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psnet.ahrq.gov/issue/never-events-utah-hospitals-saw-nearly-60-serious-errors-2007
July 08, 2009 - This article examines 2007 state health data on never events in the context of a label-related medical … July 3, 2013
2012 User Comparative Database Report: Medical Office Survey on Patient … Safety Culture. … September 12, 2012
Better nurse staffing is associated with survival for Black patients … October 3, 2007
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Hospitals
Patients
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psnet.ahrq.gov/issue/21st-century-health-information-act-2005
March 27, 2005 - technology networks (known as "Regional Health Information Organizations," or RHIOs) with a strong focus on … August 5, 2008
Preventing high-alert medication errors in hospital patients. … February 22, 2023
Psychometric properties of the Hospital Survey on Patient Safety Culture … October 27, 2021
Variation in medication information for elderly patients during initial … relevant and implementable: a consensus statement on key principles and necessary first steps.
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psnet.ahrq.gov/issue/creating-high-reliability-health-care-organizations
September 20, 2011 - The framework is based on a previously published method for evaluating safety interventions; the key … selecting measurable outcomes, applying evidence-based interventions, ensuring the intervention reaches all patients … May 25, 2011
Improving patient safety in intensive care units in Michigan. … August 20, 2014
Safety Climate Survey: reliability of results from a multicenter ICU … survey.
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psnet.ahrq.gov/issue/financial-incentives-reduce-hospital-acquired-infections-under-alternative-payment
September 29, 2017 - September 25, 2019
Receipt of antibiotics in hospitalized patients and risk for Clostridium … difficile infection in subsequent patients who occupy the same bed. … January 23, 2017
Perception of patient safety culture in pediatric long-term care settings … January 9, 2011
Impact of patient safety climate on infection prevention practices and … March 24, 2017
Preventing hospital-acquired infections: a national survey of practices
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/communication-and-teamwork/communication-strategies.pptx
September 01, 2016 - Assessing what is working through the use of the Nursing Home Survey on Patient Safety Culture is an … After participating in the survey, it is important to come together with your team to determine your … oral, written and electronic among staff, with and among physicians, with administration, and with patients … Peck but Mary just started working on the unit with Jessica and doesn’t want to start off on the wrong … culture.
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psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
September 15, 2024 - fatigue and care delivery stress can make this is a particularly challenging time to establish or improve safety … culture. … the healthcare system. 6-7 The strategies highlighted herein build on foundational patient safety … September 2, 2018
Pragmatic insights on patient safety priorities and intervention strategies … care and adverse events during COVID-19: a cross-sectional online survey among nurses.
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psnet.ahrq.gov/issue/teamstepps-strategies-and-tools-enhance-performance-and-patient-safety
December 24, 2008 - Citation Text:
TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety. … Effective teamwork plays an essential role in providing safe patient care. … It provides new tools to measure its impact , supports increased emphasis on the role of patients in … April 3, 2019
Patient Safety and Quality Improvement; Final Rule. … July 19, 2023
Ambulatory Surgery Center Survey on Patient Safety Culture.
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs017191-pohl-final-report-2011.pdf
January 01, 2011 - data were utilized in the form of
site-collected anonymous patient satisfaction surveys. … A qualitative investigation, including surveys completed on-line by clinicians and face-to-face or phone … Finally, a measure of EHR use was included on the EHR End-user Survey (Figure 5). … every patient 2.5 4 4 (n=3) 1 center improved
Patients provided an up-to-date list of meds 1 3 1 (n … The survey tool consisted of 23
questions and was made available in multiple
languages for patients
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psnet.ahrq.gov/issue/should-i-report-qualitative-study-barriers-incident-reporting-among-nurses-working-nursing
March 31, 2021 - in hospital: a cross-sectional survey. … safety: a cross-sectional survey. … September 24, 2016
Nurses' perspectives regarding the disclosure of errors to patients … May 1, 2013
Nurses' and nursing assistants' perceptions of patient safety culture in … June 29, 2011
Oncology nurses' perceptions about involving patients in the prevention
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psnet.ahrq.gov/issue/mortality-related-anaesthesia-france-analysis-deaths-related-airway-complications
June 20, 2011 - Crisis scenarios for simulation-based nontechnical skills training for cardiac surgery teams: a national survey … teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey … January 7, 2015
The Helsinki Declaration on Patient Safety in Anaesthesiology: the past … December 19, 2014
The 5th National Audit Project (NAP5) on accidental awareness during … general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues.
