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psnet.ahrq.gov/issue/challenges-monitoring-and-preventing-patient-safety-incidents-people-intellectual
May 20, 2020 - Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on … May 20, 2020
Patient safety in patients who occupy beds on clinically inappropriate wards … November 14, 2018
Multistate point-prevalence survey of health care-associated infections … December 18, 2014
Perceived patient safety culture in a critical care transport program … Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on
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psnet.ahrq.gov/issue/assessment-patient-retention-inpatient-care-information-post-hospitalization
June 01, 2022 - Ensuring patients have an understanding of their diagnoses and care plan is a critical component … Safety Culture Survey. … July 13, 2022
Providers' and patients' perspectives on diagnostic errors in the acute … February 12, 2020
The effect of a system-level tiered huddle system on reporting patient … View More
Related Resources
Caregiver and clinician perspectives on
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psnet.ahrq.gov/issue/costs-associated-surgical-site-infections-veterans-affairs-hospitals
June 18, 2014 - This analysis found that excess hospital costs are significant for patients who experience surgical … March 15, 2023
The effect of contact precautions on frequency of hospital adverse events … symptoms and work-related behavior among healthcare workers and other professionals: results of a global survey … June 3, 2020
Impact of a computerized clinical decision support system on reducing inappropriate … January 11, 2017
Association of safety culture with surgical site infection outcomes.
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psnet.ahrq.gov/issue/identification-serious-and-reportable-events-home-care-delphi-survey-develop-consensus
November 27, 2013 - Four types of serious preventable events were identified: inappropriate client service plans, medication … Related Resources From the Same Author(s)
Assessing adverse events among home care clients … November 27, 2013
On the ball: leadership for patient safety and learning in critical … October 16, 2024
Effect of digital tools to promote hospital quality and safety on adverse … December 13, 2013
Assessing adverse events among home care clients in three Canadian
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psnet.ahrq.gov/issue/potentially-preventable-30-day-hospital-readmissions-childrens-hospital
July 11, 2017 - The authors emphasize the importance of interviewing patients and family members as well as medical providers … A past PSNet interview reflected on the challenge of preventing readmissions. … July 11, 2017
Adverse events in hospitalized pediatric patients. … January 6, 2017
Family-centered rounds on pediatric wards: a PRIS network survey of US … November 23, 2016
A safety culture transformation: its effects at a children's hospital
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psnet.ahrq.gov/issue/evaluation-older-persons-medications-critical-incident-technique-study-exploring-healthcare
July 14, 2021 - May 19, 2021
Fidelity and the impact of patient safety huddles on teamwork and safety … culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project. … August 25, 2021
Prescribers' perspectives on including reason for use information on … Results of a retrospective cross-sectional telephone survey. … a Patient Safety Strategy
October 27, 2021
Patient-safety incidents during
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psnet.ahrq.gov/issue/during-pandemic-aspire-identify-and-prevent-medication-errors-and-avoid-blaming-attitudes
September 07, 2022 - This article discusses how medication errors that take place during the care of patients with COVID … September 7, 2022
Pump up the volume: tips for increasing error reporting and decreasing patient … May 20, 2020
ISMP Survey provides insights into preparation and admixture practices OUTSIDE … View More
Related Resources
Institutional COVID-19 protocols: focused on … August 26, 2020
Preserving organizational resilience, patient safety, and staff retention
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d1_combo_improvementmethodsoverview.pdf
June 02, 2025 - • These slides may be useful earlier on in the process
than during implementation; feel free to use … Use Assessment of Organizational Readiness for Change related to the
Inpatient Quality Indicators, Patient … Safety Indicators, and/or Pediatric
Quality Indicators (Section A tools or AHRQ Survey on Patient Safety … Culture)
• Review current performance on each of the metrics (Section B tools)
• Determine priorities … leadership
Step 5
Evaluate, Standardize, and
Communicate
• Project Evaluation (Tool D.8)
• Focus on
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psnet.ahrq.gov/issue/sterile-compounding-tragedy-symptom-broken-system-many-levels
February 13, 2019 - Citation Text:
Sterile compounding tragedy is a symptom of a broken system on many levels. … February 13, 2019
Prescription drug time guarantees and their impact on patient safety … June 10, 2018
Results of ISMP survey on high-alert medications: differences between nursing … June 10, 2018
Results of our survey on drug storage, stability, compatibility, and beyond … May 6, 2020
Tennessee Center for Patient Safety.
