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3621. Rescue Improvement Conference Innovation Summary | PSNet
      psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
      September 23, 2024 - 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 … 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 … or in person after the RIC with clear changes to clinical practice Evaluation using a short online survey

3622. How to Improve Electronic Health Record Usability and Patient Safety. | PSNet
      psnet.ahrq.gov/issue/how-improve-electronic-health-record-usability-and-patient-safety
      February 08, 2017 - stakeholder meeting that explored usability problems and identified three improvement strategies that focused on … April 1, 2020 Addressing the Loss of Trust in Safety Culture. … November 23, 2014 View More Related Resources Orders on file but … July 19, 2018 A national survey assessing the number of records allowed open in electronic … February 10, 2018 The impact of electronic medical records on hospital-acquired adverse

3623. Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Mazur (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/3-unc-webcast-mazur.pdf
      June 02, 2025 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture … Safety Culture at UNC Medical Center Lukasz Mazur, PhD, Associate Professor, UNC Dept. of Radiation … Department of Radiation Oncology • North Carolina Cancer Hospital in Chapel Hill • Department treats ~120 patients … Safety/Quality Patient Safety and Quality Issues Total Positive Responses Survey Year (n participants … Safety Culture at UNC Medical Center Agenda UNC Medical Center Department of Radiation Oncology Complex

3624. Using clinical simulation to study how to improve quality and safety in healthcare. | PSNet
      psnet.ahrq.gov/issue/using-clinical-simulation-study-how-improve-quality-and-safety-healthcare
      March 31, 2021 - March 31, 2021 Why do systems for responding to concerns and complaints so often fail patients … 2020 Work–life balance behaviours cluster in work settings and relate to burnout and safety … culture: a cross-sectional survey analysis. … Crisis scenarios for simulation-based nontechnical skills training for cardiac surgery teams: a national survey … education improve patient safety?

3625. AHRQ Risk-informed Intervention Development and Implementation of Safe Practices in Ambulatory Care. | PSNet
      psnet.ahrq.gov/issue/ahrq-risk-informed-intervention-development-and-implementation-safe-practices-ambulatory-care
      December 24, 2008 - September 29, 2017 Patient Safety and Quality: An Evidence-Based Handbook for Nurses. … April 30, 2008 Hospital Survey on Patient Safety Culture: 2008 Comparative Database Report … April 10, 2024 Challenge Competition: Impact of Patient Safety Tools. … December 12, 2023 Annual Perspective Patient Safety in … July 16, 2014 In-home medication reviews: a novel approach to improving patient care

3626. Chapter 1. Introduction and Program Overview | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man1.html
      December 01, 2017 - One in every 10 residents who fall has a serious related injury and about 65,000 patients suffer a hip … Poor survey results. Lawsuits. High insurance premiums. … While falls are liability and survey concerns, it is counterproductive to keep data secret. … Review information on the Tracking Record for Improving Patient Safety. … documentation necessary to reflect implementation of best practices and should promote positive results during survey

3627. A hybrid methodology for modeling risk of adverse events in complex health-care settings. | PSNet
      psnet.ahrq.gov/issue/hybrid-methodology-modeling-risk-adverse-events-complex-health-care-settings
      November 11, 2015 - Specifications of computerized provider order entry and clinical decision support systems for cancer patients … Physicians' opinions on using CPOE in an Iranian teaching hospital. … July 13, 2022 Evaluation of the association between Nursing Home Survey on Patient Safety … culture (NHSOPS) measures and catheter-associated urinary tract infections: results of a national collaborative … September 7, 2016 Higher rates of misdiagnosis in pediatric patients versus adults hospitalized

3628. Comparison of three methods for estimating rates of adverse events and rates of preventable adverse events in acute care hospitals. | PSNet
      psnet.ahrq.gov/issue/comparison-three-methods-estimating-rates-adverse-events-and-rates-preventable-adverse-events
      March 23, 2011 - March 23, 2011 Patient safety incidents are common in primary care: a national prospective … active incident reporting survey. … June 29, 2011 Patient safety in external beam radiotherapy—guidelines on risk assessment … September 7, 2011 An in-depth analysis of medication errors in hospitalized patients … December 22, 2010 Using system analysis to build a safety culture: improving the reliability

3629. A protocol for the safe use of hazardous drugs in the OR. | PSNet
      psnet.ahrq.gov/issue/protocol-safe-use-hazardous-drugs-or
      May 13, 2015 - Perioperative personnel often care for patients requiring hazardous drugs, and guidelines recommend … RIS Download Citation Related Resources From the Same Author(s) Safety … culture and care: a program to prevent surgical errors. … March 19, 2018 Toward learning from patient safety reporting systems. … November 3, 2021 Patient education to prevent falls among older hospital inpatients:

3630. Speaking up and taking action: psychological safety and joint problem-solving orientation in safety improvement. | PSNet
      psnet.ahrq.gov/issue/speaking-and-taking-action-psychological-safety-and-joint-problem-solving-orientation-safety
      October 21, 2020 - Learning from mistakes is easier said than done: group and organizational influences on … June 26, 2015 Measuring teamwork in health care settings: a review of survey instruments … March 18, 2019 Preventable adverse drug events in hospitalized patients: a comparative … Safety February 26, 2025 Effect of interventions to improve safety culture … on healthcare workers in hospital settings: a systematic review of the international literature.

