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psnet.ahrq.gov/issue/organizational-characteristics-and-perceptions-clinical-event-notification-services
December 02, 2020 - April 7, 2019
The effects of rudeness, experience, and perspective-taking on challenging … December 23, 2020
The impact of COVID-19 response on central line associated bloodstream … August 24, 2022
Safe clinical practice for patients hospitalised in mental health wards … during a suicidal crisis: qualitative study of patient experiences. … Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey
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psnet.ahrq.gov/issue/prevalence-harmful-diagnostic-errors-hospitalised-adults-systematic-review-and-meta-analysis
April 01, 2020 - In this systematic review, the authors pooled over 80,000 patients and 760 harmful diagnostic errors … from 22 studies and estimated the prevalence of harmful diagnostic errors among hospitalized patients … May 18, 2022
The effects of on-screen, point of care computer reminders on processes … October 28, 2020
Hospital ward adaptation during the COVID-19 pandemic: a national survey … October 16, 2012
Patient safety in dermatology: a review of the literature.
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psnet.ahrq.gov/issue/safety-shortcomings-spotted-sunrise-catheter-case
September 01, 2011 - September 1, 2011
Optimizing Crisis Resource Management to Improve Patient Safety and … August 28, 2019
Patient Safety Culture: Theory, Methods and Application. … March 27, 2005
View More
Related Resources
Survey results reveal … March 9, 2011
Toward learning from patient safety reporting systems. … 27, 2006
View More
See More About The Topic
Intensive Care Units
Patients
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/162-example-completed-learning-defects-tool.docx
October 01, 2024 - We define this learning as reducing the probability that future patients will be harmed. … This could include incidents that you believe caused patient harm or put patients at risk for significant … Survey frontline staff involved in the incident to determine whether the intervention has been used effectively … Negative contributing factors are factors that harmed or increased the risk of harm for patients. … Positive contributing factors are factors that limited the impact of harm for patients.
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psnet.ahrq.gov/issue/patient-safety-through-eyes-your-peers
August 11, 2021 - September 30, 2020
Are dental patients concerned about safety? … December 22, 2008
Factors affecting patient safety culture among dental healthcare workers … : A nationwide cross-sectional survey
October 16, 2019
View More
Related … September 20, 2016
Speaking up: factors and issues in nurses advocating for patients … when patients are in jeopardy.
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psnet.ahrq.gov/issue/textbook-patient-safety-and-clinical-risk-management
September 11, 2019 - Book/Report
Textbook of Patient Safety and Clinical Risk Management. … Citation Text:
Textbook of Patient Safety and Clinical Risk Management. … This publication introduces core theories supporting patient safety improvement. … June 9, 2021
Patient Safety: An Old and New Issue. … February 14, 2017
French national survey of inpatient adverse events prospectively assessed
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psnet.ahrq.gov/issue/complying-2008-national-patient-safety-goals
July 13, 2010 - Complying with the 2008 National Patient Safety Goals. … April 24, 2018
Preventing harm in the ICU—building a culture of safety and engaging patients … August 17, 2017
Patient and family engagement: a survey of US hospital practices. … May 15, 2013
Impact of a daily huddle on safety in perioperative services. … revolution help address patient safety?
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psnet.ahrq.gov/issue/human-factors-engineering-tool-medical-device-evaluation-hospital-procurement-decision-making
June 28, 2017 - and postgraduate trainees: a cross-sectional survey. … May 18, 2022
Care transition of trauma patients: processes with articulation work before … January 19, 2022
Effect of a pediatric early warning system on all-cause mortality in … hospitalized pediatric patients. … August 20, 2018
Error, stress, and teamwork in medicine and aviation: cross sectional surveys
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psnet.ahrq.gov/issue/stard-2015-guidelines-reporting-diagnostic-accuracy-studies-explanation-and-elaboration
February 14, 2006 - March 24, 2021
Evaluation of clinical practice guidelines on fall prevention and management … safety threats: a national survey of interns and residents. … 18, 2022
Short- and long-term effects of an electronic medication management system on … The effect of structured medication review followed by face-to-face feedback to prescribers on … Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patients
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psnet.ahrq.gov/issue/physician-knowledge-attitudes-and-behavior-related-reporting-adverse-drug-events
September 23, 2020 - This survey of 3000 randomly chosen physicians aimed to assess their knowledge and understanding of reporting … April 24, 2018
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … May 18, 2022
Patient safety after implementation of a coproduced family centered communication … July 18, 2018
The business case for patient safety. … March 2, 2011
The attitudes and beliefs of healthcare professionals on the causes and
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psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
September 01, 2006 - risks cause harm to patients. … We did our first cultural survey back in 1998 to set the benchmark. … We had a number of assumptions before the survey. … It makes our patients safer, but it doesn't directly impinge on what we do for patient safety. … I will say though—and this might sound strange—that most of the benefit to the patients for patient safety
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psnet.ahrq.gov/issue/effects-adverse-drug-event-alert-system-cost-and-quality-outcomes-community-hospitals
February 17, 2021 - and safety framework: a health system’s response to airway complications in mechanically ventilated patients … August 14, 2017
Issues and complexities in safety culture assessment in healthcare. … April 1, 2010
Doing right by our patients when things go wrong in the ambulatory setting … Building the bridge to quality: an urgent call to integrate quality improvement and patient … computer-based provider order entry at three community hospitals using an open-ended, semi-structured survey
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www.ahrq.gov/hai/tools/mvp/modules/cusp/patient-family-care-fac-guide.html
March 01, 2017 - Patient and Family Involvement in Care of Mechanically Ventilated Patients: Facilitator Guide … AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: Patient and Family Involvement in … Care of Mechanically Ventilated Patients
Say:
This module is about patient and family involvement … In this case, it was developed using the results from nurse empathy exercises and family surveys that … patients on their care plan are just some of the important aspects of patient-centered care.