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psnet.ahrq.gov/issue/good-intention-uncertain-outcomeour-take-physician-dispensing-offices-and-clinics
February 13, 2019 - patient safety. … February 13, 2019
Results of our survey on drug storage, stability, compatibility, and … January 24, 2024
Cancer drug shortages are creating dire circumstances for some patients … April 26, 2023
Purchase of prescription medicines via social media: a survey-based study … Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients
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psnet.ahrq.gov/issue/evaluating-new-rapid-response-team-np-led-versus-intensivist-led-comparisons
October 19, 2022 - Citation
Related Resources From the Same Author(s)
Optimizing Pediatric Patient … July 19, 2023
Improving patient safety by repeating (read-back) telephone reports of … September 20, 2011
Factor structure and construct validity of a hospital survey on patient … safety culture using exploratory factor analysis. … 4, 2013
Impact of an intensivist-led multidisciplinary extended rapid response team on
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psnet.ahrq.gov/issue/disrespectful-behavior-healthcarehave-we-made-any-progress-last-decade
March 15, 2022 - Medication Practices seeks to collect health care workers' experiences with such behaviors in a related survey … Copy Citation
Related Resources From the Same Author(s)
Survey suggests disrespectful … Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient … April 16, 2018
Healthcare staff wellbeing, burnout, and patient safety: a systematic … June 1, 2015
Disruptive clinician behavior: a persistent threat to patient safety.
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psnet.ahrq.gov/issue/using-consumer-engagement-strategies-improve-healthcare-safety-young-people-exploration
September 15, 2021 - Patient engagement focuses on involving patients in detecting adverse events, empowering patients to … engagement interventions work for all patients? … Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey … May 29, 2024
Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers … September 16, 2020
Patient report on information given, consultation time and safety
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psnet.ahrq.gov/issue/leveraging-computerized-sign-out-increase-error-reporting-and-addressing-patient-safety
October 19, 2022 - October 5, 2016
Prevalence and causes of diagnostic errors in hospitalized patients under … June 1, 2016
Long-term effects of teamwork training on communication and teamwork climate … October 28, 2020
Impact of teamwork improvement training on communication and teamwork … opioid prescribing and treatment of opioid use disorder in internal medicine residencies: a national survey … October 12, 2022
Barriers to accessing nighttime supervisors: a national survey of internal
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-intro-methods-cx061721.pdf
December 01, 2020 - In addition, the area of patient safety was expanded to include sections on
healthcare-associated infections … and patient safety culture. … and population surveys, provider surveys, administrative data from
facilities, medical records, registries … Some survey designs, questionnaires, data collection methods, definitions, and data
calculation methods … heart failure, pneumonia, and major surgery
patients.
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psnet.ahrq.gov/issue/building-case-medication-reconciliation
June 10, 2018 - by failed communication, briefly reviews the steps for medication reconciliation , and includes a survey … to assess progress with the Joint Commission on Accreditation of Healthcare Organizations' patient safety … November 2, 2022
Survey on LASA drug name pairs: who knows what’s on your list and the … November 3, 2015
Temporarily holding medication orders safely in order to prevent patient … May 11, 2014
Developing a medication patient safety program, part 2: process and implementation
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psnet.ahrq.gov/issue/are-bad-outcomes-questionable-clinical-decisions-preventable-medical-errors-case-cascade
February 24, 2011 - April 10, 2024
Comparison of quality of care for patients in the Veterans Health Administration … and patients in a national sample. … April 3, 2019
The influence of organizational context on quality improvement and patient … July 3, 2014
Preventing hospital-acquired infections: a national survey of practices … November 21, 2011
The long road to patient safety: a status report on patient safety
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psnet.ahrq.gov/issue/hospital-readmissions-physician-awareness-and-communication-practices
December 19, 2009 - February 24, 2011
Impact of barcode medication administration technology on how nurses … spend their time providing patient care. … Effect of an electronic medication reconciliation application and process redesign on … February 15, 2011
Assessing and improving safety culture throughout an academic medical … survey of practices and recommendations.
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psnet.ahrq.gov/issue/bachelors-degree-nurse-graduates-report-better-quality-and-safety-educational-preparedness
December 21, 2018 - Jt Comm J Qual Patient Saf . 2019; 45 (3) :180-186 . … January 5, 2017
Prevalence and predictors of adverse events in older surgical patients … : impact of the present on admission indicator. … Perspectives on Safety
The Role of Undergraduate … February 20, 2010
Fostering patient safety competencies using multiple-patient simulation
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psnet.ahrq.gov/issue/communication-during-interhospital-transfers-emergency-general-surgery-patients-qualitative
August 24, 2022 - August 24, 2022
Impact of teamwork and communication training interventions on safety … culture and patient safety in emergency departments: a systematic review. … patient transfers, handovers, and discharges: do they serve organizations, staff, or patients? … on healthcare quality? … A survey study.