-
psnet.ahrq.gov/issue/challenges-communication-referring-clinicians-pathologists-electronic-health-record-era
June 29, 2011 - September 18, 2019
Epidemiology, patterns of care, and mortality for patients with acute … March 9, 2016
Association of safety culture with surgical site infection outcomes. … June 21, 2016
Modified Early Warning System improves patient safety and clinical outcomes … December 1, 2021
Updated Results for the AHRQ Surveys on Patient Safety Culture Workplace … August 14, 2019
Data omission by physician trainees on ICU rounds.
-
psnet.ahrq.gov/issue/anesthetic-mishaps-breaking-chain-accident-evolution
April 08, 2011 - The authors recommend greater emphasis on detecting simple incidents, using simulators to promote education … Resources From the Same Author(s)
The culture of safety: results of an organization-wide survey … in patient safety. … April 7, 2019
How does patient safety culture in the operating room and post-anesthesia … December 23, 2016
Error, stress, and teamwork in medicine and aviation: cross sectional surveys
-
psnet.ahrq.gov/node/33582/psn-pdf
September 15, 2024 - Other methods to prospectively uncover safety hazards rely on qualitative approaches that emphasize the … at all levels, through formal safety culture surveys or more informal methods
such as leadership walk … https://psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/issue/surveys-patient-safety-culture … https://psnet.ahrq.gov/issue/providing-feedback-following-leadership-walkrounds-associated-better-patient-safety-culture … Similarly, an institution's picture of patient safety will hinge on which
method they emphasize for
-
psnet.ahrq.gov/issue/overall-hospital-quality-star-ratings-overview
May 26, 2021 - methodology used by the Centers for Medicare and Medicaid Services to generate the information provided on … May 26, 2021
Hospital surveys by the Centers for Medicare and Medicaid Services: an analysis … March 4, 2024
AHRQ Impact Case Studies: Patient Safety. … October 30, 2023
Ambulatory Surgery Center Survey on Patient Safety Culture. … May 29, 2023
Network of Patient Safety Databases.
-
psnet.ahrq.gov/node/865678/psn-pdf
April 24, 2024 - Jt Comm J Qual Patient Saf.
2024;50(8):560-568. doi:10.1016/j.jcjq.2024.03.004. … I-PASS tool has been implemented in a variety of healthcare settings to improve communication during
patient … After I-PASS
training, tool adherence improved from 42% to 71% and perceived handoff scores improved on … safety
culture surveys.
-
psnet.ahrq.gov/issue/enhancing-your-medication-error-reporting-program-improve-global-medication-safety
June 10, 2018 - Citation
Related Resources From the Same Author(s)
Drug shortages: national survey … August 7, 2024
IV push medications survey results—part 1 and part 2. … 27, 2018
Assessing medication safety in settings not designated solely for pediatric patients … July 20, 2021
New AHRQ Surveys on Patient Safety Culture Diagnostic Safety Supplemental … June 24, 2020
Introducing the New SOPS Hospital Survey 2.0.
-
psnet.ahrq.gov/issue/toolkit-promote-safe-surgery
May 01, 2017 - This toolkit builds on the success of the Comprehensive Unit-based Safety Program to initiate change … August 1, 2012
Advances in Patient Safety and Medical Liability. … November 30, 2018
Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory … December 18, 2008
Action Planning Tool for the AHRQ Surveys on Patient Safety Culture … January 24, 2018
Advances in Patient Safety: From Research to Implementation.
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.110_slideshow.ppt
December 01, 2005 - the female patient. … Being new to this setting and assuming different practices were used in pediatric patients, the student … the Totem Pole
On postoperative day 3, the student found that the patient had been febrile overnight … Error, stress and teamwork in medicine and aviation: cross sectional surveys. … Error, stress and teamwork in medicine and aviation: cross sectional surveys.
-
psnet.ahrq.gov/issue/towards-safer-better-healthcare-harnessing-natural-properties-complex-sociotechnical-systems
April 08, 2011 - April 8, 2011
Improving patient safety governance and systems through learning from successes … and failures: qualitative surveys and interviews with international experts. … June 23, 2015
The impact of trained assistance on error rates in anaesthesia: a simulation-based … March 2, 2011
View More
Related Resources
Safety culture across … October 8, 2014
Tracing the foundations of a conceptual framework for a patient safety
-
psnet.ahrq.gov/node/38964/psn-pdf
November 27, 2009 - Development of a measure of patient safety event
learning responses. … A 2008 survey found that only a minority of US
hospitals had a structured system for following up on … This mixed-methods study used a
combination of surveys, focus groups, and expert panels to define measurements … for how organizations
respond to patient safety events. … https://psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey
-
psnet.ahrq.gov/issue/evolving-hospital-quality-star-rating-system-cms-aligning-stars
December 13, 2017 - The Hospital Star Rating system was implemented in 2016 to aid patients in identifying safe, high-quality … July 7, 2021
Hospital surveys by the Centers for Medicare and Medicaid Services: an analysis … June 2, 2021
Safety culture as a patient safety practice for alarm fatigue. … October 13, 2021
Development and validation of a brief culture-of-safety survey. … December 4, 2024
What can we learn from coroners’ reports on preventable deaths?
