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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/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/node/33710/psn-pdf
May 01, 2011 - A leading expert on disclosure and the psychological impact of medical errors on
both patients and caregivers … I wanted to fill in your survey, but I just couldn't." … Every survey suggests that even though people
need support, they usually don't get it. … It's really interesting that both patients and providers very early on are interested in
knowing what … But we do need to hang on to
people who really care about their patients' welfare.
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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/technology-tool-improving-patient-safety
April 26, 2023 - CDS provides clinicians, patients, and other individuals with relevant data (e.g. patient-specific information … Despite respondents giving the tool high usability ratings and reporting that the CDS was valuable, actual … Here we limit the discussion to several patient-safety-focused resources posted on PSNet in 2022. … For CDS specifically, more focus is needed on patient-centered CDS (PC CDS), which supports patient-centered … and Workforce Safety Culture in Healthcare
March 27, 2024
Perspective
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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/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/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/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/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/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/perspective/acgmes-2017-revision-common-program-requirements
January 31, 2018 - The 2017 requirements place greater emphasis on patient safety and quality improvement; more comprehensively … outcomes among general surgical patients or overall resident well-being. … "( 7 ) A follow-up survey of residents participating in the FIRST trial found that they strongly prefer … Effects of the 2011 duty hour reforms on interns and their patients: a prospective longitudinal cohort … June 10, 2020
Perspective
Establishing a Safety Culture
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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/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/perspective/cybersecurity-and-how-maintain-patient-safety
March 27, 2024 - the most targeted sector for ransomware attacks; 210 attacks were reported in 2022. 3 In a recent survey … safety issues. 11 When a patient-safety event occurs, reporting it (whether on paper or in a short … Cyber Insecurity in Healthcare 2023: The Cost and Impact on Patient Safety and Care . … The effects of ransomware attacks on hospitals and patients. Accessed February 11, 2024. … and Workforce Safety Culture in Healthcare
March 27, 2024
Perspective
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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/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/perspective/conversation-sigall-k-bell-md
February 26, 2025 - RW : I remember the study on patient and family experiences after errors vividly. … At BIDMC, we built 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/issue/diagnostic-error-medicine-analysis-583-physician-reported-errors
June 24, 2009 - errors occurring most frequently in the testing phase (eg, failure to order, report, and follow up on … An invited commentary [see link below] by a leader in the patient safety field, Dr. … January 26, 2022
A national survey assessing the number of records allowed open in electronic … Effect of restriction of the number of concurrently open records in an electronic health record on … wrong-patient order errors: a randomized clinical trial.
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psnet.ahrq.gov/issue/interprofessionalinterdisciplinary-teamwork-during-early-covid-19-pandemic-experience
September 23, 2020 - the Same Author(s)
Hospital ward adaptation during the COVID-19 pandemic: a national survey … September 23, 2020
"Good catch, Kiddo"--enhancing patient safety in the pediatric emergency … October 21, 2020
Changing hospital organisational culture for improved patient outcomes … Effect of delays in the 2-week-wait cancer referral pathway during the COVID-19 pandemic on … June 10, 2020
Safety at the time of the COVID-19 pandemic: how to keep our oncology patients