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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
Evaluation of the culture of safety: survey of clinicians and managers … February 15, 2023
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
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psnet.ahrq.gov/issue/medical-errors-during-training-how-do-residents-cope-descriptive-study
October 13, 2021 - Results of a choice experiment survey. … September 8, 2010
Why do systems for responding to concerns and complaints so often fail patients … on Veterans Health Administration data? … July 14, 2009
How do hospital inpatients conceptualise patient safety? … impact of humiliation on trainee well-being.
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psnet.ahrq.gov/issue/clostridium-difficile-infection-united-states-national-study-assessing-preventive-practices
July 03, 2014 - This finding underscores the need to focus on appropriate antibiotic use as part of patient safety efforts … device-associated infections during the coronavirus disease 2019 (COVID-19) pandemic: results from a national survey … September 2, 2015
Hospital deaths in patients with sepsis from 2 independent cohorts. … July 15, 2014
Tennessee Center for Patient Safety. … September 10, 2013
New 2012 National Patient Safety Goal - catheter-associated urinary
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psnet.ahrq.gov/web-mm/delayed-management-necrotizing-soft-tissue-infection-who-does-patient-belong
March 31, 2021 - on call. … Second, they have at least some training in critical care, and many of these patients require lengthy … And fourth, data have shown that NSTI outcomes are improved when patients are managed by an experienced … Symons et al. summarized these concerns nicely in their survey of subspecialty surgeons: “while EGS surgeons … surgeons, subspecialty surgeons and the future management of emergency surgery: results of a national survey
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psnet.ahrq.gov/issue/medication-errors-involving-healthcare-students
December 19, 2016 - PA-PSRS Patient Saf Advis. March 2016;13:18-23. … PA-PSRS Patient Saf Advis. March 2016;13:18-23. … in senior pharmacy students using the innovative "Horror Room" simulation setting: a cross-sectional survey … April 26, 2023
Special Issue on Medication Safety. … July 31, 2019
Patient Safety.
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psnet.ahrq.gov/node/60376/psn-pdf
July 30, 2020 - safety and quality of care and increase risk for both patients
with COVID-19 and the staffs that care … https://psnet.ahrq.gov/issue/hospital-experiences-responding-covid-19-pandemic-results-national-pulse-survey-march … and care
delivery stress can make this is a particularly challenging time to establish or improve safety … culture. … the healthcare system.6-7 The strategies highlighted herein build on foundational
patient safety concepts
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psnet.ahrq.gov/issue/medication-error-reporting-and-pharmacy-resident-experience-during-implementation
November 17, 2010 - Related Resources From the Same Author(s)
Effect of emergency medicine pharmacists on … December 21, 2014
Improving the accuracy of patient identification in the medication-use … diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient … May 18, 2022
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ASHP national survey of … September 30, 2020
Impact of a drug shortage on medication errors and clinical outcomes
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psnet.ahrq.gov/issue/use-paediatric-early-warning-systems-great-britain-has-there-been-change-practice-last-7
September 23, 2020 - Although only a minority of British children's hospitals had a formal rapid response team , this survey … found that most used some type of system (based on abnormal vital sign criteria) to identify patients … More
Related Resources
Reducing failure to rescue rates in a paediatric in-patient … hospitalized pediatric patients. … on the ward.
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psnet.ahrq.gov/issue/comparison-voluntarily-reported-medication-errors-intensive-care-and-general-care-units
October 26, 2010 - medication errors in "high-risk" patients. … October 8, 2014
Multiprofessional survey of protocol use in the intensive care unit. … June 25, 2012
Review of patient safety incidents reported from critical care units in … October 26, 2011
Toward learning from patient safety reporting systems. … November 17, 2010
Adverse drug event reporting in intensive care units: a survey of current
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psnet.ahrq.gov/issue/failure-cap-iv-tubing-and-disinfect-iv-ports-place-patients-risk-infections
June 10, 2018 - Author(s)
Raising the index of suspicion: red flags that represent credible threats to patient … , 2018
ISMP updates its list of drug names with tall man (mixed case) letters based on … survey results. … May 7, 2018
Pump up the volume: tips for increasing error reporting and decreasing patient … July 5, 2013
Effects of technological interventions on the safety of a medication-use
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psnet.ahrq.gov/issue/reengineered-hospital-discharge-program-decrease-rehospitalization-randomized-trial
August 04, 2021 - a patient-centered discharge plan, which was given to the patient and primary physician. … Patients also received a follow-up phone call from a pharmacist after discharge. … January 27, 2019
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Survey results: community … October 14, 2015
Hospitalized patients' understanding of their plan of care. … reduce costs, and boost patient satisfaction.
