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psnet.ahrq.gov/issue/implementation-josie-king-care-journal-pediatric-intensive-care-unit-quality-improvement
November 21, 2016 - This study reports on the implementation of the journal in a pediatric intensive care unit. … December 6, 2017
Parents' perspective on safety in neonatal intensive care: a mixed-methods … November 23, 2016
The effect of an electronic SBAR communication tool on documentation … 2014
The morbidity and mortality conference in PICUs in the United States: a national survey … More About The Topic
Intensive Care Units
Children's Hospitals
Health Care Providers
Patients
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psnet.ahrq.gov/issue/systematic-review-prevalence-medication-errors-resulting-hospitalization-and-death-nursing
July 23, 2008 - revealed that a significant number of errors were related to handoffs and that 75% of these older patients … Related Resources From the Same Author(s)
Measurement for improvement: a survey … August 12, 2009
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … , and management of the psychological effects of emerging virus outbreaks on healthcare workers: rapid … November 2, 2018
Effects of interdisciplinary collaboration in hospitals on medication
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psnet.ahrq.gov/periodic-issue/weekly-resource
March 25, 2025 - This methodology ensured the audit was patient-centered and focused on the patient's journey through … Findings from this cross-sectional survey with 255 nurse leaders highlight the important role of authentic … Survey respondents also endorsed the importance of formal support programs, including peer support, education … Patients presenting with non-specific symptoms (NSSs) suggestive of cancer may experience diagnostic … Updates, WebM&M, and Perspectives on Safety.
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psnet.ahrq.gov/issue/development-and-validation-tool-assess-emergency-physicians-nontechnical-skills
December 12, 2012 - This study reports on the development of a tool to assess emergency physicians' nontechnical skills. … June 17, 2010
'The ABC of Handover': impact on shift handover in the emergency department … September 27, 2016
Patient safety factors in children dying in a paediatric intensive … September 25, 2011
SECUre: a multicentre survey of the safety of emergency care in UK … November 24, 2021
The outcomes of recent patient safety education interventions for trainee
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psnet.ahrq.gov/issue/fall-prevention-implementation-strategies-use-60-united-states-hospitals-descriptive-study
November 11, 2020 - Fall prevention remains a patient safety priority . … May 19, 2021
Impact of structured interdisciplinary bedside rounding on patient outcomes … Safety and Quality
April 26, 2023
Distractions in the operating room: a survey … October 19, 2022
Keeping patients at risk for self-harm safe in the emergency department … December 2, 2020
Clinical deterioration and hospital‐acquired complications in adult patients
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psnet.ahrq.gov/issue/situation-background-assessment-and-recommendation-guided-huddles-improve-communication-and
September 23, 2020 - July 29, 2020
Medical harm: patient perceptions and follow-up actions. … November 21, 2017
Evaluation of clinical practice guidelines on fall prevention and management … patient simulation for agitation management in the emergency department. … : effects on behaviour and attitude. … management course for emergency medicine, phase 1: results from an interdisciplinary needs assessment survey
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psnet.ahrq.gov/issue/how-can-interventions-more-directly-address-drivers-unprofessional-behaviour-between
October 09, 2024 - Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on … June 26, 2024
What can safety cases offer for patient safety? … July 12, 2023
Identifying safety practices perceived as low value: an exploratory survey … March 8, 2023
National patient safety goal to improve health care equity. … July 7, 2021
Improving America's Hospitals: The Joint Commission's Annual Report on Quality
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psnet.ahrq.gov/issue/resident-physicians-clinical-training-and-error-rate-roles-autonomy-consultation-and
July 13, 2010 - This survey study examined the relationship between medical errors and resident autonomy , consultation … September 13, 2017
Diagnostic delays among COVID-19 patients with a second concurrent … the impact of humiliation on trainee well-being. … April 13, 2016
Resident supervision and patient safety: do different levels of resident … January 22, 2016
'Speaking up' about patient safety concerns and unprofessional behaviour
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psnet.ahrq.gov/issue/medication-errors-neonatal-intensive-care-unit-influence-observation-error-rate
May 13, 2009 - Influence of observation on the error rate. … Influence of observation on the error rate. … May 13, 2009
Safety culture and the positive association of being a primary care training … August 11, 2021
Measuring faculty reflection on adverse patient events: development and … October 13, 2018
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ASHP national survey
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psnet.ahrq.gov/issue/empowerment-failure-how-shortcomings-physician-communication-unwittingly-undermine-patient
January 17, 2019 - The authors argue that well-intentioned physicians fail to empower patients and recommend communication … are patients aware of when they do not understand? … Health Organization Trauma Care Checklist Program in 11 centers across multiple economic strata: effect on … symptoms and work-related behavior among healthcare workers and other professionals: results of a global survey … and patient experience.
