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psnet.ahrq.gov/issue/effectiveness-surgical-safety-checklist-high-standard-care-environment
July 06, 2012 - safety culture. … May 25, 2010
Impact of adverse events on outcomes in intensive care unit patients. … July 8, 2008
Overnight stay in the emergency department and mortality in older patients … Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey … March 8, 2015
The Helsinki Declaration on Patient Safety in Anaesthesiology: the past
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psnet.ahrq.gov/issue/quality-and-strength-patient-safety-climate-medical-surgical-units
February 15, 2011 - Study
Quality and strength of patient safety climate on medical–surgical units. … Quality and strength of patient safety climate on medical-surgical units. … However, measuring and improving safety culture is challenging, due to documented variation in safety … This survey of medical–surgical nurses at 186 hospitals found that, although the overall organizational … Quality and strength of patient safety climate on medical-surgical units.
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psnet.ahrq.gov/issue/how-much-and-what-local-adaptation-acceptable-comparison-24-surgical-safety-checklists
July 27, 2022 - on healthcare quality? … A survey study. … safety culture, higher employee engagement and lower burnout. … June 8, 2022
Effect of the surgical safety checklist on provider and patient outcomes … June 3, 2020
The effects of harm events on 30-day readmission in surgical patients.
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psnet.ahrq.gov/issue/implementing-robust-process-improvement-program-neonatal-intensive-care-unit-reduce-harm
March 23, 2022 - December 1, 2021
Safety culture: an integration of existing models and a framework for … March 17, 2021
Long-term impacts faced by patients and families after harmful healthcare … October 21, 2020
Nursing strategies to safeguard COVID-19 patients from harm in the intensive … August 14, 2019
Impact of a drug shortage on medication errors and clinical outcomes … October 13, 2010
Preventing catheter-associated bloodstream infections: a survey of policies
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psnet.ahrq.gov/issue/focus-harm-harmonizing-accountability-reporting-and-monitoring
September 06, 2011 - Multi-use Website
Focus on HARM (Harmonizing Accountability in Reporting and Monitoring … Citation Text:
Focus on HARM (Harmonizing Accountability in Reporting and Monitoring). … February 1, 2023
View More
Related Resources
HHS seeks input on … Medical Office Survey on Patient Safety Culture Database information collection. … April 24, 2024
Patient safety trends in 2023: an analysis of 287,997 serious events and
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psnet.ahrq.gov/issue/hospital-tells-surgery-wrong-side
July 02, 2008 - This article reports on a wrong-side surgery that was immediately disclosed to the patient along with … February 26, 2014
2012 User Comparative Database Report: Medical Office Survey on Patient … Safety Culture. … July 8, 2016
These patients had to lobby for correct diabetes diagnoses. … October 1, 2003
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See More About The Topic
Operating Room
Patients
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psnet.ahrq.gov/issue/ambulance-stretcher-adverse-events
March 23, 2011 - March 21, 2012
Psychometric properties of the Hospital Survey on Patient Safety Culture … Emergency medical services responders' perceptions of the effect of stress and anxiety on … patient safety in the out-of-hospital emergency care of children: a qualitative study. … February 29, 2012
The association between EMS workplace safety culture and safety outcomes … 2011
Ambulance personnel perceptions of near misses and adverse events in pediatric patients
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psnet.ahrq.gov/issue/one-needle-one-syringe-only-one-time-survey-physician-and-nurse-knowledge-attitudes-and
June 28, 2013 - A survey of physician and nurse knowledge, attitudes, and practices around injection safety. … A survey of physician and nurse knowledge, attitudes, and practices around injection safety. … were reused between patients in their workplace. … Related Resources From the Same Author(s)
Public perceptions and preferences for patient … September 7, 2016
Making health care safer: protect patients from antibiotic resistance
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www.ahrq.gov/hai/cauti-tools/guides/sustainability-guideapa.html
October 01, 2015 - par with patient safety and quality improvement goals for my facility.
… My facility routinely completes an assessment of teamwork and safety culture. … (i.e., Hospital Survey on Patient Safety Culture, Safety Attitude Questionnaire)
My facility … CAUTI is measured on my facility’s strategic dashboard.
… On the next page, select the statements you would like to address in your sustainability plan.
