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Personal Health Literacy | PSNet

psnet.ahrq.gov/primer/personal-health-literacy

October 31, 2023 - The only nationally representative survey of health literacy, conducted in 2003, tested adults' ability … literacy, 53% had an intermediate level, and only 12% had a proficient level of health literacy. 6 This survey … as most patients will automatically say yes. … The National Institute on Aging also has materials to build skills for healthcare encounters. … In one study, in-person training on how to use patient portals increased patients’ portal usage and satisfaction

Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis. | PSNet

psnet.ahrq.gov/issue/associations-workflow-disruptions-operating-room-surgical-outcomes-systematic-review-and

April 03, 2019 - March 10, 2021 Effect of the surgical safety checklist on provider and patient outcomes … February 16, 2022 Impact of providing patients access to electronic health records on … Crisis scenarios for simulation-based nontechnical skills training for cardiac surgery teams: a national survey … July 20, 2022 Surgeon burnout, impact on patient safety and professionalism: a systematic … November 11, 2020 Impact of weekend effect on postoperative mortality in patients undergoing

The Veterans Affairs root cause analysis system in action. | PSNet

psnet.ahrq.gov/issue/veterans-affairs-root-cause-analysis-system-action

June 22, 2022 - This article focuses on the application of root cause analysis (RCA) and the relationship between the … Resources From the Same Author(s) Development and validation of a brief culture-of-safety survey … Eisenberg Patient Safety Awards. … System innovation: Veterans Health Administration National Center for Patient Safety. … indirect supervision in training safety study: is a chief resident general surgery service safe for patients

The influence of race and gender on pain management: a systematic literature review. | PSNet

psnet.ahrq.gov/issue/influence-race-and-gender-pain-management-systematic-literature-review

December 02, 2020 - Existing research has focused on how patient-provider interactions influence patient outcomes, satisfaction … July 3, 2014 Surgeon burnout, impact on patient safety and professionalism: a systematic … September 8, 2021 The views and experiences of patients and health-care professionals … June 28, 2023 Distractions in the operating room: a survey of the healthcare team. … Meta-analyses on provider, patient, organisational, and handoff outcomes.

Disclosure of medical error to parents and paediatric patients: assessment of parents' attitudes and influencing factors. | PSNet

psnet.ahrq.gov/issue/disclosure-medical-error-parents-and-paediatric-patients-assessment-parents-attitudes-and

November 16, 2022 - This survey of parents of children seen in inpatient and ambulatory settings confirmed prior studies … threshold for disclosing errors to their children, implying that cultural factors may influence views on … March 14, 2022 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … Perspective High Reliability Organization (HRO) Principles and Patient … and Quality April 26, 2023 "Everybody makes mistakes": children's views on

Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of second victims | PSNet

psnet.ahrq.gov/issue/moving-after-critical-incidents-health-care-qualitative-study-perspectives-and-experiences

February 10, 2021 - , 2021 Barriers and enablers to nurses' use of harm prevention strategies for older patients … in hospital: a cross-sectional survey. … April 21, 2021 Clinical deterioration and hospital‐acquired complications in adult patients … performance and patient outcomes: a systematic review. … August 4, 2021 Nurses as 'second victims' to their patients' suicidal attempts: a mixed-method

Implementing Optimal Team-Based Care to Reduce Clinician Burnout. | PSNet

psnet.ahrq.gov/issue/implementing-optimal-team-based-care-reduce-clinician-burnout

January 16, 2019 - June 16, 2012 View More Related Resources Medical Office Survey … November 30, 2018 Leadership Survey: Immunization Against Burnout: Insights Report. … Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient … December 21, 2014 What pilots can teach hospitals about patient safety.

Unprofessional behaviors among tomorrow's physicians: review of the literature with a focus on risk factors, temporal trends, and future directions. | PSNet

psnet.ahrq.gov/issue/unprofessional-behaviors-among-tomorrows-physicians-review-literature-focus-risk-factors

January 31, 2018 - Unprofessional behaviors among tomorrow's physicians: review of the literature with a focus on … Unprofessional Behaviors Among Tomorrow's Physicians: Review of the Literature With a Focus on Risk Factors … March 14, 2012 Results of a national neurosurgery resident survey on duty hour regulations … 26, 2023 The relationship between resident physician burnout and its’ effects on … February 13, 2019 The effects of power, leadership and psychological safety on resident

Reducing surgical mortality in Scotland by use of the WHO Surgical Safety Checklist. | PSNet

psnet.ahrq.gov/issue/reducing-surgical-mortality-scotland-use-who-surgical-safety-checklist

February 09, 2011 - than it had before or after implementation, and hospital mortality did not decline among nonsurgical patients … Past PSNet interviews with Lucian Leape and David Urbach discussed their perspectives on surgical … Effect of a 19-item surgical safety checklist during urgent operations in a global patient … 2018 Perception of safety of surgical practice among operating room personnel from survey … patient safety.

Spotlight: Mistaken Attribution, Diagnostic Misstep | PSNet

psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep

July 01, 2011 - On the morning of hospital day 5, the nurse found the patient to be unresponsive. … Even though patient safety events are common in psychiatry and can harm patients, much of the foundational … Guidance on the medical evaluation of psychiatric ED patients is available ( 17 ), and quality improvement … American Association for Emergency Psychiatry Task Force on Medical Clearance of Adult Psychiatric Patients … Residency training in handoffs: a survey of program directors in psychiatry.

