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psnet.ahrq.gov/issue/why-worry-about-near-misses
February 11, 2014 - The author describes the collection and management of information on near misses as well as using such … February 11, 2014
Saving Patient Ryan- can advanced electronic medical records make patient … 2020
Prescription opioid use, misuse, and use disorders in U.S. adults: 2015 National Survey … on Drug Use and Health. … August 5, 2008
Residents report on adverse events and their causes.
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psnet.ahrq.gov/issue/response-practicing-chiropractors-during-early-phase-covid-19-pandemic-descriptive-report
September 23, 2020 - Effect of restriction of the number of concurrently open records in an electronic health record on … wrong-patient order errors: a randomized clinical trial. … September 1, 2021
Patient safety in dermatology: a ten-year update. … considerations in using personal protective equipment in the COVID-19 pandemic context: a bi-national survey … symptoms and work-related behavior among healthcare workers and other professionals: results of a global survey
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psnet.ahrq.gov/issue/electronic-fetal-heart-rate-monitoring-applying-principles-patient-safety
October 10, 2018 - October 10, 2018
Perceptions of safety culture vary across the intensive care units of … September 20, 2011
Role-modeling and medical error disclosure: a national survey of trainees … July 1, 2017
Effect of an emergency department process improvement package on suicide … Maternal Health: Consensus Bundle on Sepsis in Obstetric Care. … May 22, 2019
Recommendations from a national panel on quality improvement in obstetrics
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-suppl-items.doc
June 02, 2025 - were designed for use with the core SOPS® Medical Office Survey … · No reordering of survey items. … Providers in this office finish their patient notes by the end of their regular workday
(1
(2
(3 … All test results are communicated to patients, even if the test results are normal
(1
(2
(3
(4 … Following up with the patient and revising the diagnosis over time, as needed.
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psnet.ahrq.gov/issue/iatrogenic-illness-general-medical-service-university-hospital
August 17, 2017 - Iatrogenic illness on a general medical service at a university hospital. … Exposure to drugs represented a particularly important factor in determining which patients experienced … the Same Author(s)
Preventing harm in the ICU—building a culture of safety and engaging patients … October 28, 2020
Incidence of nosocomial COVID-19 in patients hospitalized at a large … September 23, 2020
Hospital ward adaptation during the COVID-19 pandemic: a national survey
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psnet.ahrq.gov/issue/piece-my-mind-snakes-dock
March 15, 2016 - Snakes on a dock.
Citation Text:
Detsky AS. Snakes on a Dock. … December 18, 2014
Encouraging patients to ask questions: how to overcome "white-coat … Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey … September 15, 2011
Leadership behavior associations with domains of safety culture, engagement … May 17, 2017
The wisdom of patients and families: ignore it at our peril.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/ipe-large-org-webcast-ginsberg.pdf
November 01, 2006 - providers
9
CAHPS Surveys
• Surveys measure patient experience, not patient satisfaction … • Surveys measure patient experience of care in different settings. … CAHPS Surveys are considered the gold standard for patient
experience measurement! … Evaluating the Use of a Modified CAHPS Survey
to Support Improvements in Patient-Centered Care: Lessons … on the workforce
• Systematic measurement and feedback
• Supportive technology and infrastructure
•
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psnet.ahrq.gov/issue/what-are-we-doing-when-we-double-check
June 10, 2020 - 2023
Medication double-checking procedures in clinical practice: a cross-sectional survey … nurses' beliefs and attitudes towards the double-check of chemotherapy medications: a cross-sectional survey … January 18, 2023
Motivational antecedents of incident reporting: evidence from a survey … Safety Initiatives
July 10, 2024
Perspectives on Safety … Sharing Platform for Patient Safety.
