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Showing results for "surveys on patient safety culture".
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4101. In Conversation With… David Blumenthal, MD, MPP | PSNet
      psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp
      July 01, 2012 - I was thinking that you might go on to ask, why would the patient actually need to go in and see the … On some level, the defensiveness is understandable.( 8 ) Problems of patient safety are so devastating … I enumerate only four: Health IT was promoted on the basis of a survey of hospital IT needs that … There were no questions or answer options on the survey that focused on what appear to be the real … Committee on Patient Safety and Health Information Technology; Institute of Medicine.

4102. Missing Trauma | PSNet
      psnet.ahrq.gov/web-mm/missing-trauma
      March 03, 2011 - On arrival, paramedics found the patient unresponsive, with poor respiratory effort and a barely palpable … errors in the care of patients with trauma. … in a delayed evaluation after 24-48 hours in the hospital, during what has been called the "tertiary survey … American College of Surgeons Committee on Trauma. … May 18, 2022 Hospital ward adaptation during the COVID-19 pandemic: a national survey

4103. Language Barrier | PSNet
      psnet.ahrq.gov/web-mm/language-barrier
      February 28, 2024 - The prescription label on the bottle was written in English. … As with patients who speak English, patient safety is greatest for LEP patients when provider-patient … Language barriers to prescriptions for patients with limited English proficiency: a survey of pharmacies … proficiency: a survey of pharmacies. … October 4, 2011 Family-centered rounds on pediatric wards: a PRIS network survey of US

4104. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33673/psn-pdf
      September 01, 2008 - This changed little after BCMA implementation (24.5%).(9) In a survey of nursing satisfaction associated … defense in detecting patient deterioration and protecting patients by recovering errors caused by other … A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. … Impact of barcode medication administration technology on how nurses spend their time on clinical care … Survey investigates role of pharmacy in technology use in hospitals [press release].

4105. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72613/psn-pdf
      December 22, 2020 - Based on that project, Elsbeth and I developed a shared interest in looking at patient safety and quality … We focused on just measuring the harm to the patient as the first step and not worrying about who’s … We have data on about 4-4.5 million patients now. … Or if a patient accidently bites on their lip, or something like that. … and a module on patient safety in dentistry.

4106. In Conversation with...James L. Reinertsen, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md
      August 01, 2007 - administration and the board look at finances and facilities, and the doctors and nurses take care of the patients … Surveys have consistently shown that when you ask the board chair, "What do you think of quality in … where the biggest trauma surgeon in the region had his privileges to do surgery and to take care of patients … useful for the care of the patients. … Mark Chassin, MD, MPP, MPH April 1, 2009 Measurement for improvement: a survey

4107. Critical Order Set Change and Critical Limb Ischemia | PSNet
      psnet.ahrq.gov/web-mm/critical-order-set-change-and-critical-limb-ischemia
      July 02, 2019 - relatively simple scenarios such as standardizing the use of potassium binding resins when treating patients … 4 ), or those intended for more complex clinical situations such as standardizing the care for ICU patients … implementation, and maintenance of order sets all require careful attention to the potential of harm to patients … support continuous bladder irrigation that resulted in clinical complications for patients from overly … January 10, 2018 Results of a medication reconciliation survey from the 2006 Society

4108. Waiting Too Long | PSNet
      psnet.ahrq.gov/web-mm/waiting-too-long
      February 01, 2013 - using specific indicators such as patient complexity based on clinical service and human resource outcomes … surveys reveal inadequate staffing, appropriate action must be undertaken for correction. … .( 9 ) This has been problematic in the US, as well as other countries.( 10,11 ) In a comprehensive survey … Obstetric anesthesia work force survey, 1981 versus 1992. … Survey of anaesthetic support staff in obstetric units in England and Wales.

4109. A Case of Mistaken Capacity: Why A Thorough Psychosocial History Can Improve Care. | PSNet
      psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
      July 08, 2022 - The patient was hypotensive on arrival, but his blood pressure improved with fluid resuscitation. … The patient was given intravenous fluids with electrolytes and started on antibiotics for a presumed … On interview, it was determined that the patient did not have capacity to make complex medical decisions … Where a patient lacks capacity, any decisions taken on their behalf must be in their best interests. … A questionnaire to measure general practitioners' attitudes to their role in the management of patients

4110. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49677/psn-pdf
      February 01, 2013 - A 2005 survey of medicine housestaff at Vanderbilt demonstrated that only 15% were using UG on at least … have access to an ultrasound machine in their ED, but that only 78% (n = 88) of respondents indicated … Furthermore, 26% (n = 28) of those respondents stated they felt "uncomfortable" or "very uncomfortable … real patients, as well as significantly improve objective performance abilities for key elements of … Ultrasound guidance during central venous catheterization: a survey of use by house staff physicians

4111. AHRQ PSNet Annual Perspective: Impact of the COVID-19 Pandemic on Patient Safety | PSNet
      psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
      August 31, 2020 - Annual Perspective AHRQ PSNet Annual Perspective: Impact of the COVID-19 Pandemic on Patient Safety … AHRQ PSNet Annual Perspective: Impact of the COVID-19 Pandemic on Patient Safety. PSNet [internet]. … culture all contribute to successful adherence. … and providers, and strengthening the safety culture and fostering characteristics of a high-reliability … The untold toll — the pandemic’s effects on patients without Covid-19.

