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psnet.ahrq.gov/issue/care-coordination-strategies-and-barriers-during-medication-safety-incidents-qualitative
March 17, 2021 - study examined medication safety incidents at one VA hospital and found that health care providers rely on … Resources From the Same Author(s)
Barriers to accessing nighttime supervisors: a national survey … outcomes on transition from adult intensive care settings: a systematic review and meta-analysis. … Project Highlights: Improving Patient Safety by Enhancing Care Coordination. … April 5, 2023
ISMP survey on tall man (mixed case) lettering to reduce drug name confusion
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psnet.ahrq.gov/issue/harvey-cushings-open-and-thorough-documentation-surgical-mishaps-dawn-neurologic-surgery
November 16, 2022 - Cushing not only meticulously documented his own surgical errors, but published statistics on his intraoperative … January 15, 2020
Comparing NICU teamwork and safety climate across two commonly used survey … June 25, 2018
Impact of resident participation on morbidity and mortality in neurosurgical … procedures: an analysis of 16,098 patients. … Impact of the Accreditation Council for Graduate Medical Education work-hour regulations on
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psnet.ahrq.gov/web-mm/danger-disruption
July 29, 2020 - physicians are viewed as customers of hospital administrators who must be catered to because they bring in patients … Not patients. Not nurses. … These could include: Survey nurses and physicians for perceptions of disruptive behavior and the … impact on patient safety. … Interprofessional conflict and medical errors: results of a national multi-specialty survey of hospital
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psnet.ahrq.gov/node/43889/psn-pdf
February 11, 2015 - psnet.ahrq.gov/issue/medical-liability-climate-and-prospects-reform
https://psnet.ahrq.gov/issue/ebola-us-patient-zero-lessons-misdiagnosis-and-effective-use-electronic-health-records … https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2014-user-comparative-database-report
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www.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-slides.html
December 01, 2017 - On bottom right of slide is the CDC logo. … targeted antibiotics:
216 DDD/1000 patient days to 161. … the impact of stewardship on C. difficile included 16 studies. … Slide 16
Stewardship Optimizes Patient Safety: Decreased Patient-level Resistance
Image on left … device use)
Indication, duration
HOSPITALISTS
Slide 32
Growth of Hospital Medicine
AHA Survey
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psnet.ahrq.gov/issue/evidence-based-interventions-reduce-adverse-events-hospitals-systematic-review-systematic
December 04, 2015 - questionnaire survey. … March 9, 2016
Stakeholder perspectives on handovers between hospital staff and general … February 9, 2022
Perioperative safety determinants in ethnic patient groups. … A survey of 10 healthcare professions in the Netherlands about experiences with impaired and incompetent … View More
Related Resources
What quality and safety of care for patients
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psnet.ahrq.gov/issue/resident-and-family-engagement-medication-management-aged-care-facilities-systematic-review
August 11, 2021 - September 9, 2020
Methods used to obtain pediatric patient weights, their accuracy and … associated drug dosing errors in 142 simulated prehospital pediatric patient encounters. … Related Resources
Registered nurses' efforts to ensure safety for home-dwelling older patients … 2021
Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey … December 27, 2018
Patient safety culture in care homes for older people: a scoping review
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psnet.ahrq.gov/issue/through-patients-eyes-understanding-and-promoting-patient-centered-care
October 04, 2006 - The authors discuss the key tenets of patient-centered care, drawing on empirical research, theory, and … results of many surveys of patients, providers, and administrators. … October 4, 2006
Partnering with Patients and Families to Design a Patient- and Family-Centered … February 7, 2019
Putting Patients First: Best Practices in Patient-Centered Care. … November 21, 2016
Partnering with Patients and Families to Design a Patient- and Family-Centered
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psnet.ahrq.gov/issue/cybersecurity-clinician
March 15, 2023 - This eight-episode video series provides an overview for non-technologists on how cyberattacks happen … Related Resources From the Same Author(s)
AMA Prior Authorization (PA) Physician Survey … November 26, 2008
Health Literacy and Patient Safety: Help Patients Understand. … the Safety of Patients. … patients.
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psnet.ahrq.gov/issue/cmpa-good-practices-guide
November 21, 2018 - Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners. … August 16, 2016
Canada continues to lag behind other OECD countries on measures of patient … safety
December 4, 2019
Never Events for Hospital Care in Canada: Safer Care for Patients … October 25, 2017
International Comparisons: A Focus on Quality of Care. … for the Hospital Survey.
