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psnet.ahrq.gov/issue/adaptive-coordination-cardiac-anaesthesia-study-situational-changes-coordination-patterns
November 15, 2018 - February 19, 2010
Fatigue among clinicians and the safety of patients. … February 18, 2011
The culture of safety: results of an organization-wide survey in 15 … November 16, 2022
Effect of genetic diagnosis on patients with previously undiagnosed … Crisis scenarios for simulation-based nontechnical skills training for cardiac surgery teams: a national survey … June 17, 2009
The influence of standardisation and task load on team coordination patterns
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psnet.ahrq.gov/issue/teaching-nursing-students-ethical-and-legal-consequences-medical-errors-insights-radonda
July 05, 2017 - February 3, 2021
Prevalence and causes of diagnostic errors in hospitalized patients … View More
Related Resources
Nurse leader perspectives and experiences on … April 24, 2024
Bad behavior in healthcare: an insidious threat to patients, staff, and … October 10, 2015
A survey of the impact of disruptive behaviors and communication defects … on patient safety.
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psnet.ahrq.gov/web-mm/untimely-end-despite-end-life-care-planning
February 01, 2012 - In a survey of bereaved family members, 13% observed that the patients received care that was not consistent … ' goals, we need to apply the principles of safety culture, just as we do to prevent CLABSI. … limits on life-sustaining therapies. … Keeping patients safe. 7. … August 17, 2017
Multistate point-prevalence survey of health care-associated infections
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psnet.ahrq.gov/issue/racial-disparities-pain-management-children-appendicitis-emergency-departments
April 22, 2020 - Using data from the National Hospital Ambulatory Medicare Care Survey from 2003 to 2010, researchers … identified racial differences in pain management among pediatric patients with appendicitis. … Compared to white patients, Black patients were less likely to receive pain medication for moderate pain … June 29, 2022
The safety of emergency care systems: results of a survey of clinicians … 10, 2022
Evaluating the impact of a pharmacist-led prescribing feedback intervention on
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psnet.ahrq.gov/issue/results-our-survey-drug-storage-stability-compatibility-and-beyond-use-dating
February 13, 2019 - Newspaper/Magazine Article
Results of our survey on drug storage, stability, compatibility … Citation Text:
Results of our survey on drug storage, stability, compatibility, and beyond use dating … March 21, 2012
Prescription drug time guarantees and their impact on patient safety in … June 10, 2018
Results of ISMP survey on high-alert medications: differences between nursing … January 21, 2019
Results of ISMP survey on high-alert medications: differences between
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psnet.ahrq.gov/issue/fatigue-performance-and-work-environment-survey-registered-nurses
November 18, 2020 - Study
Fatigue, performance and the work environment: a survey of registered nurses … Fatigue, performance and the work environment: a survey of registered nurses. … Fatigue, performance and the work environment: a survey of registered nurses. … September 14, 2016
Do nurse and patient injuries share common antecedents? … May 11, 2011
Effects of technological interventions on the safety of a medication-use
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.pdf
April 30, 2013 - ’ experience of care as
measured by the CAHPS® Hospital Survey. … to
physician communication, an aim might be “to improve scores on CAHPS Hospital
Survey Questions … focus groups, patient and family satisfaction surveys,
and staff surveys. … How willing are patients to question
healthcare staff on issues related to the quality and safety of … Attitudes toward and beliefs about
family presence: a survey of healthcare providers, patients' families
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psnet.ahrq.gov/issue/communication-vital-signs-emergency-department-handoff-opportunities-improvement
May 16, 2012 - May 16, 2012
Impact of teamwork and communication training interventions on safety culture … and patient safety in emergency departments: a systematic review. … errors, patient safety, and resident education: a randomized clinical trial. … 2016
Interunit handoffs from emergency department to inpatient care: a cross-sectional survey … December 12, 2012
Need for standardized sign-out in the emergency department: a survey
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psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-elderly-patients-2-outpatient-settings
November 18, 2009 - Study
Potentially inappropriate prescribing for elderly patients in 2 outpatient … Potentially inappropriate prescribing for elderly patients in 2 outpatient settings. … Potentially inappropriate prescribing for elderly patients in 2 outpatient settings. … Organizational readiness to change as a leverage point for improving safety: a national nursing home survey … September 8, 2021
How does patient safety culture in the operating room and post-anesthesia
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psnet.ahrq.gov/issue/prospective-study-evaluate-awareness-about-medication-errors-amongst-health-care-personnel
May 17, 2018 - This survey of health care professionals in India demonstrated that most have fundamental knowledge about … the efficiency of workflow for critically ill patients. … , 2010
View More
Related Resources
Predictors and outcomes of patient … safety culture: a cross-sectional comparative study. … incident reports for patient safety.
