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psnet.ahrq.gov/issue/nurses-antimicrobial-stewards-recognition-confidence-and-organizational-factors-across-nine
August 15, 2012 - but believe hospital safety culture inhibits their work in this area. … Nosocomial transmission and outbreaks of coronavirus disease 2019: the need to protect both patients … patient safety. … May 22, 2013
Do nurse and patient injuries share common antecedents? … culture in hospital nursing units.
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psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety
December 27, 2019 - patients with LEP, 3) improve reporting of medical errors for LEP patients, 4) routinely monitor patient … Poor health literacy can have a big impact on patient safety. … This is based on an equal rights argument that says patients have the right to be able to communicate … on Safety
Safety Culture in EMS
May 26, 2021 … health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey
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psnet.ahrq.gov/issue/health-care-workers-second-victims-medical-errors
April 07, 2021 - Medical errors can have a devastating impact on patients but also place providers—called the second … second victim phenomenon, describes current approaches for addressing the emotional impact, and shares survey … findings from participants who attended a session on the topic. … Respondents expressed the need for informal emotional support and peer support as key coping strategies … October 8, 2013
Improving safety culture on adult medical units through multidisciplinary
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psnet.ahrq.gov/issue/psychological-safety-and-error-reporting-within-veterans-health-administration-hospitals
November 24, 2021 - As with prior studies of safety culture , workers with supervisory roles reported more positive feelings … March 4, 2015
Hospital cultural competency and attributes of patient safety culture: … September 14, 2022
Impact of teamwork and communication training interventions on safety … culture and patient safety in emergency departments: a systematic review. … March 30, 2022
Engaging patients in the use of real-time electronic clinical data to
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psnet.ahrq.gov/issue/you-cant-understand-something-you-hide-transparency-path-improve-patient-safety
October 04, 2006 - This article offers insights from patient safety experts on how transparency can augment patient safety … August 26, 2020
Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative … June 8, 2011
Hospital Survey on Patient Safety Culture: 2018 User Database Report. … Related Resources
How a major public hospital is protecting doctors by silencing the patients … July 26, 2023
Disclosing medical errors: prioritising the needs of patients and families
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psnet.ahrq.gov/issue/lack-patient-knowledge-regarding-hospital-medications
September 20, 2006 - January 9, 2008
Hospital Survey on Patient Safety Culture: 2016 User Comparative Database … February 16, 2022
The impact of electronic health record interoperability on safety and … as a patient safety event. … Improving Diagnostic Safety and Quality
April 26, 2023
Survey … May 4, 2010
Effect of medication reconciliation with and without patient counseling on
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psnet.ahrq.gov/node/47571/psn-pdf
December 12, 2018 - Enhancing safety culture through improved incident
reporting: a case study in translational research … Enhancing Safety Culture Through Improved Incident Reporting: A
Case Study In Translational Research … https://psnet.ahrq.gov/issue/enhancing-safety-culture-through-improved-incident-reporting-case-study- … https://psnet.ahrq.gov/issue/enhancing-safety-culture-through-improved-incident-reporting-case-study-translational … https://psnet.ahrq.gov/issue/enhancing-safety-culture-through-improved-incident-reporting-case-study-translational
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psnet.ahrq.gov/node/37544/psn-pdf
June 16, 2011 - Several surveys are used to measure safety, but recent research has demonstrated that safety
culture … Teamwork training, such as crew resource
management (CRM), is a method of improving safety culture that … In this study, the investigators analyzed safety culture before and after anesthesia staff
underwent … Wide variations in overall safety culture perception—and specific
dimensions of safety—were found even … differences-safety-climate-among-hospital-anesthesia-departments-and-effect-realistic
https://psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/issue/measuring-patient-safety-climate-review-surveys
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-introduction.pptx
January 12, 2022 - Good patient outcomes hinge on having the right diagnosis. … Surveys find that 1 in 3 patients has a firsthand experience with a diagnostic error (Society to Improve … X
Patient Satisfaction Surveys, Complaints X X
Employee Satisfaction, Culture Surveys X X
We … culture.
… Instructions for completing the questionnaire and calculating the average summary score can be found
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psnet.ahrq.gov/issue/advancing-patient-safety-reviews-agency-healthcare-research-and-qualitys-making-healthcare
March 18, 2020 - July 13, 2022
Final Report on Prioritization of Patient Safety Practices for a New Rapid … Analysis of incident reports from a patient safety organization. … May 1, 2017
Medical Office Survey on Patient Safety Culture: 2016 User Comparative Database … June 8, 2016
Hospital Survey on Patient Safety Culture: 2016 User Comparative Database … Safety Project Highlights: Improving Healthcare Safety by Engaging Patients and Families.
