients and families regarding health care-associated … August 12, 2020
Lessons learned from a systems approach to engaging patients and families … Safety and Quality
April 26, 2023
The impact of COVID-19 workflow changes on … November 2, 2022
Evaluating incident learning systems and safety culture in two radiation
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psnet.ahrq.gov/issue/use-revised-second-victim-experience-and-support-tool-examine-second-victim-experiences
November 03, 2021 - Resources From the Same Author(s)
Evaluation of a second victim peer support program on … victim experiences of nurses in obstetrics and gynaecology: a Second Victim Experience and Support Tool Survey … victim experiences and support needs of OB/GYN and pediatric healthcare professionals after adverse patient … January 31, 2024
Validation and use of the Second Victim Experience and Support Tool questionnaire … October 6, 2021
Developing a patient safety culture in primary dental care.
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psnet.ahrq.gov/issue/formative-evaluation-video-reflexive-ethnography-method-applied-physician-nurse-dyad
December 02, 2020 - focused on communication. … October 24, 2018
The influence of organizational context on quality improvement and patient … June 18, 2019
Effects of individual nurse and hospital characteristics on patient adverse … January 9, 2011
The impact of nursing work environments on patient safety outcomes: the … August 20, 2008
Perceptions of patient safety culture among physicians and RNs in the
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psnet.ahrq.gov/issue/improving-medication-related-safety-residents-nursing-homes-qualitative-study
March 24, 2019 - February 27, 2019
Impact of a warning CPOE system on the inappropriate pill splitting … January 21, 2015
The Lancet Commission on lessons for the future from the COVID-19 pandemic … October 12, 2022
Findings of the first consensus conference on medical emergency teams … April 20, 2022
Patient Safety Primers
Coronavirus Disease … safety culture: results from a national survey.
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psnet.ahrq.gov/issue/family-initiated-dialogue-about-medications-during-family-centered-rounds
July 09, 2018 - Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients … perspectives on how physicians communicate diagnostic uncertainty: an experimental vignette study. … October 13, 2018
Provider perspectives on partnering with parents of hospitalized children … June 27, 2018
Parents' perspectives on "keeping their children safe" in the hospital. … November 30, 2016
Family-centered rounds on pediatric wards: a PRIS network survey of
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psnet.ahrq.gov/issue/team-relations-and-role-perceptions-during-anesthesia-crisis-management-magnetic-resonance
December 13, 2023 - Jt Comm J Qual Patient Saf . 2024; 50 (5) :308-317 . … Based on 67 survey responses and 17 interviews, the researchers identified nuanced differences in role … July 31, 2019
Safety culture in cardiac surgical teams: data from five programs and national … January 17, 2017
Practice advisory on anesthetic care for magnetic resonance imaging: … a report by the American Society of Anesthesiologists Task Force on Anesthetic Care for Magnetic Resonance
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psnet.ahrq.gov/issue/how-dekalb-medical-fixed-drug-safety-problems-after-fatal-error
October 11, 2017 - Overreliance on technology can result in harmful medication mistakes. … Reporting on a 10-fold medication overdose that led to the death of a patient with dementia, this news … March 29, 2016
Leadership Survey: Immunization Against Burnout: Insights Report. … October 11, 2016
After a medical error, patients could become hospital insiders. … report: results from a cross-sectional national survey.
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psnet.ahrq.gov/issue/introduction-obstetric-specific-medical-emergency-team-obstetric-crises-implementation-and
October 19, 2022 - October 19, 2022
Society of Critical Care Medicine Guidelines on Recognizing and Responding … February 7, 2024
Effect of genetic diagnosis on patients with previously undiagnosed … June 3, 2020
Comparing trainee and staff perceptions of patient safety culture. … victim experiences of nurses in obstetrics and gynaecology: a Second Victim Experience and Support Tool Survey … November 11, 2020
The psychological experience of obstetric patients and health care
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psnet.ahrq.gov/issue/randomised-controlled-trial-assessing-efficacy-electronic-discharge-communication-tool
August 24, 2016 - Opportunities and challenges for quality and safety applications in ICD-11: an international survey … "It's the difference between life and death": the views of professional medical interpreters on … February 17, 2016
Effect of a postdischarge virtual ward on readmission or death for … high-risk patients: a randomized clinical trial. … November 3, 2015
Hospital internet site content on patient safety and medical errors.
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psnet.ahrq.gov/issue/what-about-doctors-impact-medical-errors
January 14, 2015 - Patients are the first victims when medical mistakes occur, and studies have indicated that these incidents … - an international survey. … March 27, 2024
Missed nursing care in surgical care- a hazard to patient safety: a quantitative