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psnet.ahrq.gov/node/836941/psn-pdf
April 27, 2022 - Challenges of making a diagnosis in the outpatient setting: a
multi-site survey of primary care physicians … Impact of home care services on patient
and economic outcomes: a targeted review.?Home Health? … The three accreditation
organizations approved to conduct surveys are the Accreditation Commission for … I, section II.E, Recertification Surveys, App. B to CMS,
State Operations Manual, Pub. … Employees’ perceptions of patient safety culture in Norwegian nursing homes and
home care services.?
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psnet.ahrq.gov/issue/time-day-effects-incidence-anesthetic-adverse-events
January 03, 2017 - Time of day effects on the incidence of anesthetic adverse events. … Moreover, for most AEs, the authors could not determine whether patients were harmed or whether the error … May 18, 2022
Do patients who read visit notes on the patient portal have a higher rate … March 6, 2019
Patient Safety and the Invitational Conference on Contemporary Surgical … August 29, 2012
The 80-hour work guidelines and resident survey perceptions of quality
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psnet.ahrq.gov/issue/impact-accreditation-council-graduate-medical-education-work-hour-regulations-neurosurgical
June 03, 2020 - Impact of the Accreditation Council for Graduate Medical Education work-hour regulations on … August 4, 2021
Patient and health care professional perspectives on stigma in integrated … March 15, 2023
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … November 26, 2014
Results of a national neurosurgery resident survey on duty hour regulations … , education, and patient care: a literature review.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/slides-healthcare-safer-by-design.pdf
August 20, 2024 - studies, 2005-2016
• Hospital-based health care setting
• Relationships between burnout (BO)
and safety … culture or clinical error (10
studies), BO and patient outcomes ( 2
studies)
• Less data on engagement … every 3 years
https://www.mayoclinicproceeding
s.org/article/S0025-
6196(22)00515-8/fulltext
AMA survey … Program
• Convene: ACPH & ICPH, Boot Camps,
Learning Collaboratives
• Research: National burnout survey … patient safety
No disclosures
Agenda
Evidence for the association of Patient Safety and Professional
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psnet.ahrq.gov/issue/comparative-effectiveness-analysis-implementation-surgical-safety-checklists-tertiary-care
December 20, 2023 - The study included approximately 10,000 patients undergoing noncardiac surgery, with about half in the … May 25, 2022
Nursing strategies to safeguard COVID-19 patients from harm in the intensive … teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey … March 18, 2020
Seen through the patients' eyes: surgical safety and checklists. … safety culture in the operating theatre: a controlled intervention study.
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psnet.ahrq.gov/node/43091/psn-pdf
May 30, 2014 - Jt Comm J Qual Patient Saf.
2014;40(4):161-167. … development-professionalism-committee-approach-address-unprofessional-
medical-staff-behavior
Unprofessional behavior can hinder patient … A
prior AHRQ WebM&M commentary focused on the importance of professionalism in patient safety, and an … development-professionalism-committee-approach-address-unprofessional-medical-staff-behavior
https://psnet.ahrq.gov/primer/disruptive-and-unprofessional-behavior
https://psnet.ahrq.gov/issue/survey-impact-disruptive-behaviors-and-communication-defects-patient-safety
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/17-engaging-stakeholders-data.docx
June 01, 2023 - huddle in the operating room (OR)
Patient education provided to patient/caregiver
- Enter here … - Enter here
Evidence of advanced care planning (for patients age 65 years and older)a
-Enter here … Enter here
First postop intake of solids
- Enter here
- Enter here
Postop delirium screening (patients … the procedure and patient risk factors
cExamples of assessments include the AHRQ Hospital Survey on … Patient Safety Culture and the Safety Attitudes and Safety Climate Questionnaire
AHRQ Pub.