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Implementing a national program to reduce catheter-associated urinary tract infection: a quality improvement collaboration of state hospital associations, academic medical centers, professional societies, and governmental agencies. | PSNet

psnet.ahrq.gov/issue/implementing-national-program-reduce-catheter-associated-urinary-tract-infection-quality

June 08, 2016 - AHRQ funded the national On the CUSP: Stop CAUTI project, with the goal of reducing CAUTIs in participating … December 21, 2017 Evaluation of the association between Hospital Survey on Patient Safety … Culture (HSOPS) measures and catheter-associated infections: results of two national collaboratives. … infection (CLABSI), and catheter-associated urinary tract infection (CAUTI): the urgent need to refocus on … December 29, 2014 The influence of organizational context on quality improvement and

Lack of emergency medical services documentation is associated with poor patient outcomes: a validation of audit filters for prehospital trauma care. | PSNet

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June 14, 2017 - Health Organization Trauma Care Checklist Program in 11 centers across multiple economic strata: effect on … January 17, 2018 A national survey assessing the number of records allowed open in electronic … Effect of restriction of the number of concurrently open records in an electronic health record on … June 15, 2012 The association between EMS workplace safety culture and safety outcomes … ambulance: effect on prescribing accuracy when these patients are admitted to hospital.

Nurses as a source of system-level resilience: Secondary analysis of qualitative data from a study of intravenous infusion safety in English hospitals. | PSNet

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July 22, 2020 - how a closed-loop documentation system for IV infusion administration contributes to and compromises patient … July 12, 2010 How can patient-held lists of medication enhance patient safety? … A mixed-methods study with a focus on user experience. … professionals' attitudes towards family involvement in safety-relevant behaviours: a cross-sectional factorial survey … October 2, 2013 Patient safety culture in primary care: developing a theoretical framework

When systems fail. | PSNet

psnet.ahrq.gov/issue/when-systems-fail

February 10, 2011 - August 10, 2022 Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist … June 15, 2016 Nurse work environment and its impact on reasons for missed care, safety … July 27, 2011 Development and validation of a brief culture-of-safety survey. … September 12, 2016 Speaking up: factors and issues in nurses advocating for patients … when patients are in jeopardy.

Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem. | PSNet

psnet.ahrq.gov/issue/understanding-barriers-physician-error-reporting-and-disclosure-systemic-approach-systemic

January 12, 2022 - Related Resources From the Same Author(s) Evaluation of clinical practice guidelines on … July 24, 2017 The impact of racism on child and adolescent health. … August 17, 2018 Evaluation of policies limiting opioid exposure on opioid prescribing … and patient pain in opioid-naive patients undergoing elective surgery in a large American health system … May 21, 2014 Role-modeling and medical error disclosure: a national survey of trainees

Relationship between nurse burnout, patient and organizational outcomes: systematic review. | PSNet

psnet.ahrq.gov/issue/relationship-between-nurse-burnout-patient-and-organizational-outcomes-systematic-review

December 01, 2021 - 20, 2018 Nursing guidelines for comprehensive harm prevention strategies for adult patients … August 24, 2022 Surgeon burnout, impact on patient safety and professionalism: a systematic … training and patients outcomes: a systematic review. … April 20, 2022 When doctors share visit notes with patients: a study of patient and doctor … and adverse events during COVID-19: a cross-sectional online survey among nurses.

Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse practitioners. | PSNet

psnet.ahrq.gov/issue/detection-missed-injuries-pediatric-trauma-center-addition-acute-care-pediatric-nurse

March 10, 2011 - documented missed injuries that were caught following the introduction of acute care nurse practitioners on … May 18, 2022 The effect of a system-level tiered huddle system on reporting patient safety … of errors in paper-based and computerized diabetes management with decision support for hospitalized patients … June 15, 2016 Speaking up about traditional and professionalism-related patient safety … threats: a national survey of interns and residents.

The quality and economic impact of disruptive behaviors on clinical outcomes of patient care. | PSNet

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February 03, 2010 - of patient care. … The quality and economic impact of disruptive behaviors on clinical outcomes of patient care. … The quality and economic impact of disruptive behaviors on clinical outcomes of patient care. … December 14, 2012 A survey of the impact of disruptive behaviors and communication defects … on patient safety.

Safety shortcomings spotted in Sunrise catheter case. | PSNet

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September 01, 2011 - September 1, 2011 Optimizing Crisis Resource Management to Improve Patient Safety and … August 28, 2019 Patient Safety Culture: Theory, Methods and Application. … March 27, 2005 View More Related Resources Survey results reveal … March 9, 2011 Toward learning from patient safety reporting systems. … 27, 2006 View More See More About The Topic Intensive Care Units Patients

Dispensing errors and counseling quality in 100 pharmacies. | PSNet

psnet.ahrq.gov/issue/dispensing-errors-and-counseling-quality-100-pharmacies

December 24, 2008 - Related Resources From the Same Author(s) The impact of dedicated medication nurses on … wrong-patient order errors: a randomized clinical trial. … September 23, 2020 A national survey assessing the number of records allowed open in … July 28, 2014 An investigation of occupational subgroups with respect to patient safety … culture.

