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4601. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient.pptx
      May 28, 2015 - Did daily assessments during rounds on the patient include an evaluation of the need for urinary catheters … [PATIENT/FAMILY ENGAGEMENT] Key messages: Patients and their family members can effectively impact patient … Auditing/survey – asking open questions Nursing based - Urinary insertion/removal protocol Providing … family presence policies   Key messages: Patients and their family members can effectively impact patient … Patient Advisors to serve on safety and quality performance improvement teams 49 49 unique

4602. Antibiotic prescribing errors in patients discharged from the pediatric emergency department. | PSNet
      psnet.ahrq.gov/issue/antibiotic-prescribing-errors-patients-discharged-pediatric-emergency-department
      September 22, 2021 - Study Antibiotic prescribing errors in patients discharged from the pediatric emergency … Antibiotic prescribing errors in patients discharged from the pediatric emergency department. … September 22, 2021 "Good catch, Kiddo"--enhancing patient safety in the pediatric emergency … diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient … April 14, 2021 ASHP national survey of pharmacy practice in hospital settings: prescribing

4603. Distraction and interruption in anaesthetic practice. | PSNet
      psnet.ahrq.gov/issue/distraction-and-interruption-anaesthetic-practice
      May 18, 2022 - diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient … A survey of physician and nurse knowledge, attitudes, and practices around injection safety. … 2021 Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient … patient safety. … general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues.

4604. Prevalence of inappropriate antibiotic prescriptions among US ambulatory care visits, 2010–2011. | PSNet
      psnet.ahrq.gov/issue/prevalence-inappropriate-antibiotic-prescriptions-among-us-ambulatory-care-visits-2010-2011
      November 12, 2014 - November 12, 2014 Perioperative patient safety recommendations: systematic review of … July 23, 2018 Older adults' awareness of deprescribing: a population-based survey. … February 28, 2018 Swimming against the tide: primary care physicians' views on deprescribing … July 27, 2016 A qualitative analysis of physician perspectives on missed and delayed … outpatient diagnosis: the focus on system-related factors.

4605. Detecting and assessing suicide ideation during the COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/improvement-brief-detecting-and-assessing-suicide-ideation-during-covid-19-pandemic
      October 13, 2021 - Jt Comm J Qual Patient Saf . 2021; 47 (7) :452-457 . … portal messaging can facilitate systematic identification and assessment of suicide risk among patients … October 28, 2020 Development and validation of a brief culture-of-safety survey. … December 18, 2017 Training Program for Nurses on Shift Work and Long Work Hours. … April 1, 2024 Advanced medication reconciliation: a systematic review of the impact on

4606. Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center. | PSNet
      psnet.ahrq.gov/issue/evaluating-horizontal-violence-and-bullying-nursing-workforce-oncology-academic-medical
      February 24, 2021 - patient safety. … and delivery: development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire … June 2, 2019 Effects of individual nurse and hospital characteristics on patient adverse … 2016 Medication double-checking procedures in clinical practice: a cross-sectional survey … January 4, 2012 Oncology nurses' perceptions about involving patients in the prevention

4607. Data Collection and Analysis | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsi3.html
      January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Neonatal CLABSI Prevention Data Collection … Analysis Previous Page Next Page Table of Contents Eliminating CLABSI, A National Patient … possible, participating hospitals were matched to their American Hospital Association (AHA) 2010 Annual Survey … rapid initiation of the project, the neonatal National Project Team (NPT) elected not to administer a patient … The tool was developed based on the adult On the CUSP: Stop BSI Team Check-Up Tool. 

4608. The impact of trained assistance on error rates in anaesthesia: a simulation-based randomised controlled trial. | PSNet
      psnet.ahrq.gov/issue/impact-trained-assistance-error-rates-anaesthesia-simulation-based-randomised-controlled
      January 28, 2009 - Study The impact of trained assistance on error rates in anaesthesia: a simulation-based … 2021 Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient … diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient … Crisis scenarios for simulation-based nontechnical skills training for cardiac surgery teams: a national survey … April 12, 2023 Complications associated with the anesthesia transport of pediatric patients

4609. Evaluating patient identification practices during intrahospital transfers: a human factors approach. | PSNet
      psnet.ahrq.gov/issue/evaluating-patient-identification-practices-during-intrahospital-transfers-human-factors
      August 18, 2021 - Evaluating the impact of radio frequency identification retained surgical instruments tracking on … patient and workforce safety. … 30, 2022 Communication during interhospital transfers of emergency general surgery patients … March 22, 2023 Identifying safety practices perceived as low value: an exploratory survey … units: findings from the LaborRNs survey.

4610. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49773/psn-pdf
      July 01, 2016 - When the obstetrics team rounded on the patient several hours later, AROM (artificial rupture of membranes … prophylactic intrapartum antibiotics for patients at risk for GBS transmission to neonates, and specific … electronic resource provides an efficient means for providers to determine appropriate GBS screening for patients … Survey of American obstetricians regarding group B streptococcus: opinions and practice patterns. … Committee on Patient Safety and Quality Improvement.

