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psnet.ahrq.gov/issue/speaking-about-care-concerns-icu-patient-and-family-experiences-attitudes-and-perceived
August 09, 2018 - A critical component of strong safety culture is that patients and families feel empowered to speak … This cross-sectional survey asked patients currently hospitalized in an intensive care unit (ICU) and … August 9, 2018
A patient feedback reporting tool for OpenNotes: implications for patient–clinician … patients and families. … through the patient TIPS model.
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psnet.ahrq.gov/issue/patient-safety-and-satisfaction-state-american-hospitals
July 02, 2014 - View More
Related Resources
Harm to Healing - Partnering with Patients … December 4, 2016
New system for patients to report medical mistakes. … surveys of nurses and patients in 12 countries in Europe and the United States. … January 4, 2015
Effects of an educational patient safety campaign on patients' safety … June 22, 2011
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See More About The Topic
Hospitals
Patients
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psnet.ahrq.gov/issue/first-protect-patient-harm-applying-adult-learning-principles-patient-safety
June 09, 2011 - October 17, 2018
An evidence synthesis on perioperative handoffs: a call for balanced … : effects of a safety program on performance and culture in a department of radiology. … November 23, 2016
Role-modeling and medical error disclosure: a national survey of trainees … April 24, 2011
Challenges ahead in technology training: a report on the training initiative … of the Committee on Technology.
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psnet.ahrq.gov/issue/implementation-standardized-tool-root-cause-analysis-selection
November 06, 2024 - incidents based on their potential harm and frequency. … November 6, 2024
Residents' perspective on the impact of the 80-hour workweek policy. … October 14, 2020
Electronic health records in ambulatory care- a national survey of physicians … and action (RCA2) standard work by a multidisciplinary team to prevent harm, reduce bias, and improve safety … culture.
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psnet.ahrq.gov/issue/development-and-preliminary-testing-coordination-process-error-reporting-tool-cpert
May 25, 2016 - Jt Comm J Qual Patient Saf. 2016;42(12):562-AP4. doi:10.1016/S1553-7250(16)30108-8. … Jt Comm J Qual Patient Saf . 2016; 42 (12) :562-AP4 . … Hospitals rely on incident reporting systems to detect safety issues, but these systems are voluntary … Preventability and causes of readmissions in a national cohort of general medicine patients … April 27, 2019
Comparing NICU teamwork and safety climate across two commonly used survey
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www.ahrq.gov/sites/default/files/2024-07/aboumatar-report.pdf
January 01, 2024 - Published reports of patient stories and
recent results from national surveys of patient experiences … Satisfaction surveys are mailed to all patients post discharge.
10
Common Interventions Intervention … Hospital survey shows improvements in patient experience. … Hospital Survey Shows Improvements In Patient
Experience. … Your hospital has been identified as a top performing hospital on the Patient Experiences of Care Survey
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
December 01, 2023 - respondent burden by shortening the length of the questionnaire, harmonize
overlapping content with … advances in survey methodology and measurement. … American Community Survey. … Official HCAHPS scores, based on four consecutive quarters of patient
surveys, have been publicly reported … Since 2010, client-level RSR data have been used to
assess the numbers and types of clients receiving
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psnet.ahrq.gov/issue/nurses-experience-barriers-safe-practice-neonatal-intensive-care-unit-thailand
August 16, 2023 - determine their experiences with safety incidents and found that understaffing and lack of emphasis on … a culture of safety contributed to patient safety problems. … February 23, 2018
Delivering on the promise of CLER: a patient safety rotation that aligns … June 22, 2022
Computerized physician order entry in US hospitals: results of a 2002 survey … June 12, 2013
The effect of workload on infection risk in critically ill patients.
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psnet.ahrq.gov/issue/evaluating-clinical-decision-support-systems-monitoring-cpoe-order-check-override-rates
October 19, 2022 - systems: monitoring CPOE order check override rates in the Department of Veterans Affairs' computerized patient … July 1, 2020
Patients managing medications and reading their visit notes: a survey of … the covid-19 pandemic using OpenSAFELY: population based, retrospective cohort study of 57 million patients … 21, 2014
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Related Resources
Perspectives on … March 10, 2011
Impact of health information technology on detection of potential adverse
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psnet.ahrq.gov/issue/health-information-exchange-emergency-medicine
October 07, 2013 - Insufficient access to patient information in the emergency department can result in patient harm. … roles based on a Delphi consensus. … May 18, 2022
Effects of a refined evidence-based toolkit and mentored implementation on … Emergency physicians' views of direct notification of laboratory and radiology results to patients … using the internet: a multisite survey.
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psnet.ahrq.gov/issue/medical-errors-and-quality-care-control-commitment
July 15, 2020 - Building on this background, they discuss the human resource practices and behavioral consequences of … Download Citation
Related Resources From the Same Author(s)
Effect on … Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey … on United States operating rooms. … 11, 2010
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Related Resources
Perspectives on
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www.ahrq.gov/news/newsletters/e-newsletter/921.html
July 01, 2024 - and 41.0 readmissions for every 100 hospitalizations among Medicaid patients. … the consequences of this global phenomenon, and the Modernization of the Medical Expenditure Panel Survey … Researchers reviewed data from the AHRQ Medical Expenditure Panel Survey and found that in 2021, the … Highlights From AHRQ’s Patient Safety Network AHRQ’s Patient Safety Network (PSNet) highlights journal … Building a resilient patient safety culture: a large healthcare organization's approach to systematically
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psnet.ahrq.gov/issue/overnight-and-postcall-errors-medication-orders
May 18, 2022 - suggested increased error rates with medication orders when written by less experienced residents and for patients … on general medical/surgical services. … March 14, 2018
Hospital ward adaptation during the COVID-19 pandemic: a national survey … Preventability and causes of readmissions in a national cohort of general medicine patients … June 5, 2018
The impact of abbreviations on patient safety.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
January 01, 2004 - , while investigations
using open-ended questionnaires reveal much lower rates. … The majority of respondents were white. … One
physician summarized it this way: “I almost think it needs to be on a patient-by-
patient basis. … Patients
expressed feeling overwhelmed by that type of disclosure: “There’s so much that
goes on, I … Hospital
disclosure practices: results of a national survey.
Health Aff 2003;22(2):73–83.
10.
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psnet.ahrq.gov/issue/exploring-fear-clinical-errors-associations-socio-demographic-professional-burnout-and-mental
October 30, 2024 - safety culture. … January 23, 2017
Overnight stay in the emergency department and mortality in older patients … January 15, 2014
Impact of morbidity and mortality conferences on analysis of mortality … March 24, 2010
The effect of a clinical pharmacist-led training programme on intravenous … Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey
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psnet.ahrq.gov/issue/effect-lawsuits-professional-well-being-and-medical-error-rates-among-orthopaedic-surgeons
May 18, 2022 - Study
Effect of lawsuits on professional well-being and medical error rates among … Effect of lawsuits on professional well-being and medical error rates among orthopaedic surgeons. … This survey of 305 orthopedists found that involvement in a medical malpractice lawsuit within the past … May 27, 2015
Training safer surgeons: how do patients view the role of simulation in … May 8, 2013
Use of the WHO surgical safety checklist in trauma and orthopaedic patients
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digital.ahrq.gov/ahrq-funded-projects/partnering-improve-patient-safety-rural-wv
January 01, 2023 - and aggregate benchmarking data on events (quarterly); 3) administration of the AHRQ Hospital Survey … on Patient Safety Culture; 4) calculation of West Virginia-specific PSIs (annually); 5) formation of … According to Ruddick, online reporting can have a powerful effect on hospital practices. … Medical Center, agreed to participate in a pilot project that would record the use of "rescue drugs" in patients … to conduct a six-month study, during which the hospital pharmacy every two weeks produced a list of patients
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psnet.ahrq.gov/issue/descriptive-study-nurse-reported-missed-care-neonatal-intensive-care-units
January 27, 2019 - other care settings, missed nursing care is significant, and reasons include interruptions , urgent patient … situations, and increases in patient volume . … January 27, 2019
Priorities for pediatric patient safety research. … April 27, 2019
The correlation between neonatal intensive care unit safety culture and … June 12, 2013
Effect of an anonymous reporting system on near-miss and harmful medical
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pso.ahrq.gov/sites/default/files/wysiwyg/OnDemand%20Webinar%20Slides%20-%20June%2010%202015.pdf
January 01, 2010 - PSO form templates
► Legal consultation regarding legal protections and privilege
► Integration of safety … culture and patient safety improvement
activities
18
The Good Catch Program
• In an effort … promote a safety culture that encourages open
reporting on every level.
24
University of Michigan … 32
Original Expectations
• We are different
• Our patients are sicker
• Our families are more … oral medications a particular problem
o No “standard” concentrations for non-commercial drugs
o E.g. survey
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psnet.ahrq.gov/issue/supporting-doctors-healthcare-quality-and-safety-advocates-recommendations-association
April 13, 2016 - This survey of surgical trainees found that the majority had witnessed practices or behaviors among colleagues … that posed risks to patient safety, including poor performance and disruptive behavior . … concerns, as well as concerns about unsafe systems of care, due to fear of reprisal or negative effects on … November 12, 2014
Effect of genetic diagnosis on patients with previously undiagnosed … The rise of human factors: optimising performance of individuals and teams to improve patients