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psnet.ahrq.gov/issue/consistency-between-coded-poison-center-data-and-fatality-abstract-narratives-therapeutic
June 11, 2008 - 2024
Work–life balance behaviours cluster in work settings and relate to burnout and safety … culture: a cross-sectional survey analysis. … Making a move: using simulation to identify latent safety threats before the care of injured patients … August 28, 2017
Patient safety problems in adolescent medical care. … July 17, 2019
Impact of oncology drug shortages on chemotherapy treatment.
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psnet.ahrq.gov/issue/developing-medication-patient-safety-program-infrastructure-and-strategy
May 11, 2014 - April 7, 2021
Association of implementation and social network factors with patient safety … culture in medical homes: a coincidence analysis. … June 16, 2011
2019 update on medical overuse: a review. … When the Indications for Drug Administration Blur
June 24, 2020
Survey … shows recession has weakened patient safety net.
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psnet.ahrq.gov/issue/minimize-medication-errors-urgent-care-clinics
March 29, 2023 - Safety culture , process, and structural factors are discussed as avenues to increase safety in this … August 30, 2023
AMA Prior Authorization (PA) Physician Survey. … August 10, 2022
Impact of smart pump-electronic health record interoperability on patient … 15, 2023
Society for Maternal-Fetal Medicine Special Statement: curriculum outline on … June 20, 2018
Failure to cap IV tubing and disinfect IV ports place patients at risk
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psnet.ahrq.gov/issue/physician-staffing-models-and-patient-safety-icu
May 27, 2011 - May 27, 2011
The impact of rapid response team on outcome of patients transferred from … 22, 2016
Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients … errors in acutely ill patient presentation: a survey of academic and community practice. … Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety … culture.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/burnout-in-primary-care.pdf
February 01, 2023 - satisfaction or wellness surveys, are indicators of burnout. … Copenhagen Burnout Inventory (CBI) 31
overvie w
• 19-item questionnaire to assess personal
burnout … , work-related burnout, and client-
related burnout … patients. … A survey found that primary care providers who thought their clinics were better
at addressing patients
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psnet.ahrq.gov/issue/analysis-near-misses-identified-anesthesia-providers-intensive-care-unit
August 17, 2017 - the Same Author(s)
Preventing harm in the ICU—building a culture of safety and engaging patients … interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient … July 29, 2020
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … February 10, 2016
Understanding medical errors and adverse events in ICU patients. … August 26, 2011
Error, stress, and teamwork in medicine and aviation: cross sectional surveys
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psnet.ahrq.gov/issue/causes-death-residents-acgme-accredited-programs-2000-through-2014-implications-learning
January 31, 2018 - Interprofessional conflict and medical errors: results of a national multi-specialty survey … December 21, 2022
Interventions to reduce burnout and improve resilience: impact on a … threats: a national survey of interns and residents. … December 21, 2017
Three perspectives on changes in resident work environment and duty … The impact of the 2011 Accreditation Council for Graduate Medical Education duty hour reform on
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meyer_41.pdf
March 03, 2008 - A recent survey of a nationally representative sample of physicians found that three-fourths of
respondents … ; the impact on trust in the physician-patient relationship;
generation of unhealthy internal competitiveness … Other components of that strategic planning included safety culture surveys,
quality and safety leadership … survey of
internists. … Committee on Data Standards for Patient
Safety, Institute of Medicine.
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psnet.ahrq.gov/issue/diagnostic-excellence-improving-experience-and-outcomes-patient-care
October 06, 2022 - January 31, 2018
2008 Update on Consumers' Views of Patient Safety and Quality Information … March 5, 2010
National Survey on Consumers' Experiences With Patient Safety and Quality … May 30, 2012
Joint Statement on Multiple Patients Per Ventilator. … April 22, 2020
Addressing the Loss of Trust in Safety Culture. … in Patient Safety.
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psnet.ahrq.gov/issue/improving-departmental-psychological-safety-through-medical-school-wide-initiative
July 19, 2023 - Second victim experiences of health care learners and the influence of the training environment on … June 5, 2024
Annual Perspective
Equity in Patient Safety … December 19, 2018
Improving the patient, family, and clinician experience after harmful … November 23, 2016
A survey of the impact of disruptive behaviors and communication defects … on patient safety.