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psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine-0
February 19, 2014 - An emphasis is placed on fostering effective teamwork and building communities. … scale and nature of harm to patients in hospital. … March 29, 2012
Impact of the World Health Organization's Surgical Safety Checklist on … safety culture in the operating theatre: a controlled intervention study. … October 6, 2011
French national survey of inpatient adverse events prospectively assessed
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psnet.ahrq.gov/perspective/safety-retail-pharmacy
May 11, 2016 - Impact of community pharmacy automation on workflow, workload, and patient interaction. … medication use in the community-dwelling elderly: findings from the 1996 Medical Expenditure Panel Survey … Resources From the Same Author(s)
Psychometric properties of the AHRQ Community Pharmacy Survey … on Patient Safety Culture: a factor analysis. … May 11, 2016
Evaluation of patient safety culture in community pharmacies.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-rr-webcast-011124-bakdash.pdf
June 02, 2025 - experience of care survey development,
research, and hosting databases for selected CAHPS surveys … Experience
CAHPS surveys are considered the gold standard for patient
experience measurement because … Use a standardized methodology for development, validation,
and revision
• Extensively tested with patients … 8
CAHPS Surveys
Measuring patient experience of care in different settings
Experience
with
Providers … Experience
CAHPS Program: Gold Standard for Patient Experience
Uses for CAHPS Surveys
CAHPS Survey
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psnet.ahrq.gov/issue/npsd-data-spotlight-patient-safety-and-covid-19-qualitative-analysis-concerns-during-public
February 15, 2023 - Safety Project Highlights: Improving Healthcare Safety by Engaging Patients and Families. … How PSOs Help Health Care Organizations Improve Patient Safety Culture. … September 28, 2016
National Healthcare Quality and Disparities Report Chartbook on Patient … September 30, 2020
Beyond the Data: Understanding the Impact of COVID-19 on BAME Groups … Hospital Experiences Responding to the COVID-19 Pandemic: Results of a National Pulse Survey
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psnet.ahrq.gov/issue/critical-review-systems-approach-within-patient-safety-research
June 16, 2021 - Review
A critical review of the systems approach within patient safety research. … A critical review of the systems approach within patient safety research. … A critical review of the systems approach within patient safety research. … November 4, 2020
Psychometric properties of the Hospital Survey on Patient Safety Culture … June 14, 2019
New Approaches to Researching Patient Safety.
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psnet.ahrq.gov/node/37228/psn-pdf
December 15, 2011 - A comparison of two distribution methods on response
rates to a patient safety questionnaire in nursing … A comparison of two distribution methods on response rates to a
patient safety questionnaire in nursing … https://psnet.ahrq.gov/issue/comparison-two-distribution-methods-response-rates-patient-safety-
questionnaire-nursing-homes … employees were more likely to have a positive opinion of
the workplace culture of safety when the survey … https://psnet.ahrq.gov/issue/comparison-two-distribution-methods-response-rates-patient-safety-questionnaire-nursing-homes
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psnet.ahrq.gov/node/848107/psn-pdf
April 26, 2023 - clinician surveys or experts’ definitions. … Reducing misdiagnosis in these
situations may have broader, population-level effects on patient safety … In patient-centered work to categorize diagnostic error, patients emphasized that
communication breakdowns … Current efforts to study
diagnostic safety are fragmented and stem primarily from surveys and expert … These barriers
may be difficult to change, such as reimbursement models based on patient volume, or
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psnet.ahrq.gov/issue/cutaneous-procedures-adverse-events-reporting-caper
April 22, 2020 - Copy Citation
Related Resources From the Same Author(s)
Joint Statement on … Multiple Patients Per Ventilator. … December 13, 2023
Ambulatory Surgery Center Survey on Patient Safety Culture. … January 25, 2022
Network of Patient Safety Databases.
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psnet.ahrq.gov/issue/targeted-versus-universal-decolonization-prevent-icu-infection
November 16, 2022 - approach for reducing the rates of MRSA was implemented in 43 hospitals, including 74 ICUs and 74,256 patients … threats: a national survey of interns and residents. … device-associated infections during the coronavirus disease 2019 (COVID-19) pandemic: results from a national survey … February 2, 2022
Using smart IV infusion pumps outside of patient rooms. … February 2, 2022
Nursing strategies to safeguard COVID-19 patients from harm in the intensive
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx
February 07, 2014 - Safety Culture
Senior Team Staff
leaders leaders
Engage How does this make the world a better … -> ICU processes
Monitoring and Feedback
Evaluation
43
Use data to assess progress:
Hospital Survey … Why do ICU patients feel ‘special’? … rounds
It used to be…
55
‘everyone still wants a wedge pressure on every sick patient’ … CAUTI team
Participate in HSOPs survey
Review current catheter policy and order set
CAUTI rounds with
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psnet.ahrq.gov/issue/prioritizing-patient-safety-interventions-small-and-rural-hospitals
October 14, 2009 - that preventing adverse drug events (ADEs), preventing nosocomial infections, and improving the safety … culture were important, they disagreed on the methods of achieving these goals. … For example, rural hospitals placed less emphasis on the need for sophisticated information technology … October 28, 2010
The effect of health information technology on quality in U.S. hospitals … outcomes on inpatient units.
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psnet.ahrq.gov/issue/omitted-and-unjustified-medications-discharge-summary
May 18, 2022 - Related Resources
Communication discrepancies between physicians and hospitalized patients … survey of practices and recommendations. … May 5, 2010
Impact of a computerized physician order entry system on compliance with … September 2, 2009
What are covering doctors told about their patients? … August 19, 2009
Errors and omissions in hospital prescriptions: a survey of prescription