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psnet.ahrq.gov/issue/pain-was-unbearable-so-why-did-doctors-turn-her-away
November 25, 2020 - This article discusses how an endometriosis patient was unable to get prescriptions to manage her … August 24, 2011
Differences between professionals' views on patient safety culture in … processes: item generation for a novel survey questionnaire. … 2021
Addiction treatment providers in Pa. face little state scrutiny despite harm to clients … Doctors may be relying on race to make decisions about your health.
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psnet.ahrq.gov/issue/morbidity-and-mortality-conference-adverse-event-surveillance-tool-paediatric-intensive-care
April 06, 2016 - 2016
The morbidity and mortality conference in PICUs in the United States: a national survey … December 11, 2024
The top patient safety strategies that can be encouraged for adoption … January 22, 2016
Effect of a real-time pediatric ICU safety bundle dashboard on quality … 2014
The morbidity and mortality conference in PICUs in the United States: a national survey … October 13, 2010
Impact of morbidity and mortality conferences on analysis of mortality
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psnet.ahrq.gov/issue/hospital-based-transfusion-error-tracking-2005-2010-identifying-key-errors-threatening
March 09, 2022 - On the laboratory side, the most serious threat to patient safety was mislabeled blood samples. … September 7, 2011
Factors determining safety culture in hospitals: a scoping review. … October 30, 2024
Impact of providing patients access to electronic health records on … to identify potential errors: cross-sectional web-based survey. … their personal health records: mixed methods analysis of cross-sectional survey data.
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psnet.ahrq.gov/issue/improving-self-reported-empathy-and-communication-skills-through-harm-healthcare-response
March 09, 2022 - Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey … December 1, 2021
Impact of teamwork and communication training interventions on safety … culture and patient safety in emergency departments: a systematic review. … November 20, 2019
A survey of the impact of disruptive behaviors and communication defects … on patient safety.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/high-reliability-journey-slides.pptx
September 26, 2023 - Internal VA Use Only
‹#›
2
VHA’s Journey to High Reliability
Foundation
Pivotal studies on … Master Black Belt (In Development): Trains and coaches Black and Green Belts; coaches and consults on … All Employee Survey scores for this question steadily increased across all HRO Cohorts. … The effort resulted in an improved patient safety culture, improved reporting of Patient Safety Events … Journal of Patient Safety.
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psnet.ahrq.gov/node/38798/psn-pdf
May 18, 2019 - This study
builds on past analyses of these relationships from the same investigative team. … working-conditions-primary-care-physician-reactions-and-care-quality
https://psnet.ahrq.gov/issue/refocusing-lens-patient-safety-ambulatory-chronic-disease-care … explorations-quality-assessment-and
https://psnet.ahrq.gov/issue/role-error-organizing-behaviour
https://psnet.ahrq.gov/issue/keeping-patients-safe-transforming-work-environment-nurses … https://psnet.ahrq.gov/issue/keeping-patients-safe-transforming-work-environment-nurses
https://psnet.ahrq.gov … /issue/changing-work-environment-icus-achieve-patient-focused-care-time-has-come
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/learning-complaints-healthcare-realist-review-academic-literature-policy-evidence-and-front
January 12, 2022 - generate actionable learning insights and translation into quality improvement by affecting leadership and safety … culture. … January 12, 2022
Impact of providing patients access to electronic health records on … to identify potential errors: cross-sectional web-based survey. … their personal health records: mixed methods analysis of cross-sectional survey data.
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psnet.ahrq.gov/issue/reliability-revised-notechs-scale-use-surgical-teams
April 11, 2009 - August 18, 2017
Patients' and health care professionals' attitudes towards the PINK patient … July 6, 2012
Patients' attitudes towards patient involvement in safety interventions: … May 6, 2015
The WHO surgical safety checklist: survey of patients' views. … January 31, 2024
Healthcare professionals' perception of safety culture and the Operating … patient safety.
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psnet.ahrq.gov/issue/how-create-my-medicines-list
December 24, 2008 - This tool provides a printable template and step-by-step instructions for patients to create a visual … December 18, 2008
AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative … October 26, 2022
Guide for Developing a Community-Based Patient Safety Advisory Council … November 28, 2016
Safety Information for Patients and Families. … Safety
Patient Self-Management
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/assemble/assembleteam.docx
June 02, 2025 - This is done by sharing stories about patients affected by a problem and estimating the number of patients … of survey results with the team, staff members, and senior executives hospital wide. … safety culture assessment. … With the tool, unit teams review the patient safety culture results to identify potential barriers and … every 3 to 6 months, or as needed, to encourage culture conversations, evaluate cultural issues between survey
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psnet.ahrq.gov/issue/barriers-self-reporting-patient-safety-incidents-paramedics-mixed-methods-study
November 16, 2022 - This survey study identified fear of professional consequences as the major barrier for paramedics in … The authors suggest that improving safety culture is needed in order to increase event reporting . … September 23, 2020
Adverse events among emergency department patients with cardiovascular … of patients experiencing anticipated and unanticipated death following ED discharge. … December 21, 2011
The association between EMS workplace safety culture and safety outcomes
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psnet.ahrq.gov/issue/neuroradiology-diagnostic-errors-tertiary-academic-centre-effect-participation-tumour-boards
September 15, 2021 - September 29, 2021
Development and validation of a brief culture-of-safety survey. … June 22, 2022
Bedside clinicians' perceptions on the contributing role of diagnostic … errors in acutely ill patient presentation: a survey of academic and community practice. … risk factors in patients visiting a post-COVID-19 outpatient clinic. … December 14, 2016
Improving patient safety: effects of a safety program on performance
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psnet.ahrq.gov/issue/independent-review-gross-negligence-manslaughter-and-culpable-homicide
July 08, 2019 - individual components of a fair and just response to adverse events to keep organizations, clinicians, and patients … Copy Citation
Related Resources From the Same Author(s)
Raising and Acting on … Concerns about Patient Safety. … September 30, 2020
National Training Survey 2013: Concerns about Patient Safety. … October 27, 2021
Manchester Patient Safety Framework (MaPSaF).
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psnet.ahrq.gov/issue/association-between-surgeon-technical-skills-and-patient-outcomes
September 02, 2020 - This study examined variation in operative technical skills among patients undergoing colorectal and … comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety … culture. … June 29, 2022
Development and validation of a brief culture-of-safety survey. … Association of low-dose whole-body computed tomography with missed injury diagnoses and radiation exposure in patients
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psnet.ahrq.gov/issue/error-prone-conditions-lead-student-nurse-related-errors
October 31, 2012 - Reporting on survey results that identified common errors that student nurses make, this article offers … Resources From the Same Author(s)
Sterile compounding tragedy is a symptom of a broken system on … October 31, 2012
Potassium may no longer be stocked on patient care units, but serious … Please take our survey! … and curricular guidelines to ensure high-quality and safe patient care.
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psnet.ahrq.gov/issue/biomedical-complexity-and-error
August 21, 2019 - January 17, 2018
2012 User Comparative Database Report: Medical Office Survey on Patient … Safety Culture. … Safety Primers
Patient Safety 101
June 15, 2024
Patient … June 19, 2019
Patient Safety Papers 4. … July 3, 2013
Human Factors and Ergonomics in Healthcare Delivery: A Special Issue on
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psnet.ahrq.gov/issue/nurses-perspectives-medication-errors-and-prevention-strategies-residential-aged-care
July 13, 2010 - aged care facilities through a national survey. … through a national survey. … through a national survey. … July 13, 2010
The relationship between safety culture and voluntary event reporting in … March 23, 2012
View More
Related Resources
Patient safety in nursing
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psnet.ahrq.gov/issue/smart-pump-custom-concentrations-without-hard-low-concentration-alerts-can-lead-patient-harm
October 17, 2018 - Smart pump custom concentrations without hard "low concentration" alerts can lead to patient … newsletter article explores missteps related to lack of compliance with setting hard stops to protect patients … October 17, 2018
Drug shortages continue to compromise patient care. … August 8, 2018
Survey results: smart pump data analytics pump metrics that should be … May 7, 2018
IV push medications survey results—part 1 and part 2.
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psnet.ahrq.gov/issue/predictors-perceived-discrimination-medical-settings-among-muslim-women-usa
November 26, 2012 - This survey of Muslim American women in Chicago found that 25-30% of respondents reported not being listened … safety culture. … View More
Related Resources
Impact of the primary care nurse manager on … nurse intent to leave and staff perception of patient safety. … February 21, 2024
Nurses' experience with presenteeism and the potential consequences on
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psnet.ahrq.gov/issue/missed-nursing-care-concept-analysis
January 19, 2022 - Resources From the Same Author(s)
Psychometric properties of the perinatal missed care survey … January 19, 2022
Linking patient safety climate with missed nursing care in labor and … delivery units: findings from the LaborRNs survey. … April 5, 2013
Oncologic errors in diagnostic radiology: a 10-year analysis based on medical … July 19, 2019
Impact of patient safety culture on missed nursing care and adverse patient