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psnet.ahrq.gov/node/40166/psn-pdf
April 03, 2017 - Jt Comm J Qual Patient Saf. 2011;37(2):59-69. … adopting leadership standards to
promote patient safety. … offers a strategic framework for
leaders to address conflict as a key component of providing safe patient … In
part 2, the authors focus on designing a process for managing conflict and developing competencies … psnet.ahrq.gov/issue/interprofessional-conflict-and-medical-errors-results-national-multi-specialty-survey
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psnet.ahrq.gov/issue/identifying-and-encouraging-high-quality-healthcare-analysis-content-and-aims-patient-letters
September 14, 2022 - July 28, 2021
Impact of providing patients access to electronic health records on quality … incidents involving the use of advanced medical technologies by nurses in home care: a cross-sectional survey … 26, 2023
Identifying safety practices perceived as low value: an exploratory survey … by Engaging Patients and Families. … August 5, 2020
Lessons learned from a systems approach to engaging patients and families
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psnet.ahrq.gov/node/60025/psn-pdf
March 11, 2020 - safety-and-quality-long-term-care
https://psnet.ahrq.gov/issue/recognizing-and-responding-toxic-work-environment-worker-safety-patient-safety-and
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www.ahrq.gov/sites/default/files/2024-02/green-report.pdf
January 01, 2024 - Two manuscripts based on survey findings are currently under peer review, and a third
is in preparation … feedback on patient education materials accompanying the PBN (including treatment referral resources) … In the survey year 2, of approximately
3100 invitations, there were 357 pharmacist survey respondents … Dispensing naloxone was also associated with feeling
prepared to offer education to the patient on using … The discharged patient who has his naloxone used on him by his sober house roommate may also not know
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psnet.ahrq.gov/issue/unsafe-design-infusion-task-reallocation-and-safety-perceptions-us-hospitals
December 21, 2017 - This survey of nurses in the United States found that infusion task reallocation led to increased job … The effects of leadership for self-worth, inclusion, trust, and psychological safety on … July 17, 2024
Voices from frontline nurses on care quality and patient safety during … March 15, 2023
Nurses as 'second victims' to their patients' suicidal attempts: a mixed-method … adverse events during COVID-19: a cross-sectional online survey among nurses.
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psnet.ahrq.gov/issue/single-patient-rooms-safe-patient-centered-hospitals
April 01, 2016 - While single-patient rooms have been associated with patients feeling safer, there is some debate about … whether patients' satisfaction equates to their safety. … However, they conclude that efforts at hospital design could have greater impact on patient safety … Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey … Snakes on a dock.
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psnet.ahrq.gov/issue/multi-site-assessment-inpatient-safety-event-rates-during-coronavirus-disease-2019-pandemic
May 25, 2022 - surgery during the first wave of the novel coronavirus pandemic in the United Kingdom: a survey of 158 … patients. … medication safety: a survey study. … September 30, 2020
Why accountability sharing in health care organizational cultures means patients … Consequences of Safety-II on governmental regulation of healthcare quality.
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psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy
January 06, 2017 - January 6, 2017
Oral chemotherapy safety practices at US cancer centres: questionnaire … survey. … March 3, 2011
Comparing patient-reported hospital adverse events with medical record … January 22, 2017
Patient-reported safety and quality of care in outpatient oncology. … January 5, 2017
National survey on the effect of oncology drug shortages on cancer care
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psnet.ahrq.gov/issue/training-health-care-professionals-root-cause-analysis-cross-sectional-study-post-training
February 29, 2012 - April 12, 2017
Never events in UK general practice: A survey of the views of general … practitioners on their frequency and acceptability as a safety improvement approach
December 11, … March 23, 2022
Evaluation of clinical practice guidelines on fall prevention and management … November 21, 2011
Resident fatigue: is there a patient safety issue? … January 6, 2010
Survey evaluation of the National Patient Safety Agency’s Root Cause
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datatools.ahrq.gov/nhqdr/nhqdr-data-spotlight-and-infographics-factsheets/
January 01, 2022 - This website is not supported on mobile devices. … Fact sheets on AHRQ research topics and programs. … Fact Sheets include additional information on AHRQ research topics and programs, such as children’s health … Safety
AHRQ fact sheets about medical errors and patient safety
Improving Patient Safety Through … Toolkit for Using the AHRQ Quality Indicators
Toolkit To Improve Safety for Mechanically Ventilated Patients