3631. Impact of medication reviews on potentially inappropriate medications and associated costs among older women in aged care. | PSNet
      psnet.ahrq.gov/issue/impact-medication-reviews-potentially-inappropriate-medications-and-associated-costs-among
      April 07, 2021 - medication safety: a survey study. … February 12, 2020 Global drug shortages due to COVID-19: impact on patient care and mitigation … 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. … study of a patient-centered medicines review service.

3632. Patient safety: let's measure what matters. | PSNet
      psnet.ahrq.gov/issue/patient-safety-lets-measure-what-matters
      July 03, 2016 - Patient safety: let's measure what matters. … Association of open communication and the emotional and behavioural impact of medical error on … patients and families: state-wide cross-sectional survey. … April 8, 2011 The correlation between neonatal intensive care unit safety culture and … April 16, 2014 Demonstrating high reliability on accountability measures at The Johns

3633. Technical Series on Safer Primary Care. | PSNet
      psnet.ahrq.gov/issue/technical-series-safer-primary-care
      November 19, 2014 - Citation Text: Technical Series on Safer Primary Care. … Much of patient safety research has focused on the hospital setting, but a majority of health care is … March 9, 2022 10 Facts on Patient Safety. … June 27, 2018 Exploring and evaluating patient safety culture in a community-based primary … active incident reporting survey.

3634. The nurse's experience of decision-making processes in missed nursing care: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/nurses-experience-decision-making-processes-missed-nursing-care-qualitative-study
      May 11, 2022 - safety in the patient care environment. … in hospital: a cross-sectional survey. … September 20, 2017 View More Related Resources The impact of safety … culture, quality of care, missed care and nurse staffing on patient falls: a multisource association … Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a national survey

3635. Overcoming human barriers to safety event reporting in radiology. | PSNet
      psnet.ahrq.gov/issue/overcoming-human-barriers-safety-event-reporting-radiology
      February 09, 2022 - October 13, 2010 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … September 25, 2019 Sentara Norfolk General Hospital: accelerating improvement by focusing on … May 21, 2019 A factorial survey on safety behavior providing opportunities to improve … December 5, 2018 Developing a medication patient safety program — infrastructure and … May 11, 2014 The technologist's role in patient safety and quality in medical imaging

3636. Rx for errors: speed, high volume can trigger mistakes. | PSNet
      psnet.ahrq.gov/issue/rx-errors-speed-high-volume-can-trigger-mistakes
      September 24, 2017 - series of investigative articles uncovers the factors involved in pharmacy errors, relates stories of patients … May 20, 2019 The impact of "missed nursing care" or "care not done" on adults in health … August 7, 2019 Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative … August 24, 2018 Prescription drug time guarantees and their impact on patient safety … View More See More About The Topic Outpatient Pharmacy Pharmacists Patients

3637. Improving Diagnosis: Teenage Cancer Trust Report on Improving the Diagnostic Experience of Young People With Cancer. | PSNet
      psnet.ahrq.gov/issue/improving-diagnosis-teenage-cancer-trust-report-improving-diagnostic-experience-young-people
      November 20, 2013 - Book/Report Improving Diagnosis: Teenage Cancer Trust Report on Improving the Diagnostic … November 20, 2013 Acting on Concerns: Your Professional Responsibility. … July 27, 2022 Patient Safety Incident Response Framework. … July 24, 2024 Improving Patient Safety Culture – A Practical Guide. … Future of artificial intelligence applications in cancer care: a global cross-sectional survey

3638. Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspectives. | PSNet
      psnet.ahrq.gov/issue/results-ismp-survey-high-alert-medications-differences-between-nursing-pharmacy-and
      March 14, 2023 - Newspaper/Magazine Article Results of ISMP survey on high-alert medications: differences … Citation Text: Results of ISMP survey on high-alert medications: differences between nursing, pharmacy … This newsletter article reports results of a survey that identified areas to focus on in revising the … February 13, 2019 Prescription drug time guarantees and their impact on patient safety … May 7, 2018 ISMP 2007 survey on high-alert medications.

3639. Community-Acquired Pneumonia Clinical Decision Support Implementation Toolkit. | PSNet
      psnet.ahrq.gov/issue/community-acquired-pneumonia-clinical-decision-support-implementation-toolkit
      June 12, 2024 - April 27, 2022 Toolkit for Decolonization of Non-ICU Patients with Devices. … March 1, 2022 Patient safety when receiving telephone advice in primary care - a Swedish … February 23, 2022 Medical Office Survey on Patient Safety Culture.

3640. Identifying modifiable barriers to medication error reporting in the nursing home setting. | PSNet
      psnet.ahrq.gov/issue/identifying-modifiable-barriers-medication-error-reporting-nursing-home-setting
      March 10, 2011 - November 16, 2022 Assessing resident safety culture in nursing homes: using the nursing … home survey on resident safety. … August 15, 2012 Evaluation of clinical practice guidelines on fall prevention and management … April 24, 2018 Dual health care system use and high-risk prescribing in patients with … and association with patient harm.