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psnet.ahrq.gov/issue/explaining-matching-michigan-ethnographic-study-patient-safety-program
August 20, 2018 - Explaining Matching Michigan: an ethnographic study of a patient safety program. … March 5, 2014
What can safety cases offer for patient safety? … June 16, 2021
Seven features of safety in maternity units: a framework based on multisite … device-associated infections during the coronavirus disease 2019 (COVID-19) pandemic: results from a national survey … August 25, 2010
Intensive care units, communication between nurses and physicians, and patients
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psnet.ahrq.gov/issue/real-time-debriefing-after-critical-events-exploring-gap-between-principle-and-reality
December 15, 2021 - Multi-professional simulation-based team training in obstetric emergencies for improving patient … performance
February 17, 2021
The safety of emergency care systems: results of a survey … Association of provider specialty with abortion-related morbidity and adverse events among patients … operating room: a narrative review of environmental and self-initiated distractions and their effect on … patient safety.
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psnet.ahrq.gov/primer/failure-rescue
September 15, 2024 - Please refer to the Primer on High Reliability for additional information on HRO characteristics. … including higher surgeon volume, intensive care unit (ICU) presence and specialist staffing, strong safety … culture, and high technology capabilities. 6,7,8 In a 2019 systematic review, hospitals with low rates … per nurse; increasing nursing surveillance; and improving safety culture, communication, and teamwork … Opportunities and challenges for quality and safety applications in ICD-11: an international survey
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psnet.ahrq.gov/issue/evaluating-physician-performance-individualizing-care-pilot-study-tracking-contextual-errors
September 20, 2011 - This study describes a methodology for measuring physician performance and focuses on the ability to … March 2, 2016
Validating domains of patient contextual factors essential to preventing … depression screening: identifying diagnostic error and improving accuracy through unannounced standardized patients … students' abilities to probe for contextual issues in simulated patients. … from a national survey.
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psnet.ahrq.gov/issue/integrative-systematic-review-promoting-patient-safety-within-prehospital-emergency-medical
June 10, 2020 - Review
An integrative systematic review of promoting patient safety within prehospital … October 8, 2016
Patient participation in patient safety and nursing input—a systematic … surveys of nurses and patients in 12 countries in Europe and the United States. … July 27, 2022
Reasons for bias in ambulance clinicians' assessments of non-conveyed patients … October 7, 2020
Medication dosing safety for pediatric patients: recognizing gaps, safety
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psnet.ahrq.gov/issue/reduction-hospital-wide-clinical-laboratory-specimen-identification-errors-following-process
August 26, 2011 - Correct identification of patient specimens is crucial to timely and accurate diagnosis . … safety in Taiwan: a survey on orthopedic surgeons. … November 27, 2009
Professional commitment, patient safety, and patient-perceived care … Resources
Adherence to national guidelines for timeliness of test results communication to patients … February 2, 2011
Frequency of failure to inform patients of clinically significant outpatient
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psnet.ahrq.gov/issue/experiences-and-perceptions-healthcare-stakeholders-disclosing-errors-and-adverse-events
July 31, 2024 - J Patient Saf. 2023;19(8):547-552. doi:10.1097/pts.0000000000001173. … and caregiver perspectives on causes and prevention of ambulatory adverse events: multilingual qualitative … October 21, 2020
Multispecialty physician online survey reveals that burnout related … February 26, 2025
Communication of incidental imaging findings on inpatient discharge … patient safety.
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psnet.ahrq.gov/web-mm/carpe-diem-seize-day
September 01, 2012 - Two months prior to this presentation, the patient called the on-call physician worried that he had suffered … patient myself. … Epilepsy and driving: a survey of Canadian neurologists. … Safety Culture
August 22, 2013
WebM&M Cases … January 18, 2017
Association between hospital performance on patient safety and 30-day
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psnet.ahrq.gov/issue/perruche-case-and-issue-compensation-consequences-medical-error
July 31, 2024 - high-profile French diagnostic error case and draws parallels from its resolution to the U.S. debate on … "just" compensation for patients and families affected by medical error . … raising concerns about patient deterioration: a qualitative study. … July 8, 2020
Effect of a multifaceted clinical pharmacist intervention on medication … October 19, 2011
A Call for Change: The 2011 Commonwealth Fund Survey of Public Views
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psnet.ahrq.gov/issue/trigger-tool-method-measure-harmful-medication-errors-children
August 03, 2022 - performance of a pediatric medication-focused trigger tool with a multifaceted method which relied on … Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey … September 14, 2022
The patients' perspective: hematological cancer patients' experiences … September 21, 2022
Pediatric trainee perspectives on the decision to disclose medical … October 5, 2016
A human factors framework and study of the effect of nursing workload on
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psnet.ahrq.gov/issue/impact-miscommunication-medical-dispute-cases-japan
September 25, 2019 - June 27, 2011
The proportion of clinically relevant alarms decreases as patient clinical … A cross-sectional survey of patient perceptions and beliefs. … Cognitive error as the most frequent contributory factor in cases of medical injury: a study on … : impact of the present on admission indicator. … December 17, 2010
The value of 'gentle reminder' on safe medical behaviour.
