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psnet.ahrq.gov/issue/time-trends-pulmonary-embolism-united-states-evidence-overdiagnosis
February 18, 2011 - ' perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries. … Administration and patients in a national sample. … Resources
Using community detection techniques to identify themes in COVID-19-related patient … September 24, 2017
Do telephone call interruptions have an impact on radiology resident … way: an analysis of current patterns of radiological error and discrepancy with particular emphasis on
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psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
September 01, 2011 - Shojania is a leading expert on evidence-based patient safety strategies and translating research into … electronic reporting interfaces, excluding reported information from performance reviews, improving safety … culture, and focusing on errors rather than adverse events. … The senior leadership defines what the safety culture should look like, seeks out new safety technologies … Adverse-event-reporting practices by US hospitals: results of a national survey.
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psnet.ahrq.gov/print/pdf/node/73848
July 01, 2022 - unit-based safety program (CUSP) to improve safety culture and perinatal care processes
in 15 Michigan … This toolkit focuses on identification of, and rapid response to, sepsis in obstetric patients. … A vital component of engaging patients in safety is eliciting their perspective on how they experience … This toolkit focuses on identification of, and rapid response to, sepsis in obstetric patients. … unit-based safety program (CUSP) to improve safety culture and perinatal care processes
in 15 Michigan
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psnet.ahrq.gov/issue/impact-sars-cov-2-hospital-acquired-infection-rates-united-states-predictions-and-early
August 15, 2012 - Study
Impact of SARS-CoV-2 on hospital acquired infection rates in the United States … December 16, 2020
The psychological experience of obstetric patients and health care … February 7, 2022
View More
Related Resources
Patient … June 9, 2021
Flow accuracy of IV smart pumps outside of patient rooms during COVID-19 … September 23, 2020
Hospital ward adaptation during the COVID-19 pandemic: a national survey
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psnet.ahrq.gov/issue/what-are-experiences-team-members-involved-root-cause-analysis-qualitative-study
August 16, 2023 - August 16, 2023
Issues and complexities in safety culture assessment in healthcare. … December 13, 2023
Improving patient safety governance and systems through learning from … successes and failures: qualitative surveys and interviews with international experts. … December 6, 2023
A mixed-methods analysis of patient safety incidents involving opioid … October 21, 2020
Is one-pen, one-patient achievable in the hospital?
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psnet.ahrq.gov/issue/identification-doctors-risk-recurrent-complaints-national-study-healthcare-complaints
September 07, 2011 - Although most patient safety efforts focus on identifying and addressing flawed systems, individual clinicians … May 28, 2014
Accountability sought by patients following adverse events from medical … July 28, 2014
Patients do not always complain when they are dissatisfied: implications … November 8, 2013
Distractions and their impact on patient safety. … March 23, 2011
Measurement for improvement: a survey of current practice in Australian
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psnet.ahrq.gov/issue/adverse-event-protocol-interventional-pain-medicine-importance-organized-response
January 12, 2022 - Related Resources From the Same Author(s)
Evaluation of clinical practice guidelines on … September 23, 2020
Safety considerations in learning new procedures: a survey of surgeons … October 18, 2023
Radiographers' experience of preventing patient safety incidents in … March 1, 2023
Identifying patients whose symptoms are underrecognized during treatment
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psnet.ahrq.gov/issue/investigating-hospital-supervision-case-study-regulatory-inspectors-roles-potential-co
September 23, 2020 - J Patient Saf. 2021;17(2):122-130. doi:10.1097/pts.0000000000000814. … J Patient Saf. 2021;17(2):122-130. doi:10.1097/pts.0000000000000814. … May 19, 2018
The patients' perspective: hematological cancer patients' experiences of … on healthcare quality? … A survey study.
