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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
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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/listen-whispers-they-become-screams-addressing-black-maternal-morbidity-and-mortality-united
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
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psnet.ahrq.gov/issue/leadership-through-crisis-fighting-fatigue-pandemic-healthcare-during-covid-19
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
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psnet.ahrq.gov/issue/quantification-hawthorne-effect-hand-hygiene-compliance-monitoring-using-electronic
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.
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psnet.ahrq.gov/issue/i-pass-handoff-program-use-campaign-effect-transformational-change
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
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psnet.ahrq.gov/issue/enhancing-departmental-preparedness-covid-19-using-rapid-cycle-situ-simulation
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
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psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
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
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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/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.
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psnet.ahrq.gov/issue/adverse-events-anesthesia-integrative-review
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
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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/effects-computerized-provider-order-entry-implementation-communication-intensive-care-units
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
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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
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psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
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.
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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
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psnet.ahrq.gov/issue/selection-incorrect-medication-pump-leads-chemotherapy-overdose
September 09, 2015 - June 10, 2018
Pump up the volume: tips for increasing error reporting and decreasing patient … , 2015
ISMP updates its list of drug names with tall man (mixed case) letters based on … survey results.
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psnet.ahrq.gov/issue/investigating-us-medical-students-motivation-respond-lapses-professionalism
January 12, 2022 - August 10, 2016
Prevalence of medication transfer errors in nephrology patients and potential … 2020
Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized patients … More
Related Resources
Bad things can happen: are medical students aware of patient … March 19, 2018
Speaking up about traditional and professionalism-related patient safety … threats: a national survey of interns and residents.
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psnet.ahrq.gov/issue/handover-after-pediatric-heart-surgery-simple-tool-improves-information-exchange
July 03, 2016 - of a structured tool improved the quality of handoffs for postoperative pediatric cardiac surgery patients … March 5, 2025
Purchase of prescription medicines via social media: a survey-based study … May 28, 2015
Tracing the foundations of a conceptual framework for a patient safety ontology … A prospective observational study of physician handoff for intensive-care-unit-to-ward patient … , 2011
Standardized multidisciplinary protocol improves handover of cardiac surgery patients
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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
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Related Resources
Patient Safety