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psnet.ahrq.gov/web-mm/surprise-wire
July 15, 2020 - National Patient Safety Goals for 2005 and 2004. … July 15, 2020
Effect on patient safety of a resident physician schedule without 24-hour … November 12, 2014
Trends in adverse event rates in hospitalized patients, 2010-2019. … 2009
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Related Resources
Exploring the impact of safety … culture on incident reporting: lessons learned from machine learning analysis of NHS England staff survey
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psnet.ahrq.gov/perspective/relationships-between-physician-professional-satisfaction-and-patient-safety
September 29, 2017 - On one hand, there might be no true relationship. … If the underlying causes of physician dissatisfaction also seem likely to threaten the safety of patients … satisfaction can serve as the proverbial "canary in a coal mine" for health systems problems that also affect patients … But everything hinges on detailed investigation. … by estimated effect magnitude) was agreement with the statement "I am overwhelmed by the needs of my patients
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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
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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.
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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.
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psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph
August 22, 2014 - Our study looking at data from the National Ambulatory Medical Care Survey showed that 0.5% of all … There is a real need for being able to tailor these interventions on the provider side and on the patient … We talked about safety culture. Then we interviewed him again about a year ago. … And he said he wasn't focusing much on safety culture anymore because people were so burned out that … We really need to work on our patient experience.
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psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable
December 20, 2023 - Neither the patient nor the parents had received education on how to draw up and administer insulin using … Drug shortages in the United States have reached a 10-year high according to a survey published by the … As of July 2023, there were 309 active, ongoing drug shortages reported, and 99% of respondents reported … and causing high levels of stress for patients and healthcare teams. … A survey of physician and nurse knowledge, attitudes, and practices around injection safety.
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psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension
February 01, 2012 - Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedule to Improve Patient … How residents view their clinical supervision: a reanalysis of classic national survey data. … Supervision in the outpatient clinic: effects on teaching and patient care. … any true harm to patients. … We've focused on knowledge in action and being able to take that knowledge to effectively care for patients
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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].
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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
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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
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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
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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.
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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
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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
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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.
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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.
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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
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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
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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 (