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psnet.ahrq.gov/node/60212/psn-pdf
January 29, 2021 - that requires a system orientation to diagnosis,
management and post-acute care to keep clinicians, patients … This set of
recommendations is anchored on a human factors approach to provide overarching direction … The recommendations focus on team communication and
organizational culture; the diagnostic process; … triage decision ethics; discharge communications;
home isolation; psychological safety of staff and patients … https://psnet.ahrq.gov/issue/psychological-safety-and-infection-prevention-practices-results-national-survey
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psnet.ahrq.gov/issue/flawed-self-assessment-hand-hygiene-major-contributor-infections-clinical-practice
September 02, 2020 - This survey study found that physician and nurse self-assessments of their hand hygiene was better … Participants also rated their own hand hygiene higher, on average, than their peers. … September 26, 2016
Patient Safety in Dialysis Access. … an improved patient safety culture. … February 2, 2011
Chemotherapy safety and severe adverse events in cancer patients: strategies
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psnet.ahrq.gov/issue/benefactor-or-burden-exploring-professional-identity-safety-professionals
October 11, 2017 - January 23, 2017
The influence of race and gender on pain management: a systematic literature … December 15, 2015
Differences of reasons for alert overrides on contraindicated co-prescriptions … September 1, 2016
A qualitative survey of factors shaping the role of a safety professional … October 19, 2022
Obstacles to research on the effects of interruptions in healthcare. … May 5, 2021
The nexus of nursing leadership and a culture of safer patient care.
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psnet.ahrq.gov/node/837516/psn-pdf
June 22, 2022 - This article summarizes key results of a large workplace survey to identify cultural
elements supporting … fostering-ethical-conduct-through-psychological-safety
https://psnet.ahrq.gov/issue/why-do-systems-responding-concerns-and-complaints-so-often-fail-patients-families-and
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psnet.ahrq.gov/issue/influence-covid-19-visitation-restrictions-patient-experience-and-safety-outcomes-critical
July 14, 2021 - Study
The influence of COVID-19 visitation restrictions on patient experience and … during the COVID-19 pandemic on patient experience and safety outcomes. … surgical residency training and patients outcomes: a systematic review. … perceptions of patient safety culture: a cross-national cross-sectional study. … adverse events during COVID-19: a cross-sectional online survey among nurses.
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psnet.ahrq.gov/issue/untold-story-cyberattack-hospital-and-dying-woman
August 25, 2021 - Health information system downtime can affect patient safety . … December 16, 2020
When health care moves online, many patients are left behind. … April 29, 2020
AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative … patients. … Doctors may be relying on race to make decisions about your health.
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psnet.ahrq.gov/issue/nurse-decision-making-prearrest-period
July 29, 2020 - Rather than relying on specific vital sign abnormalities , nurses relied on a combination of clinical … The study reveals the importance of a positive safety culture in ensuring that frontline staff feel … October 19, 2022
Survey of nurses' experiences applying The Joint Commission's medication … June 1, 2011
The impact of the medical emergency team on the resuscitation practice of … February 23, 2011
How RNs rescue patients: a qualitative study of RNs' perceived involvement
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-slides.html
June 01, 2017 - Components
✔ Safety status for today’s patients
✔ Safety metrics
✔ Safety training
✔ Leader standard … work
✔ Improvement projects
Note: Do not display identifiable patient data in area with patient … traffic
See tips on slide 10 for handling patient privacy concerns
Slide 5: Basic Set of Metrics … Does the use of a visual management board result in the gains in key measures like patient safety culture … survey?
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psnet.ahrq.gov/issue/digitizing-diagnosis-review-mobile-applications-diagnostic-process
October 10, 2018 - Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey … July 27, 2022
Identifying facilitators and barriers for patient safety in a medicine … label design system using patient simulation and interviews. … November 19, 2016
Creating a safety culture at the Children's and Women's Health Centre … Settings Help Improve Management of Sepsis
May 31, 2023
Perspectives on
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psnet.ahrq.gov/issue/emergency-department-crowding-and-risk-preventable-medical-errors
November 23, 2011 - November 23, 2011
Impact of teamwork and communication training interventions on safety … culture and patient safety in emergency departments: a systematic review. … January 9, 2013
The safety of emergency care systems: results of a survey of clinicians … September 23, 2020
Analysis of risk factors for patient safety events occurring in the … August 4, 2021
Effect of genetic diagnosis on patients with previously undiagnosed disease
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psnet.ahrq.gov/issue/complexity-science-challenge-complexity-health-care
March 13, 2013 - March 13, 2013
Advancing the science of patient safety. … February 9, 2011
View More
Related Resources
COVID-19: patient … March 5, 2014
Tennessee Center for Patient Safety. … December 14, 2011
Safety First: Top of Your Board's Agenda: 100 Day Challenge Survey … September 15, 2011
Patient safety culture in primary care: developing a theoretical framework
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psnet.ahrq.gov/issue/team-checkup-tool-evaluating-qi-team-activities-and-giving-feedback-senior-leaders
November 27, 2012 - Jt Comm J Qual Patient Saf. 2008;34(10):619-23, 561. … January 22, 2017
Assessing content validity and user perspectives on the Team Check-up … Tool: expert survey and user focus groups. … December 21, 2014
Improving teamwork: impact of structured interdisciplinary rounds on … June 13, 2011
I-CaRe: a case review tool focused on improving inpatient care.
