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psnet.ahrq.gov/issue/little-help-my-friends-positive-contribution-teamwork-safety-behaviour-public-hospitals
July 22, 2020 - patient-safety challenge in obstetrics. … November 16, 2022
Wrong-patient orders in obstetrics. … January 31, 2024
Perioperative safety determinants in ethnic patient groups. … April 5, 2023
Healthcare professionals' perception of safety culture and the Operating … Room (OR) Black Box technology before clinical implementation: a cross-sectional survey.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-fac-guide.html
July 01, 2023 - 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 … every 3 to 6 months, or as needed, to encourage culture conversations, evaluate cultural issues between survey
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psnet.ahrq.gov/issue/identifying-facilitators-and-barriers-patient-safety-medicine-label-design-system-using
July 23, 2018 - March 5, 2014
The predictors of patient safety culture in hospital setting: a systematic … 24, 2016
The randomized AMBORA trial: impact of pharmacological/pharmaceutical care on … April 21, 2021
View More
Related Resources
Patients' conceptualizations … June 14, 2019
Guided reflection interventions show no effect on diagnostic accuracy in … typical case of an error in palliative care": qualitative data from an exploratory cross-sectional survey
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psnet.ahrq.gov/issue/creating-framework-integrate-residency-program-and-medical-center-approaches-quality
November 11, 2020 - a framework to integrate residency program and medical center approaches to quality improvement and patient … a framework to integrate residency program and medical center approaches to quality improvement and patient … article describes an integrated framework for QIPS training for internal medicine residents focused on … threats: a national survey of interns and residents. … July 20, 2022
Interventions to reduce burnout and improve resilience: impact on a health
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psnet.ahrq.gov/node/837192/psn-pdf
May 25, 2022 - Declaration to Advance Patient Safety. … May 25, 2022
National Steering Committee for Patient Safety. … https://psnet.ahrq.gov/issue/declaration-advance-patient-safety
Leadership commitment is crucial to … attaining sustainable improvement in patient safety. … /surveys-patient-safety-culture
https://psnet.ahrq.gov/primer/measurement-patient-safety
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psnet.ahrq.gov/issue/findings-and-lessons-ahrq-ambulatory-safety-and-quality-program
January 07, 2015 - January 7, 2015
Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative … November 27, 2013
Findings and Lessons From the Enabling Patient-Centered Care Through … March 18, 2015
2012 User Comparative Database Report: Medical Office Survey on Patient … Safety Culture. … August 15, 2012
Managing Patients' Medicines after Discharge from Hospital.
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psnet.ahrq.gov/issue/implementing-bedside-handoff-emergency-department-practice-improvement-project
November 14, 2018 - This commentary describes an improvement initiative that focused on structuring nurse shift change … Although safety culture scores improved, the authors note that resistance to change was a key barrier … July 20, 2016
Influences on the adoption of patient safety innovation in primary care … A national survey of program directors on 2017 work hours requirements. … July 28, 2010
Do not put medication safety "on hold" with boarded patients.
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psnet.ahrq.gov/issue/sustained-impact-pediatric-resident-led-patient-safety-council
March 21, 2017 - study describes the development and impact of a pediatric resident-led safety council, which improved safety … culture and knowledge about patient safety . … Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on … Association of pediatric resident physician depression and burnout with harmful medical errors on … 2019
Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey
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psnet.ahrq.gov/issue/impact-professional-interpreters-outcomes-hospitalized-children-migrant-and-refugee-families
December 21, 2018 - November 11, 2020
Diagnostic error experiences of patients and families with limited … English-language health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey … patients and families: state-wide cross-sectional survey. … performance and patient outcomes: a systematic review. … November 11, 2020
The safety of health care for ethnic minority patients: a systematic
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psnet.ahrq.gov/issue/mortality-and-morbidity-meetings-untapped-resource-improving-governance-patient-safety
June 25, 2014 - Mortality and morbidity meetings: an untapped resource for improving the governance of patient … Mortality and morbidity meetings: an untapped resource for improving the governance of patient safety … Mortality and morbidity meetings: an untapped resource for improving the governance of patient safety … 2014
Staff perceptions of quality of care: an observational study of the NHS Staff Survey … July 1, 2013
Impact of organizational culture on preventability assessment of selected
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psnet.ahrq.gov/issue/drug-shortages-continue-compromise-patient-care
February 24, 2016 - This newsletter article reports the results of a survey exploring the impact of drug shortages on practice … August 8, 2018
Survey results: smart pump data analytics pump metrics that should be … May 7, 2018
IV push medications survey results—part 1 and part 2. … August 23, 2023
Drugmakers are abandoning cheap generics, and now US cancer patients … September 12, 2018
Drug shortages roundtable: minimizing the impact on patient care.
