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psnet.ahrq.gov/issue/thank-you-listening-exploratory-study-regarding-lived-experience-and-perception-medical
January 29, 2020 - The authors of this paper analyzed survey responses from 304 Australian patients about their perceptions … Survey respondents emphasized the importance of clear, open, and reciprocal communication and the need … June 19, 2012
Interventions to engage patients and families in patient safety: a systematic … March 25, 2017
Lehigh Valley Hospital: engaging patients and families. … October 5, 2015
What attributes of patients affect their involvement in safety?
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psnet.ahrq.gov/node/39947/psn-pdf
July 03, 2014 - communication and teamwork
problems, and suboptimal teamwork has been linked to poor postoperative patient … rigorous, evidence-based
evaluation of a safety intervention, and stresses that addressing teamwork and safety … culture are as
essential to improving safety as technical and procedural interventions such as checklists … association-between-implementation-medical-team-training-program-and-surgical-mortality
https://psnet.ahrq.gov/issue/error-stress-and-teamwork-medicine-and-aviation-cross-sectional-surveys … https://psnet.ahrq.gov/issue/surgical-team-behaviors-and-patient-outcomes
https://psnet.ahrq.gov/primer
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-c.html
July 01, 2021 - of Patient Safety Culture (SOPS). … of Patient Safety Culture survey and the system for vendors to administer and report results of CAHPS … surveys. … the health centers through its Uniform Data System and patients through a periodic Health Center Patient … Survey.
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psnet.ahrq.gov/issue/virtual-breakthrough-series-collaborative-support-deprescribing-interventions-across-veterans
April 24, 2018 - such as individualized medication review, to encourage deprescribing and reduce polypharmacy among its patients … Handling polypharmacy--a qualitative study using focus group interviews with older patients … September 13, 2023
Exploring the impact of safety culture on incident reporting: lessons … learned from machine learning analysis of NHS England staff survey and incident data. … , 2020
Potential safety gaps in order entry and automated drug alerts: a nationwide survey
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psnet.ahrq.gov/issue/high-reliability-organizations-healthcare-handbook-patient-safety-quality
July 31, 2019 - December 18, 2017
The benefits and harms of open notes in mental health: a Delphi survey … June 6, 2012
The impact of safety organizing, trusted leadership, and care pathways on … December 16, 2011
A relational leadership perspective on unit-level safety climate. … The Safety Organizing Scale: development and validation of a behavioral measure of safety … culture in hospital nursing units.
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psnet.ahrq.gov/issue/getting-beyond-blame-your-practice
March 17, 2021 - author discusses how to develop core competencies to help teams create a blame-free culture that focuses on … teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey … Physician impairment and rehabilitation: reintegration into medical practice while ensuring patient … June 19, 2019
Interventions to reduce burnout and improve resilience: impact on a health … , 2018
Raising the index of suspicion: red flags that represent credible threats to patient
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/evidence-now-webinar-learning-health-care-systems.pdf
August 02, 2017 - Baseline Results Across the Initiative
Patient Level
Aspirin use – 65%
Blood pressure … data &
DESIGNING changes
Data extraction/abstraction
Surveys & key informant interviews
with … providers/patients
Water-cooler conversations
Kaizen walks and observation
Continuous scanning … Engaged Leadership
Leadership and Culture Change
Shared leadership
Team approach to patient … for Excellence in Primary Care Research
www.ahrq.gov/professionals/systems/primary-care/index.html
Patient
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psnet.ahrq.gov/issue/ahrq-projects-prevent-healthcare-associated-infections-fiscal-year-2011
May 07, 2014 - December 9, 2009
Hospital Survey on Patient Safety Culture: 2009 Comparative Database … April 30, 2024
Choosing a Patient Safety Organization
March 1, 2020 … The CUSP Method
September 26, 2019
Overview of Patient Safety Learning Laboratory … July 23, 2019
Patient Safety Challenge Grants. … July 20, 2011
10 Patient Safety Tips for Hospitals.
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psnet.ahrq.gov/node/49819/psn-pdf
February 01, 2018 - errors and patient safety. … Describe the role of closed-loop communication in patient handoffs. … care system have exacerbated handoff problems, including the
increasing complexity of hospitalized patients … nonvalidated provider surveys
alone, with little collection of objective data on effectiveness.(5) … Following implementation of the I-PASS program across all nine sites, errors that harmed patients
(preventable
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psnet.ahrq.gov/node/866395/psn-pdf
July 23, 2024 - attendees, using a 7-point
Likert scale evaluation, and interviewing 12 surgical faculty and staff.1 The survey … innovation included qualitative semi-structured interviews with 12 surgical faculty and
staff plus surveys … Respondents
had positive perceptions of all five indicators: educational value (mean=6.07 with SD 0.96 … Innovation Patient Safety Focus
A study was conducted on 84,730 patients from 2005 to 2007 using data … or in person after the RIC with clear changes to clinical practice
Evaluation using a short online survey
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psnet.ahrq.gov/curated-library/maternal-safety
January 31, 2024 - This toolkit focuses on identification of, and rapid response to, sepsis in obstetric patients. … This toolkit focuses on identification of, and rapid response to, sepsis in obstetric patients. … unit-based safety program (CUSP) to improve safety culture and perinatal care processes in 15 Michigan … In this pre–post evaluation study, staff reported improved safety culture and teamwork. … culture (as measured by the Safety Attitudes Questionnaire).
