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Showing results for "surveys on patient safety culture".
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4001. Technology as a Tool for Improving Patient Safety | PSNet
      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

4002. In Conversation With… Susan E. Skochelak, MD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-susan-e-skochelak-md-phd
      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.

4003. Treatment Challenges After Discharge | PSNet
      psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
      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.

4004. 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

4005. The racial disparities in maternal mortality and impact of structural racism and implicit racial bias on pregnant Black women: a review of the literature. | PSNet
      psnet.ahrq.gov/issue/racial-disparities-maternal-mortality-and-impact-structural-racism-and-implicit-racial-bias
      July 13, 2009 - The racial disparities in maternal mortality and impact of structural racism and implicit racial bias on … The racial disparities in maternal mortality and impact of structural racism and implicit racial bias on … increased risk of maternal morbidity and mortality among Black women in the United States is a patient … November 13, 2024 Impact of patient safety bundle and team-based training on obstetric … September 21, 2022 Psychometric properties of the perinatal missed care survey and missed

4006. Hospital board and management practices are strongly related to hospital performance on clinical quality metrics. | PSNet
      psnet.ahrq.gov/issue/hospital-board-and-management-practices-are-strongly-related-hospital-performance-clinical
      October 27, 2021 - This study, which used survey data from a large sample of hospitals in the United States and England, … As many hospital boards still do not prioritize patient safety, these results help identify management … framework to identify and categorise patient-reported breakdowns related to the diagnostic process in … Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience … March 2, 2016 Post event debriefs: a commitment to learning how to better care for patients

4007. Managing competing demands through task-switching and multitasking: a multi-setting observational study of 200 clinicians over 1000 hours. | PSNet
      psnet.ahrq.gov/issue/managing-competing-demands-through-task-switching-and-multitasking-multi-setting
      December 19, 2018 - using the internet: a multisite survey. … error rates in hospital in-patients: a before and after study. … February 15, 2012 Drug-drug interactions and actual harm to hospitalized patients: a … June 12, 2024 View More Related Resources Patient Safety … May 28, 2014 Is culture associated with patient safety in the emergency department?

4008. The Giving Voice to Mothers study: inequity and mistreatment during pregnancy and childbirth in the United States. | PSNet
      psnet.ahrq.gov/issue/giving-voice-mothers-study-inequity-and-mistreatment-during-pregnancy-and-childbirth-united
      January 23, 2020 - April 24, 2018 Nursing home patient safety culture perceptions among US and immigrant … January 24, 2018 Lost information during the handover of critically injured trauma patients … February 7, 2024 ‘The Retrievals’ reveals painful experiences of female patients are … February 15, 2023 Explaining the negative effects of patient participation in patient … September 8, 2021 Parent engagement in perinatal mortality reviews: an online survey

4009. Cybersecurity and How to Maintain Patient Safety | PSNet
      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

4010. Decision-making processes used by nurses during intravenous drug preparation and administration. | PSNet
      psnet.ahrq.gov/issue/decision-making-processes-used-nurses-during-intravenous-drug-preparation-and-administration
      June 29, 2022 - s) Changes to primary care delivery during the COVID-19 pandemic and perceived impact on … medication safety: a survey study. … The effect of computerised decision support alerts tailored to intensive care on … September 27, 2016 Missed medication doses in hospitalised patients: a descriptive account … 4, 2012 Medication errors reported in a pediatric intensive care unit for oncologic patients

4011. A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. | PSNet
      psnet.ahrq.gov/issue/proactive-risk-avoidance-system-using-failure-mode-and-effects-analysis-same-name-physician
      February 23, 2022 - Jt Comm J Qual Patient Saf. 2010;36(10):461-7. … Jt Comm J Qual Patient Saf. 2010;36(10):461-7. … February 23, 2022 Survey of nurses' experiences applying The Joint Commission's medication … September 1, 2016 The role of housestaff in implementing medication reconciliation on … June 8, 2011 Contraindicated medication use in dialysis patients undergoing percutaneous

4012. Views of children, parents, and health-care providers on pediatric disclosure of medical errors. | PSNet
      psnet.ahrq.gov/issue/views-children-parents-and-health-care-providers-pediatric-disclosure-medical-errors
      April 08, 2020 - These results echo earlier studies demonstrating a gap between patient preferences and clinician concerns … April 27, 2022 More than words: patients' views on apology and disclosure when things … March 11, 2013 Operating room to intensive care unit handoffs and the risks of patient … Delayed access to care and late presentations in children during the COVID-19 pandemic: a snapshot survey … pediatric patients.

4013. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49441/psn-pdf
      March 01, 2004 - On postoperative day (POD) 2, the patient was tachycardic, despite receiving a low-dose beta-blocker … On POD 3, the patient had no complaints for the primary team on morning rounds. … On POD 4, the patient complained to the nurse of mild chest discomfort. … Communication breakdown and discontinuity of care have deleterious effects on patients. … Gaps in the continuity of care and progress on patient safety.

4014. Physical Diagnosis: A Lost Art? | PSNet
      psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
      January 17, 2018 - The practice of "handing off" patients necessitated by the 80-hour work week imposed on physicians in … The old clinical saw, "There is no substitute for laying hands on your patient," remains true today, … Reliance on program directors to sign-off on the residents' clinical skills is putting too much faith … Skilled clinicians test the candidate at the bedside on real patients to see if they can sort out valvular … undergraduate grade point averages (GPA) with intern performance measured by residency program director surveys

4015. Bowel Injury After Laparoscopic Surgery | PSNet
      psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery
      January 19, 2016 - His physical examination was documented as unremarkable, and he was started on a patient-controlled analgesia … On postoperative day 2, the patient was weaned off the PCA and started on a clear liquid diet. … Hospital and patient characteristics associated with death after surgery. … May 6, 2015 The WHO surgical safety checklist: survey of patients' views. … June 13, 2018 Patient safety in the OR.

4016. Failure to Report | PSNet
      psnet.ahrq.gov/web-mm/failure-report
      July 01, 2008 - acknowledge the potentially harmful medication error, caregivers missed a chance to protect future patients … How many other patients must be harmed by similar mistakes before the factors that led to the mistakes … The Handbook on Storing and Securing Medications. … Committed to Safety: Ten Case Studies on Reducing Harm to Patients. … December 14, 2022 ISMP survey on tall man (mixed case) lettering to reduce drug name

4017. 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.

4018. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49612/psn-pdf
      November 01, 2010 - After a urine culture was obtained in the ED, the patient was started on vancomycin and admitted to … 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.

4019. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49784/psn-pdf
      February 01, 2017 - inadequate training and lack of knowledge about good laboratory practices were other factors included on … However, it is hazardous to depend on the vigilance of busy providers to prevent errors. … When patients use point-of-care testing at home, such as international normalized ratio for monitoring … Good laboratory practices for waived testing sites: survey findings from testing sites holding a certificate … Results of a survey among GP practices on how they manage patient safety aspects related to point-of-care

4020. In Conversation with…William B. Munier, MD, MBA | PSNet
      psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
      July 01, 2011 - To give you one example, we did a survey of about 2,000 hospitals a few years ago. … The whole survey was about incident reporting systems in those hospitals, to find out how many were automated … organization (PSO) to serve California hospitals and their patients. … Peer-review protections and attorney–client privileges create the opposite tendency: to inhibit open … Reflections on the National Patient Safety Agency's database of medical errors.