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psnet.ahrq.gov/issue/implementation-strategy-multicenter-pediatric-rapid-response-system-ontario
September 09, 2015 - The Joint Commission Journal on Quality and Patient Safety. 2016;36(6). doi:10.1016/s1553-7250(10)36041 … The Joint Commission Journal on Quality and Patient Safety . 2016; 36 (6) . … The Joint Commission Journal on Quality and Patient Safety. 2016;36(6). doi:10.1016/s1553-7250(10)36041 … June 19, 2012
Findings of the first consensus conference on medical emergency teams. … February 1, 2011
A survey of nurses' beliefs about the medical emergency team system
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psnet.ahrq.gov/issue/managing-medication-errors-qualitative-study
December 06, 2023 - November 13, 2024
Defining the incidence of cardiorespiratory instability in patients … July 2, 2019
Effect of genetic diagnosis on patients with previously undiagnosed disease … January 18, 2023
Understanding the peer, manager, and system influence on patient safety … Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a national survey … Creating highly reliable health care: how reliability-enhancing work practices affect patient
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psnet.ahrq.gov/issue/healthcare-associated-infections-veterans-affairs-acute-care-and-long-term-healthcare
February 07, 2022 - September 22, 2021
The impact of COVID-19 response on central line associated bloodstream … Nosocomial transmission and outbreaks of coronavirus disease 2019: the need to protect both patients … July 2, 2009
View More
Related Resources
Patient Safety … 2022
Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey … August 12, 2020
Communication with patients and families regarding health care-associated
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psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
September 01, 2003 - she put on the gurney mattress to which the patient was then transferred. … That is why the nurse circulator puts the armband on the patient and documents on the “packer tracker … - not “is there an armband on the patient” or “why isn’t there an armband on the patient if there is … pelvic examinations, so that clinicians do not rely on CT to evaluate patients presenting with vaginal … The when and how of the gynaecological examination: a survey among Norwegian general practitioners.
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psnet.ahrq.gov/issue/effectiveness-different-nursing-handover-styles-ensuring-continuity-information-hospitalised
May 19, 2018 - or family are associated with improved patient outcomes, echoing a prior systematic review . … July 13, 2022
Physicians' responses to clinical decision support on an intensive care … June 7, 2023
Why pediatricians fail to diagnose hypertension: a multicenter survey. … February 13, 2013
Research on nursing handoffs for medical and surgical settings: an … September 12, 2012
Review: bringing patient safety to the forefront through structured
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psnet.ahrq.gov/node/33866/psn-pdf
September 01, 2018 - RW: I remember the study on patient and family experiences after errors vividly. … an add-on to OpenNotes using a patient-reporting tool. … Survey data from
patients, families, and caregivers tell us that reading the notes helps them to close … The Patient Relations staff has enjoyed forwarding this on to clinicians. … Yet that's what we're asking patients to do. But it's beyond what's on paper.
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psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
August 20, 2018 - The nurse questioned why an ankle aspiration procedure was being done on a patient who had wounds on … The joint aspiration was performed on the wrong patient and on the wrong side . … TeamSTEPPS program experienced improvement in non-technical skills like teamwork, communication and safety … culture. 15 The first teachable skill is effective communication, where information is exchanged among … Results of an AAOS member survey.
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psnet.ahrq.gov/node/73153/psn-pdf
April 28, 2021 - she
put on the gurney mattress to which the patient was then transferred. … That is why the nurse circulator puts
the armband on the patient and documents on the “packer tracker … - not “is there an armband on the
patient” or “why isn’t there an armband on the patient if there is … pelvic examinations, so that clinicians do not rely on CT to
evaluate patients presenting with vaginal … The when and how of the gynaecological examination: a
survey among Norwegian general practitioners.
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psnet.ahrq.gov/web-mm/standard-deviations
January 01, 2006 - From the perspective of patient safety, this case emphasizes how important it is to focus on our competencies … The patient smokes on the ward. The staff wants to treat patients with respect and empathy. … Outreach workers spend months trying to develop trusting relationships with homeless clients and even … And financial concerns on the part of the hospital about a long hospital stay for an uninsured patient … by patient, nurse and event characteristics: a factorial survey experiment.
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psnet.ahrq.gov/web-mm/toxic-tachycardia
March 01, 2005 - The patient had no evidence of thyroid storm. … The spectrum of thyroid disease in a community: the Whickham survey. … Perioperative management of patients with hypothyroidism. … March 1, 2005
Perspective
Update on Safety Culture … November 8, 2023
Safety culture and workforce well-being associations with Positive Leadership
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psnet.ahrq.gov/issue/doctors-and-dentists-still-flooding-us-opioid-prescriptions
October 13, 2018 - Author(s)
Prescription opioid use, misuse, and use disorders in U.S. adults: 2015 National Survey … on Drug Use and Health. … comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescriptions for geriatric patients … implementation of opioid-safety guideline recommendations: the case of urine drug screening and opioid-patient … February 22, 2019
Reducing patient harm from opiates.
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psnet.ahrq.gov/issue/when-5-rights-go-wrong-medication-errors-nursing-perspective
June 27, 2018 - This survey study found that 78% of nurses admitted to making a medication error, which they attributed … Exploring organizational context and structure as predictors of medication errors and patient … interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient … February 15, 2017
Bringing change-of-shift report to the bedside: a patient- and family-centered … September 16, 2009
Nurses' perceptions of safety culture in long-term care settings.