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psnet.ahrq.gov/issue/building-case-medication-reconciliation
June 10, 2018 - by failed communication, briefly reviews the steps for medication reconciliation , and includes a survey … to assess progress with the Joint Commission on Accreditation of Healthcare Organizations' patient safety … November 2, 2022
Survey on LASA drug name pairs: who knows what’s on your list and the … November 3, 2015
Temporarily holding medication orders safely in order to prevent patient … May 11, 2014
Developing a medication patient safety program, part 2: process and implementation
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psnet.ahrq.gov/issue/pharmacist-led-program-improve-transitions-acute-care-skilled-nursing-facility-care
December 09, 2020 - safety culture to quality ratings in the nursing home setting. … December 9, 2020
Impact of pharmacist-led multidisciplinary medication review on the … Organizational readiness to change as a leverage point for improving safety: a national nursing home survey … 9, 2022
Intervention study for the reduction of medication errors in elderly trauma patients … Transitions and Clinical Handoffs Toolkit in a rural primary care clinic: implications for nursing, patients
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psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-older-people-dementia-care-homes-retrospective-analysis
April 20, 2022 - Resources From the Same Author(s)
Effectiveness and safety of pulse oximetry in remote patient … monitoring of patients with COVID-19: a systematic review. … personal health records: mixed methods analysis of cross-sectional survey data. … December 27, 2018
Assessing the safety culture of care homes: a multimethod evaluation … of the adaptation, face validity and feasibility of the Manchester Patient Safety Framework.
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psnet.ahrq.gov/issue/resolving-malpractice-claims-after-tort-reform-experience-self-insured-texas-public-academic
December 19, 2018 - December 19, 2018
Patients as partners in learning from unexpected events. … November 3, 2015
Safety culture: an integration of existing models and a framework for … safety threats: a national survey of interns and residents. … July 26, 2017
The impact of incident disclosure behaviors on medical malpractice claims … September 10, 2014
Conditions that influence the impact of malpractice litigation risk on
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psnet.ahrq.gov/issue/leveraging-computerized-sign-out-increase-error-reporting-and-addressing-patient-safety
October 19, 2022 - October 5, 2016
Prevalence and causes of diagnostic errors in hospitalized patients under … June 1, 2016
Long-term effects of teamwork training on communication and teamwork climate … October 28, 2020
Impact of teamwork improvement training on communication and teamwork … opioid prescribing and treatment of opioid use disorder in internal medicine residencies: a national survey … October 12, 2022
Barriers to accessing nighttime supervisors: a national survey of internal
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psnet.ahrq.gov/issue/potential-costs-and-consequences-associated-medication-error-hospital-discharge-expert
September 05, 2018 - Patients are particularly vulnerable to medication errors during transitions of care , such as hospital … January 25, 2023
Medication details documented on hospital discharge: cross-sectional … March 2, 2011
Effect of interventions to improve safety culture on healthcare workers … : Impact of Patient Safety Tools. … 2011
Self-reported adverse events in health care that cause harm: a population-based survey
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psnet.ahrq.gov/perspective/lesson-vas-team-training-program
November 01, 2011 - observational tool.( 14 ) We currently utilize a global rating scale ( Clinical Teamwork Scale ).( 15 ) Survey … captured by adapting the Self Efficacy of Teamwork Competencies Scale .( 16 ) The combination of a survey … Nevertheless, we chose a combination of paper and pencil surveys, telephone interviews, and surgical … The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research … Home care for patients with dementia. Fed Pract. 2004;21:13-28. [Available at]
7.
