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psnet.ahrq.gov/issue/high-cost-retained-surgical-items
February 22, 2023 - Retained surgical items (RSIs) are considered “ never events ” but continue to be a source of patient … causes and preventability of unintentionally retained foreign objects after surgery: a national expert survey … Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey … on United States operating rooms. … April 14, 2021
The impact of surgical count technology on retained surgical items rates
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psnet.ahrq.gov/issue/association-between-implementation-intensivist-led-medical-emergency-team-and-mortality
July 13, 2010 - Download Citation
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A survey … January 4, 2012
Association between hospital performance on patient safety and 30-day … June 22, 2022
National trends in patient safety for four common conditions, 2005–2011 … April 30, 2014
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Organizational and safety culture in Canadian intensive care units: relationship
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psnet.ahrq.gov/issue/medication-administration-errors-nurses-adherence-guidelines
July 08, 2020 - administering the right medication, in the right dose, at the right time, by the right route, to the right patient … March 5, 2025
Nurses' perception of error reporting and patient safety culture in Korea … October 3, 2011
Results of a survey on medical error reporting systems in Korean hospitals … January 23, 2019
Effect of reducing interns' work hours on serious medical errors in … , 2017
Nurses' perceived skills and attitudes about updated safety concepts: impact on
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psnet.ahrq.gov/node/33700/psn-pdf
October 01, 2010 - academic medical center, focused on patient safety. … It's about putting the
patient first. … government is doing to prevent health care–associated infections, and as part of that he planned
to survey … When I saw the survey, I
said, that's okay to ask, but I think a more important question is, are they … I think patients deserve better than that.
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psnet.ahrq.gov/issue/frailty-gaps-care-coordination-and-preventable-adverse-events
January 18, 2023 - The effect of structured medication review followed by face-to-face feedback to prescribers on … and risk factors in patients visiting a post-COVID-19 outpatient clinic. … performance of a drug-drug interaction clinical decision support system: quantitative evaluation and end-user survey … safety culture. … Identifying factors leading to harm in English general practices: a mixed-methods study based on
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psnet.ahrq.gov/issue/analysis-risk-medical-errors-using-structural-equation-modelling-6-month-prospective-cohort
June 10, 2020 - This study reports on a quantitative, prospective approach to identifying latent causes of medical errors … inappropriate medications according to STOPP-J criteria and risks of hospitalization and mortality in elderly patients … stress, and collaboration among ward staff in relation to risk of hospital-associated infection among patients … care and adverse events during COVID-19: a cross-sectional online survey among nurses. … June 9, 2021
What has been the impact of Covid-19 on safety culture?
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psnet.ahrq.gov/issue/appropriateness-outpatient-antibiotic-prescribing-among-privately-insured-us-patients-icd-10
January 29, 2020 - Classic
Appropriateness of outpatient antibiotic prescribing among privately insured US patients … Appropriateness of outpatient antibiotic prescribing among privately insured US patients: ICD-10-CM based … Prescribing unnecessary antibiotics increases the risk of resistant infections and can lead to patient … May 11, 2022
2018 update on pediatric medical overuse: a review. … September 29, 2017
Medical Office Survey on Patient Safety Culture: 2016 User Comparative
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psnet.ahrq.gov/issue/better-nurse-staffing-associated-survival-black-patients-and-diminishes-racial-disparities
June 02, 2021 - Prior research has shown that lower nurse-to-patient ratios are associated with increased patient mortality … ratio legislation on nurse staffing and patient mortality, readmissions, and length of stay: a prospective … on healthcare quality? … A survey study. … safety culture, higher employee engagement and lower burnout.
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psnet.ahrq.gov/issue/automated-drug-dispensing-system-reduces-medication-errors-intensive-care-setting
April 08, 2009 - Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety … culture. … April 23, 2014
Chemotherapeutic errors in hospitalised cancer patients: attributable … February 1, 2012
Patient safety incidents are common in primary care: a national prospective … active incident reporting survey.
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psnet.ahrq.gov/issue/development-emergency-department-trigger-tool-using-systematic-search-and-modified-delphi
August 30, 2017 - J Patient Saf. 2016;16(1):e11-e17. doi:10.1097/pts.0000000000000243. … April 26, 2023
The effect of clinician feedback interventions on opioid prescribing. … September 20, 2017
Pediatric prehospital medication dosing errors: a national survey … September 10, 2014
The effects of resident level of training on the rate of pediatric … July 14, 2010
The impact of clinically undiagnosed injuries on survival estimates.
