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psnet.ahrq.gov/issue/qualitative-study-what-care-workers-do-provide-patient-safety-home-through-telecare
September 08, 2021 - This article explored the interface of technology and patients in home care . … Organizational readiness to change as a leverage point for improving safety: a national nursing home survey … May 19, 2021
Fidelity and the impact of patient safety huddles on teamwork and safety … culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project. … September 1, 2021
Effects of interorganisational information technology networks on patient
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psnet.ahrq.gov/web-mm/signout-fallout
November 16, 2022 - errors and patient safety. … 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 ) … Drawing on the lessons from major patient safety successes that had implemented a bundle of complementary … Following implementation of the I-PASS program across all nine sites, errors that harmed patients (preventable
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psnet.ahrq.gov/issue/british-nurse-was-found-guilty-killing-seven-babies-did-she-do-it
July 28, 2021 - Copy Citation
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Patient safety monitoring … September 4, 2013
Overkill: An avalanche of unnecessary medical care is harming patients … June 12, 2024
Cognitive Load Theory and its Impact on Diagnostic Accuracy. … May 22, 2024
Using AHRQ’s SOPS Hospital Survey and Workplace Safety Item Set: Experiences … February 20, 2019
The correlation between neonatal intensive care unit safety culture
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psnet.ahrq.gov/issue/patient-reports-preventable-problems-and-harms-primary-health-care
February 03, 2011 - Through interviews with patients, this AHRQ-funded study found that patients were more likely to report … Download Citation
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The Research on … January 18, 2013
Effect of reducing interns' weekly work hours on sleep and attentional … online national survey. … May 20, 2020
Failures in the respectful care of critically ill patients.
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psnet.ahrq.gov/issue/adoption-health-information-technology-medication-safety-us-hospitals-2006
August 07, 2013 - This study used a national survey database to analyze the extent of HIT adoption specifically for medication … April 24, 2018
Effect of genetic diagnosis on patients with previously undiagnosed disease … Commission's ongoing professional practice evaluation process: costly, ineffective, and potentially harmful to safety … culture. … December 9, 2020
Is one-pen, one-patient achievable in the hospital?
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psnet.ahrq.gov/issue/assessment-patient-retention-inpatient-care-information-post-hospitalization
June 01, 2022 - Ensuring patients have an understanding of their diagnoses and care plan is a critical component … Safety Culture Survey. … July 13, 2022
Providers' and patients' perspectives on diagnostic errors in the acute … February 12, 2020
The effect of a system-level tiered huddle system on reporting patient … View More
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Caregiver and clinician perspectives on
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psnet.ahrq.gov/issue/positive-deviance-different-approach-achieving-patient-safety
May 15, 2024 - Positive deviance: a different approach to achieving patient safety. … October 2, 2019
Identifying safety practices perceived as low value: an exploratory survey … June 21, 2015
Results of a medication reconciliation survey from the 2006 Society of … roles based on a Delphi consensus. … May 29, 2014
The Francis Report: One Year On.
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psnet.ahrq.gov/node/865708/psn-pdf
May 01, 2024 - Missed nursing care in surgical care- a hazard to patient
safety: a quantitative study within the inCHARGE … Missed nursing care in surgical care– a hazard to patient safety: a
quantitative study within the inCHARGE … https://psnet.ahrq.gov/issue/missed-nursing-care-surgical-care-hazard-patient-safety-quantitative-study … https://psnet.ahrq.gov/issue/missed-nursing-care-surgical-care-hazard-patient-safety-quantitative-study-within-incharge … https://psnet.ahrq.gov/issue/impact-safety-culture-quality-care-missed-care-and-nurse-staffing-patient-falls-multisource
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psnet.ahrq.gov/issue/high-reliability-organisation-principles-implemented-dentistry
April 06, 2022 - matters when it comes to adverse events: associations of adverse events during implant treatment with patients … December 22, 2021
Developing a patient safety culture in primary dental care. … January 13, 2021
Are dental patients concerned about safety? … April 1, 2020
Factors affecting patient safety culture among dental healthcare workers … : A nationwide cross-sectional survey
October 16, 2019
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See More
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psnet.ahrq.gov/node/837904/psn-pdf
August 24, 2022 - This article
synthesizes the evidence on various aspects of speaking up behavior, including effective … psnet.ahrq.gov/issue/state-art-review-speaking-healthcare
https://psnet.ahrq.gov/issue/speaking-about-patient-safety-psychiatric-hospitals-cross-sectional-survey-study-among
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psnet.ahrq.gov/issue/using-consumer-engagement-strategies-improve-healthcare-safety-young-people-exploration
September 15, 2021 - Patient engagement focuses on involving patients in detecting adverse events, empowering patients to … engagement interventions work for all patients? … Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey … May 29, 2024
Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers … September 16, 2020
Patient report on information given, consultation time and safety
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psnet.ahrq.gov/issue/when-surgical-colleague-makes-error
December 21, 2014 - Physicians have become more comfortable with recognizing and disclosing errors to patients in the past … mistake made by a colleague, this commentary provides insights from surgical and bioethics experts on … December 21, 2014
Effects of duty hour restrictions on core competencies, education, … July 3, 2014
ACGME duty-hour recommendations—a national survey of residency program directors … October 19, 2022
Advancing the science of patient safety.
