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psnet.ahrq.gov/issue/resilience-and-resilience-engineering-health-care
September 19, 2013 - Summarizing a workshop on how resilience can enhance patient safety, this commentary defines key elements … November 30, 2012
Variation in emergency medical services workplace safety culture. … American College of Endocrinology and American Association of Clinical Endocrinologists position statement on … March 5, 2014
'Not another safety culture survey': using the Canadian patient safety … climate survey (Can-PSCS) to measure provider perceptions of PSC across health settings.
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psnet.ahrq.gov/issue/advancing-nursing-home-quality-through-quality-improvement-itself
November 28, 2018 - March 15, 2017
View More
Related Resources
Patient … Organizational readiness to change as a leverage point for improving safety: a national nursing home survey … safety climate factor scores across nursing homes and wards—assessed by the Safety Attitudes Questionnaire … February 1, 2012
Organizational climate determinants of resident safety culture in nursing … Achieving quality improvement in the nursing home: influence of nursing leadership on
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psnet.ahrq.gov/issue/safety-requires-state-mindfulness
May 02, 2018 - February 13, 2019
Results of survey on pediatric medication safety—part 1 and part 2. … July 8, 2015
Correct use of inhalers: help patients breathe easier. … September 2, 2016
DTaP–Tdap mix-ups now affecting hundreds of patients. … and Workforce Safety Culture in Healthcare
March 27, 2024
Patient … A: Being the patient.
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psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010-2015-interim-data-national-efforts
December 24, 2008 - This represents a total of 3.1 million fewer HACs contracted by hospitalized patients over 5 years, saving … May 1, 2017
AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative … July 27, 2018
How PSOs Help Health Care Organizations Improve Patient Safety Culture. … July 27, 2018
Hospital Survey on Patient Safety Culture: 2018 User Database Report. … March 5, 2013
Keeping Patients Safe: Transforming the Work Environment of Nurses.
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psnet.ahrq.gov/node/46689/psn-pdf
January 01, 2020 - Assessing patients' perceptions of safety culture in the
hospital setting: development and initial evaluation … of the
patients' perceptions of safety culture scale. … of the Patients' Perceptions of Safety Culture Scale. … Researchers used a large
online survey to develop and validate an 11-item scale to measure patients' … https://psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/issue/surveys-patient-safety-culture
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psnet.ahrq.gov/issue/social-and-environmental-conditions-creating-fluctuating-agency-safety-two-urban-academic
August 12, 2019 - June 18, 2020
What do patients and families observe about pediatric safety? … November 2, 2016
Transforming communication and safety culture in intrapartum care: a … November 8, 2017
Psychometric properties of the perinatal missed care survey and missed … victim experiences of nurses in obstetrics and gynaecology: a Second Victim Experience and Support Tool Survey … safety culture in a tertiary maternity unit.
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psnet.ahrq.gov/node/60846/psn-pdf
January 01, 2021 - safety-climate-associated-adverse-events-nursing-homes-national-va-study
This cross-sectional study examined the impact of safety climate on … Survey results suggest that nursing
homes may reduce adverse events by increasing supportive supervision … The survey found that supervisor commitment to safety was associated with lower rates of major injuries … safety-climate-associated-adverse-events-nursing-homes-national-va-study
https://psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/issue/patient-safety-culture-and-association-safe-resident-care-nursing-homes
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psnet.ahrq.gov/node/33744/psn-pdf
February 01, 2013 - She has published widely on patient- and family-centered care issues and
received numerous awards for … Having some information easily available so that patients and family
members can read about it on a … One thing that was
very clear was they didn't want the patient safety problem "dumped" on them. … They have two patient advisors on their sentinel events committee. … surveys.
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psnet.ahrq.gov/issue/occupational-stress-and-cognitive-failure-nurses-and-associations-self-reported-adverse
June 09, 2021 - Emerging Classic
Occupational stress and cognitive failure of nurses and associations with on … November 16, 2022
The Research on Adverse Drug Events and Reports (RADAR) project. … of commercial computerized provider order entry (CPOE) and clinical decision support systems (CDSSs) on … June 9, 2021
The enabling, enacting, and elaborating factors of safety culture associated … October 4, 2011
Nurses' perception of error reporting and patient safety culture in Korea
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www.ahrq.gov/patient-safety/reports/liability/pichert.html
August 01, 2017 - of Disclosure of Adverse Events in Labor and Delivery
Patient Safety Culture and Medical Liability—Recommendations … safety culture. … Patients as observers and reporters in support of systems and patient safety. … Balancing systems and individual accountability in a safety culture. In: Berman S, ed. … The use of patient satisfaction surveys and alternative coding procedures to predict malpractice risk
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psnet.ahrq.gov/issue/improving-medication-reconciliation-comprehensive-evaluation-veterans-affairs-skilled-nursing
May 19, 2021 - Jt Comm J Qual Patient Saf . 2021; 47 (10) :646-653 . … Patients in nursing homes are at increased risk for medication discrepancies due to complexity of care … processes: item generation for a novel survey questionnaire. … culture of the elderly in nursing homes: a qualitative study. … April 19, 2023
Nursing home patient safety culture perceptions among licensed practical
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psnet.ahrq.gov/issue/how-active-resisters-and-organizational-constipators-affect-health-care-acquired-infection
September 15, 2010 - September 15, 2010
The influence of organizational context on quality improvement and … April 5, 2017
Preventing hospital-acquired infections: a national survey of practices … device-associated infections during the coronavirus disease 2019 (COVID-19) pandemic: results from a national survey … View More
Related Resources
The influence of organizational context on … an improved patient safety culture.