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psnet.ahrq.gov/node/49625/psn-pdf
May 01, 2011 - And it's not just the occasionally incompetent clinician who
commits these errors: in anonymous surveys … I have made a survey of convenience of anesthesiologists of my acquaintance, of many
different ages … Most anesthesiologists believe that during the transfer of
relatively unstable patients from the OR … These patients are just emerging from anesthesia, and
are notoriously subject to several abrupt physiological … Medication errors in anesthetic practice: a survey of 687 practitioners.
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psnet.ahrq.gov/issue/patient-safety-leadership-academy-university-pennsylvania-first-cohorts-learning-experience
October 04, 2011 - surgery during the first wave of the novel coronavirus pandemic in the United Kingdom: a survey of 158 … patients. … of the Committee on Technology. … July 23, 2010
Patient safety perceptions: a survey of Iowa physicians, pharmacists, and … July 13, 2010
Clear liquids may place patients at risk.
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psnet.ahrq.gov/web-mm/see-patient-first
September 27, 2023 - On rounds the following morning, the patient reported new oral pain which had started early the previous … Both sets of blood cultures remained negative and the patient was discharged on hospital day five with … of patients with neutropenic fever, relying only on sign-out instructions instead, which heavily influences … patient outcomes and, unfortunately, the available literature on this subject is mixed. … Handoffs causing patient harm: a survey of medical and surgical house staff.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/e1_pdi_monitorprogress.pdf
June 02, 2025 - This tool also will build on the
work you did using the tools on Implementation Measurement (Tool D.7 … If these
sources do not provide the needed data, you can use chart abstractions, surveys, new
administrative … To produce accurate reports for measures
that are calculated as rates (e.g., percentage of patients … with postsurgical infections), it is
important to have complete counts for the relevant patient populations … (e.g., all patients
who had surgery during a time period).
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psnet.ahrq.gov/issue/south-carolina-medication-error-bill-dangerously-target
October 14, 2015 - the bill does not recognize the role of human error and systems failure in mistakes that result in patient … May 7, 2018
Results of survey on pediatric medication safety—part 1 and part 2. … November 18, 2015
Managing hospitalized patients with ambulatory pumps: findings from … an ISMP survey—Part 1. … June 10, 2018
Preventing high-alert medication errors in hospital patients.
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psnet.ahrq.gov/issue/where-trust-flourishes-perceptions-clinicians-who-trust-their-organizations-and-are-trusted
March 15, 2023 - and health care professional perspectives on stigma in integrated behavioral health: barriers and recommendations … March 15, 2023
Effects of a refined evidence-based toolkit and mentored implementation on … team and patients. … Association of open communication and the emotional and behavioural impact of medical error on … patients and families: state-wide cross-sectional survey.
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psnet.ahrq.gov/issue/comparison-internal-medicine-and-general-surgery-residents-assessments-risk-postsurgical
September 27, 2017 - This cross-sectional survey compared internal medicine and surgery residents' gestalt assessment of perioperative … risk in complex patients to National Surgical Quality Improvement Program estimates. … January 9, 2019
Crisis management on surgical wards: a simulation-based approach to enhancing … technical, teamwork, and patient interaction skills. … April 21, 2015
Influence of house-staff experience on teaching-hospital mortality: the
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/icu-assessment.docx
April 01, 2022 -
Current Infection Prevention and Safety Culture Practices – Central Lines
If not focusing on CLABSI … O
O
O
Current Infection Prevention and Safety Culture Practices – Indwelling Urinary Catheters
If … a mannequin or on a patient. … MM/DD/YYY
What type of survey was given? … · Hospital Survey on Patient Safety (HSOPS)
· Safety Attitudes Questionnaire (SAQ)
· Manchester Patient
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psnet.ahrq.gov/issue/role-checklists-and-human-factors-improved-patient-safety-plastic-surgery
November 02, 2016 - Commentary
The role of checklists and human factors for improved patient safety in … The Role of Checklists and Human Factors for Improved Patient Safety in Plastic Surgery. … causes and preventability of unintentionally retained foreign objects after surgery: a national expert survey … survey study among healthcare staff. … December 1, 2021
Patient safety in the office-based setting.
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psnet.ahrq.gov/issue/redeployment-health-care-workers-covid-19-pandemic-qualitative-study-health-system-leaders
March 17, 2021 - J Patient Saf. 2021;17(4):256-263. doi:10.1097/pts.0000000000000847. … J Patient Saf. 2021;17(4):256-263. doi:10.1097/pts.0000000000000847. … November 25, 2020
What has been the impact of Covid-19 on safety culture? … considerations in using personal protective equipment in the COVID-19 pandemic context: a bi-national survey … July 1, 2020
Safety at the time of the COVID-19 pandemic: how to keep our oncology patients