4611. Team Checkup Tool | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp5b.html
      January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide Team Checkup … Tool Previous Page Next Page Table of Contents Eliminating CLABSI, A National Patient … Initially, cohorts were requested to complete the TCT on a monthly basis. … Both versions of the survey instrument can be found in Appendix F . … Although survey response was low (~18 percent completion), results found an increase in "adoption of

4612. Improvement Methods Overview (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d1_pdi_improvementmethodsoverview.pdf
      June 02, 2025 - • These slides may be useful earlier on in the process than during implementation; feel free to use … Organizational Readiness for Change related to the Pediatric Quality Indicators (Section A tools or AHRQ Survey … on Patient Safety Culture) • Review current performance on each of the metrics (Section B tools) • … leadership Step 5 Evaluate, Standardize, and Communicate • Project Evaluation (Tool D.8) • Focus on … Select Best Practices (Tools D.3, D.4) • Conduct a Gap Analysis (Tool D.5) • Select Best Practices on

4613. Comparing safety, performance and user perceptions of a patient-specific indication-based prescribing tool with current practice: a mixed methods randomised user testing study. | PSNet
      psnet.ahrq.gov/issue/comparing-safety-performance-and-user-perceptions-patient-specific-indication-based
      December 18, 2019 - of patients with COVID-19: a systematic review. … April 20, 2022 The impact of electronic health record interoperability on safety and … January 17, 2024 Exploring the impact of safety culture on incident reporting: lessons … learned from machine learning analysis of NHS England staff survey and incident data. … April 27, 2011 The influence that electronic prescribing has on medication errors and

4614. Declines in hospitalizations for acute cardiovascular conditions during the COVID-19 pandemic: a multicenter tertiary care experience. | PSNet
      psnet.ahrq.gov/issue/declines-hospitalizations-acute-cardiovascular-conditions-during-covid-19-pandemic
      April 24, 2018 - Patients are delaying   or forgoing   necessary care due to concerns about COVID-19 transmission. … October 21, 2020 The impact of the COVID-19 pandemic on Emergency Department visits and … patient safety in the United States. … Delayed access to care and late presentations in children during the COVID-19 pandemic: a snapshot survey … April 29, 2020 A war on two fronts: cancer care in the time of COVID-19.

4615. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33813/psn-pdf
      August 01, 2016 - safety culture in the dental ecosystem.( 20) As challenging as it has been to establish a safety culture … [Available at] 13. 2010 Survey of Dental Practice: Characteristics of Dentists in Private Practice and … Their Patients. … Code on Dental Procedures and Nomenclature (CDT Code) 2013. … Open wide: looking into the safety culture of dental school clinics. J Dent Educ. 2014;78:745-756.

4616. Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. | PSNet
      psnet.ahrq.gov/issue/risk-evaluation-and-mitigation-strategy-rems-programs-and-medication-safety-parts-i-and-ii
      March 15, 2022 - Strategy (REMS) programs help to ensure the safe use of distinct medications through communication, patient … Copy Citation Related Resources From the Same Author(s) Survey suggests disrespectful … March 14, 2023 Results of survey on pediatric medication safety—part 1 and part 2. … July 8, 2015 Just Culture and its critical link to patient safety—part 1 and part 2. … June 16, 2019 Reduce readmissions with pharmacy programs that focus on transitions from

4617. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49838/psn-pdf
      August 01, 2018 - In a survey of bereaved family members, 13% observed that the patients received care that was not consistent … ' goals, we need to apply the principles of safety culture, just as we do to prevent CLABSI. … limits on life-sustaining therapies. … Keeping patients safe. 7. … Transition to Comfort Care—ICU Huddle Checklist   Click on thumbnail for full view of Figure.

4618. Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm. | PSNet
      psnet.ahrq.gov/issue/mix-ups-between-epidural-analgesia-and-iv-antibiotics-labor-and-delivery-units-continue-cause
      January 24, 2018 - This newsletter article reports on incidents involving the accidental misuse of epidural analgesia … Related Resources From the Same Author(s) Drug shortages continue to compromise patient … Smart pump custom concentrations without hard "low concentration" alerts can lead to patient … August 8, 2018 Survey results: smart pump data analytics pump metrics that should be … July 25, 2018 IV push medications survey results—part 1 and part 2.

4619. Implementing a fatigue countermeasures program for nurses: a focus group analysis. | PSNet
      psnet.ahrq.gov/issue/implementing-fatigue-countermeasures-program-nurses-focus-group-analysis
      February 19, 2010 - December 22, 2008 Effects of critical care nurses' work hours on vigilance and patients … Effect of delays in the 2-week-wait cancer referral pathway during the COVID-19 pandemic on … August 19, 2020 Survey of nurses' experiences applying The Joint Commission's medication … September 14, 2016 Do nurse and patient injuries share common antecedents? … February 8, 2012 Fatigue, performance and the work environment: a survey of registered

4620. Diagnostic discrepancies in the emergency department: a retrospective study. | PSNet
      psnet.ahrq.gov/issue/diagnostic-discrepancies-emergency-department-retrospective-study
      October 04, 2023 - J Patient Saf. 2024;20(6):420-425. doi:10.1097/pts.0000000000001252. … October 4, 2023 Think twice: effects on diagnostic accuracy of returning to the case … September 18, 2024 Effect on diagnostic accuracy of cognitive reasoning tools for the … September 14, 2022 Patient and visitor aggression in healthcare: a survey exploring organisational … safety culture and team efficacy.