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psnet.ahrq.gov/issue/how-many-too-many-using-cognitive-load-theory-determine-maximum-safe-number-inpatient
October 19, 2022 - Citation
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Optimizing Pediatric Patient … May 5, 2021
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psnet.ahrq.gov/issue/adherence-black-box-warnings-prescription-medications-outpatients
September 29, 2017 - While these events were associated with very few instances of patient harm, investigators noted that … older patients with multiple medical problems and taking more medications appeared to be at greater risk … August 7, 2024
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psnet.ahrq.gov/issue/psych-mnemonic-help-psychiatric-residents-decrease-patient-handoff-communication-errors
November 16, 2022 - Jt Comm J Qual Patient Saf. 2016;42(7):316-320. … Jt Comm J Qual Patient Saf . 2016; 42 (7) :316-320 . … Jt Comm J Qual Patient Saf. 2016;42(7):316-320. … December 21, 2022
Development of a high-value care culture survey: a modified Delphi … 2018
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psnet.ahrq.gov/issue/medsafer-study-controlled-trial-electronic-decision-support-tool-deprescribing-acute-care
February 02, 2022 - This pre–post study compared patients who received medication reconciliation that was usual care at … the time of hospital discharge to patients in the intervention arm who had decision support for deprescribing … Drug Events: A Cluster Randomized Trial
October 16, 2019
Improving patient safety … October 4, 2023
Exploring the impact of safety culture on incident reporting: lessons … learned from machine learning analysis of NHS England staff survey and incident data.
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psnet.ahrq.gov/issue/physician-communication-when-prescribing-new-medications
December 16, 2009 - The investigators analyzed the quality of physician communication with patients when prescribing new … December 16, 2009
Development of a high-value care culture survey: a modified Delphi … August 30, 2017
Determinants of patient–oncologist prognostic discordance in advanced … June 5, 2024
Prevalence and factors associated with patient-requested corrections to … the medical record through use of a patient portal: findings from a national survey.
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psnet.ahrq.gov/issue/role-relatives-ethnic-minority-patients-patient-safety-hospital-care-qualitative-study
March 15, 2016 - Study
Role of relatives of ethnic minority patients in patient safety in hospital … Role of relatives of ethnic minority patients in patient safety in hospital care: a qualitative study … Role of relatives of ethnic minority patients in patient safety in hospital care: a qualitative study … August 21, 2014
Design of a retrospective patient record study on the occurrence of adverse … March 23, 2012
French national survey of inpatient adverse events prospectively assessed
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psnet.ahrq.gov/issue/relationship-between-perceived-practice-quality-and-quality-improvement-activities-and
December 21, 2014 - engage physicians in quality improvement work, as this may impact the quality of care delivered to their patients … December 21, 2014
Physicians and electronic health records: a statewide survey. … 2022
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An empirical model to estimate the potential impact of medication safety alerts on … November 28, 2012
Emotional impact of patient safety incidents on family physicians and
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psnet.ahrq.gov/issue/inappropriate-diagnosis-pneumonia-among-hospitalized-adults
July 17, 2024 - In this study of more than 17,000 patients with a discharge diagnosis of community-acquired pneumonia … Download Citation
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Development of patient … hospitals are currently doing to prevent common device-associated infections: results from a national survey … visiting an interdisciplinary emergency care center and the safety of patient self-triage: real-life … diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient
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psnet.ahrq.gov/issue/implementing-pediatric-surgical-safety-checklist-or-and-beyond
March 09, 2016 - February 21, 2024
Preventing patient harm via adverse event review: An APSA survey regarding … September 29, 2017
Patients count on it: an initiative to reduce incorrect counts and … February 3, 2021
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psnet.ahrq.gov/issue/health-care-providers-negative-implicit-attitudes-and-stereotypes-american-indians
January 18, 2023 - Implicit bias can contribute to poor decision-making and lead to poor patient outcomes . … October 14, 2020
Patient safety and quality improvement adaptation during the COVID-19 … April 21, 2021
A program to provide clinicians with feedback on their diagnostic performance … September 30, 2020
ASHP National Survey of Pharmacy Practice in Hospital Settings: clinical … May 10, 2023
Examining medication ordering errors using AHRQ Network of Patient Safety
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psnet.ahrq.gov/node/33823/psn-pdf
January 01, 2017 - has highlighted the risks that patients face when receiving health care. … from lifting heavy instrument kits in Central Processing and the OR, and injuries caused by moving
patients … culture to one in which employees believe that all accidents are preventable and that everyone plays … Job Safety Behavioral Observation teams and
adopting a robust, repeatable process can improve the safety … culture of the workplace and result in fewer
injuries.