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psnet.ahrq.gov/web-mm/communication-failure-whos-charge
April 01, 2018 - Adequacy of information transferred at resident sign-out (in-hospital handover of care): a prospective survey … Generation and evaluation of intraoperative inferences for automated health care briefings on patient … Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review. … A qualitative study of expert and team cognition on complex patients in the pediatric intensive care … 2016
The morbidity and mortality conference in PICUs in the United States: a national survey
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psnet.ahrq.gov/perspective/adverse-events-dentistry
December 22, 2020 - Dental patients receive medications, tests, and procedures and many of the same patient safety risks … We have data on about 4-4.5 million patients now. … and a module on patient safety in dentistry. … safety culture in primary dental care. … May 6, 2020
Factors affecting patient safety culture among dental healthcare workers:
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psnet.ahrq.gov/issue/checklist-based-intervention-improve-surgical-outcomes-michigan-evaluation-keystone-surgery
May 01, 2015 - which combined an evidence-based checklist and the comprehensive unit-based safety program to enhance safety … culture. … the Same Author(s)
Evaluation of the effectiveness of a surgical checklist in Medicare patients … Association of hospital participation in a regional trauma quality improvement collaborative with patient … Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey
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psnet.ahrq.gov/issue/effect-lean-quality-improvement-implementation-program-surgical-pathology-specimen
December 03, 2014 - Study
The effect of a Lean quality improvement implementation program on surgical … a rapid review of evidence, practice and patient perspectives. … November 25, 2020
Patient perspectives on the usefulness of an artificial intelligence-assisted … symptom checker: cross-sectional survey study. … Adherence to national guidelines for timeliness of test results communication to patients
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psnet.ahrq.gov/issue/error-or-act-god-study-patients-and-operating-room-team-members-perceptions-error-definition
August 10, 2011 - A study of patients' and operating room team members' perceptions of error definition, reporting, and … represents a small sample size from two tertiary institutions, it does emphasize the importance of a safety … culture and the need to redefine errors as opportunities for learning and improvement rather than individual … December 18, 2014
Error, stress, and teamwork in medicine and aviation: cross sectional surveys … April 6, 2011
Trends influencing the cost of care and patient safety.
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psnet.ahrq.gov/issue/ordering-continuous-renal-replacement-therapy-computerized-provider-order-entry-system
April 01, 2024 - Citation
Related Resources From the Same Author(s)
Training Program for Nurses on … May 26, 2010
Teaming up to prevent 'crashes': some hospitals give patients the power … July 1, 2020
Prospective daily review of discharge medications by pharmacists: effects on … January 16, 2019
ASHP national survey of pharmacy practice in hospital settings: prescribing … September 20, 2017
ASHP national survey of pharmacy practice in hospital settings: prescribing
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psnet.ahrq.gov/issue/safety-implications-missed-test-results-hospitalised-patients-systematic-review
November 26, 2014 - events after hospital discharge are a growing driver for safety interventions, including a focus on … A past AHRQ WebM&M commentary discussed a case where a patient was incorrectly treated based on failure … using the internet: a multisite survey. … March 25, 2015
Patient groups, clinicians and healthcare professionals agree—all test … September 27, 2023
Variation in electronic test results management and its implications for patient
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psnet.ahrq.gov/issue/eliminating-central-line-associated-bloodstream-infections-pediatric-oncology-patients
July 19, 2023 - Eliminating central line associated bloodstream infections in pediatric oncology patients … a quality improvement initiative to reduce central line-associated bloodstream infections (CLABSI) on … the vascular access team, and hospital-acquired condition (HAC) rounding cards to prompt discussions on … device-associated infections during the coronavirus disease 2019 (COVID-19) pandemic: results from a national survey … : using medication triggers to identify patient harm in a specialized pediatric patient population.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.461_slideshow.ppt
November 01, 2018 - Spotlight
Spotlight
Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting … Beyond hands-on and hands-off: supervisory approaches and entrustment on the inpatient ward. … A survey of the American College of Surgeons Board of Governors and Young Fellows Association. … General surgery residency inadequately prepares trainees for fellowship: results of a survey of fellowship … safety
The right "dose" of supervision for critical tasks should convince patients that they receive
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psnet.ahrq.gov/issue/medical-morbidity-and-mortality-conferences-past-present-and-future
November 30, 2022 - January 31, 2018
Impact of COVID-19 on inpatient clinical emergencies: a single-center … patient safety and interprofessional teamwork. … the covid-19 pandemic using OpenSAFELY: population based, retrospective cohort study of 57 million patients … roles based on a Delphi consensus. … August 2, 2015
Effect of a comprehensive surgical safety system on patient outcomes.