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psnet.ahrq.gov/issue/supporting-patient-safety-and-clinical-pharmacy-services-collaborative
February 08, 2023 - Supporting the patient safety and clinical pharmacy services collaborative. … Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on … November 21, 2021
Trigger alerts associated with laboratory abnormalities on identifying … July 1, 2006
'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/node/44471/psn-pdf
September 27, 2016 - affect-error
A positive safety culture has been associated with reduced adverse events, and many hospital … This study in 66 hospital units in Austria surveyed 4345 patients and 811 hospital staff to
measure … https://psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/issue/improving-safety-culture-results-rhode-island-icus-lessons-learned-development-action … https://psnet.ahrq.gov/primer/patient-engagement-and-safety
https://psnet.ahrq.gov/issue/advising-patients-about-patient-safety-current-initiatives-risk-shifting-responsibility … https://psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
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psnet.ahrq.gov/issue/2011-duty-hour-requirements-survey-residency-program-directors
December 02, 2014 - The 2011 duty-hour requirements--a survey of residency program directors. … national survey. … September 29, 2017
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … November 26, 2014
Residency schedule, burnout and patient care among first-year residents … April 11, 2011
Association of workload of on-call medical interns with on-call sleep
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psnet.ahrq.gov/issue/lessons-learned-about-human-fallibility-system-design-and-justice-aftermath-fatal-medication
August 17, 2022 - Organizational factors can contribute to the occurrence of patient safety events and how health systems … highlighted lessons learned in the aftermath of a fatal medication error, and strategies to improve patient … September 7, 2022
Diversion is a Threat to Patient Safety: Adopting Best Practices. … October 13, 2021
The Good, The Bad, and The Ugly: Patient Experiences with CRPs. … June 10, 2020
Introducing the New SOPS Hospital Survey 2.0.
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psnet.ahrq.gov/issue/residents-report-adverse-events-and-their-causes
February 15, 2011 - This survey demonstrated that more than half of residents reported patients experiencing adverse events … February 15, 2011
Assessing patient safety culture: a review and synthesis of the measurement … July 14, 2010
Handoffs causing patient harm: a survey of medical and surgical house staff … January 2, 2017
Patient safety climate in hospitals: act locally on variation across … patients and families: state-wide cross-sectional survey.
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psnet.ahrq.gov/node/33571/psn-pdf
March 15, 2025 - https://psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey … number only reflects a fraction of all such events)
but do not supply the denominator (the number of patients … While event
reporting utilization can be a marker of a positive safety culture within an organization … Act became
effective on January 19, 2009. … However, health care providers and PSOs may aggregate patient safety event
information on a voluntary
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psnet.ahrq.gov/issue/data-collection-adverse-events-reporting-us-dental-schools
December 22, 2021 - March 25, 2020
Are dental patients concerned about safety? … October 28, 2020
Factors affecting patient safety culture among dental healthcare workers … : A nationwide cross-sectional survey
October 16, 2019
Developing a patient safety … culture in primary dental care. … September 16, 2020
Expert consensus on currently accepted measures of harm.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/002-cusp-learning-defects.pptx
October 01, 2024 - , technicians, vascular access and respiratory therapy personnel, environmental services personnel, patients … factors, related to the clinical conditions of patients
Technical factors, related to devices, procedures … LFD
Data capture challenges
Aim to simplify the data capture process (e.g., observational audits or surveys … J Patient Saf. 2005. 1(1):33-40.
Tucker AL. … The impact of operational failures on hospital nurses and their patients.
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psnet.ahrq.gov/issue/integrating-adverse-event-reporting-free-text-mobile-application-used-daily-workflow
March 17, 2021 - Resources From the Same Author(s)
Barriers to accessing nighttime supervisors: a national survey … opioid prescribing and treatment of opioid use disorder in internal medicine residencies: a national survey … February 12, 2020
Integrating principles of safety culture and just culture into nursing … Resources
Leveraging a safety event management system to improve organizational learning and safety … culture.
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psnet.ahrq.gov/node/38490/psn-pdf
November 25, 2009 - Patient safety climate in primary care: age matters. … Patient safety climate in primary care: age matters. … J Patient Saf.
2009;5(1):23-28. doi:10.1097/PTS.0b013e318199d4bf. … https://psnet.ahrq.gov/issue/patient-safety-climate-primary-care-age-matters
This survey of staff and … clinicians in primary care clinics found that while perceptions of safety culture were
consistent across
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/harrison-summit2016-breakout.pdf
September 28, 2016 - within and
between organizations participating in diagnosis
• Culture – safety, professionalism, patient … change
champions
• Key processes – collaboration and teamwork,
communication, feedback, learning, patient … -
centered care
Research Examples
• Culture
► Patient Safety Culture Surveys: culture assessment … will enable users to
access health system data and information about practices
aimed at improving patients … Safety Culture Surveys
http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture