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psnet.ahrq.gov/issue/what-became-eyes-and-ears-exploring-challenges-reporting-poor-quality-care-among-trainee
June 24, 2020 - prevent patient harm. … June 24, 2020
Adverse event reviews in healthcare: what matters to patients and their … A qualitative study exploring the perspective of patients and family. … and adverse events during COVID-19: a cross-sectional online survey among nurses. … June 9, 2021
Looking back on the history of patient safety: an opportunity to reflect
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psnet.ahrq.gov/issue/role-bias-clinical-decision-making-people-serious-mental-illness-and-medical-co-morbidities
November 10, 2021 - Patients with mental illness may receive lower quality healthcare care than patients without mental … November 10, 2021
The Collective Leadership for Safety Culture (Co-Lead) team intervention … March 29, 2023
Involving patients and carers in patient safety in primary care: a qualitative … February 9, 2022
Patient perspectives on the usefulness of an artificial intelligence-assisted … symptom checker: cross-sectional survey study.
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psnet.ahrq.gov/issue/pediatric-transport-safety-collaborative-adverse-events-parental-presence-during-pediatric
December 09, 2020 - Interhospital transfer of critical care patients presents patient safety risks. … Finnish emergency medical services managers' and medical directors' perceptions of collaborating with patients … July 5, 2023
The effect of documenting patient weight in kilograms on pediatric medication … trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients … a national Delphi survey by the Children's Safety Initiative-Emergency Medical Services for Children
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psnet.ahrq.gov/issue/using-simulation-improve-systems-based-practices
January 22, 2016 - 22, 2016
Embracing errors in simulation-based training: the effect of error training on … October 19, 2022
Impact of online education on intern behaviour around Joint Commission … and simulations to improve patient safety: a multi-methods survey. … 17, 2015
Raising the alarm: a cross-sectional study exploring the factors affecting patients … ' willingness to escalate care on surgical wards.
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psnet.ahrq.gov/issue/interventions-reduce-pediatric-prescribing-errors-professional-healthcare-settings-systematic
September 29, 2021 - Pediatric patients are at risk for medication prescribing errors due to weight -based dosing. … October 4, 2017
Effect of a comprehensive surgical safety system on patient outcomes. … May 27, 2011
Patient and visitor aggression in healthcare: a survey exploring organisational … safety culture and team efficacy. … February 1, 2023
The prevalence of dose errors among paediatric patients in hospital
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psnet.ahrq.gov/issue/dropping-baton-during-handoff-emergency-department-primary-care-pediatric-asthma-continuity
March 14, 2022 - showing that many ED patients do not fully comprehend discharge instructions. … March 26, 2015
Effect of an Electronic Medication Reconciliation Intervention on Adverse … Drug Events: A Cluster Randomized Trial
October 16, 2019
A survey of factors affecting … October 19, 2022
Impact of teamwork and communication training interventions on safety … culture and patient safety in emergency departments: a systematic review.
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psnet.ahrq.gov/issue/measuring-hospital-adverse-events-assessing-inter-rater-reliability-and-trigger-performance
May 07, 2014 - February 20, 2019
Effect of hospital follow-up appointment on clinical event outcomes … hospitals are currently doing to prevent common device-associated infections: results from a national survey … , 2019
Analysis of clinical decision support system malfunctions: a case series and survey … September 12, 2016
Measuring adverse events in hospitalized patients: an administrative … January 13, 2016
Post event debriefs: a commitment to learning how to better care for patients
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psnet.ahrq.gov/issue/hospital-readmissions-physician-awareness-and-communication-practices
December 19, 2009 - February 24, 2011
Impact of barcode medication administration technology on how nurses … spend their time providing patient care. … Effect of an electronic medication reconciliation application and process redesign on … February 15, 2011
Assessing and improving safety culture throughout an academic medical … survey of practices and recommendations.
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psnet.ahrq.gov/issue/multicompartment-compliance-aids-community-prevalence-potentially-inappropriate-medications
January 30, 2013 - Multicomponent compliance aids (pill boxes or medi-sets) organize patients' medications in a compartmentalized … The aids are intended to improve medication safety and adherence for patients taking multiple medications … , but this British study found that elderly patients using these systems still used inappropriate medications … Standard practices for computerized clinical decision support in community hospitals: a national survey … safety culture.
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psnet.ahrq.gov/issue/why-do-systems-responding-concerns-and-complaints-so-often-fail-patients-families-and
June 16, 2021 - Engaging patients and families in patient safety efforts and encouraging them to speak up about concerns … March 15, 2023
The influence of organizational context on quality improvement and patient … November 11, 2020
Do patient engagement interventions work for all patients? … medication safety: a survey study. … Results of a choice experiment survey.