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psnet.ahrq.gov/perspective/conversation-connor-wesley-rn-bsn-patient-safety-concerns-and-lgbtq-population
February 01, 2023 - Connor Wesley, RN, BSN on Patient Safety Concerns and the LGBTQ+ Population. … Connor Wesley, RN, BSN on Patient Safety Concerns and the LGBTQ+ Population. … A survey of LGBTQ+ people about their experiences of discrimination showed that 37% of respondents who … of Sexual Orientation and Gender Identity Data on Federal Statistical Surveys in support of the goals … patient-centered, compassionate care to LGBTQ+ patients.
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psnet.ahrq.gov/issue/reporting-and-second-order-problem-solving-can-turn-short-term-fixes-long-term-remedies
May 07, 2018 - March 9, 2016
Understanding human over-reliance on technology. … June 10, 2018
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psnet.ahrq.gov/print/pdf/node/854855
January 01, 2024 - in safety efforts have focused on three areas: enlisting patients in detecting
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Sweden, researchers found that more... … survey.
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psnet.ahrq.gov/issue/team-training-program-using-human-factors-enhance-patient-safety
January 24, 2024 - This article provides background on a crew resource management training initiative as well as an overview … of survey results from five surgical facilities that participated in the program. … July 26, 2023
Frequency of failure to inform patients of clinically significant outpatient … January 19, 2011
Safeguarding patients: complexity science, high reliability organizations … Adherence to a medication safety protocol: current practice for labeling medications and solutions on
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psnet.ahrq.gov/issue/adverse-events-and-comparison-systematic-and-voluntary-reporting-paediatric-intensive-care
February 01, 2011 - 11, 2011
Recommended guidelines for monitoring, reporting, and conducting research on … June 14, 2011
Development of a high-value care culture survey: a modified Delphi process … November 2, 2018
Residents report on adverse events and their causes. … September 27, 2017
Higher quality of care and patient safety associated with better NICU … January 26, 2011
Toward learning from patient safety reporting systems.
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psnet.ahrq.gov/issue/important-actions-community-pharmacists-need-take-now-reduce-potentially-harmful-dispensing
June 30, 2021 - This webinar focused on high-alert medications and discuss unreliable medication delivery methods. … June 10, 2018
Failure to cap IV tubing and disinfect IV ports place patients at risk … , 2018
ISMP updates its list of drug names with tall man (mixed case) letters based on … survey results. … March 16, 2025
The Impact of Artificial Intelligence (AI) on the Safety of Patients.
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psnet.ahrq.gov/issue/learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors
November 15, 2011 - review: do patients know something that hospitals do not? … March 9, 2022
A national assessment on patient safety curricula in undergraduate medical … education: results from the 2012 clerkship directors in internal medicine survey. … 2019
Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey … June 12, 2019
Data omission by physician trainees on ICU rounds.
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psnet.ahrq.gov/node/60269/psn-pdf
April 29, 2020 - on call. … Second, they have at least some training in critical care, and many of these patients require lengthy … summarized these concerns nicely in their survey of subspecialty surgeons: “while EGS surgeons appear … Statements on Principles. American College of Surgeons. … surgeons, subspecialty surgeons and the
future management of emergency surgery: results of a national survey
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psnet.ahrq.gov/issue/improving-patient-safety-medicine-model-anaesthesia-care-enough
June 08, 2010 - safety in surgical patients. … March 4, 2020
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Impact of the World Health Organization surgical safety checklist on … patient safety. … May 27, 2009
The influence of standardisation and task load on team coordination patterns