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psnet.ahrq.gov/issue/team-relations-and-role-perceptions-during-anesthesia-crisis-management-magnetic-resonance
December 13, 2023 - Jt Comm J Qual Patient Saf . 2024; 50 (5) :308-317 . … Based on 67 survey responses and 17 interviews, the researchers identified nuanced differences in role … July 31, 2019
Safety culture in cardiac surgical teams: data from five programs and national … January 17, 2017
Practice advisory on anesthetic care for magnetic resonance imaging: … a report by the American Society of Anesthesiologists Task Force on Anesthetic Care for Magnetic Resonance
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psnet.ahrq.gov/issue/transforming-team-performance-through-reimplementation-surgical-safety-checklist
March 09, 2022 - Surgical safety checklists have been credited with improving perioperative patient outcomes, but numerous … May 5, 2021
What has been the impact of Covid-19 on safety culture? … June 21, 2023
Clinicians' perspectives on proactive patient safety behaviors in the perioperative … Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey … March 3, 2021
Adaptive design: adaptation and adoption of patient safety practices in
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psnet.ahrq.gov/issue/remote-assessment-real-world-surgical-safety-checklist-performance-using-or-black-box-multi
March 17, 2021 - March 17, 2021
Impact of team performance on the surgical safety checklist on patient … August 20, 2018
System factors affecting patient safety in the OR: an analysis of safety … May 31, 2023
Healthcare professionals' perception of safety culture and the Operating … Room (OR) Black Box technology before clinical implementation: a cross-sectional survey. … patient safety.
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/dzau-summit2016.pdf
September 28, 2016 - consumer and patient information, and reporting on
patient safety and the resulting effects … Patient
Safety
Indicators
(PSIs)
National
Summit on
Medical Errors
and Patient
Safety
“To … Err
Is Human”
IOM Report
1999 1999 2000 2001 2003
2004
Released the
Hospital Survey
on Patient … Safety
Culture
2005
Advances in
Patient Safety:
From Research
to
Implementation
Questions are … safety culture, and making a business case for
patient safety
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psnet.ahrq.gov/issue/10-years-why-time-out-still-matters
November 08, 2013 - This commentary features insights from a multidisciplinary panel on their experiences with time outs … May 18, 2022
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey … Adherence to a medication safety protocol: current practice for labeling medications and solutions on … May 26, 2010
Counting for patient safety.
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psnet.ahrq.gov/issue/safer-out-hours-primary-care
March 14, 2022 - February 24, 2011
Burnout in the NICU setting and its relation to safety culture. … symptoms and work-related behavior among healthcare workers and other professionals: results of a global survey … safety culture and less caregiver burnout. … October 14, 2009
Preanalytical errors in primary healthcare: a questionnaire study of … February 18, 2009
Patient safety records: silent witness.
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psnet.ahrq.gov/issue/randomised-controlled-trial-assessing-efficacy-electronic-discharge-communication-tool
August 24, 2016 - Opportunities and challenges for quality and safety applications in ICD-11: an international survey … "It's the difference between life and death": the views of professional medical interpreters on … February 17, 2016
Effect of a postdischarge virtual ward on readmission or death for … high-risk patients: a randomized clinical trial. … November 3, 2015
Hospital internet site content on patient safety and medical errors.
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psnet.ahrq.gov/issue/social-aspects-clinical-errors-discussion-paper
September 12, 2018 - February 16, 2022
A qualitative study of systemic influences on paramedic decision making … : care transitions and patient safety. … NHS: an online survey study. … April 2, 2014
The quality and economic impact of disruptive behaviors on clinical outcomes … of patient care.
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psnet.ahrq.gov/issue/mixed-method-study-practitioners-perspectives-issues-related-ehr-medication-reconciliation
September 23, 2020 - Study
A mixed-method study of practitioners' perspectives on issues related to EHR … This interview and survey study assessed provider perspectives on how electronic health records support … comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety … culture. … September 18, 2019
Patient Safety.