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psnet.ahrq.gov/issue/early-cost-and-safety-benefits-inpatient-electronic-health-record
August 04, 2021 - 2020
The effect of computerised decision support alerts tailored to intensive care on … February 14, 2024
Adverse drug events caused by three high-risk drug-drug interactions in patients … 2018
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Related Resources
Effect of bar-code technology on … support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations … computer-based provider order entry at three community hospitals using an open-ended, semi-structured survey
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psnet.ahrq.gov/issue/differences-between-methods-detecting-medication-errors-secondary-analysis-medication
December 18, 2019 - June 8, 2022
Differences between professionals' views on patient safety culture in long-term … July 20, 2022
Content analysis of patient safety incident reports for older adult patient … transfers, handovers, and discharges: do they serve organizations, staff, or patients? … August 26, 2020
Impact of structured interdisciplinary bedside rounding on patient outcomes … considerations in using personal protective equipment in the COVID-19 pandemic context: a bi-national survey
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psnet.ahrq.gov/issue/perceptions-nurses-towards-barriers-safe-administration-medicines-mental-health-settings
October 30, 2013 - This survey of nurses and nursing students identified interruptions and insufficient medication knowledge … October 30, 2013
What do patients and their carers do to support the safety of cancer … September 27, 2017
Nursing perception of the impact of medication carts on patient safety … November 21, 2012
Identifying the 'right patient': nurse and consumer perspectives on … September 9, 2011
Adverse incidents, patient flow and nursing workforce variables on
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psnet.ahrq.gov/issue/patient-safety-approach-setting-passfail-standards-basic-procedural-skills-checklists
July 28, 2010 - The authors recommend an itemized assessment tool with a sharper focus on competency and review their … symptoms and work-related behavior among healthcare workers and other professionals: results of a global survey … September 23, 2020
Safety gaps in medical team communication: closing the loop on quality … October 19, 2022
Comparing trainee and staff perceptions of patient safety culture. … View More
Related Resources
Impact of critical event checklists on
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psnet.ahrq.gov/issue/effect-short-term-pretrial-practice-surgical-proficiency-simulated-environments-randomized
January 20, 2010 - the covid-19 pandemic using OpenSAFELY: population based, retrospective cohort study of 57 million patients … September 29, 2017
Advancing the science of patient safety. … November 21, 2021
The top patient safety strategies that can be encouraged for adoption … March 28, 2011
Promoting patient safety through prospective risk identification: example … March 23, 2011
The 80-hour work guidelines and resident survey perceptions of quality
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psnet.ahrq.gov/issue/simulation-design-research-evaluating-safety-innovations-anaesthesia
February 25, 2009 - Related Resources From the Same Author(s)
The impact of trained assistance on … 2011
Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient … diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient … Crisis scenarios for simulation-based nontechnical skills training for cardiac surgery teams: a national survey … January 14, 2011
The impact of trained assistance on error rates in anaesthesia: a simulation-based
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psnet.ahrq.gov/node/49444/psn-pdf
May 01, 2004 - On inquiry,
she could not find a patient who had been admitted to that room. … A 1991 survey found that 99% (n=461) of physicians reported being
https://psnet.ahrq.gov/web-mm/do-me-favor … provide medical advice, diagnosis, or treatment to family members, with up to 83% doing so.(1)
Another survey … Systems approaches to prevent this type of error in the future center on the "safety culture. … privacy and confidentiality
Lack of objectivity on the part of patient or provider
Under- or over-treatment
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psnet.ahrq.gov/issue/using-human-factors-and-ergonomics-principles-prevent-inpatient-falls
November 09, 2022 - explored the impact of the COVID-19 pandemic and the implementation of a fall prevention program (focused on … human factors and ergonomics principles) on inpatient fall rates at one hospital in Hong Kong. … March 2, 2022
View More
Related Resources
The impact of safety … culture, quality of care, missed care and nurse staffing on patient falls: a multisource association … and adverse events during COVID-19: a cross-sectional online survey among nurses.
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psnet.ahrq.gov/issue/communication-practices-4-harvard-surgical-services-surgical-safety-collaborative
September 29, 2017 - Communication practices on 4 Harvard surgical services: a surgical safety collaborative. … Communication practices on 4 Harvard surgical services: a surgical safety collaborative. … technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients … March 3, 2011
Patterns of communication breakdowns resulting in injury to surgical patients … July 6, 2011
A cross-cultural survey of residents' perceived barriers in questioning/
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psnet.ahrq.gov/issue/first-protect-patient-harm-applying-adult-learning-principles-patient-safety
June 09, 2011 - October 17, 2018
An evidence synthesis on perioperative handoffs: a call for balanced … : effects of a safety program on performance and culture in a department of radiology. … November 23, 2016
Role-modeling and medical error disclosure: a national survey of trainees … April 24, 2011
Challenges ahead in technology training: a report on the training initiative … of the Committee on Technology.
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psnet.ahrq.gov/issue/medication-administration-errors-older-people-long-term-residential-care
June 26, 2019 - Resources From the Same Author(s)
Family involvement in managing medications of older patients … December 8, 2021
Patient safety skills in primary care: a national survey of GP educators … The effect of structured medication review followed by face-to-face feedback to prescribers on … September 27, 2017
Assessing the safety culture of care homes: a multimethod evaluation … May 27, 2011
The influence of formulation and medicine delivery system on medication
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psnet.ahrq.gov/issue/proposed-approach-allegations-sexual-boundary-violation-health-care
October 19, 2022 - of coworker reports about unprofessional behavior by surgeons with surgical complications in their patients … threats: a national survey of interns and residents. … safety risks to reporting patient complaints: a grounded theory study on patients' hospital experiences … and Creating a Safer Workplace
October 31, 2023
Perspectives on … October 4, 2023
Disclosing medical errors: prioritising the needs of patients and families
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psnet.ahrq.gov/issue/incidence-and-characteristics-adverse-events-paediatric-inpatient-care-systematic-review-and
September 21, 2022 - February 2, 2022
Impact of providing patients access to electronic health records on … February 16, 2022
Effect of the surgical safety checklist on provider and patient outcomes … 2022
Work–life balance behaviours cluster in work settings and relate to burnout and safety … culture: a cross-sectional survey analysis. … pediatric patients: a systematic review and meta-analysis.