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psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
December 22, 2018 - The impact of advance care planning on end of life care in elderly patients: randomized controlled trial … The development and validation of a questionnaire to audit advance care planning. … a multicentre survey. … multicenter survey of clinicians. … November 21, 2016
Organizational and safety culture in Canadian intensive care units:
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psnet.ahrq.gov/issue/university-michigan-quality-and-safety-academic-medical-center
November 13, 2024 - Jt Comm J Qual Patient Saf. 2008;34(11):671-7. … February 10, 2015
Electronic health records in ambulatory care- a national survey of … July 15, 2020
Effect on patient safety of a resident physician schedule without 24-hour … February 14, 2024
Adverse drug events caused by three high-risk drug-drug interactions in patients … September 21, 2011
Effect of critical access hospital conversion on patient safety.
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psnet.ahrq.gov/issue/breast-cancer-treatment-delays-socioeconomic-and-health-care-access-latent-classes-black-and
May 18, 2022 - Delays in treatment pose a significant threat to patient safety. … Video-based communication assessment of physician error disclosure skills by crowdsourced laypeople and patient … Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey … A qualitative study exploring the perspective of patients and family. … December 9, 2020
Survey of cancer care providers' attitude toward care for older adults
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psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
July 28, 2021 - A 2013 survey of 604 anesthesiology trainees reported a greater incidence of medical errors with negative … consequences for patients and medication errors among trainees who had less supervision by faculty. … safety culture in primary dental care. … October 20, 2014
Impact of a comprehensive patient safety strategy on obstetric adverse … June 22, 2017
Patient safety strategies: are we on the same team?
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psnet.ahrq.gov/issue/accountability-organisational-learning-and-risks-patient-safety-england-conflict-or
December 29, 2014 - Commentary
Accountability, organisational learning and risks to patient safety in … September 23, 2015
Vital signs: improving antibiotic use among hospitalized patients. … threats: a national survey of interns and residents. … November 25, 2020
The effect of external inspections on safety in acute hospitals in … April 8, 2019
A Patient-Safe Future.
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psnet.ahrq.gov/issue/personal-accountability-healthcare-searching-right-balance
March 02, 2011 - September 7, 2022
Development of a high-value care culture survey: a modified Delphi … January 27, 2016
Effects of interdisciplinary team care interventions on general medical … August 3, 2022
A roadmap to advance patient safety in ambulatory care. … September 1, 2018
Public reporting of patient safety metrics: ready or not? … September 27, 2010
Liability reform should make patients safer: "Avoidable classes of
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psnet.ahrq.gov/issue/beware-basal-opioid-infusions-pca-therapy
June 05, 2018 - analgesia (PCA) in patients at risk for developing respiratory depression. … May 7, 2018
Survey on LASA drug name pairs: who knows what’s on your list and the best … March 16, 2011
Defining the incidence of cardiorespiratory instability in patients in … early recognition and intervention in deteriorating hospital patients. … on the ward.
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psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation
September 01, 2006 - of the patient: The hope was that keeping patients healthy by providing preventive services and better … We did our first cultural survey back in 1998 to set the benchmark. … We had a number of assumptions before the survey. … It makes our patients safer, but it doesn't directly impinge on what we do for patient safety. … I will say though—and this might sound strange—that most of the benefit to the patients for patient safety
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psnet.ahrq.gov/primer/health-care-associated-infections
December 15, 2024 - for Disease Control and Prevention (CDC), at any given time, approximately 1 of every 31 hospitalized patients … In a 2021 survey, infection prevention professionals in US hospitals reported CLABSI and VAE prevention … CUSP combines improvement in safety culture, teamwork, and communications, together with a checklist … CMS publicly reports certain HAI rates on its Hospital Compare website. … The most recent data from the Partnership for Patients Initiative indicates that the overall rate
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psnet.ahrq.gov/issue/tracking-intraoperative-complications
April 30, 2014 - 2014
Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey … November 5, 2008
Oncology pharmacist-led medication reconciliation among cancer patients … June 27, 2018
Use of personal electronic devices by nurse anesthetists and the effects on … patient safety. … July 31, 2013
Perioperative patient safety: a multisite qualitative analysis.
