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psnet.ahrq.gov/issue/documenting-quality-improvement-and-patient-safety-efforts-quality-portfolio-statement
January 13, 2021 - safety threats: a national survey of interns and residents. … June 3, 2013
Impact of duty hours restrictions on quality of care and clinical outcomes … : results of a survey of chairs of departments of internal medicine in North America. … April 20, 2011
Artificial intelligence in anesthetic care: a survey of physician anesthesiologists … Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on
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psnet.ahrq.gov/issue/safety-and-risk-management-interventions-hospitals-systematic-review-literature
April 01, 2010 - In this systematic review, the authors characterize the published literature on organizational safety … June 16, 2011
On the trail of quality and safety in health care. … Providing good and comfortable care by building a bond of trust': nurses views regarding their role in patients … A survey of 10 healthcare professions in the Netherlands about experiences with impaired and incompetent … August 22, 2012
Patient Safety Papers.
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psnet.ahrq.gov/node/853975/psn-pdf
September 27, 2023 - strategies-improving-clinician-psychological-safety-reporting-and-discussing-
diagnostic-error
Psychological safety to report errors stems from a robust safety … culture. … annual-perspective-psychological-safety-healthcare-staff
https://psnet.ahrq.gov/issue/pediatric-clinician-comfort-discussing-diagnostic-errors-improving-patient-safety-survey
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psnet.ahrq.gov/issue/systems-approach-analyzing-and-preventing-hospital-adverse-events
March 30, 2022 - This article describes the use of a new accident analysis technique (CAST, or Causal Analysis based on … The CAST approach is based on the principle that accidents are not only the result of individual system … component failures or errors but more generally result due to inadequate enforcement of constraints on … Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey … January 23, 2017
Safety culture in cardiac surgical teams: data from five programs and
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psnet.ahrq.gov/issue/technology-education-and-safety-3
October 11, 2023 - September 23, 2020
Adverse events among emergency department patients with cardiovascular … March 10, 2021
Effect of the World Health Organization checklist on patient outcomes: … December 22, 2018
Development and validation of a brief culture-of-safety survey. … June 22, 2022
Clinical efficacy of combined surgical patient safety system and the World … June 3, 2020
Adverse drug events in surgical patients: an observational multicentre study
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psnet.ahrq.gov/issue/transforming-team-performance-through-reimplementation-surgical-safety-checklist
March 09, 2022 - Surgical safety checklists have been credited with improving perioperative patient outcomes, but numerous … May 5, 2021
What has been the impact of Covid-19 on safety culture? … June 21, 2023
Clinicians' perspectives on proactive patient safety behaviors in the perioperative … Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey … March 3, 2021
Adaptive design: adaptation and adoption of patient safety practices in
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psnet.ahrq.gov/issue/remote-assessment-real-world-surgical-safety-checklist-performance-using-or-black-box-multi
March 17, 2021 - March 17, 2021
Impact of team performance on the surgical safety checklist on patient … August 20, 2018
System factors affecting patient safety in the OR: an analysis of safety … May 31, 2023
Healthcare professionals' perception of safety culture and the Operating … Room (OR) Black Box technology before clinical implementation: a cross-sectional survey. … patient safety.
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psnet.ahrq.gov/issue/checklist-usage-decreases-critical-task-omissions-when-training-residents-separate-simulated
July 18, 2014 - This study reports on the development and initial implementation of a checklist to improve safety during … December 1, 2011
Patients' perspectives of surgical safety: do they feel safe? … August 4, 2021
The Research on Adverse Drug Events and Reports (RADAR) project. … Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey … March 3, 2021
Patient safety in the OR.
