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psnet.ahrq.gov/issue/quality-and-safety-practices-among-academic-obstetrics-and-gynecology-departments
October 19, 2022 - This survey of 52 obstetrics and gynecology departments at academic medical centers found that few departments … time or financial support for quality improvement activities, and only 5% of departments included a patient … representative on the quality committee. … Citation
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Optimizing Pediatric Patient … roles based on a Delphi consensus.
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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
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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
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psnet.ahrq.gov/issue/cluster-randomized-trial-interventions-improve-work-conditions-and-clinician-burnout-primary
January 23, 2017 - A recent survey suggested that more than half of physicians in the United States have symptoms of … trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients … October 4, 2011
Effects of a refined evidence-based toolkit and mentored implementation on … May 19, 2021
What works in medication reconciliation: an on-treatment and site analysis … May 15, 2019
Patient Safety and Quality Improvement.
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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
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psnet.ahrq.gov/issue/diagnostic-delays-paediatric-stroke
April 24, 2018 - Diagnostic error is a rapidly growing area of patient safety research, especially in light of the recent … release of the National Academy of Medicine report on improving diagnosis. … December 14, 2016
Improving patient safety: effects of a safety program on performance … December 14, 2016
A national physician survey of diagnostic error in paediatrics. … October 21, 2015
Care and outcomes of patients with in-hospital stroke.
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psnet.ahrq.gov/issue/use-medical-abbreviations-and-acronyms-knowledge-among-medical-students-and-postgraduates
August 23, 2023 - In this educational study, investigators tested students and resident physicians on their understanding … training and patients outcomes: a systematic review. … in senior pharmacy students using the innovative "Horror Room" simulation setting: a cross-sectional survey … March 30, 2016
Patient safety education to change medical students' attitudes and sense … November 20, 2015
In-home medication reviews: a novel approach to improving patient care
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psnet.ahrq.gov/issue/impact-morbidity-and-mortality-conferences-analysis-mortality-and-critical-events-intensive
December 02, 2020 - Study
Impact of morbidity and mortality conferences on analysis of mortality and … September 7, 2011
Perioperative patient safety recommendations: systematic review of … January 15, 2025
Moving towards a core measures set for patient safety in perioperative … The morbidity and mortality conference in pediatric intensive care as a means for improving patient … 2014
The morbidity and mortality conference in PICUs in the United States: a national survey
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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.
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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
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psnet.ahrq.gov/issue/qualitative-study-senior-hospital-managers-views-current-and-innovative-strategies-improve
March 08, 2023 - Study
A qualitative study of senior hospital managers' views on current and innovative … A qualitative study of senior hospital managers' views on current and innovative strategies to improve … The leaders stressed the importance of visible champions , engaged patients , and regular audit and … A qualitative study of senior hospital managers' views on current and innovative strategies to improve … the Same Author(s)
Identifying safety practices perceived as low value: an exploratory survey
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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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psnet.ahrq.gov/issue/patient-notification-bloodborne-pathogen-testing-due-unsafe-injection-practices-us-health
February 02, 2011 - unsafe injection practices in the United States over the past decade, leading to more than 100,000 patients … infection control practices, subsequent analysis of one widely publicized case also revealed that safety … culture played a role, as nurses did not feel empowered to report improper injection practices due … The article also discusses the challenges of notifying patients about potential harm, and a recent Australian … A survey of physician and nurse knowledge, attitudes, and practices around injection safety.
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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
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psnet.ahrq.gov/issue/assessing-clinical-reasoning-targeting-higher-levels-pyramid
June 15, 2022 - Effective decision-making relies on practice and knowledge gained over time. … September 26, 2018
Survey of the national drug shortage effect on anesthesia and patient … safety: a patient perspective. … October 12, 2022
Understanding context specificity: the effect of contextual factors on … Deaths’ reports: a qualitative and quantitative document analysis of the first year of a countrywide patient
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psnet.ahrq.gov/issue/surgeons-difficulty-exploration-differences-assistance-seeking-behaviors-between-male-and
December 21, 2014 - This national survey study of 212 surgeons identified differences in how male and female surgeons deal … June 26, 2019
Patient safety, resident well-being and continuity of care with different … relevant and implementable: a consensus statement on key principles and necessary first steps. … December 5, 2018
Use of personal electronic devices by nurse anesthetists and the effects on … patient safety.
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psnet.ahrq.gov/issue/implementing-universal-suicide-risk-screening-pediatric-hospital
May 12, 2021 - Jt Comm J Qual Patient Saf. 2021;47(8):496-502. doi:10.1016/j.jcjq.2021.05.001. … Jt Comm J Qual Patient Saf . 2021; 47 (8) :496-502 . … 2020
Physician task load and the risk of burnout among US physicians in a national survey … May 27, 2020
Medication errors in overweight and obese pediatric patients: a systematic … February 9, 2022
Keeping patients at risk for self-harm safe in the emergency department
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psnet.ahrq.gov/node/49604/psn-pdf
June 01, 2010 - The patient was placed on the OR schedule for the
following day. … Recent studies have re-focused attention on the
errors and patient harm associated with handoffs and … on the OR schedule. … One barrier is "production pressure," which pushes clinicians to keep the patients moving
through the … Transfers of patient care between house staff on internal
medicine wards: a national survey.
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psnet.ahrq.gov/issue/injection-practices-among-clinicians-united-states-health-care-settings
January 06, 2017 - elements of unsafe injection practices , including use of single-dose/use vials for more than one patient … August 2, 2015
Evaluation of clinical practice guidelines on fall prevention and management … Preventability and causes of readmissions in a national cohort of general medicine patients … January 9, 2024
Structural racism and impact on sickle cell disease: sickle cell lives
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psnet.ahrq.gov/node/49419/psn-pdf
October 01, 2003 - for both physicians and patients. … of hand
surgeons revealed that 20% of the 1000 respondents had operated on the wrong site at least … In addition, the chance of
error is increased when multiple procedures are performed on the same patient … What will the impact of disclosure be on
the patient and her family? … Error, stress and teamwork in medicine and aviation: cross
sectional surveys.