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psnet.ahrq.gov/issue/humanizing-harm-using-restorative-approach-heal-and-learn-adverse-events
November 30, 2022 - A restorative approach focuses on (1) who has been hurt and their needs, and who is responsible for addressing … November 30, 2022
Do patient engagement interventions work for all patients? … and adverse events during COVID-19: a cross-sectional online survey among nurses. … outcomes on transition from adult intensive care settings: a systematic review and meta-analysis. … and Workforce Safety Culture in Healthcare
March 27, 2024
A failure in the
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psnet.ahrq.gov/issue/development-self-report-instrument-measure-patient-safety-attitudes-skills-and-knowledge
April 10, 2013 - September 4, 2024
Clinical informatics team members' perspectives on health information … October 31, 2018
Effects of individual nurse and hospital characteristics on patient … October 10, 2018
Impact of high-reliability education on adverse event reporting by registered … Safeguarding in medication administration: understanding pre-registration nursing students' survey … safety culture.
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psnet.ahrq.gov/issue/hospital-nurses-perceptions-human-factors-contributing-nursing-errors
October 04, 2017 - This cross-sectional survey study sought to determine human factors associated with medical errors. … Hospital nurses identified both safety culture and emotional influences (such as poor interpersonal … October 4, 2017
Patient safety culture: the impact on workplace violence and health worker … culture related to preventing infections? … August 20, 2018
Nursing perception of the impact of medication carts on patient safety
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psnet.ahrq.gov/issue/am-i-safe-here-improving-patients-perceptions-safety-hospitals
June 25, 2010 - This descriptive survey of more than 600,000 patients discovered that close to 90% rated their degree … June 24, 2010
The safety culture in a children's hospital. … safety culture: making the link. … Hospital staff views on patient involvement. … November 23, 2016
The Patients' View: 2004 ISQSH National Survey.
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psnet.ahrq.gov/issue/patient-safety-part-ii-opportunities-improvement-patient-safety
August 19, 2009 - Part II of this continuing education series recommends activities to support the adoption of safety … culture and the use of error reports as opportunities to improve dermatology office practice. … : a survey study of dermatology residents. … August 2, 2015
Validity of selected AHRQ Patient Safety Indicators based on VA National … January 12, 2022
Surgeon burnout, impact on patient safety and professionalism: a systematic
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psnet.ahrq.gov/issue/developing-and-testing-tool-measure-nursephysician-communication-intensive-care-unit
June 01, 2011 - A novel survey for assessing nurse–physician communication revealed that units with lower perceived … safety culture also appeared to have suboptimal interdisciplinary communication. … safety, learning environments, and relationships with continuity patients. … January 7, 2011
Structural empowerment and patient safety culture among registered nurses … May 25, 2010
On the ball: leadership for patient safety and learning in critical care
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www.ahrq.gov/hai/cusp/cauti-interim/cauti-interim3.html
July 01, 2013 - Two patient safety culture measures are collected, the Hospital Survey on Patient Safety Culture (HSOPS … The HSOPS survey is used to assess change in the system and unit patient safety culture over time and … The TCT is used to provide continual team feedback of barriers to unit safety culture and is intended … culture. … Process measures related to safety culture (specifically unit teamwork and communication) are being collected
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www.ahrq.gov/sites/default/files/2024-02/hendee-report.pdf
January 01, 2024 - Scope: Education modules on patient safety have been developed by healthcare
professionals to inform … on the website. … Nurses
Patients and Families
• An education module on anesthesia-specific safety topics for patients … patient safety and how patients and families can help make
healthcare safe. … Needs assessment for patient safety education: focusing
on the nursing perspective.
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psnet.ahrq.gov/issue/assessing-medical-students-perceptions-patient-safety-medical-student-safety-attitudes-and
September 01, 2018 - survey. … This study discusses the development of a survey to evaluate medical students' perspective on the hidden … survey. … November 23, 2016
Error disclosure: a new domain for safety culture assessment. … patients and families.
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www.ahrq.gov/hai/cusp/modules/nursing/alt-text.html
April 01, 2013 - Nurse managers lead the care efforts on their units
Nurse managers benefit patient safety and quality … Slide 12
Customer Focus
Nurse managers are responsible for ensuring that care delivered on … Focus
Nurse managers:
Enable customer- and patient focused care by engaging the patient and … their families
Measure patient satisfaction by using customer satisfaction surveys
Additional tools … Quality/Safety
Transparency—unit data readily available and known by all
Ownership of safety survey