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psnet.ahrq.gov/issue/scoping-review-distributed-cognition-acute-care-clinical-decision-making
April 08, 2020 - Citation
Related Resources From the Same Author(s)
A national assessment on … in internal medicine survey. … June 26, 2019
Understanding context specificity: the effect of contextual factors on … safety culture and patient safety in emergency departments: a systematic review. … April 17, 2013
The effect of medical emergency teams on patient outcome: a review of
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psnet.ahrq.gov/issue/potentially-preventable-30-day-hospital-readmissions-childrens-hospital
July 11, 2017 - The authors emphasize the importance of interviewing patients and family members as well as medical providers … A past PSNet interview reflected on the challenge of preventing readmissions. … July 11, 2017
Adverse events in hospitalized pediatric patients. … January 6, 2017
Family-centered rounds on pediatric wards: a PRIS network survey of US … November 23, 2016
A safety culture transformation: its effects at a children's hospital
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psnet.ahrq.gov/issue/challenges-monitoring-and-preventing-patient-safety-incidents-people-intellectual
May 20, 2020 - Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on … May 20, 2020
Patient safety in patients who occupy beds on clinically inappropriate wards … November 14, 2018
Multistate point-prevalence survey of health care-associated infections … December 18, 2014
Perceived patient safety culture in a critical care transport program … Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on
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psnet.ahrq.gov/issue/bachelors-degree-nurse-graduates-report-better-quality-and-safety-educational-preparedness
December 21, 2018 - Jt Comm J Qual Patient Saf . 2019; 45 (3) :180-186 . … January 5, 2017
Prevalence and predictors of adverse events in older surgical patients … : impact of the present on admission indicator. … Perspectives on Safety
The Role of Undergraduate … February 20, 2010
Fostering patient safety competencies using multiple-patient simulation
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psnet.ahrq.gov/issue/evaluation-older-persons-medications-critical-incident-technique-study-exploring-healthcare
July 14, 2021 - May 19, 2021
Fidelity and the impact of patient safety huddles on teamwork and safety … culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project. … August 25, 2021
Prescribers' perspectives on including reason for use information on … Results of a retrospective cross-sectional telephone survey. … a Patient Safety Strategy
October 27, 2021
Patient-safety incidents during
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psnet.ahrq.gov/node/50894/psn-pdf
February 12, 2020 - Jt Comm J Qual Patient Saf. 2019;46(2). doi:10.1016/j.jcjq.2019.11.004. … Commission has stated that “intimidating and disruptive behaviors” can result in medical errors
that affect patient … In this study a 35-item, web-based survey was administered to
physicians—and peers, colleagues, administrators … , and staff— before and after they completed a
professional development program on unprofessional physician
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psnet.ahrq.gov/issue/notes-healing-after-missed-diagnosis
May 18, 2022 - Notes on healing after a missed diagnosis. … Honest apology is known to support healing from medical error for clinicians , patients, and families … Notes on healing after a missed diagnosis. … May 17, 2017
Challenges of making a diagnosis in the outpatient setting: a multi-site survey … enhance patient safety.
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psnet.ahrq.gov/issue/communicating-gray-zone-perceptions-about-emergency-physician-hospitalist-handoffs-and
March 17, 2010 - Communicating in the "gray zone": perceptions about emergency physician-hospitalist handoffs and patient … November 16, 2022
Engaging patients in the use of real-time electronic clinical data … September 9, 2020
The impact of racism on child and adolescent health. … 2016
Interunit handoffs from emergency department to inpatient care: a cross-sectional survey … November 20, 2015
The effect of hospitalist discontinuity on adverse events.