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psnet.ahrq.gov/issue/safely-practicing-new-environment-qualitative-study-inform-physician-onboarding-practices
July 02, 2019 - Jt Comm J Qual Patient Saf . 2020; 46 (6) :314-320 . … 2018
Perception of safety of surgical practice among operating room personnel from survey … Sue Schuelke about Virtual Nursing
August 30, 2023
Perspectives on … April 7, 2021
- April 7, 2021
Clinical predictors for unsafe direct discharge home patients … Early warning scores to predict noncritical events overnight in hospitalized medical patients
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psnet.ahrq.gov/issue/missed-diagnosis-critical-congenital-heart-disease
September 09, 2020 - September 23, 2020
Association of hospital employee satisfaction with patient safety … Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient … hospital staff burnout at military treatment facilities: findings from the 2019 Department of Defense Patient … Safety Culture Survey. … June 25, 2018
Unrecognized cardiovascular emergencies among Medicare patients.
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psnet.ahrq.gov/issue/influence-causes-and-contexts-medical-errors-emergency-medicine-residents-responses-their
April 11, 2011 - Study
The influence of the causes and contexts of medical errors on emergency medicine … The influence of the causes and contexts of medical errors on emergency medicine residents' responses … The influence of the causes and contexts of medical errors on emergency medicine residents' responses … September 9, 2010
Quality improvement implementation and hospital performance on patient … June 28, 2010
Medication reconciliation and patient safety in trauma: Applicability of
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psnet.ahrq.gov/issue/bullying-junior-doctors-prevails-irish-health-system-bitter-reality
July 15, 2020 - The investigators surveyed junior doctors in south and western regions of Ireland; 30% of respondents … Download Citation
Related Resources From the Same Author(s)
Effect on … patient safety of a resident physician schedule without 24-hour shifts. … January 11, 2023
Opioid-Related Inpatient Stays and Emergency Department Visits Among Patients … April 21, 2021
Race differences in reported "near miss" patient safety events in health
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psnet.ahrq.gov/issue/utilizing-systems-and-design-thinking-approach-improving-well-being-within-health
March 10, 2021 - Burnout can diminish the safety of clinicians , students, health care workers, and patients. … A past Annual Perspective covered the impact of burnout on patient safety. … December 21, 2022
Oxford Professional Practice: Handbook of Patient Safety. … Skochelak, MD, PhD
February 1, 2019
Self-reported patient safety competence … among Canadian medical students and postgraduate trainees: a cross-sectional survey.
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psnet.ahrq.gov/issue/why-open-disclosure-procedure-and-not-followed-after-avoidable-adverse-event
August 11, 2021 - Citation
Related Resources From the Same Author(s)
A systematic review on … on healthcare quality? … A survey study. … patients, health professionals and healthcare organizations. … April 5, 2023
Notes on healing after a missed diagnosis.
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psnet.ahrq.gov/issue/potentially-inappropriate-medications-large-cohort-patients-geriatric-units-association
April 21, 2021 - Author(s)
The randomized AMBORA trial: impact of pharmacological/pharmaceutical care on … medication safety and patient-reported outcomes during treatment with new oral anticancer agents. … Artificial intelligence-powered chatbots in search engines: a cross-sectional study on … November 20, 2019
Development and validation of a brief culture-of-safety survey. … Related Resources
Emotional exhaustion and workload predict clinician-rated and objective patient
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psnet.ahrq.gov/issue/performance-variability-perioperative-sentinel-events-report-nationwide-data-set
November 04, 2020 - Study
Performance variability in perioperative sentinel events: report on a nationwide … Performance variability in perioperative sentinel events: report on a nationwide data set. … Performance variability in perioperative sentinel events: report on a nationwide data set. … September 14, 2022
Using the Global Trigger Tool in surgical and neurosurgical patients … Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey
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psnet.ahrq.gov/issue/incorporating-metacognition-morbidity-and-mortality-rounds-next-frontier-quality-improvement
September 21, 2016 - Snakes on a dock. … July 10, 2019
Association of surgeon-patient sex concordance with postoperative outcomes … December 18, 2014
Encouraging patients to ask questions: how to overcome "white-coat … August 20, 2018
To the point: integrating patient safety education Into the obstetrics … Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey