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psnet.ahrq.gov/issue/differences-reasons-alert-overrides-contraindicated-co-prescriptions-admitting-department
January 23, 2017 - January 23, 2017
Specialized nurses' role in ensuring patient safety within the context … December 15, 2015
Status of patient safety culture in community pharmacy settings: a … Safety
Annual Perspective
Technology as a Tool for Improving Patient … WebM&M Cases
Overdose of Gabapentin and Oxycodone in a Patient … performance of a drug-drug interaction clinical decision support system: quantitative evaluation and end-user survey
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psnet.ahrq.gov/issue/icu-admittance-rapid-response-team-versus-conventional-admittance-characteristics-and-outcome
January 28, 2010 - In this study, rapid response teams admitted more than half of patients transferred from the wards … Such patients tended to be older, with higher severity of illness, and more likely to have severe sepsis … compared with ward patients transferred to the ICU without rapid response team activation. … cross-sectional survey. … March 5, 2025
Comparing trainee and staff perceptions of patient safety culture.
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psnet.ahrq.gov/issue/diagnostic-errors-paediatric-cardiac-intensive-care
June 24, 2020 - More than 80% of respondents perceived diagnostic errors to be common and 65% reported errors causing … permanent harm to patients. … July 22, 2020
Safety gaps in medical team communication: closing the loop on quality … Related Resources
Impact of a relocation to a new critical care building on … June 11, 2014
Perceptions of risk to patient safety in the pediatric ICU, a study of
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psnet.ahrq.gov/issue/reasons-why-physicians-and-advanced-practice-clinicians-work-while-sick-mixed-methods
November 14, 2018 - factors resulted in pressure to work while ill, including a sense of not wanting to let colleagues or patients … the work of patient safety. … Safety Indicators: how well do they perform on Veterans Health Administration data? … July 14, 2009
Validity of selected AHRQ Patient Safety Indicators based on VA National … events on outcomes.
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psnet.ahrq.gov/perspective/conversation-cindy-brach
December 27, 2019 - Poor health literacy can have a big impact on patient safety. … This is based on an equal rights argument that says patients have the right to be able to communicate … patients with LEP, 3) improve reporting of medical errors for LEP patients, 4) routinely monitor patient … health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey … September 16, 2020
Impact of providing patients access to electronic health records on
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psnet.ahrq.gov/perspective/conversation-eduardo-salas-phd
November 01, 2011 - observational tool.( 14 ) We currently utilize a global rating scale ( Clinical Teamwork Scale ).( 15 ) Survey … captured by adapting the Self Efficacy of Teamwork Competencies Scale .( 16 ) The combination of a survey … Nevertheless, we chose a combination of paper and pencil surveys, telephone interviews, and surgical … The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research … Home care for patients with dementia. Fed Pract. 2004;21:13-28. [Available at]
7.
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www.ahrq.gov/hai/cusp/modules/learn/fac-cusp.html
December 01, 2012 - Does your hospital do everything it can to protect patients? … Safety proved that CUSP was successful in improving the safety culture. … patient care and should be addressed when attempting to diagnose system-level influences on patient … on the cart. … correlated with considerable improvements in the safety climate in 71 units, as measured by a unit culture survey
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www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-slides.html
August 01, 2018 - Auditing/survey – asking open questions
Nursing based - Urinary insertion/removal protocol
Providing … "Patient and family engagment is defined as patients, families and their representatives, and health … Patient Advisors to serve on safety and quality performance improvement teams
Images: 3 photos of … Available on www.ihi.org
Guide to Patient and Family Engagement in Hospital Quality and Safety, Rockville … Quality and safety measures:
Monthly data reports
Recurring gaps
Staff Safety Assessment survey
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psnet.ahrq.gov/issue/what-do-medical-records-tell-us-about-potentially-harmful-co-prescribing
December 19, 2011 - Drug–drug interactions resulting in adverse drug events are common causes of preventable harm to patients … Although physicians generally documented medication lists appropriately, patient education on the potential … always indicate lack of knowledge or inappropriate management, the study results raise the concern that patients … August 11, 2010
Randomized trial to improve prescribing safety in ambulatory elderly patients … June 16, 2019
Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative
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psnet.ahrq.gov/issue/sleep-deprivation-and-medication-administration-errors-registered-nurses-scoping-review
September 23, 2020 - Based on 18 included studies, the authors conclude that insufficient experimental or observational evidence … May 24, 2012
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … August 25, 2015
Safety culture in cardiac surgical teams: data from five programs and … February 23, 2018
A practical tool to learn from defects in patient care. … Risk of medication errors and nurses' quality of sleep: a national cross-sectional web survey
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psnet.ahrq.gov/issue/effect-medication-reconciliation-patient-portal-medication-discrepancies-randomized
April 27, 2022 - Study
The effect of medication reconciliation via a patient portal on medication … The effect of medication reconciliation via a patient portal on medication discrepancies: a randomized … Medication discrepancies were similar between both groups, and patients were satisfied using the patient … The effect of medication reconciliation via a patient portal on medication discrepancies: a randomized … May 24, 2023
Healthcare professionals' perception of safety culture and the Operating
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psnet.ahrq.gov/issue/improving-medication-appropriateness-nursing-homes-structured-interprofessional-medication
January 27, 2021 - January 27, 2021
Higher incidence of adverse events in isolated patients compared with … non-isolated patients: a cohort study. … August 10, 2022
Non-conveyance of older adult patients and association with subsequent … August 5, 2020
View More
Related Resources
Exploring the impact of safety … culture on incident reporting: lessons learned from machine learning analysis of NHS England staff survey
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psnet.ahrq.gov/issue/incidence-potentially-avoidable-urgent-readmissions-and-their-relation-all-cause-urgent
April 22, 2011 - March 4, 2015
Influence of house-staff experience on teaching-hospital mortality: the … events in patients admitted to a Canadian teaching hospital. … June 13, 2011
How often do physicians review medication charts on ward rounds? … February 15, 2011
Assessing and improving safety culture throughout an academic medical … February 20, 2010
Errors and omissions in hospital prescriptions: a survey of prescription
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psnet.ahrq.gov/issue/academic-half-day-improves-resident-perception-education-without-compromising-patient-safety
April 10, 2024 - AHDs offer protected time for education (without clinical duties) on specific days, providing both social … Survey data indicate positive changes in resident attitudes and experiences after AHD implementation. … No negative impacts on patient safety were identified. … safety, learning environments, and relationships with continuity patients. … February 16, 2011
Association of workload of on-call medical interns with on-call sleep
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psnet.ahrq.gov/issue/charter-physician-well-being
May 25, 2016 - Commentary
Classic
Charter on Physician Well-being. … Charter on Physician Well-being. JAMA. 2018;319(15):1541-1542. doi:10.1001/jama.2018.1331. … Charter on Physician Well-being. JAMA. 2018;319(15):1541-1542. doi:10.1001/jama.2018.1331. … 2021
Physician task load and the risk of burnout among US physicians in a national survey … December 21, 2018
Physicians' experiences with mistreatment and discrimination by patients
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psnet.ahrq.gov/issue/statewide-nicu-central-line-associated-bloodstream-infection-rates-decline-after-bundles-and
September 23, 2020 - This study demonstrates that effective use of checklists also depends on many local factors, principally … the institutional safety culture . … mortality of critically ill patients. … January 12, 2022
Vital signs: improving antibiotic use among hospitalized patients. … device-associated infections during the coronavirus disease 2019 (COVID-19) pandemic: results from a national survey
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psnet.ahrq.gov/issue/exploration-prescribing-error-reporting-across-primary-care-qualitative-study
June 01, 2022 - Reporting errors is a key component of improving patient safety and patient care. … A qualitative study exploring the perspective of patients and family. … 2021
A qualitative exploration of mental health service user and carer perspectives on … Changes to primary care delivery during the COVID-19 pandemic and perceived impact on … medication safety: a survey study.
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psnet.ahrq.gov/issue/cohort-study-diagnostic-delay-clinical-pathway-patients-chronic-wounds-primary-care-setting
November 18, 2020 - Diagnostic errors continue to be a source of patient harm . … during a suicidal crisis: qualitative study of patient experiences. … August 10, 2022
Explaining the negative effects of patient participation in patient safety … February 1, 2023
Predictors of response rates of safety culture questionnaires in healthcare … Results of a retrospective cross-sectional telephone survey.
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psnet.ahrq.gov/issue/tipping-balance-systematic-review-and-meta-ethnography-unfold-complexity-surgical
August 04, 2021 - August 4, 2021
Patients' experiences and perspectives of patient-reported outcome measures … outcomes on transition from adult intensive care settings: a systematic review and meta-analysis. … 2022
Work–life balance behaviours cluster in work settings and relate to burnout and safety … culture: a cross-sectional survey analysis. … September 16, 2020
Global Guidelines on the Prevention of Surgical Site Infection.
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psnet.ahrq.gov/issue/medical-record-review-deaths-unexpected-intensive-care-unit-admissions-and-clinician
October 12, 2022 - Citation
Related Resources From the Same Author(s)
The Lancet Commission on … A national survey of program directors on 2017 work hours requirements. … Improving Diagnostic Safety and Quality
April 26, 2023
Patient … February 2, 2022
Using four-phased unit-based patient safety walkrounds to uncover correctable … July 18, 2012
An intervention to decrease patient identification band errors in a children's