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Research to improve diagnosis: time to study the real world. | PSNet

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February 12, 2020 - Association of open communication and the emotional and behavioural impact of medical error on … patients and families: state-wide cross-sectional survey. … outcomes on transition from adult intensive care settings: a systematic review and meta-analysis. … to identify and categorise patient-reported breakdowns related to the diagnostic process in ambulatory … September 23, 2020 Scoping review of patients' attitudes about their role and behaviours

Beyond the medical record: other modes of error acknowledgment. | PSNet

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August 03, 2009 - August 5, 2009 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … September 12, 2011 Reporting medical errors to improve patient safety: a survey of physicians … February 15, 2011 Disclosing medical errors to patients: attitudes and practices of physicians … December 8, 2021 "Good catch, Kiddo"--enhancing patient safety in the pediatric emergency … February 17, 2011 Residents report on adverse events and their causes.

Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. | PSNet

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September 13, 2016 - Recommendations to enhance relationships with patients to reduce diagnostic error focus on managing … Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on … October 31, 2018 A patient-initiated voluntary online survey of adverse medical events … : the perspective of 696 injured patients and families. … Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by patients

Peer review comments augment diagnostic error characterization and departmental quality assurance: 1-year experience from a children's hospital. | PSNet

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September 02, 2020 - November 21, 2017 Patient safety, resident well-being and continuity of care with different … May 1, 2013 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … December 14, 2016 Improving patient safety: effects of a safety program on performance … December 14, 2016 Family-centered rounds on pediatric wards: a PRIS network survey of … of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient

Use of "Doctor" badges for physician role identification during clinical training. | PSNet

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December 18, 2017 - Studies have shown that hospitalized patients are often unable to identify their care team members. … A subsequent survey found that role misidentification decreased markedly, particularly for female residents … October 19, 2022 The effects of stress and coping on surgical performance during simulations … July 5, 2023 Effects of teamwork training on adverse outcomes and process of care in … July 24, 2019 Patient safety superheroes in training: using a comic book to teach patient

Learning from patient safety incidents: The Green Cross method. | PSNet

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June 14, 2023 - Learning from patient safety incidents: the Green Cross method. … Learning from patient safety incidents: the Green Cross method. … Impact of participation in the California Healthcare-Associated Infection Prevention Initiative on … safety survey results in surgical departments. … January 15, 2025 Perspectives on anesthesia and perioperative patient safety: past, present

Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research. | PSNet

psnet.ahrq.gov/issue/hospital-board-oversight-quality-and-patient-safety-narrative-review-and-synthesis-recent

November 13, 2019 - Review Classic Hospital board oversight of quality and patient … Hospital leadership oversight is thought to be critical for advancing patient safety initiatives. … 2022 Assessing organisational culture for quality and safety improvement: a national survey … June 5, 2019 Chasing Zero: Winning the War on Healthcare Harm. … September 19, 2016 The impact of anti-infective drug shortages on hospitals in the United

Pharmacologically inappropriate prescriptions for elderly patients in general practice: how common? | PSNet

psnet.ahrq.gov/issue/pharmacologically-inappropriate-prescriptions-elderly-patients-general-practice-how-common

March 08, 2023 - Study Pharmacologically inappropriate prescriptions for elderly patients in general … Pharmacologically inappropriate prescriptions for elderly patients in general practice: How common? … on hospital managers' perception of the nurse-led Rapid Response Team. … in older polymedicated patients with multiple comorbidities. … survey of Medicare beneficiaries.

Assessing adverse events among home care clients in three Canadian provinces using chart review. | PSNet

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June 28, 2017 - Study Assessing adverse events among home care clients in three Canadian provinces … Assessing adverse events among home care clients in three Canadian provinces using chart review. … March 11, 2013 Identification of serious and reportable events in home care: a Delphi survey … May 28, 2014 On the ball: leadership for patient safety and learning in critical care … June 8, 2016 Implications of case managers' perceptions and attitude on safety of home-delivered

"See One, Sim One, Do One"—a national pre-internship boot-camp to ensure a safer "student to doctor" transition. | PSNet

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February 16, 2011 - This study surveyed trainees following a pre-internship simulation patient safety workshop. … These results add to the evidence supporting simulation for patient safety education. … Eisenberg Patient Safety Awards. … April 26, 2017 Simulated settings; powerful arenas for learning patient safety practices … 16, 2016 Embracing errors in simulation-based training: the effect of error training on

Perceived value of ward-based pharmacists from the perspective of physicians and nurses. | PSNet

psnet.ahrq.gov/issue/perceived-value-ward-based-pharmacists-perspective-physicians-and-nurses

February 15, 2011 - The introduction of clinical pharmacists on inpatient services was positively received by physicians … February 15, 2011 Prescription and transcription errors in multidose-dispensed medications on … April 5, 2023 The complexities of communication at hospital discharge of older patients … information with a modified QPP questionnaire-a case-control study. … August 26, 2020 Survey shows recession has weakened patient safety net.