-
psnet.ahrq.gov/issue/efficacy-medical-team-training-improved-team-performance-and-decreased-operating-room-delays
October 06, 2016 - In addition to OR team function, adherence to guidelines for prophylactic antibiotics improved, and surveys … noted improved perceptions of teamwork and safety culture . … benefits of teamwork training programs, particularly when combined with an active debriefing process, on … Citation
Related Resources From the Same Author(s)
Effect of distractions on … July 5, 2013
Effect of a comprehensive surgical safety system on patient outcomes.
-
psnet.ahrq.gov/issue/primary-care-closed-claims-experience-massachusetts-malpractice-insurers
August 14, 2017 - The authors note a high prevalence of failure-to-diagnose claims and recommend further emphasis on … August 14, 2017
Doing right by our patients when things go wrong in the ambulatory setting … Evaluating ambulatory practice safety: the PROMISES Project administrators and practice staff surveys … July 31, 2013
Better medical office safety culture is not associated with better scores … on quality measures.
-
psnet.ahrq.gov/issue/centers-medicare-and-medicaid-services-cms-nursing-home-compare
May 26, 2021 - May 26, 2021
Hospital surveys by the Centers for Medicare and Medicaid Services: an analysis … February 15, 2023
Hospital Survey on Patient Safety Culture 2.0. … July 1, 2020
Organisation Patient Safety Incident Reports. … April 17, 2013
Global Patient Safety Alerts. … February 23, 2011
View More
See More About The Topic
Long-Term Care
Patients
-
psnet.ahrq.gov/issue/how-professionals-make-decisions
July 06, 2011 - This book includes research presented at the 5th Conference on Naturalistic Decision Making. … Cross-sectioned Examination of the Breadth and Depth of Relationships through National Quantitative Surveys … August 6, 2016
Safe Handover: Safe Patients. … outcomes of patient care. … September 29, 2010
What is patient safety culture?
-
psnet.ahrq.gov/issue/hospital-accident-lessons-learned-death-conviction-and-healing
March 06, 2005 - (s)
Safetyleaders.org
March 6, 2005
Chasing Zero: Winning the War on … May 18, 2012
Health IT and Patient Safety: Building Safer Systems for Better Care. … July 5, 2016
The Institute of Medicine report on medical errors—could it do harm? … October 13, 2021
New AHRQ Surveys on Patient Safety Culture Diagnostic Safety Supplemental … June 23, 2020
Introducing the New SOPS Hospital Survey 2.0.
-
psnet.ahrq.gov/issue/ahrq-2007-annual-conference
December 24, 2008 - December 18, 2008
Advances in Patient Safety: New Directions and Alternative Approaches … September 29, 2017
Patient Safety and Quality: An Evidence-Based Handbook for Nurses. … April 30, 2008
Hospital Survey on Patient Safety Culture: 2008 Comparative Database Report … The Evolution of Root Cause Analysis
February 26, 2025
SOPS Surveys … November 28, 2023
Advances in Patient Safety: From Research to Implementation.
-
psnet.ahrq.gov/issue/excusable-neglect-malpractice-suits-against-radiologists-proposed-jury-instruction-recognize
April 11, 2011 - safety founded on evidence-based protocols. … June 21, 2006
Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User … patient safety and further health service use: a cohort study. … May 1, 2011
Disclosing harmful mammography errors to patients. … failures to detect the foreign body on chest radiography.
-
psnet.ahrq.gov/issue/extent-nature-and-consequences-adverse-events-results-retrospective-casenote-review-large-nhs
March 03, 2011 - March 28, 2011
Fidelity and the impact of patient safety huddles on teamwork and safety … culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project. … Changing experience of adverse medical events in the National Health Service: comparison of two population surveys … View More
Related Resources
Biases in detection of apparent "weekend effect" on … December 16, 2015
Stress on the ward: evidence of safety tipping points in hospitals.
-
psnet.ahrq.gov/node/33829/psn-pdf
March 01, 2017 - Our Maturing Understanding of Safety Culture: How to
Change It and How It Changes Safety
March 1, 2017 … Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety. … https://psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it … On the
one hand, the importance of safety culture is widely recognized and acknowledged; on the other … Reducing hospital errors: interventions that build safety culture.