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psnet.ahrq.gov/issue/high-rate-implementation-proposed-actions-improvement-healthcare-failure-mode-effect-analysis
December 09, 2020 - Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by patients … an improved patient safety culture. … A cross-sectional survey of patient perceptions and beliefs. … December 4, 2024
Adverse events are common on the intensive care unit: results from a … , effects and criticality analysis: a model to evaluate the nurse medication administration process on
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psnet.ahrq.gov/issue/attitudes-and-barriers-incident-reporting-collaborative-hospital-study
June 15, 2011 - View More
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Vital signs are still vital: instability on … August 25, 2015
5th National Audit Project (NAP5) on accidental awareness during general … October 1, 2014
Patient-as-observer approach: an alternative method for hand hygiene … April 6, 2011
The attitudes and beliefs of healthcare professionals on the causes and … February 27, 2009
What pilots can teach hospitals about patient safety.
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psnet.ahrq.gov/issue/pharmacist-led-program-improve-transitions-acute-care-skilled-nursing-facility-care
December 09, 2020 - safety culture to quality ratings in the nursing home setting. … December 9, 2020
Impact of pharmacist-led multidisciplinary medication review on the … Organizational readiness to change as a leverage point for improving safety: a national nursing home survey … 9, 2022
Intervention study for the reduction of medication errors in elderly trauma patients … Transitions and Clinical Handoffs Toolkit in a rural primary care clinic: implications for nursing, patients
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psnet.ahrq.gov/issue/effect-short-term-pretrial-practice-surgical-proficiency-simulated-environments-randomized
January 20, 2010 - the covid-19 pandemic using OpenSAFELY: population based, retrospective cohort study of 57 million patients … September 29, 2017
Advancing the science of patient safety. … November 21, 2021
The top patient safety strategies that can be encouraged for adoption … March 28, 2011
Promoting patient safety through prospective risk identification: example … March 23, 2011
The 80-hour work guidelines and resident survey perceptions of quality
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psnet.ahrq.gov/issue/communication-patterns-during-routine-patient-care-pediatric-intensive-care-unit-behavioral
October 05, 2022 - Characteristics of critical incident reporting systems in primary care: an international survey … 2022
The impact of electronic communication of medication discontinuation (CancelRx) on … September 7, 2022
Impact of teamwork and communication training interventions on safety … culture and patient safety in emergency departments: a systematic review. … November 1, 2023
Improving patients' intensive care admission through multidisciplinary
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psnet.ahrq.gov/issue/patient-reported-safety-incidents-older-patients-long-term-conditions-large-cross-sectional
October 14, 2015 - Study
Patient-reported safety incidents in older patients with long-term conditions … Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional … In this survey study, about 10% of patients aged 65 and older with a chronic condition reported experience … Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional … Reported Experiences and Outcomes of Safety in Primary Care (PREOS-PC) questionnaire.
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psnet.ahrq.gov/issue/patient-safety-approach-setting-passfail-standards-basic-procedural-skills-checklists
July 28, 2010 - The authors recommend an itemized assessment tool with a sharper focus on competency and review their … symptoms and work-related behavior among healthcare workers and other professionals: results of a global survey … September 23, 2020
Safety gaps in medical team communication: closing the loop on quality … October 19, 2022
Comparing trainee and staff perceptions of patient safety culture. … View More
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Impact of critical event checklists on
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psnet.ahrq.gov/issue/effectiveness-and-safety-pulse-oximetry-remote-patient-monitoring-patients-covid-19
October 05, 2022 - Effectiveness and safety of pulse oximetry in remote patient monitoring of patients with COVID-19: a … Effectiveness and safety of pulse oximetry in remote patient monitoring of patients with COVID-19: a … January 12, 2022
Impact of providing patients access to electronic health records on … personal health records: mixed methods analysis of cross-sectional survey data. … to identify potential errors: cross-sectional web-based survey.