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psnet.ahrq.gov/node/50822/psn-pdf
January 22, 2020 - Nurses' sleep, work hours, and patient care quality, and
safety
January 22, 2020
Stimpfel AW, Fatehi … evidence that sleep deprivation among nurses is a threat to patient safety. … On average, nurses reported less than 7 hours of sleep before a shift. … Less sleep was associated
with lower ratings on patient safety culture measures. … issue/sleep-deprivation-and-error-nurses-who-work-night-shift
https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture
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psnet.ahrq.gov/issue/second-victim-experience-and-support-tool-validation-organizational-resource-assessing-second
September 19, 2016 - The second victim phenomenon—the damaging psychological impacts of errors on the clinicians who are … This study presents the development and validation of a survey tool, the SVEST, to examine clinicians … safety culture and the second victim phenomenon: connecting culture to staff distress in nurses. … September 19, 2016
Adverse drug event detection in pediatric oncology and hematology patients … September 23, 2020
A multilevel analysis of U.S. hospital patient safety culture relationships
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psnet.ahrq.gov/issue/neurologist-and-patient-safety
October 04, 2011 - The author reviews data on errors in neurology and identifies key areas for minimizing medical error … June 29, 2009
Communication in health care: impact of language and accent on health care … April 21, 2021
Does employee safety matter for patients too? … Employee safety climate and patient safety culture in health care. … 2019
Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey
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psnet.ahrq.gov/issue/do-leadership-style-unit-climate-and-safety-climate-contribute-safe-medication-practices
May 13, 2020 - their responses to the AHRQ Hospital Survey on Patient Safety Culture . … The authors suggest that safety culture is necessary but not sufficient to support medication safety … August 7, 2019
Nurse judgements of hospitalized patients' safety concerns are affected … by patient, nurse and event characteristics: a factorial survey experiment. … an adjunct to manual counting protocols for tracking surgical sponges: a prospective trial of 2,285 patients
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psnet.ahrq.gov/node/43064/psn-pdf
January 01, 2015 - Leadership, safety climate, and continuous quality
improvement: impact on process quality and patient … Leadership, safety climate, and continuous quality improvement:
impact on process quality and patient … leadership-safety-climate-and-continuous-quality-improvement-impact-
process-quality-and
Analyzing survey … which
health care leaders articulate a clear and shared vision for an organization, to a positive safety … culture.
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psnet.ahrq.gov/issue/nurses-safety-motivation-examining-predictors-nurses-willingness-report-medication-errors
October 10, 2015 - that feedback on errors occurs and is nonpunitive . … These results underscore the need for a strong safety culture to promote error reporting. … May 13, 2020
Nurse judgements of hospitalized patients' safety concerns are affected … by patient, nurse and event characteristics: a factorial survey experiment. … October 4, 2011
Nurses' perception of error reporting and patient safety culture in Korea
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psnet.ahrq.gov/perspective/conversation-withallan-frankel-md
July 01, 2006 - A patient safety officer must have all those skills on top of the clinical skills and knowledge of evidence-based … But when you get to measuring culture and you're starting to talk about attitudinal surveys, the measurements … , that patients will have their medications reconciled every time they are admitted, or they will have … Efforts to promote a safety culture require persistence and involvement from all areasno one person … Patient safety officers need training on tools such as failure mode and effects analysis (FMEA), root
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psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
January 01, 2008 - Our study on pneumonia patients using this strategy showed an improvement in patient outcomes, as measured … Beginning in 2005, baseline measurement of organizational safety culture was obtained utilizing 2 culture … survey tools. … We believe that the NQF emphasis on safety culture is the right one; in our view, the creation and maintenance … Patient Safety Culture Surveys. Agency for Healthcare Research and Quality Web site.