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psnet.ahrq.gov/issue/medication-reconciliation-during-hospitalization-and-hospital-home-interface-observational
June 16, 2021 - July 22, 2020
Influence of gender, profession, and managerial function on clinicians' … perceptions of patient safety culture: a cross-national cross-sectional study. … on healthcare quality? … A survey study. … September 7, 2011
Survey of medication documentation at hospital discharge: implications
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psnet.ahrq.gov/issue/no-one-coming-hospice-patients-abandoned-deaths-door
June 29, 2016 - Patient safety in ambulatory hospice care is ill defined . … Reporting on safety concerns associated with hospice care , including poor coordination and insufficient … Related Resources From the Same Author(s)
Paralyzed by errors, this Xbox designer is taking on … June 29, 2016
Developing a patient safety culture in primary dental care. … October 24, 2012
The Patients' View: 2004 ISQSH National Survey.
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psnet.ahrq.gov/issue/using-workforce-practices-drive-quality-improvement-guide-hospitals
March 22, 2017 - July 8, 2013
Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS … May 6, 2015
Partnership for Patients (PfP) Hospital Engagement Network (HEN) 2.0 Final … June 18, 2021
Survey shows recession has weakened patient safety net. … February 23, 2015
The Francis Report: One Year On. … February 26, 2014
The effect of hospital organizational characteristics on postoperative
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psnet.ahrq.gov/issue/keeping-track-aging-patients-medications
December 23, 2020 - Eisenberg Patient Safety and Quality Award Recipients Announced. … April 17, 2024
Exploring the impact of safety culture on incident reporting: lessons … learned from machine learning analysis of NHS England staff survey and incident data. … June 10, 2018
Discrepancies between in-home interviews and electronic medical records on … regularly used drugs among home care clients.
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psnet.ahrq.gov/issue/patient-safety-strategies-call-physician-leadership
January 13, 2021 - Patient safety strategies: a call for physician leadership. … Patient safety strategies: a call for physician leadership. … Effectiveness Course
February 1, 2011
Evaluation of clinical practice guidelines on … June 19, 2019
Interventions to reduce burnout and improve resilience: impact on a health … September 16, 2011
A cross-cultural survey of residents' perceived barriers in questioning
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psnet.ahrq.gov/issue/how-providers-can-optimize-effective-and-safe-scribe-use-qualitative-study
November 18, 2020 - Medical scribes are increasingly being utilized to reduce the time burden on clinicians for electronic … opioid prescribing and treatment of opioid use disorder in internal medicine residencies: a national survey … Safety
February 26, 2025
Effect of interventions to improve safety culture … on healthcare workers in hospital settings: a systematic review of the international literature. … July 1, 2020
Patient Safety Primers
Improving Patient Safety
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/156-what-are-4es.pptx
October 01, 2024 - MRSA rates are as high as 15 infections per 1,000 patient-days in some units. … Es
13
Case Example: Identifying Causes
The MRSA team discovers several critical issues impacting patient … To evaluate overall safety culture, an anonymous survey is administered, asking staff to assess patient … Based on feedback, more emphasis is placed on hands-on training. … Integrating CUSP and TRIP to improve patient safety. Hosp Pract (1995). 2010 Nov;38(4):114-21.
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psnet.ahrq.gov/issue/approaches-decreasing-medication-and-other-care-errors-icu
September 30, 2010 - strategies to reduce errors in the intensive care unit and highlights system-based approaches and safety … culture as key elements to improving safety. … 3, 2011
The randomized AMBORA trial: impact of pharmacological/pharmaceutical care on … symptoms and work-related behavior among healthcare workers and other professionals: results of a global survey … June 3, 2020
A symptom-checker for adult patients visiting an interdisciplinary emergency
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psnet.ahrq.gov/issue/framework-safe-reliable-and-effective-care
January 27, 2016 - presents a nine-component framework that emphasizes elements of the learning health care system and safety … culture to guide organizations toward improvement. … The authors emphasize the importance of engaging patients and their families as members of the care … : a national survey. … June 28, 2017
Report on the Safe Use of Pick Lists in Ambulatory Care Settings.