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psnet.ahrq.gov/issue/physicians-multiple-patient-complaints-ending-our-silence
June 01, 2004 - Physicians with multiple patient complaints: ending our silence. … patients. … surveys of nurses and patients in 12 countries in Europe and the United States. … August 28, 2013
Exploring relationships between patient safety culture and patients' … July 21, 2010
Measurement for improvement: a survey of current practice in Australian
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psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
June 24, 2020 - the family of the deceased: what confidence can they have that this won't happen again; that another patient … How many other patients were there at the time; how long had the nurse been on shift? … sufficient training for the task at hand; was there a mismatch in the mental model about the technology, the patient … Accountability: Patient Safety and Policy Reform. … June 24, 2020
A qualitative survey of factors shaping the role of a safety professional
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psnet.ahrq.gov/issue/drug-selection-errors-relation-medication-labels-simulation-study
January 14, 2009 - Download Citation
Related Resources From the Same Author(s)
Verifying patient … January 14, 2009
Using system analysis to build a safety culture: improving the reliability … anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues. … August 23, 2023
ISMP survey on tall man (mixed case) lettering to reduce drug name confusion … June 16, 2019
Potentially inappropriate medication use among elderly home care patients
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-intro-methods.pdf
September 01, 2019 - In addition, the area of patient safety was expanded to include sections on
healthcare-associated infections … and patient safety culture. … Patient Perceptions of Care. … and population surveys, provider surveys, administrative data from
facilities, medical records, registries … Some
survey designs, questionnaires, data collection methods, definitions, and data
calculation methods
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psnet.ahrq.gov/issue/differences-between-methods-detecting-medication-errors-secondary-analysis-medication
December 18, 2019 - June 8, 2022
Differences between professionals' views on patient safety culture in long-term … July 20, 2022
Content analysis of patient safety incident reports for older adult patient … transfers, handovers, and discharges: do they serve organizations, staff, or patients? … August 26, 2020
Impact of structured interdisciplinary bedside rounding on patient outcomes … considerations in using personal protective equipment in the COVID-19 pandemic context: a bi-national survey
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psnet.ahrq.gov/issue/medication-administration-errors-older-people-long-term-residential-care
June 26, 2019 - Resources From the Same Author(s)
Family involvement in managing medications of older patients … December 8, 2021
Patient safety skills in primary care: a national survey of GP educators … The effect of structured medication review followed by face-to-face feedback to prescribers on … September 27, 2017
Assessing the safety culture of care homes: a multimethod evaluation … May 27, 2011
The influence of formulation and medicine delivery system on medication
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psnet.ahrq.gov/issue/inappropriate-use-pharmacy-bulk-packages-iv-contrast-media-increases-risk-infections
June 12, 2018 - June 12, 2018
Prescription drug time guarantees and their impact on patient safety in … June 10, 2018
Just Culture and its critical link to patient safety—part 1 and part 2. … February 13, 2019
Results of ISMP survey on high-alert medications: differences between … June 10, 2018
Results of our survey on drug storage, stability, compatibility, and beyond … October 21, 2020
View More
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Patient
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psnet.ahrq.gov/issue/early-readmissions-department-medicine-screening-tool-monitoring-quality-care-problems
April 06, 2022 - July 26, 2023
Utility of clinical examination in the diagnosis of emergency department patients … delivery and patient outcomes: a systematic review. … incident reports for patient safety. … March 2, 2011
Assessing and improving safety culture throughout an academic medical centre … February 20, 2010
Errors and omissions in hospital prescriptions: a survey of prescription
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psnet.ahrq.gov/issue/clinical-uncertainty-primary-care-challenge-collaborative-engagement
December 23, 2008 - February 20, 2019
The relationship between resident physician burnout and its’ effects on … patient care, professionalism, and academic achievement: a review of the literature. … threats: a national survey of interns and residents. … August 8, 2014
Engaging Patients in Improving Ambulatory Care. … October 16, 2012
New 2011 survey of patients with complex care needs in eleven countries
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psnet.ahrq.gov/issue/perceptions-nurses-towards-barriers-safe-administration-medicines-mental-health-settings
October 30, 2013 - This survey of nurses and nursing students identified interruptions and insufficient medication knowledge … October 30, 2013
What do patients and their carers do to support the safety of cancer … September 27, 2017
Nursing perception of the impact of medication carts on patient safety … November 21, 2012
Identifying the 'right patient': nurse and consumer perspectives on … September 9, 2011
Adverse incidents, patient flow and nursing workforce variables on
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psnet.ahrq.gov/issue/hospital-discharge-review-high-risk-care-transition-highlights-reengineered-discharge-process
December 16, 2014 - J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000236916.94696.12. … J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000236916.94696.12. … December 16, 2014
Results of a medication reconciliation survey from the 2006 Society … 2022
Health care-associated infections: a meta-analysis of costs and financial impact on … February 24, 2011
2009 National Patient Safety Goals.
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psnet.ahrq.gov/node/33647/psn-pdf
March 01, 2007 - The Role of the Patient in Improving Patient Safety
March 1, 2007
Gibson R. … https://psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
Perspective
Patients have … when the safety culture is poor, even doctors, nurses, pharmacists, and others working in the
organization … institution on patient safety after the first sentinel event but found that these
efforts were unsuccessful … In addition, her report of the event in a hospital patient satisfaction survey
yielded no response from