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-slides.html
December 01, 2017 - , but does not reduce risks for future patients. … Slide 5: Problem Solving Goal: Long-Term Solution
What is the long-term impact on patient safety … culture? … Safety Culture Survey (HSOPS). … Safety Attitudes Questionnaire (SAQ).
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psnet.ahrq.gov/issue/patient-reported-approach-identify-medical-errors-and-improve-patient-safety-emergency
July 13, 2010 - November 16, 2022
The effect of race and sex on physicians' recommendations for cardiac … August 20, 2018
US public opinion regarding proposed limits on resident physician work … October 7, 2020
The impact of the COVID-19 pandemic on Emergency Department visits and … 2011
Healthcare provider complaints to the emergency department: a preliminary report on … patients aware of when they do not understand?
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psnet.ahrq.gov/issue/effects-2011-duty-hour-reforms-interns-and-their-patients-prospective-longitudinal-cohort
October 19, 2022 - Study
Effects of the 2011 duty hour reforms on interns and their patients: a prospective … Effects of the 2011 duty hour reforms on interns and their patients: a prospective longitudinal cohort … regulations for resident physicians were controversial as soon as they were announced, and initial survey … Effects of the 2011 duty hour reforms on interns and their patients: a prospective longitudinal cohort … April 11, 2011
Association of workload of on-call medical interns with on-call sleep
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psnet.ahrq.gov/issue/leading-highly-visible-hospital-through-serious-reportable-event
February 15, 2023 - October 23, 2024
Bad behavior in healthcare: an insidious threat to patients, staff, … to Prevent Patient Harm from Error. … October 26, 2022
Why accountability sharing in health care organizational cultures means patients … May 29, 2014
A survey of the impact of disruptive behaviors and communication defects … on patient safety.
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psnet.ahrq.gov/node/46630/psn-pdf
November 15, 2017 - Patient Safety in the Office-Based Practice Setting. … https://psnet.ahrq.gov/issue/patient-safety-office-based-practice-setting
Patient safety in the ambulatory … a national effort to reduce patient harm across all settings of health care. … https://psnet.ahrq.gov/issue/patient-safety-office-based-practice-setting
https://psnet.ahrq.gov/primer … /ambulatory-care-safety
https://psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture-2016
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psnet.ahrq.gov/issue/when-should-surgeons-stop-operating
May 24, 2017 - The competency of surgeons as they age has been debated as a risk to patient safety. … May 24, 2017
Secret data on hospital inspections may soon become public. … August 1, 2007
Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative … May 30, 2012
Connectivity to improve patient safety. … See More About The Topic
Operating Room
Health Care Executives and Administrators
Patients
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psnet.ahrq.gov/issue/communication-and-teamwork-patient-care-how-much-can-we-learn-aviation
August 12, 2019 - The authors reviewed the literature on teamwork and communication initiatives from aviation and assessed … the impact of these practices on safety in the perinatal setting. … June 18, 2020
What do patients and families observe about pediatric safety? … November 2, 2016
Transforming communication and safety culture in intrapartum care: a … November 8, 2017
Psychometric properties of the perinatal missed care survey and missed
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psnet.ahrq.gov/issue/diagnostic-error-emergency-department-follow-patients-minor-trauma-outpatient-clinic
November 15, 2023 - a source of patient harm. … 2017
Publication of inspection frameworks: a qualitative study exploring the impact on … A survey of 10 healthcare professions in the Netherlands about experiences with impaired and incompetent … July 1, 2020
A patient feedback reporting tool for OpenNotes: implications for patient–clinician … survey data.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/public-action-alliance-slides-040323_LOCKED.pdf
May 25, 2023 - Safety
• Recount the urgency for focusing on patient and workforce safety
• Report what you say about … Safety
Request for Information (RFI) Respondents
• Approximately 100 comments from a broad range … culture
All teach, all learn
One story: Leveraging the National
Action Plan to Advance Patient … Completed 1st phase succession planning; dev plans to be
completed Jan 2023
• Press Ganey employee survey … Logistics
Improvement
Safety Culture Figure
One story: Leveraging the National Action Plan to Advance