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Tacit Handover, Overt Mishap | PSNet

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August 01, 2006 - 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.

Enhancing departmental preparedness for COVID-19 using rapid-cycle in-situ simulation. | PSNet

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October 07, 2020 - November 25, 2020 The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated … September 22, 2021 Hospital ward adaptation during the COVID-19 pandemic: a national survey … November 16, 2022 Adverse events associated with patient isolation: a systematic literature … September 30, 2020 The impact of COVID-19 response on central line associated bloodstream … August 19, 2020 Patient Safety Primers COVID-19: Team and

Doctors and dentists still flooding U.S. with opioid prescriptions. | PSNet

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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.

When the 5 rights go wrong: medication errors from the nursing perspective. | PSNet

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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.

I-PASS handoff program: use of a campaign to effect transformational change. | PSNet

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April 24, 2018 - Patient handoffs carry high risk for errors . … April 11, 2012 Association of patient and family reports of hospital safety climate with … September 18, 2019 A randomized experimental study to assess the effect of language on … September 12, 2018 Preparing clinicians for transitioning patients across care settings … Interhospital transfer handoff practices among US tertiary care centers: a descriptive survey

Leadership through crisis: fighting the fatigue pandemic in healthcare during COVID-19. | PSNet

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October 07, 2020 - October 21, 2020 Use of patient complaints to identify diagnosis-related safety concerns … September 1, 2021 Exploring changes in patient safety incidents during the COVID-19 pandemic … health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey … and safety framework: a health system’s response to airway complications in mechanically ventilated patients … Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on

Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: a retrospective cohort study. | PSNet

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July 29, 2020 - Since many publicly reported hand hygiene rates are based on direct auditor observations, this study … 2015 Physician task load and the risk of burnout among US physicians in a national survey … December 21, 2018 Physicians' experiences with mistreatment and discrimination by patients … November 5, 2015 Patient-as-observer approach: an alternative method for hand hygiene … August 22, 2011 Safety of patients isolated for infection control.

In Conversation With… Susan E. Skochelak, MD, PhD | PSNet

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February 01, 2019 - Moreover, on top of these patient safety concerns, many studies have suggested the United States health … safety issues across the continuum for individual patients and populations of patients are critical … Ensure that leaders establish and sustain a safety culture 2. … Partner with patients and families for the safest care 8. … and postgraduate trainees: a cross-sectional survey.

Listen to the whispers before they become screams: addressing Black maternal morbidity and mortality in the United States. | PSNet

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December 05, 2012 - Resources From the Same Author(s) Introduction of checklists at daily progress notes improves patient … May 19, 2018 Prioritizing patient safety efforts in office practice settings December … May 17, 2018 The effects of three consecutive 12-hour shifts on cognition, sleepiness … and testing of an objective structured clinical exam (OSCE) to assess socio-cultural dimensions of patient … August 10, 2022 Psychometric properties of the perinatal missed care survey and missed

Toxic Tachycardia | PSNet

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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

Root cause analysis for hospital-acquired pressure injury. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury

July 07, 2021 - July 7, 2021 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … July 20, 2022 Does root cause analysis improve patient safety? … March 6, 2019 Root cause analysis of reported patient falls in ORs in the Veterans Health … Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a national survey … September 22, 2017 The Nurse's Role in Promoting a Culture of Patient Safety.

Adverse Events in Anesthesia: An Integrative Review. | PSNet

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October 16, 2024 - February 24, 2021 Nurse work environment and its impact on reasons for missed care, safety … April 14, 2021 Patient centred diagnosis: sharing diagnostic decisions with patients … October 31, 2012 The impact of perioperative catastrophes on anesthesiologists: results … of a national survey. … February 24, 2012 Practice Advisory on Intraoperative Awareness and Brain Function Monitoring

Treatment Challenges After Discharge | PSNet

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January 03, 2017 - After a urine culture was obtained in the ED, the patient was started on vancomycin and admitted to the … Finally, patients often have poor access to primary care, resulting in patients having no medical support … Consequently, patient care suffers, and often, patients recently discharged return to the hospital for … In a survey of the leaders of seven Divisions of Hospital Medicine at academic centers across the country … Several large programs have focused on improving the discharge process for patients.