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psnet.ahrq.gov/issue/improving-patient-safety-clinical-oncology-applying-lessons-normal-accident-theory
September 27, 2016 - September 27, 2016
Longitudinal analysis of culture of patient safety survey results … January 15, 2025
The effect of a system-level tiered huddle system on reporting patient … an adjunct to manual counting protocols for tracking surgical sponges: a prospective trial of 2,285 patients … Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients … October 31, 2014
Commission of Inquiry on Hormone Receptor Testing.
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psnet.ahrq.gov/issue/patient-safety-and-satisfaction-state-american-hospitals
July 02, 2014 - View More
Related Resources
Harm to Healing - Partnering with Patients … December 4, 2016
New system for patients to report medical mistakes. … surveys of nurses and patients in 12 countries in Europe and the United States. … January 4, 2015
Effects of an educational patient safety campaign on patients' safety … June 22, 2011
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Hospitals
Patients
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psnet.ahrq.gov/issue/situ-simulation-adoption-new-technology-improve-sepsis-care-rural-emergency-departments
November 10, 2021 - training in rural emergency departments resulted in small increases in the use of telemedicine for patients … November 10, 2021
Impact of teamwork and communication training interventions on safety … culture and patient safety in emergency departments: a systematic review. … January 26, 2022
Engaging patients in the use of real-time electronic clinical data to … Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey
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psnet.ahrq.gov/issue/using-text-mining-techniques-identify-health-care-providers-patient-safety-problems
July 27, 2022 - Prioritization of patient complaints allows inspectors to follow up more quickly on those that pose … RIS
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Related Resources From the Same Author(s)
Patients … identify and respond to errors in their personal health records: mixed methods analysis of cross-sectional survey … 2021
Publication of inspection frameworks: a qualitative study exploring the impact on … adverse events on outcomes.
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psnet.ahrq.gov/issue/effect-clinical-decision-support-pending-laboratory-results-emergency-department-discharge
April 24, 2018 - Investigators found that physician responses were often inaccurate, and the proportion of discharged patients … August 4, 2021
Effect of standardized handoff curriculum on improved clinician preparedness … Catching those who fall through the cracks: integrating a follow-up process for emergency department patients … Emergency physicians' views of direct notification of laboratory and radiology results to patients … using the internet: a multisite survey.
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psnet.ahrq.gov/issue/enhancing-patient-safety-during-pediatric-sedation-impact-simulation-based-training
January 17, 2012 - This controlled trial evaluated the effect of simulation training on patient safety during elective procedures … April 13, 2016
Evaluation of the culture of safety: survey of clinicians and managers … the efficiency of workflow for critically ill patients. … May 22, 2019
Virtual patients designed for training against medical error: exploring … the impact of decision-making on learner motivation.
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psnet.ahrq.gov/perspective/conversation-cindy-brach
December 27, 2019 - Poor health literacy can have a big impact on patient safety. … This is based on an equal rights argument that says patients have the right to be able to communicate … patients with LEP, 3) improve reporting of medical errors for LEP patients, 4) routinely monitor patient … health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey … September 16, 2020
Impact of providing patients access to electronic health records on
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psnet.ahrq.gov/issue/adverse-events-and-patient-outcomes-among-hospitalized-children-cared-general-pediatricians
March 23, 2016 - that care for children: a picture of US health care shortly after the Institute of Medicine reports on … January 18, 2023
Patients as partners in learning from unexpected events. … December 19, 2018
Adverse events in hospitalized pediatric patients. … November 1, 2017
Family-centered rounds on pediatric wards: a PRIS network survey of … November 23, 2016
A safety culture transformation: its effects at a children's hospital
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psnet.ahrq.gov/node/33631/psn-pdf
April 01, 2006 - Fortunately, pharmacists have extended their influence on medication safety from a focus on accurate … , and
patient education. … affect patients. … ASHP national survey of pharmacy practice in hospital
settings: dispensing and administration—2005. … The impact of follow-up telephone calls to patients after
hospitalization.
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psnet.ahrq.gov/issue/good-intention-uncertain-outcomeour-take-physician-dispensing-offices-and-clinics
February 13, 2019 - patient safety. … February 13, 2019
Results of our survey on drug storage, stability, compatibility, and … January 24, 2024
Cancer drug shortages are creating dire circumstances for some patients … April 26, 2023
Purchase of prescription medicines via social media: a survey-based study … Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients