-
psnet.ahrq.gov/issue/frequency-medication-errors-intravenous-acetylcysteine-acetaminophen-overdose
March 03, 2010 - This study discovered that 33% of patients being treated with acetylcysteine for an acetaminophen overdose … 2024
Work–life balance behaviours cluster in work settings and relate to burnout and safety … culture: a cross-sectional survey analysis. … Board of pharmacy practices related to medication errors and their potential impact on … patient safety.
-
psnet.ahrq.gov/issue/patient-participation-patient-safety-exploration-promoting-factors
October 15, 2016 - This survey of medical inpatients at five academic medical centers in Finland aimed to elicit patients … The authors conclude that patients will be more engaged in their safety if frontline staff value patient … on feedback from former psychiatric patients. … October 8, 2016
Differences between professionals' views on patient safety culture in … March 6, 2019
Perspectives on patient and family engagement with reduction in harm: the
-
psnet.ahrq.gov/issue/frequency-and-nature-communication-and-handoff-failures-medical-malpractice-claims
June 22, 2022 - J Patient Saf. 2022;18(2):130-137. doi:10.1097/pts.0000000000000937. … June 22, 2022
Impact of teamwork and communication training interventions on safety culture … Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey … errors in acutely ill patient presentation: a survey of academic and community practice. … impact of humiliation on trainee well-being.
-
psnet.ahrq.gov/node/61020/psn-pdf
October 14, 2020 - variability-collection-and-use-raceethnicity-and-language-data-93-pediatric-
hospitals
Language and cultural barriers can diminish patient … This survey of pediatric hospitals across the
United States and Canada explored the use of patient/family … While most hospitals routinely collected language preferences and patient race/ethnicity, parent or … lost-translation-impact-language-barriers-childrens-healthcare
https://psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety … https://psnet.ahrq.gov/issue/language-barriers-and-patient-safety-risks-hospital-care-mixed-methods-study
-
psnet.ahrq.gov/issue/assessment-teamwork-during-structured-interdisciplinary-rounds-medical-units
December 21, 2014 - : a national survey. … October 29, 2017
Hospitalized patients' understanding of their plan of care. … patient safety: examining successful handoffs in health care. … January 19, 2011
What is patient safety culture? A review of the literature. … survey of practices and recommendations.
-
psnet.ahrq.gov/issue/hospital-acquired-conditions-reduction-program-racial-and-ethnic-diversity-and-magnet
June 08, 2022 - the impact of humiliation on trainee well-being. … Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey … on United States operating rooms. … April 27, 2022
Impact of teamwork and communication training interventions on safety … culture and patient safety in emergency departments: a systematic review.
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs.html
July 01, 2025 - Safety Issue Briefs
Starting in 2019, AHRQ supported the development of a series of papers on … Stewardship as a Model To Improve the Quality and Safety of Diagnosis Learning from AHRQ's Diagnostic Safety … Culture Survey at a Tertiary Care Health System in Brazil: A Case Study Diagnostic Safety Across Transitions … Vol.1: Why Patient Narratives Matter Patient Experience as a Source for Understanding the Origins, Impact … Vol.2: Eliciting Patient Narratives Health Information Technology for Engaging Patients in Diagnostic
-
psnet.ahrq.gov/issue/use-nondisclosure-agreements-medical-malpractice-settlements-large-academic-health-care
December 19, 2018 - August 15, 2018
Effect of bar-code technology on the safety of medication administration … Association of open communication and the emotional and behavioural impact of medical error on … patients and families: state-wide cross-sectional survey. … February 22, 2023
Culture as a Cure: Assessments of Patient Safety Culture in OECD Countries … December 23, 2016
The effects of the second victim phenomenon on work-related outcomes
-
psnet.ahrq.gov/issue/continuous-monitoring-adverse-events-influence-quality-care-and-incidence-errors-general
March 09, 2022 - March 9, 2022
How different countries respond to adverse events whilst patients' rights … March 14, 2022
Survey of nurses' experiences applying The Joint Commission's medication … safety culture in the operating theatre: a controlled intervention study. … September 5, 2013
Use of the Safety Attitudes Questionnaire as a measure in patient safety … April 24, 2011
Promoting patient safety through prospective risk identification: example
-
psnet.ahrq.gov/issue/2018-gosport-independent-panel-report-deaths-national-health-services-gosport-war-memorial
March 25, 2020 - The author suggests that greater emphasis on eliminating the conditions that enable these behaviors is … the only reliable approach to improvement and emphasizes that simply introducing patient safety initiatives … September 23, 2015
Patient Safety. … Delayed access to care and late presentations in children during the COVID-19 pandemic: a snapshot survey
-
psnet.ahrq.gov/issue/decrease-hospital-wide-mortality-rate-after-implementation-commercially-sold-computerized
December 07, 2016 - October 13, 2010
Bending the patient safety curve: how much can AI help? … November 20, 2019
The correlation between neonatal intensive care unit safety culture … February 6, 2019
Burnout in the NICU setting and its relation to safety culture. … computer-based provider order entry at three community hospitals using an open-ended, semi-structured survey … of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/naa-october-2024-webinar-slides.pdf
January 01, 2024 - Influence leadership behaviors to promote patient safety
2. … Traditional Patient Safety Leader Rounding:
“So how are we going to harm the next
patient around here … ↑ SCORE results when leaders provide visible support and feedback
Michigan SCORE results, n=16,797 respondents … perceptions of
leadership was
associated with a
28% reduction in
the odds of
burnout for the
respondent … the Nation's Nurses Survey Series: Mental Health and Wellness
Survey 4, May 2023
-
psnet.ahrq.gov/issue/assessing-evidence-base-context-sensitive-effectiveness-and-safety-patient-safety-practices
December 24, 2008 - Citation Text:
Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient … Agency Information Collection Activities: Proposed Collection; Comment Request, "Hospital Survey … on Patient Safety Culture Comparative Database.'' … November 25, 2013
Solicitation for written comments on draft National Action Plan for … October 16, 2013
AHRQ Announces Areas of Interest for Research on Healthcare–Associated
-
psnet.ahrq.gov/issue/expanding-frontiers-risk-management-care-safety-nursing-home-during-covid-19-pandemic
February 15, 2023 - July 8, 2020
Linking patient safety culture to quality ratings in the nursing home setting … December 9, 2020
Impact of pharmacist-led multidisciplinary medication review on the … Individualized medication review in older people with multimorbidity: a comparative analysis between patients … Organizational readiness to change as a leverage point for improving safety: a national nursing home survey … Healthcare-related infections within nursing homes (NHS): a qualitative study of care practices based on
-
www.ahrq.gov/sites/default/files/2024-03/kennerly-report.pdf
January 01, 2024 - safety program to improve patient safety culture and reduce AEs. … Patient Surveys: We developed a patient survey to estimate the economic impact of AEs and patients’ experiences … Respondent Characteristics
One of the six respondents was a man, and five were women. … Patient Telephone Surveys Examining Economic Impact of AEs
We administered a phone survey to the sample … Many organizations rely on voluntary
reporting systems, patient surveys, or malpractice claims/risk
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
December 01, 2020 - Hospital staff are asked to
complete 2-page questionnaires (Patient Record Forms, or PRFs) on a sample … Current sample design began in 2016; current questionnaire design
began in 1997. … The average age of the patient respondent on the HHCAHPS is 79 years old, and about 12% of
the HHCAHPS … surveys are completed by proxy respondents who are related to the patients or
friends of the patients … Since 2010, client-level RSR data have been used to
assess the numbers and types of clients receiving
-
psnet.ahrq.gov/issue/integrating-implementation-science-quality-and-patient-safety-improvement-learning
January 24, 2024 - March 24, 2012
On the ball: leadership for patient safety and learning in critical care … September 23, 2020
Predictors of medication errors among elderly hospital patients. … October 16, 2013
The effect of an organizational network for patient safety on safety … June 10, 2020
'Not another safety culture survey': using the Canadian patient safety … climate survey (Can-PSCS) to measure provider perceptions of PSC across health settings.
-
psnet.ahrq.gov/issue/development-and-interrater-agreement-novel-classification-system-combining-medical-and
September 20, 2011 - safety culture in medical homes: a coincidence analysis. … October 7, 2013
Effect of genetic diagnosis on patients with previously undiagnosed disease … on United States operating rooms. … Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey … Reflections on incident reporting in a department of pediatric surgery.
-
psnet.ahrq.gov/node/855104/psn-pdf
November 08, 2023 - healthcare-wants-fly-high-aviation-industry-can-it
Health care has long held commercial aviation as a beacon to guide patient … healthcare-wants-fly-high-aviation-industry-can-it
https://psnet.ahrq.gov/issue/error-stress-and-teamwork-medicine-and-aviation-cross-sectional-surveys … checklist-manifesto-how-get-things-right
https://psnet.ahrq.gov/issue/healthcare-professionals-perception-safety-culture-and-operating-room-or-black-box-technology
-
psnet.ahrq.gov/node/44658/psn-pdf
November 18, 2015 - registered nurse (RN) in a nursing home could affect various quality and
safety indicators (such as safety … culture, pressure ulcers, and falls). … to improve safety, the authors suggest that more
research is needed to understand the economic and patient … adverse-events-skilled-nursing-facilities-national-incidence-among-medicare-beneficiaries
https://psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-safety-culture … -2019-user-comparative-database-report
https://psnet.ahrq.gov/primer/nursing-and-patient-safety