Associations between hospital characteristics, measure reporting, and the Centers for Medicare & Medicaid Services overall hospital quality star ratings. | PSNet

psnet.ahrq.gov/issue/associations-between-hospital-characteristics-measure-reporting-and-centers-medicare-medicaid

February 14, 2017 - March 15, 2017 Impact of the 2011 ACGME resident duty hour reform on hospital patient … April 5, 2017 Development and validation of a brief culture-of-safety survey. … June 21, 2016 Association of surgical resident wellness with medical errors and patient … March 1, 2023 Crowd-sourced hospital ratings are correlated with patient satisfaction … November 29, 2018 Secret data on hospital inspections may soon become public.

A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre. | PSNet

psnet.ahrq.gov/issue/human-factors-analysis-technical-and-team-skills-among-surgical-trainees-during-procedural

March 03, 2011 - Surgical checklist implementation project: the impact of variable WHO checklist compliance on … May 6, 2015 The WHO surgical safety checklist: survey of patients' views. … technical, teamwork, and patient interaction skills. … April 21, 2015 A surgical simulation curriculum for senior medical students based on … March 3, 2011 Communication practices on 4 Harvard surgical services: a surgical safety

Supporting recovery after adverse events: an essential component of surgeon well-being. | PSNet

psnet.ahrq.gov/issue/supporting-recovery-after-adverse-events-essential-component-surgeon-well-being

February 15, 2023 - A survey found that 80% of responding pediatric surgeons had personally experienced a medical error resulting … in significant patient harm or death. … Respondents cited numerous barriers (lack of trust, blame, shame) to receiving support. … Download Citation Related Resources From the Same Author(s) Partnering with patients … January 26, 2022 The impact of critical incidents on nurses and midwives: a systematic

Unscheduled return visits to the emergency department with ICU admission: a trigger tool for diagnostic error. | PSNet

psnet.ahrq.gov/issue/unscheduled-return-visits-emergency-department-icu-admission-trigger-tool-diagnostic-error

December 02, 2020 - They found that of patients who were return ED visits and admitted to the ICU, 44% (223 cases) returned … Safety): a patient-centered fall prevention toolkit. … 2018 Medical errors reported by French general practitioners in training: results of a survey … Settings Help Improve Management of Sepsis May 31, 2023 Perspectives on … August 24, 2022 Safety events impacting hospitalized patients following motor vehicle

Accuracy of a proprietary large language model in labeling obstetric incident reports. | PSNet

psnet.ahrq.gov/issue/accuracy-proprietary-large-language-model-labeling-obstetric-incident-reports

September 23, 2020 - Jt Comm J Qual Patient Saf. 2024;50(12):877-881. doi:10.1016/j.jcjq.2024.08.001. … Jt Comm J Qual Patient Saf . 2024; 50 (12) :877-881 . … 2021 Implicit racial/ethnic bias among health care professionals and its influence on … October 28, 2020 Diagnosing sepsis is subjective and highly variable: a survey of intensivists … bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI) shows minimal impact on

Inadequate hand-off communication. | PSNet

psnet.ahrq.gov/issue/inadequate-hand-communication

April 02, 2015 - alerts to draw attention to pressing or emerging safety issues and provide guidelines for organizations on … January 25, 2023 Impact of the communication and patient hand-off tool SBAR on patient … May 12, 2021 Information concerning ICU patients’ families in the handover—the clinicians … Association between end-of-rotation resident transition in care and mortality among hospitalized patients … Interhospital transfer handoff practices among US tertiary care centers: a descriptive survey

Outbreak investigation of COVID-19 among residents and staff of an independent and assisted living community for older adults in Seattle, Washington. | PSNet

psnet.ahrq.gov/issue/outbreak-investigation-covid-19-among-residents-and-staff-independent-and-assisted-living

October 19, 2022 - Residents and staff were tested for COVID-19 and completed a symptom questionnaire assessing systems … Organization's Approach October 1, 2007 Evaluation of clinical practice guidelines on … February 11, 2009 The impact of drug shortages on patients with cardiovascular disease … Homes February 24, 2022 The impact of coronavirus disease 2019 (COVID-19) on … 2020 Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey

The emotional impact of medical errors on practicing physicians in the United States and Canada. | PSNet

psnet.ahrq.gov/issue/emotional-impact-medical-errors-practicing-physicians-united-states-and-canada

January 23, 2008 - Study Classic The emotional impact of medical errors on … The emotional impact of medical errors on practicing physicians in the United States and Canada. … This survey sought to evaluate the effects of medical errors on the emotional health of the physician … majority of more than 3000 physicians surveyed had been involved with a serious medical error resulting in patient … July 10, 2008 Patient concerns about medical errors in emergency departments.

The morbidity and mortality conference in pediatric intensive care as a means for improving patient safety. | PSNet

psnet.ahrq.gov/issue/morbidity-and-mortality-conference-pediatric-intensive-care-means-improving-patient-safety

December 16, 2009 - The morbidity and mortality conference in pediatric intensive care as a means for improving patient … The Morbidity and Mortality Conference in Pediatric Intensive Care as a Means for Improving Patient Safety … 2014 The morbidity and mortality conference in PICUs in the United States: a national survey … September 24, 2014 Impact of organizational culture on preventability assessment of selected … October 13, 2010 Impact of morbidity and mortality conferences on analysis of mortality

"We're not ready, but I don't think you're ever ready." Clinician perspectives on implementation of crisis standards of care. | PSNet

psnet.ahrq.gov/issue/were-not-ready-i-dont-think-youre-ever-ready-clinician-perspectives-implementation-crisis

September 23, 2020 - Clinician perspectives on implementation of crisis standards of care. … Clinician perspectives on implementation of crisis standards of care. … Based on focus groups and key informant interviews conducted in 2018, this study sought to understand … Clinician perspectives on implementation of crisis standards of care. … considerations in using personal protective equipment in the COVID-19 pandemic context: a bi-national survey

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