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psnet.ahrq.gov/issue/documenting-quality-improvement-and-patient-safety-efforts-quality-portfolio-statement
January 13, 2021 - safety threats: a national survey of interns and residents. … June 3, 2013
Impact of duty hours restrictions on quality of care and clinical outcomes … : results of a survey of chairs of departments of internal medicine in North America. … April 20, 2011
Artificial intelligence in anesthetic care: a survey of physician anesthesiologists … Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on
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psnet.ahrq.gov/issue/patterns-medical-and-nursing-staff-communication-nursing-homes-implications-and-insights
December 22, 2018 - Resources From the Same Author(s)
Effect of promoting high-quality staff interactions on … and association with patient harm. … June 11, 2010
Assessing resident safety culture in nursing homes: using the nursing home … survey on resident safety. … patient safety.
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psnet.ahrq.gov/issue/preventing-medication-errors-community-pharmacy-frequency-and-seriousness-medication-errors
June 14, 2011 - August 4, 2021
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … February 9, 2011
The 5th National Audit Project (NAP5) on accidental awareness during … November 12, 2014
5th National Audit Project (NAP5) on accidental awareness during general … October 1, 2014
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Related Resources
Community Pharmacy Survey … on Patient Safety Culture.
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psnet.ahrq.gov/issue/pediatric-medication-safety-adult-community-hospital-settings-glimpse-nationwide-practice
March 14, 2022 - This survey study found that most pediatric hospitalist programs use computerized provider order entry … April 13, 2022
Medication reconciliation in oncological patients: a randomized clinical … June 15, 2016
Identifying risk in the use of tumor markers to improve patient safety. … October 12, 2022
Safety culture, safety climate, and safety performance in healthcare … April 15, 2016
Effects of CPOE on provider cognitive workload: a randomized crossover
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psnet.ahrq.gov/issue/investigating-adverse-event-free-admissions-medicare-inpatients-patient-safety-indicator
May 04, 2016 - Related Resources From the Same Author(s)
Exploring the impact of consultants' experience on … 2015
Staff perceptions of quality of care: an observational study of the NHS Staff Survey … July 1, 2013
Dying for the weekend: a retrospective cohort study on the association between … January 7, 2015
A review of patient safety measures based on routinely collected hospital … August 14, 2013
The role of patient safety culture in the causation of unintended events
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psnet.ahrq.gov/issue/how-dekalb-medical-fixed-drug-safety-problems-after-fatal-error
October 11, 2017 - Overreliance on technology can result in harmful medication mistakes. … Reporting on a 10-fold medication overdose that led to the death of a patient with dementia, this news … March 29, 2016
Leadership Survey: Immunization Against Burnout: Insights Report. … October 11, 2016
After a medical error, patients could become hospital insiders. … report: results from a cross-sectional national survey.
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psnet.ahrq.gov/issue/sleep-sleepiness-fatigue-and-performance-12-hour-shift-nurses
July 22, 2010 - Nurses' working conditions have been shown to affect patient safety. … Further work should examine the effects of nurse fatigue on patient outcomes. … July 22, 2010
Is it time to pull the plug on 12-hour shifts?: Part 3. … September 20, 2023
HIM functions in healthcare quality and patient safety. … June 12, 2019
AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative
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psnet.ahrq.gov/issue/safer-paediatric-surgical-teams-5-year-evaluation-crew-resource-management-implementation-and
February 03, 2021 - The pre–post analysis showed sustained improvements in safety culture , checklist adherence, communication … - an international survey. … 9, 2019
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Related Resources
Impact of a daily huddle on … November 28, 2016
Effect of surgical safety checklists on pediatric surgical complications … Reflections on incident reporting in a department of pediatric surgery.
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psnet.ahrq.gov/issue/long-term-reduction-adverse-drug-events-evidence-based-improvement-model
August 28, 2024 - in-patients. … rates in hospital in-patients: a before and after study. … April 14, 2011
Patient safety culture: factors that influence clinician involvement in … patient safety behaviours. … February 20, 2010
Errors and omissions in hospital prescriptions: a survey of prescription
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psnet.ahrq.gov/issue/empowering-frontline-nurses-structured-intervention-enables-nurses-improve-medication
March 13, 2012 - For example, one focus was on minimizing interruptions during medication administration, as frequent … September 10, 2014
AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses … November 25, 2009
Competence and certification of registered nurses and safety of patients … June 11, 2014
Identifying the 'right patient': nurse and consumer perspectives on verifying … Adherence to a medication safety protocol: current practice for labeling medications and solutions on
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psnet.ahrq.gov/issue/mitigating-imperfect-data-validity-administrative-data-psis-method-estimating-true-adverse
March 17, 2021 - September 30, 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 … of a hospital-wide patient safety improvement project on hospital-wide adverse event outcomes and patient … safety culture. … of in-hospital complications in surgical patients: a study of diagnostic accuracy.