The effects of computerized provider order entry implementation on communication in intensive care units. | PSNet

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March 15, 2017 - Study The effects of computerized provider order entry implementation on communication … The effects of Computerized Provider Order Entry implementation on communication in Intensive Care Units … September 13, 2023 Are parents who feel the need to watch over their children's care better patient … the efficiency of workflow for critically ill patients. … computer-based provider order entry at three community hospitals using an open-ended, semi-structured survey

A Costly Colonoscopy Leads to a Delay in Diagnosis | PSNet

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September 01, 2014 - may be responsible for paying their entire deductible or copay.( 10 ) For patients on a high-deductible … reduce their out-of-pocket spending.( 15 ) This gap leaves patients on their own to navigate the complexities … The Commonwealth Fund Biennial Health Insurance Survey, 2016. [Available at] 2. … Study of physician and patient communication identifies missed opportunities to help reduce patients' … September 29, 2017 Development of a high-value care culture survey: a modified Delphi

Risk of COVID-19-related bullying, harassment and stigma among healthcare workers: an analytical cross-sectional global study. | PSNet

psnet.ahrq.gov/issue/risk-covid-19-related-bullying-harassment-and-stigma-among-healthcare-workers-analytical

April 25, 2016 - Bullying and unprofessional behavior can negatively influence teamwork, staff retention, and patient … - an international survey. … March 27, 2024 Missed nursing care in surgical care- a hazard to patient safety: a quantitative … May 5, 2021 Maternal and neonatal health care worker well-being and patient safety climate

Measurement of Patient Safety | PSNet

psnet.ahrq.gov/primer/measurement-patient-safety

September 15, 2024 - whom a postoperative checklist is completed or the proportion of patients in a hospital receiving … A related Patient Safety Primer on Adverse Events, Near Misses, and Errors discusses the definition … Studies of medication reconciliation may measure processes (such as the proportion of patients for … The Leapfrog Hospital Survey evaluates hospitals based on structural metrics—the use of specific patient … Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners.

Nursing guidelines for comprehensive harm prevention strategies for adult patients in acute hospitals: an integrative review and synthesis. | PSNet

psnet.ahrq.gov/issue/nursing-guidelines-comprehensive-harm-prevention-strategies-adult-patients-acute-hospitals

August 10, 2022 - Review Nursing guidelines for comprehensive harm prevention strategies for adult patients … Nursing guidelines for comprehensive harm prevention strategies for adult patients in acute hospitals … Nurses have a significant impact on patient safety. … in hospital: a cross-sectional survey. … August 17, 2022 The effects of three consecutive 12-hour shifts on cognition, sleepiness

Weekend effect on in-hospital mortality for ischemic and hemorrhagic stroke in US rural and urban hospitals. | PSNet

psnet.ahrq.gov/issue/weekend-effect-hospital-mortality-ischemic-and-hemorrhagic-stroke-us-rural-and-urban

January 19, 2022 - The ” weekend effect ” refers to worse patient outcomes occurring outside of usual business hours. … stroke admitted on the weekend versus on a weekday. … After adjusting for patient and hospital characteristics, in-hospital mortality among hemorrhagic stroke … Future research should explore the influence of additional factors, such as patient-level behavioral … September 2, 2020 Burnout in pediatric residents: three years of national survey

Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare workers: rapid review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/occurrence-prevention-and-management-psychological-effects-emerging-virus-outbreaks

July 19, 2023 - Compared with clinicians at lower risk, those in contact with affected patients had greater levels of … interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient … July 19, 2023 The challenges in monitoring and preventing patient safety incidents for … January 2, 2017 Survey of nurses' experiences applying The Joint Commission's medication … May 29, 2013 View More Related Resources Patient Safety

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