4112. Transfusion "Slip" | PSNet
      psnet.ahrq.gov/web-mm/transfusion-slip
      June 14, 2011 - Both patients were typed and crossed, although only Mrs. … to protect future patients. … Joint Commission on Accreditation of Healthcare Organizations Web site. … May 1, 2013 Staff attitudes about event reporting and patient safety culture in hospital … Opportunities and challenges for quality and safety applications in ICD-11: an international survey

4113. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49459/psn-pdf
      September 01, 2004 - Several minutes later, when she re-entered the room of the leukemia patient, she forgot what she had … The patient experienced no adverse effects—presumably he received none of the Diprivan, given the air … A 2003 survey of nurses and pharmacists reported that almost 90% had experienced intimidating behavior … threatening body language.(10) Such experiences alter caregivers' behaviors; almost three quarters of respondents … For those higher in authority, the focus is on avoiding potentially intimidating behaviors and on actively

4114. Another Fall | PSNet
      psnet.ahrq.gov/web-mm/another-fall
      June 01, 2010 - rails.( 15 ) Coagulopathic patients may represent a patient category in whom special precautions are … who are on life-sustaining treatments. … Case & Commentary: Part 3 The patient was found on the floor with no sign of injury. … Walking, however, is critical to patients’ well-being. … June 24, 2020 A qualitative survey of factors shaping the role of a safety professional

4115. Caution, Interrupted | PSNet
      psnet.ahrq.gov/web-mm/caution-interrupted
      October 01, 2016 - Several minutes later, when she re-entered the room of the leukemia patient, she forgot what she had … The patient experienced no adverse effects—presumably he received none of the Diprivan, given the air … A 2003 survey of nurses and pharmacists reported that almost 90% had experienced intimidating behavior … threatening body language.( 10 ) Such experiences alter caregivers' behaviors; almost three quarters of respondents … For those higher in authority, the focus is on avoiding potentially intimidating behaviors and on actively

4116. CVC Placement: Speak Now or Do Not Use the Line | PSNet
      psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
      November 01, 2003 - A 2005 survey of medicine housestaff at Vanderbilt demonstrated that only 15% were using UG on at least … CVC attempts.( 7 ) A more recent study of 113 emergency department (ED) physicians showed that 97% of respondents … have access to an ultrasound machine in their ED, but that only 78% (n = 88) of respondents indicated … Furthermore, 26% (n = 28) of those respondents stated they felt "uncomfortable" or "very uncomfortable … Ultrasound guidance during central venous catheterization: a survey of use by house staff physicians.

4117. All in the History | PSNet
      psnet.ahrq.gov/web-mm/all-history
      February 28, 2011 - He began advanced life support—the patient was intubated and placed on mechanical ventilation, and given … Simply leaving the patient on an ED gurney does not constitute an appropriate transfer of care and may … In a recent survey of emergency and internal medicine providers from a large academic medical center, … 29% of respondents reported that a patient of theirs had experienced an adverse event or near miss after … Respondents identified numerous contributing factors including inaccurate or incomplete information (

4118. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836850/psn-pdf
      March 31, 2022 - Among patients who were prescribed amiodarone or methotrexate, the prevalence of MDIs on medication … A national survey of older adults found that patients prefer deprescribing language that includes an … Patient interviews in this study revealed that patients had little awareness of the potential for serious … did not apply to patients diagnosed with cancer or to patients receiving palliative care. … In addition, an analysis of AHRQ’s Medical Expenditure Panel Survey (MEPS) data from 2013 to 2017 demonstrated

4119. A Loss of Trust and a Missed Diagnosis | PSNet
      psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
      October 31, 2023 - producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on … Based on the most recent back pain guidelines, treatment for nonspecific low back pain at the initial … National Ambulatory Medical Care Survey: 2018 National Summary Tables, 2018. … 2013 Perspective Our Maturing Understanding of Safety … Culture: How to Change It and How It Changes Safety March 1, 2017 Incident

4120. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33693/psn-pdf
      February 01, 2010 - Entering the second decade of the patient safety movement: the field matures: comment on "disclosure … Patterns of communication breakdowns resulting in injury to surgical patients. … The educational impact of ACGME limits on resident and fellow duty hours: a pre-post survey study. … Limiting residents' work hours does no harm to patients. Ann Intern Med. 2007;147:143-144. … Transfers of patient care between house staff on internal medicine wards: a national survey.