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psnet.ahrq.gov/issue/inattentional-blindness-what-captures-your-attention
May 07, 2018 - June 5, 2018
Eric Cropp weighs in on the error that sent him to prison. … May 7, 2018
Survey on LASA drug name pairs: who knows what’s on your list and the best … Evolution of Root Cause Analysis
February 26, 2025
Workforce safety key to patient … 2016
Ambulance personnel perceptions of near misses and adverse events in pediatric patients
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psnet.ahrq.gov/issue/second-victim-experiences-nurses-obstetrics-and-gynaecology-second-victim-experience-and
May 19, 2021 - Nurse respondents expressed desires for more peer support interventions for ‘second victim’ experiences … May 19, 2021
Evaluation of a second victim peer support program on perceptions of second … Second victim experiences of health care learners and the influence of the training environment on … September 21, 2022
Diagnostic error experiences of patients and families with limited … February 16, 2022
Burnout and its relationship to self-reported quality of patient care
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psnet.ahrq.gov/issue/evaluation-postoperative-handover-using-tool-assess-information-transfer-and-teamwork
April 30, 2014 - Handoffs of patients after surgery pose patient safety risks. … This study reports on the validation of a structured tool to improve postoperative handoff communication … teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey … Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients … 2021
Unintended consequences of health care reform: impact of changes in payor mix on
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psnet.ahrq.gov/issue/ten-years-after-keeping-patients-safe-have-nurses-work-environments-been-transformed
April 04, 2018 - Book/Report
Ten Years After Keeping Patients Safe: Have Nurses' Work Environments … Citation
Related Resources From the Same Author(s)
Placing Diagnosis Errors on … June 12, 2013
Engaging Patients in Improving Ambulatory Care. … October 3, 2017
National Survey on Consumers' Experiences With Patient Safety and Quality … February 9, 2011
On the Edge: Nursing in the Age of Complexity.
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psnet.ahrq.gov/issue/epidemiology-patterns-care-and-mortality-patients-acute-respiratory-distress-syndrome
August 04, 2021 - August 4, 2021
The influence of hospital physician integration on culture of patient … Monitoring and reducing central line-associated bloodstream infections: a national survey … August 3, 2010
Eliminating central line-associated bloodstream infections: a national patient … March 16, 2016
ICU attending handoff practices: results from a national survey of academic … care unit patients.
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psnet.ahrq.gov/issue/improving-patient-safety-repeating-read-back-telephone-reports-critical-information
March 02, 2011 - March 21, 2017
On the prospects for a blame-free medical culture. … September 20, 2011
The impact of racism on child and adolescent health. … April 11, 2011
Follow-up of outpatient test results: a survey of house-staff practices … May 24, 2010
Waiting for urgent procedures on the weekend among emergently hospitalized … patients.
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psnet.ahrq.gov/issue/mandatory-pharmacy-residencies-one-way-reduce-medication-errors
July 23, 2008 - Related Resources From the Same Author(s)
Measurement for improvement: a survey … 23, 2008
The effects of leadership curricula with and without implicit bias training on … June 1, 2016
Impact of organizational leadership on physician burnout and satisfaction … April 25, 2018
Identifying patient and practice characteristics associated with patient-reported … May 17, 2023
Special Issue on Medication Safety.
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psnet.ahrq.gov/issue/petty-dangerous-disruptive-doctors-watch-out
March 07, 2018 - 2008
Prescription opioid use, misuse, and use disorders in U.S. adults: 2015 National Survey … on Drug Use and Health. … February 17, 2011
To improve health care, focus on fixing systems — not people. … June 1, 2022
Duration of second victim symptoms in the aftermath of a patient safety … July 31, 2019
Improving patient care through improved caregiver support.
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psnet.ahrq.gov/issue/nursing-homes-fined-covid-infection-control-lapses
November 24, 2021 - May 15, 2024
Anesthesia outside of the OR: cause for patient safety concerns? … January 25, 2023
Patients should know who's operating, surgeons say. … Hospitals will still have to share safety data publicly—CMS will publish scorecard of avoidable patient … October 12, 2022
Patient Safety Primers
Coronavirus Disease … Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey
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psnet.ahrq.gov/issue/missing-link-dedicated-patient-safety-education-within-top-ranked-us-nursing-school-curricula
November 15, 2018 - J Patient Saf. 2010;6(3):165-71. … J Patient Saf. 2010;6(3):165-71. … August 9, 2023
Adverse drug event detection in pediatric oncology and hematology patients … March 14, 2022
Prevalence and causes of diagnostic errors in hospitalized patients under … April 12, 2023
National survey of patient safety experiences in hospital medicine during