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psnet.ahrq.gov/issue/occurrence-wrong-site-surgery-self-reported-candidates-certification-american-board
June 03, 2020 - January 3, 2017
Can we make postoperative patient handovers safer? … November 16, 2016
Wrong-site orthopedic operations on the extremities: the Pennsylvania … October 20, 2010
Spinal surgery and patient safety: a systems approach. … Results of an AAOS member survey. … March 18, 2009
Most surgery in wrong spot done on spine: 11 such cases found in state
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psnet.ahrq.gov/node/855428/psn-pdf
November 15, 2023 - study-error-reporting-nurses-significant-impact-nursing-team-dynamics
Nursing team dynamics can influence safety … culture and willingness so speak up about errors and safety
concerns. … This survey of over 650 nurses and nurse managers underscored the importance of leader
inclusiveness … study-error-reporting-nurses-significant-impact-nursing-team-dynamics
https://psnet.ahrq.gov/issue/exploring-mediating-effects-between-nursing-leadership-and-patient-safety-person-centred
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psnet.ahrq.gov/issue/institute-safe-medication-practices-and-poison-control-centers-collaborating-prevent
April 22, 2017 - July 26, 2011
Making inpatient medication reconciliation patient centered, clinically … relevant and implementable: a consensus statement on key principles and necessary first steps. … June 16, 2019
Partnering with pediatric patients and families in high reliability to … January 2, 2017
A patient-initiated voluntary online survey of adverse medical events … : the perspective of 696 injured patients and families.
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psnet.ahrq.gov/issue/student-mistakes-and-teacher-reactions-bedside-teaching
January 18, 2012 - June 26, 2019
Evaluation of the culture of safety: survey of clinicians and managers … June 16, 2011
Providers' and patients' perspectives on diagnostic errors in the acute … July 15, 2020
Effect on patient safety of a resident physician schedule without 24-hour … Related Resources
"Near miss": a mixed-methods analysis of medical student assignments in patient … Improving Diagnostic Safety and Quality
April 26, 2023
Improving Patient
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psnet.ahrq.gov/issue/safer-out-hours-primary-care
March 14, 2022 - February 24, 2011
Burnout in the NICU setting and its relation to safety culture. … symptoms and work-related behavior among healthcare workers and other professionals: results of a global survey … safety culture and less caregiver burnout. … October 14, 2009
Preanalytical errors in primary healthcare: a questionnaire study of … February 18, 2009
Patient safety records: silent witness.
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psnet.ahrq.gov/issue/10-years-why-time-out-still-matters
November 08, 2013 - This commentary features insights from a multidisciplinary panel on their experiences with time outs … May 18, 2022
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey … Adherence to a medication safety protocol: current practice for labeling medications and solutions on … May 26, 2010
Counting for patient safety.
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psnet.ahrq.gov/issue/mixed-method-study-practitioners-perspectives-issues-related-ehr-medication-reconciliation
September 23, 2020 - Study
A mixed-method study of practitioners' perspectives on issues related to EHR … This interview and survey study assessed provider perspectives on how electronic health records support … comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety … culture. … September 18, 2019
Patient Safety.
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psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2010
November 23, 2016 - By these metrics, the overall quality of care has improved since 2007 for patients undergoing surgery … , and for patients hospitalized with myocardial infarctions, pneumonia, and asthma (in children). … May 30, 2012
View More
Related Resources
The Leapfrog Hospital Survey … September 26, 2012
Safety First: Top of Your Board's Agenda: 100 Day Challenge Survey … November 14, 2011
IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards
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psnet.ahrq.gov/issue/discrimination-abuse-harassment-and-burnout-surgical-residency-training
May 06, 2020 - Physician burnout can negatively impact not only physician well-being, but patient safety as well. … This national survey of general surgery residents found that about one-third of all respondents reported … comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety … culture. … April 13, 2016
Young surgeons on speaking up: when and how surgical trainees voice concerns
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psnet.ahrq.gov/issue/social-aspects-clinical-errors-discussion-paper
September 12, 2018 - February 16, 2022
A qualitative study of systemic influences on paramedic decision making … : care transitions and patient safety. … NHS: an online survey study. … April 2, 2014
The quality and economic impact of disruptive behaviors on clinical outcomes … of patient care.
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psnet.ahrq.gov/issue/make-or-buy-patient-safety-solutions-resource-dependence-and-transaction-cost-economics
April 08, 2008 - in the patient experience–satisfaction relationship. … October 12, 2011
An international perspective on definitions and terminology used to … Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey … outcomes on transition from adult intensive care settings: a systematic review and meta-analysis. … February 29, 2012
Impact of a statewide intensive care unit quality improvement initiative on
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psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
April 24, 2024 - Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians … Impact of home care services on patient and economic outcomes: a targeted review. … The three accreditation organizations approved to conduct surveys are the Accreditation Commission for … I, section II.E, Recertification Surveys, App. B to CMS, State Operations Manual, Pub. … Employees’ perceptions of patient safety culture in Norwegian nursing homes and home care services.