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psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-leapfrog-group-patient-safety-rewarding-higher
July 01, 2020 - The Leapfrog Group initially focused on three patient safety practices to reduce preventable medical … Survey results indicate improvements in all three areas after regional use of these benchmarks. … July 1, 2020
When doctors share visit notes with patients: a study of patient and doctor … February 26, 2009
Patients managing medications and reading their visit notes: a survey … June 8, 2010
The effects of emergency department staff rounding on patient safety and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-team-facilitator-guide.pdf
May 01, 2017 - This is done by
sharing stories about patients affected by a
problem and estimating the number of patients … of staff and patient survey results
with the team, staff members, and senior
executives hospital wide … safety culture assessment. … With
the tool, L&D unit teams review the patient
safety culture results to identify potential
barriers … to 6
months, or as needed, to encourage culture
conversations, evaluate cultural issues
between survey
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psnet.ahrq.gov/issue/talking-patients-about-other-clinicians-errors
October 27, 2021 - Talking with patients about other clinicians' errors. … Talking with patients about other clinicians' errors. … NHS: an online survey study. … December 4, 2016
The effect of an organizational network for patient safety on safety … of physicians, nurses, trainees, and patients.
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psnet.ahrq.gov/issue/ahrq-announces-interest-research-health-it-safety
August 15, 2018 - Citation Text:
AHRQ announces interest in research on health IT safety. … November 10, 2021
AHRQ Announces Interest in Research About the Epidemiology of Patient … April 3, 2019
Hospital Survey on Patient Safety Culture: 2016 User Comparative Database … August 9, 2024
Challenge Competition: Impact of Patient Safety Tools. … March 27, 2019
Patient Centered Medical Home Resource Center: Quality and Safety.
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digital.ahrq.gov/ahrq-funded-projects/using-social-knowledge-networking-skn-technology-enable-meaningful-use-ehr
January 01, 2023 - Sociotechnical Aspects
Transitions in Care
Medication errors are a major contributor to adverse patient … process of creating a complete list of a patient’s current medications by comparing the medications the patient … This process significantly reduces the risk of medication errors during care transitions, improves patient … of this project were as follows:
To examine user engagement in the SKN system through SKN user surveys … Type: Journal Publication Research Method: Mixed Methods , Structured/Semi-Structured Interview , Survey
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psnet.ahrq.gov/issue/day-discharge-does-not-impact-hospital-readmission-after-major-cardiac-surgery
October 16, 2019 - Studies have demonstrated worse clinical outcomes for patients admitted to the hospital on weekends … on the weekend or a holiday did not experience higher odds of all-cause 30-day readmission than patients … discharged on a weekday. … safety culture among dental healthcare workers: A nationwide cross-sectional survey
October 16, … on the transplant waiting list.
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psnet.ahrq.gov/issue/nearly-90-major-medical-mistakes-logged-utah-hospitals-2008
July 02, 2009 - July 3, 2013
Utah DoH Patient Safety Initiatives. … May 24, 2015
2012 User Comparative Database Report: Medical Office Survey on Patient … Safety Culture. … Diagnostic Safety and Quality
April 26, 2023
Chasing Zero: Winning the War on … October 7, 2008
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See More About The Topic
General Hospitals
Patients
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psnet.ahrq.gov/issue/work-environment-and-operational-failures-associated-nurse-outcomes-patient-safety-and
March 17, 2021 - This cross-sectional analysis using population-based survey data from 11,709 nurses examined the relationship … March 17, 2021
Effects of nurse-to-patient ratio legislation on nurse staffing and patient … June 17, 2020
Better nurse staffing is associated with survival for Black patients and … August 10, 2022
Fidelity and the impact of patient safety huddles on teamwork and safety … culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project.
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www.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-facguide.html
March 01, 2017 - Slide 7: Why Does Safety Culture Matter? … Slide 8: Why Does Safety Culture Matter? … Say:
We know teamwork and safety culture influence the effectiveness of safety initiatives. … We also know that safety culture can change through interventions. … This includes VAE rates and the number of patients that develop a VAE, performance on process measures
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psnet.ahrq.gov/issue/surviving-bad-diagnosis
January 19, 2022 - This news article relates the experiences of patients who were misdiagnosed and discusses avenues for … November 1, 2016
Patient Safety in Ambulatory Settings. … March 2, 2022
AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative … A: Being the patient. … April 26, 2006
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See More About The Topic
Hospitals
Patients