Exploration of prescribing error reporting across primary care: a qualitative study. | PSNet

psnet.ahrq.gov/issue/exploration-prescribing-error-reporting-across-primary-care-qualitative-study

June 01, 2022 - Reporting errors is a key component of improving patient safety and patient care. … A qualitative study exploring the perspective of patients and family. … 2021 A qualitative exploration of mental health service user and carer perspectives on … Changes to primary care delivery during the COVID-19 pandemic and perceived impact on … medication safety: a survey study.

Physician burnout, well-being, and work unit safety grades in relationship to reported medical errors. | PSNet

psnet.ahrq.gov/issue/physician-burnout-well-being-and-work-unit-safety-grades-relationship-reported-medical-errors

June 01, 2022 - Physician burnout is a highly prevalent patient safety concern. … Of 6586 respondents, 54% reported burnout symptoms, consistent with prior studies . … More than 10% of respondents reported a major medical error in the prior 3 months, and these rates … From the Same Author(s) Physicians' experiences with mistreatment and discrimination by patients … March 19, 2018 A multilevel analysis of U.S. hospital patient safety culture relationships

With oral chemotherapy, we simply must do better! | PSNet

psnet.ahrq.gov/issue/oral-chemotherapy-we-simply-must-do-better

February 13, 2019 - practices, dispensing only single doses, and providing medication counseling and written instructions for patients … Related Resources From the Same Author(s) Just Culture and its critical link to patient … May 7, 2014 Survey suggests possible downward trend in identifying key drugs/drug classes … August 9, 2023 Results of survey on pediatric medication safety—part 1 and part 2. … July 8, 2015 Drug shortages threaten patient safety.

Do Me a Favor | PSNet

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September 12, 2016 - 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 asked to provide medical advice, diagnosis … , or treatment to family members, with up to 83% doing so.( 1 ) Another survey, focused on physicians … 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

Accreditation Council on Graduate Medical Education technical skills competency compliance: urologic surgical skills. | PSNet

psnet.ahrq.gov/issue/accreditation-council-graduate-medical-education-technical-skills-competency-compliance

November 16, 2022 - Study Accreditation Council on Graduate Medical Education technical skills competency … they acquired technical experience through repetition in a low-stress environment with no threat to patient … November 2, 2022 Burnout in pediatric residents: three years of national survey January … May 18, 2022 Improving patients' intensive care admission through multidisciplinary simulation-based … March 3, 2011 Simulation-based training improves physicians' performance in patient care

Frailty, gaps in care coordination, and preventable adverse events. | PSNet

psnet.ahrq.gov/issue/frailty-gaps-care-coordination-and-preventable-adverse-events

January 18, 2023 - The effect of structured medication review followed by face-to-face feedback to prescribers on … and risk factors in patients visiting a post-COVID-19 outpatient clinic. … performance of a drug-drug interaction clinical decision support system: quantitative evaluation and end-user survey … safety culture. … Identifying factors leading to harm in English general practices: a mixed-methods study based on

Hidden medication loss when using a primary administration set for small-volume intermittent infusions. | PSNet

psnet.ahrq.gov/issue/hidden-medication-loss-when-using-primary-administration-set-small-volume-intermittent

December 14, 2022 - December 15, 2021 Eric Cropp weighs in on the error that sent him to prison. … February 1, 2023 Patient Safety Primers Debriefing for … October 20, 2021 Leaving a discontinued FentaNYL infusion attached to the patient leads … June 30, 2021 ISMP Survey provides insights into preparation and admixture practices … May 20, 2020 IV push medications survey results—part 1 and part 2.

Surgeons' disclosures of clinical adverse events. | PSNet

psnet.ahrq.gov/issue/surgeons-disclosures-clinical-adverse-events

August 18, 2021 - In this survey of 67 surgeons across 3 medical centers, most reported prompt disclosure of adverse events … March 26, 2015 How does patient safety culture in the operating room and post-anesthesia … November 10, 2010 Effects of resident duty hour reform on surgical and procedural patient … January 13, 2010 The impact of resident duty hour reform on hospital readmission rates … September 28, 2022 Patient Safety.

Development of an emergency department trigger tool using a systematic search and modified Delphi process. | PSNet

psnet.ahrq.gov/issue/development-emergency-department-trigger-tool-using-systematic-search-and-modified-delphi

August 30, 2017 - J Patient Saf. 2016;16(1):e11-e17. doi:10.1097/pts.0000000000000243. … April 26, 2023 The effect of clinician feedback interventions on opioid prescribing. … September 20, 2017 Pediatric prehospital medication dosing errors: a national survey … September 10, 2014 The effects of resident level of training on the rate of pediatric … July 14, 2010 The impact of clinically undiagnosed injuries on survival estimates.

Managing disruptive behaviors in the health care setting: focus on obstetrics services. | PSNet

psnet.ahrq.gov/issue/managing-disruptive-behaviors-health-care-setting-focus-obstetrics-services

February 03, 2010 - December 14, 2012 A survey of the impact of disruptive behaviors and communication defects … on patient safety. … of patient care. … Manage Problem Behaviors December 1, 2009 Evaluation of the culture of safety: survey … of patient care.

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