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psnet.ahrq.gov/node/72467/psn-pdf
November 18, 2020 - Higher incidence of adverse events in isolated patients
compared with non-isolated patients: a cohort … Higher incidence of adverse
events in isolated patients compared with non-isolated patients: a cohort … These findings highlight the importance of training and safety culture
when providing care to patients … https://psnet.ahrq.gov/issue/higher-incidence-adverse-events-isolated-patients-compared-non-isolated-patients-cohort-study … interrelationship-isolation-precautions-and-adverse-events-acute-care-facility
https://psnet.ahrq.gov/issue/hospital-ward-adaptation-during-covid-19-pandemic-national-survey-academic-medical-centers
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psnet.ahrq.gov/issue/delivering-right-diet-right-patient-every-time
March 27, 2018 - This article analyzed data on dietary errors submitted to a state reporting program and found that … more than 60% of patients received trays containing food items to which they were allergic. … January 20, 2016
Medication errors affecting pediatric patients: unique challenges for … October 7, 2015
Wrong-site orthopedic operations on the extremities: the Pennsylvania … April 17, 2017
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Survey results reveal
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psnet.ahrq.gov/issue/openness-and-honesty-when-things-go-wrong-professional-duty-candour
October 04, 2017 - Open and honest discussion with patients after an error or near miss is key to effective disclosure … September 30, 2020
National Training Survey 2013: Concerns about Patient Safety. … March 4, 2010
Technical patient safety solutions for medicines reconciliation on admission … December 9, 2020
Impact of providing patients access to electronic health records on … June 12, 2019
Canadian Disclosure Guidelines: Being Open and Honest with Patients and
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psnet.ahrq.gov/web-mm/snfs-opening-black-box
August 27, 2012 - On arrival to the SNF, the patient was on 14 medications for her various conditions and remained mildly … The SNF physician saw the patient on the first day but not after that time. … , present in up to 40% of post-acute patients and associated with poor outcomes.( 3 ) This patient is … DESCRIPTION RESOURCES Enhanced SNF leadership and culture of safety and quality AHRQ Nursing Home Survey … on Patient Safety Culture allows facilities to enter and benchmark data on safety culture http://www.ahrq.gov
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psnet.ahrq.gov/issue/eighth-annual-national-patient-safety-foundation-congress-conference-proceedings
November 29, 2017 - J Patient Saf. 2006;2(2):58-69. … The authors summarize the plenary talks and panel discussions on topics such as leadership's role in … J Patient Saf. 2006;2(2):58-69. … Engagement of leadership in quality improvement initiatives: executive quality improvement survey … October 29, 2024
Disclosing medical errors: prioritising the needs of patients and families
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psnet.ahrq.gov/issue/whos-surgical-safety-checklist-being-hyped
February 07, 2018 - 2018
Perception of safety of surgical practice among operating room personnel from survey … December 29, 2014
Communication practices on 4 Harvard surgical services: a surgical … January 19, 2022
Recommendations from a national panel on quality improvement in obstetrics … September 9, 2015
Effectiveness of interventions to improve patient handover in surgery … June 3, 2013
Transfer of accountability: transforming shift handover to enhance patient
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psnet.ahrq.gov/perspective/methicillin-resistant-staphylococcus-aureus
June 24, 2010 - These include health care workers, dialysis patients, patients with diabetes, injection drug users, patients … A complete review of the controversy regarding culturing patients on admission to the hospital is beyond … Certainly, the impact on patient safety is paramount, but there are potential financial implications … Like most patient safety activities, this requires a comprehensive approach focusing on the system and … Resources From the Same Author(s)
Preventing catheter-associated bloodstream infections: a survey
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psnet.ahrq.gov/issue/bare-minimum-reality-global-anaesthesia-and-patient-safety
April 22, 2015 - The Bare Minimum: The Reality of Global Anaesthesia and Patient Safety. … June 22, 2022
Care transition of trauma patients: processes with articulation work before … Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey … on United States operating rooms. … December 23, 2012
Influences observed on incidence and reporting of medication errors
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psnet.ahrq.gov/issue/patient-reported-safety-and-quality-care-outpatient-oncology
January 23, 2012 - of using patient safety liaisons (trained patient and family volunteers) to conduct interviews of patients … of the patients felt they had experienced unsafe care. … June 14, 2011
Oral chemotherapy safety practices at US cancer centres: questionnaire … survey. … Quality
April 26, 2023
Impact of an electronic health record transition on