A qualitative exploration of mental health service user and carer perspectives on safety issues in UK mental health services. | PSNet

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March 31, 2021 - A qualitative exploration of mental health service user and carer perspectives on … November 30, 2022 Identifying safety practices perceived as low value: an exploratory survey … March 2, 2011 Do patient engagement interventions work for all patients? … December 7, 2022 Management and patient safety of complex elderly patients in primary … in mental healthcare transitions mean for service users and other stakeholder groups: an open-ended questionnaire

Use of board certification and recertification of pediatricians in health plan credentialing policies. | PSNet

psnet.ahrq.gov/issue/use-board-certification-and-recertification-pediatricians-health-plan-credentialing-policies

February 02, 2011 - This is a companion study to the authors' work on hospital privileges . … quality improvement intervention with daily round checklists, goal setting, and clinician prompting on … mortality of critically ill patients. … March 3, 2011 Global priorities for patient safety research. … July 31, 2013 Small patients, big consequences in medical errors.

VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility Compliance with Screening Requirements is Poor. | PSNet

psnet.ahrq.gov/issue/va-health-care-steps-taken-improve-practitioner-screening-facility-compliance-screening

September 28, 2010 - September 28, 2010 Clinical Lab Quality: CMS and Survey Organization Oversight Should … December 9, 2020 Patient Options for Safe and Effective Disposal of Unused Opioids. … December 23, 2020 Greater Focus on Credentialing Needed to Prevent Disqualified Providers … From Delivering Patient Care. … March 13, 2019 Approaches and Challenges to Electronically Matching Patients' Records

Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. | PSNet

psnet.ahrq.gov/issue/intraoperative-code-blue-improving-teamwork-and-code-response-through-interprofessional-situ

April 28, 2021 - Jt Comm J Qual Patient Saf . 2022; 48 (12) :665-673 . … November 25, 2020 Development and validation of a brief culture-of-safety survey. … A model for improving health care quality for transgender and gender nonconforming patients … January 23, 2020 Variation in the reporting of elective surgeries and its influence on … patient safety indicators.

The use of report cards and outcome measurements to improve the safety of surgical care: the American College of Surgeons National Surgical Quality Improvement Program. | PSNet

psnet.ahrq.gov/issue/use-report-cards-and-outcome-measurements-improve-safety-surgical-care-american-college

May 26, 2016 - This narrative review discusses how NSQIP has been implemented and utilized to support patient safety … for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: focus on … February 7, 2018 Incident and long-term opioid therapy among patients with psychiatric … 2019 Perception of safety of surgical practice among operating room personnel from survey … , 2013 The role of practice guidelines and evidence-based medicine in perioperative patient

Preventing complications of central venous catheterization. | PSNet

psnet.ahrq.gov/issue/preventing-complications-central-venous-catheterization

September 02, 2015 - August 20, 2018 Duty hours in emergency medicine: balancing patient safety, resident … September 9, 2010 Standardizing patient safety event reporting between care delivered … device-associated infections during the coronavirus disease 2019 (COVID-19) pandemic: results from a national survey … 2023 Eliminating central line associated bloodstream infections in pediatric oncology patients … April 14, 2021 Office-based surgery and patient outcomes.

Complaints as Safety Surveillance | PSNet

psnet.ahrq.gov/web-mm/complaints-safety-surveillance

May 05, 2021 - About 10 minutes later, the nurse returned to check on the patient and found her to be unresponsive and … Patients and families will often identify patient safety risks that are not detected by other mechanisms … Patient complaints offer just one window on poor performance and should be considered in the context … A national survey of Physician Health Programs. J Subst Abuse Treat. 2009;37:1-7. … 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire

Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA. | PSNet

psnet.ahrq.gov/issue/medical-malpractice-lawsuits-involving-trainees-obstetrics-and-gynecology-usa

February 15, 2023 - Download Citation Related Resources From the Same Author(s) Involving patients … and carers in patient safety in primary care: a qualitative study of a co-designed patient safety guide … victim experiences of nurses in obstetrics and gynaecology: a Second Victim Experience and Support Tool Survey … maximizing training while sensing patient safety threats. … May 11, 2019 Effect of a comprehensive obstetric patient safety program on compensation

Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene. | PSNet

psnet.ahrq.gov/issue/using-human-factors-framework-assess-clinician-perceptions-and-barriers-high-reliability-hand

December 02, 2020 - The 61 respondents identified several barriers associated with aspects of organizational culture, environment … A qualitative study among patients, carers and healthcare providers. … of patients with COVID-19: a systematic review. … to identify potential errors: cross-sectional web-based survey. … July 30, 2015 Effects of CPOE on provider cognitive workload: a randomized crossover

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