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psnet.ahrq.gov/issue/impact-missed-nursing-care-or-care-not-done-adults-health-care-rapid-review-consensus
October 27, 2021 - patient outcomes in acute-care hospitals. … April 21, 2021
Survey shows that at least some physicians are not always open or honest … with patients. … November 11, 2020
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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psnet.ahrq.gov/issue/undiagnosed-and-rare-diseases-critical-care-role-diagnostic-access
April 20, 2022 - August 26, 2020
Bedside clinicians' perceptions on the contributing role of diagnostic … errors in acutely ill patient presentation: a survey of academic and community practice. … September 29, 2017
Patient safety incidents describing patient falls in critical care … June 30, 2021
Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis … November 11, 2015
The effect of multidisciplinary care teams on intensive care unit mortality
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018649-levick-final-report-2014.pdf
January 01, 2014 - In addition, joint analysis of our survey data on the availability and completeness of
clinical information … productivity and on patient and clinician satisfaction. … We merged these survey data to administrative records containing
information on job categories, demographics … Our data on
patient satisfaction were collected from OB/GYN patient surveys on satisfaction with their … Multivariate analyses of patient satisfaction surveys reflect both the dissatisfaction of clinicians
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psnet.ahrq.gov/issue/formative-evaluation-video-reflexive-ethnography-method-applied-physician-nurse-dyad
December 02, 2020 - focused on communication. … October 24, 2018
The influence of organizational context on quality improvement and patient … June 18, 2019
Effects of individual nurse and hospital characteristics on patient adverse … January 9, 2011
The impact of nursing work environments on patient safety outcomes: the … August 20, 2008
Perceptions of patient safety culture among physicians and RNs in the
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psnet.ahrq.gov/issue/patients-and-relatives-auditors-safe-practices-oncology-and-hematology-day-hospitals
April 22, 2020 - Engaging patients and families is an essential part of identifying and preventing patient safety events … August 12, 2020
Closing the loop on test results to reduce communication failures: a … November 25, 2020
Fidelity and the impact of patient safety huddles on teamwork and safety … culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project. … Organizational readiness to change as a leverage point for improving safety: a national nursing home survey
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psnet.ahrq.gov/issue/adverse-events-women-giving-birth-labor-ward-retrospective-record-review-study
April 14, 2021 - April 14, 2021
Closing the loop on test results to reduce communication failures: a rapid … February 6, 2019
Patient perspectives on the usefulness of an artificial intelligence-assisted … symptom checker: cross-sectional survey study. … November 24, 2021
Engaging patients as vigilant partners in safety: a systematic review … May 31, 2023
Tools for establishing a sustainable safety culture within maternity services
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psnet.ahrq.gov/issue/new-cms-hospital-quality-star-ratings-stars-are-not-aligned
May 26, 2021 - October 14, 2020
Management of a patient with a latex allergy. … January 17, 2018
Development and validation of a brief culture-of-safety survey. … Eisenberg Patient Safety and Quality Awards. … Eisenberg Patient Safety and Quality Awards. … to Reducing Patient Harm at National Level.
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psnet.ahrq.gov/issue/teamwork-inpatient-medical-units-assessing-attitudes-and-barriers
June 11, 2010 - Teamwork on inpatient medical units: assessing attitudes and barriers. … Whereas nurses noted difficulty identifying patients’ providers and their roles as the key barrier to … the implementation of a multifaceted intervention to improve teamwork and quality for hospitalized patients … survey of practices and recommendations. … stress, and collaboration among ward staff in relation to risk of hospital-associated infection among patients
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psnet.ahrq.gov/issue/improving-medication-related-safety-residents-nursing-homes-qualitative-study
March 24, 2019 - February 27, 2019
Impact of a warning CPOE system on the inappropriate pill splitting … January 21, 2015
The Lancet Commission on lessons for the future from the COVID-19 pandemic … October 12, 2022
Findings of the first consensus conference on medical emergency teams … April 20, 2022
Patient Safety Primers
Coronavirus Disease … safety culture: results from a national survey.