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psnet.ahrq.gov/issue/occurrence-wrong-site-surgery-self-reported-candidates-certification-american-board
June 03, 2020 - January 3, 2017
Can we make postoperative patient handovers safer? … November 16, 2016
Wrong-site orthopedic operations on the extremities: the Pennsylvania … October 20, 2010
Spinal surgery and patient safety: a systems approach. … Results of an AAOS member survey. … March 18, 2009
Most surgery in wrong spot done on spine: 11 such cases found in state
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psnet.ahrq.gov/issue/checklist-usage-decreases-critical-task-omissions-when-training-residents-separate-simulated
July 18, 2014 - This study reports on the development and initial implementation of a checklist to improve safety during … December 1, 2011
Patients' perspectives of surgical safety: do they feel safe? … August 4, 2021
The Research on Adverse Drug Events and Reports (RADAR) project. … Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey … March 3, 2021
Patient safety in the OR.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Williams_115.pdf
June 19, 2008 - Records are frequently presented for review based on a local
facility’s established criteria or on a … A survey to obtain
feedback from the quality
directors was conducted
using electronic software
during … The survey
containing 10 questions
9
was sent to 40 individuals in 28 participating hospitals … Completed surveys were returned from
16 hospitals, a response rate of 57 percent. … Results of a survey in
26 European countries. Fam Pract 2003; 20: 443-451.
5.
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psnet.ahrq.gov/issue/trends-nursing-home-deficiencies-and-complaints
February 18, 2009 - This report summarizes 2007 data on quality and safety issues in Medicare- and Medicaid-certified nursing … May 20, 2020
AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative … October 31, 2014
New HHS Data Shows Major Strides Made in Patient Safety, Leading to
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psnet.ahrq.gov/issue/hospitals-installed-more-sinks-stop-infections-sinks-can-make-problem-worse
October 05, 2016 - November 12, 2014
Hospital Survey on Patient Safety Culture: 2016 User Comparative Database … May 21, 2016
When doctors get the wrong patient. … September 19, 2018
The effect of contact precautions on frequency of hospital adverse
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psnet.ahrq.gov/issue/systems-approach-analyzing-and-preventing-hospital-adverse-events
March 30, 2022 - This article describes the use of a new accident analysis technique (CAST, or Causal Analysis based on … The CAST approach is based on the principle that accidents are not only the result of individual system … component failures or errors but more generally result due to inadequate enforcement of constraints on … Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey … January 23, 2017
Safety culture in cardiac surgical teams: data from five programs and
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psnet.ahrq.gov/issue/perioperative-safety-determinants-ethnic-patient-groups
February 09, 2022 - October 21, 2020
When doctors share visit notes with patients: a study of patient and … A survey of 10 healthcare professions in the Netherlands about experiences with impaired and incompetent … July 5, 2023
Healthcare professionals' perception of safety culture and the Operating … Room (OR) Black Box technology before clinical implementation: a cross-sectional survey. … March 22, 2023
Patients' experience of patient safety information and participation in
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psnet.ahrq.gov/issue/student-mistakes-and-teacher-reactions-bedside-teaching
January 18, 2012 - June 26, 2019
Evaluation of the culture of safety: survey of clinicians and managers … June 16, 2011
Providers' and patients' perspectives on diagnostic errors in the acute … July 15, 2020
Effect on patient safety of a resident physician schedule without 24-hour … Related Resources
"Near miss": a mixed-methods analysis of medical student assignments in patient … Improving Diagnostic Safety and Quality
April 26, 2023
Improving Patient
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psnet.ahrq.gov/issue/institute-safe-medication-practices-and-poison-control-centers-collaborating-prevent
April 22, 2017 - July 26, 2011
Making inpatient medication reconciliation patient centered, clinically … relevant and implementable: a consensus statement on key principles and necessary first steps. … June 16, 2019
Partnering with pediatric patients and families in high reliability to … January 2, 2017
A patient-initiated voluntary online survey of adverse medical events … : the perspective of 696 injured patients and families.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-transcript.html
December 01, 2017 - They all sort of center at one level around improving safety culture. … And we all hear about improving safety culture and how important it is that we do that in our institution … But I want to point out to you that safety culture is not— the need to improve safety culture, that is … So this slide, what do we mean when we say ‘safety culture'? … You can complete the safety survey which would be the HSOPS is the Hospital Survey on Patient Safety
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psnet.ahrq.gov/issue/safety-and-risk-management-interventions-hospitals-systematic-review-literature
April 01, 2010 - In this systematic review, the authors characterize the published literature on organizational safety … June 16, 2011
On the trail of quality and safety in health care. … Providing good and comfortable care by building a bond of trust': nurses views regarding their role in patients … A survey of 10 healthcare professions in the Netherlands about experiences with impaired and incompetent … August 22, 2012
Patient Safety Papers.