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psnet.ahrq.gov/issue/no-bad-apples
May 15, 2019 - Download Citation
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Virtual patients … safety culture in medical homes: a coincidence analysis. … September 19, 2016
Talking with patients about other clinicians' errors. … December 18, 2014
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psnet.ahrq.gov/issue/work-arounds-health-care-settings-literature-review-and-research-agenda
October 02, 2013 - This article reviews the literature regarding work-arounds, discusses their impact on safety outcomes … January 11, 2017
2008 Update on Consumers' Views of Patient Safety and Quality Information … September 30, 2020
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psnet.ahrq.gov/issue/novel-analysis-clinically-relevant-diagnostic-errors-point-care-devices
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Effects of racial bias in pulse oximetry on
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psnet.ahrq.gov/issue/voluntarily-reported-emergency-department-errors
June 20, 2011 - approximately half of errors were recovered, mainly by nurses, and that unrecovered errors impacted patients … October 19, 2022
The impact of electronic health record interoperability on safety and … Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey … on United States operating rooms. … safety culture?
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psnet.ahrq.gov/issue/clinician-responses-disruptive-intraoperative-behaviour-patterns-and-norms-identified
February 01, 2017 - This survey of clinicians from seven countries highlights how disruptive behavior can threaten patient … the right way: association between hospital guideline adherence, dosing safety, and outcomes among patients … February 26, 2025
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psnet.ahrq.gov/issue/transmission-community-and-hospital-acquired-sars-cov-2-hospital-settings-uk-cohort-study
September 23, 2020 - September 23, 2020
Impact of SARS-CoV-2 on hospital acquired infection rates in the United … February 16, 2022
Impact of full personal protective equipment on alertness of healthcare … surgery during the first wave of the novel coronavirus pandemic in the United Kingdom: a survey of 158 … patients. … symptoms and work-related behavior among healthcare workers and other professionals: results of a global survey
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psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
January 31, 2020 - data. [1] , [2] , [3]
In 2019, articles published on PSNet on the use of HIT to improve patient safety … The impact of health information technology on patient safety. … The 2011 National Blood Collection and Utilization Survey Report. U.S. … [16] The Trusted Network Accreditation Program (TNAP) Collaborative Survey Finds Concern Over … on Safety
Safety Culture in EMS
May 26, 2021
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psnet.ahrq.gov/issue/training-safe-opioid-prescribing-and-treatment-opioid-use-disorder-internal-medicine
March 17, 2021 - In 2022, the Accreditation Council on Graduate Medical Education (ACGME) began requiring residency programs … A national survey of program directors on 2017 work hours requirements. … September 23, 2020
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psnet.ahrq.gov/node/866248/psn-pdf
July 10, 2024 - - an
international survey.
July 10, 2024
Eriksson M, Blomberg K, Arvidsson E, et al. … – an international survey. BMC Health Serv Res.
2024;24(1):737. doi:10.1186/s12913-024-11173-y. … physician assistants, physicians, pharmacists, and other providers all collaborating to provide care to
patients … perspective/health-care-delivery-and-pharmacists-during-covid-19-pandemic
https://psnet.ahrq.gov/issue/safety-culture-and-positive-association-being-primary-care-training-practice-during-covid
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psnet.ahrq.gov/issue/engagement-leadership-quality-improvement-initiatives-executive-quality-improvement-survey
October 04, 2006 - Engagement of leadership in quality improvement initiatives: executive quality improvement survey … Text:
Engagement of leadership in quality improvement initiatives: executive quality improvement survey … J Patient Saf. 2006;2(1):2-9. … Text:
Engagement of leadership in quality improvement initiatives: executive quality improvement survey … January 27, 2016
Post event debriefs: a commitment to learning how to better care for patients
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www.ahrq.gov/sites/default/files/2024-02/zierler-report.pdf
January 01, 2024 - The patient component consists of educational tools for
improving knowledge on prevention and treatment … The culture has been more
focused on patient safety and on delivering quality healthcare across the … The data sources that we utilized were patient medical records and provider surveys and
responses to … Evaluation: Conduct chart reviews on all patients diagnosed with VTE (based on vascular
laboratory logbook … A survey will be conducted at the end of training to ascertain the
provider’s satisfaction with the
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psnet.ahrq.gov/issue/nowhere-safe-record-number-patients-contracted-covid-hospital-january
November 18, 2020 - November 18, 2020
AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative … September 28, 2022
The impact of COVID-19 workflow changes on radiation oncology incident … June 16, 2021
Provider-patient communication and hospital ratings: perceived gaps and … December 16, 2020
Burnout and sources of stress among health care risk managers and patient … December 21, 2022
Safety gaps in medical team communication: closing the loop on quality
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psnet.ahrq.gov/issue/how-do-patients-want-physicians-handle-mistakes-survey-internal-medicine-patients-academic
September 23, 2020 - A survey of internal medicine patients in an academic setting. … A survey of internal medicine patients in an academic setting. … of a survey conducted on randomly selected outpatients. … A survey of internal medicine patients in an academic setting. … Disclosure
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psnet.ahrq.gov/node/40448/psn-pdf
September 19, 2016 - issue/health-care-workers-second-victims-medical-errors
Medical errors can have a devastating impact on … patients but also place providers—called the second
victims—at risk for emotional distress, decreased … second victim phenomenon, describes current approaches for addressing the emotional impact, and
shares survey … findings from participants who attended a session on the topic. … Respondents expressed the
need for informal emotional support and peer support as key coping strategies
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psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
August 01, 2010 - and quality defects in American medicine.( 2 ) Recently, leaders of AMCs have taken up the mantle: a survey … Luckily, there are a number of validated instruments, such as the Safety Attitudes Questionnaire, that … Impact of CRM-based training on obstetric outcomes and clinicians' patient safety attitudes. … Assessing safety culture: guidelines and recommendations. Qual Saf Health Care. 2005;14:231-233. … , solid tumor patients, and bone marrow transplant patients.
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psnet.ahrq.gov/issue/quality-safety-time-coronavirus-design-better-learn-faster
March 29, 2017 - Using co-design to develop a collective leadership intervention for healthcare teams to improve safety … culture. … February 5, 2020
Effect of genetic diagnosis on patients with previously undiagnosed … March 3, 2011
Findings of the first consensus conference on medical emergency teams. … considerations in using personal protective equipment in the COVID-19 pandemic context: a bi-national survey
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psnet.ahrq.gov/issue/unexpected-intraoperative-patient-death-imperatives-family-and-surgeon-centered-care
August 04, 2021 - July 14, 2010
Interventions to promote safety culture in cancer care: a systematic review … patients and families. … NHS: an online survey study. … December 4, 2016
Patients' and family members' views on how clinicians enact and how … Open disclosure of adverse events to patients and their families.
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psnet.ahrq.gov/issue/insulin-pumps-have-most-reported-problems-fda-database
October 03, 2018 - This news article reports on problems associated with ambulatory use of insulin pumps submitted to … The Role of Clinical Learning Environments in Preparing New Clinicians to Engage in Patient … October 18, 2017
AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative … July 3, 2013
Health Literacy and Patient Safety: Help Patients Understand. … March 24, 2021
FDA to end program that hid millions of reports on faulty medical devices
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/environmental-scan-programs/envptscan.pdf
June 01, 2013 - Safety Issues
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psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
August 02, 2015 - While each of these elements can be measured crudely using existing survey methods ( 22,23 ), the important … National Hospital Discharge Survey: 2007 summary. Natl Health Stat Report. 2010;29:1-20, 24. … The impact of rapid response team on outcome of patients transferred from the ward to the ICU: a single-center … The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research … The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in