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psnet.ahrq.gov/issue/evolving-factors-hospital-safety-systematic-review-and-meta-analysis-hospital-adverse-events
February 02, 2022 - outcomes on transition from adult intensive care settings: a systematic review and meta-analysis. … November 24, 2021
Impact of teamwork and communication training interventions on safety … culture and patient safety in emergency departments: a systematic review. … 2022
Examining causes and prevention strategies of adverse events in deceased hospital patients … Organizational readiness to change as a leverage point for improving safety: a national nursing home survey
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psnet.ahrq.gov/issue/death-handwriting
October 19, 2022 - Citation
Related Resources From the Same Author(s)
Optimizing Pediatric Patient … September 18, 2024
Factor structure and construct validity of a hospital survey on patient … safety culture using exploratory factor analysis. … August 2, 2023
Long-term effects of teamwork training on communication and teamwork climate … December 16, 2020
Evaluation of a patient-centered fall-prevention tool kit to reduce
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-support-safe-nursing-care/annual-summary/2008
January 01, 2008 - Ideally, members of a patient’s interdependent team, which may include numerous clinicians caring for patients … The focus of this completed study was on enabling the collective mind, since it is a vital precursor … components of the study used pre- and post-implementation comparisons, including workflow observation and a survey … Patient safety and quality: An evidence based handbook for nurses. … Milestones: Progress is mostly on track.
Budget: On target.
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psnet.ahrq.gov/issue/addressing-patient-safety-hazards-using-critical-incident-reporting-hospitals-systematic
June 08, 2022 - May 26, 2021
Impact of teamwork and communication training interventions on safety culture … Characteristics of critical incident reporting systems in primary care: an international survey … September 29, 2017
Occurrence of no-harm incidents and adverse events in hospitalized patients … December 8, 2021
Do patient engagement interventions work for all patients? … August 26, 2020
Scoping review of patients' attitudes about their role and behaviours
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psnet.ahrq.gov/issue/opioids-and-dentistry
November 12, 2014 - June 1, 2011
Focus on Computerized Provider Order Entry. … May 27, 2011
Factors affecting patient safety culture among dental healthcare workers … : A nationwide cross-sectional survey
October 16, 2019
Home health staff perspectives … on infection prevention and control: implications for Coronavirus Disease 2019. … December 2, 2015
The clinical safety of disabled patients: proposal for a methodology
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psnet.ahrq.gov/issue/situ-simulation-program-quantitative-and-qualitative-prospective-study-identifying-latent
March 25, 2021 - Simulation training is used by hospitals to improve patient care. … safety culture improves during an in situ simulation intervention: a repeated cross-sectional intervention … emergency department: important prescribing discrepancies between the shared medication record and patients … , 2016
Analysis of clinical decision support system malfunctions: a case series and survey … December 9, 2014
Improving teamwork: impact of structured interdisciplinary rounds on
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psnet.ahrq.gov/issue/safety-enhancements-every-hospital-must-consider-wake-another-tragic-neuromuscular-blocker
June 19, 2019 - This newsletter article reports on the findings of a government investigation into the death of a patient … February 9, 2022
Partnering with families and patient advocates: another line of defense … August 14, 2019
ADC survey shows some improvements, but unnecessary risks still exist … May 2, 2018
Just Culture and its critical link to patient safety—part 1 and part 2. … February 27, 2019
Speaking up about patient safety requires an observant questioner and
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psnet.ahrq.gov/issue/seven-features-safety-maternity-units-framework-based-multisite-ethnography-and-stakeholder
February 20, 2019 - Study
Seven features of safety in maternity units: a framework based on multisite … Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder … Several synergistic features were identified including a commitment to safety culture ; technical … Analysis of incident reports from a patient safety organization. … March 16, 2022
Psychometric properties of the perinatal missed care survey and missed