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psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use
September 22, 2010 - Multiple cultures from urine, blood, and sputum yielded no organisms, but the patient was kept on antibiotics … Antibiotic utilization: is there an effect on antimicrobial resistance?. … The influence of inadequate antimicrobial treatment of bloodstream infections on patient outcomes in … Patient safety: infection control - a problem for patient safety. … March 21, 2017
Preventing catheter-associated bloodstream infections: a survey of policies
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psnet.ahrq.gov/issue/implementation-participatory-organizational-change-long-term-care-improve-safety
February 01, 2012 - Working conditions for healthcare workers can affect patient safety. … Canada, this study found that a participatory organizational change program can have positive impacts on … Organizational readiness to change as a leverage point for improving safety: a national nursing home survey … 11, 2022
The effect of providing staff training and enhanced support to care homes on … medication safety: a survey study.
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psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
December 15, 2024 - It is estimated that one in seven patients is affected by adverse events, and that as many as half … Moving On Clinicians feel internal and external pressure to "move on," and in the study had three forms … The basics of disclosing errors to patients are covered in another Patient Safety Primer . … and Workforce Safety Culture in Healthcare
March 27, 2024
Psychosocial working … February 1, 2023
Multispecialty physician online survey reveals that burnout related
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www.ahrq.gov/sites/default/files/2024-01/guise2-report.pdf
January 01, 2024 - To explore the ability of information technology (IT) to create a statewide
safety culture and to expand … III) Explore the ability of information technology (IT) to create a statewide safety
culture and to … Assessment
Skill
Team Work
Safety Culture
Immediate Assessment
Skill
Team Work
… Culture and Expand the Reach of Simulations
We successfully built a website to support a safety culture … The Joint Commission Journal on Quality and Patient
Safety. 2007.
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digital.ahrq.gov/ahrq-funded-projects/critical-access-hospital-partnership-health-information-technology
January 01, 2023 - exams when patients are transferred from one provider to another. … The project successfully developed a patient identification system to accurately identify patients and … surveys as required to assess the impacts of the HIE solution at the local level. … improving patient safety and efficiency by:
Reducing duplicate tests or other exams when patients … Later, they went on to champion the project to other physicians, he says.
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psnet.ahrq.gov/issue/effects-state-opioid-prescribing-laws-use-opioid-and-other-pain-treatments-among-commercially
October 13, 2018 - Author(s)
Prescription opioid use, misuse, and use disorders in U.S. adults: 2015 National Survey … on Drug Use and Health. … diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient … opioid prescribing and treatment of opioid use disorder in internal medicine residencies: a national survey … January 18, 2023
Inappropriate prescribing of opioids for patients undergoing surgery
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psnet.ahrq.gov/issue/2004-ashp-leadership-conference-pharmacy-practice-management-executive-summary-improving
June 16, 2019 - Management Executive Summary: Improving patient care and medication safety. … patient care and medication safety. … Pharmacy Practice Management Executive Summary: improving patient care and medication safety. … May 28, 2015
Language barriers to prescriptions for patients with limited English proficiency … : a survey of pharmacies.
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case1.html
November 01, 2014 - survey that is used at the hospitals, was not mailed to patients and likely resulted in lower survey … Overall, respondents experienced gains in efficiency, cultural change, and patient experience and moderate … Executives reported that specific gains occurred in the patient and employee satisfaction surveys, which … The Press-Ganey patient satisfaction survey asks specifically how the discharge process went. … [sic] We had the hospitalists take over ownership of the patient, and we cohorted their patients on a
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psnet.ahrq.gov/issue/error-codes-autopsy-study-potential-biases-diagnostic-error
November 30, 2012 - From 2015-2019, however, there were no significant differences by gender, but patients identified as … comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety … culture. … July 13, 2010
A survey of the use of time-out protocols in emergency medicine. … Safety and Quality
April 26, 2023
Regret among primary care physicians: a survey
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psnet.ahrq.gov/issue/preventing-medication-errors-empowering-patients
September 28, 2016 - in hospital: a cross-sectional survey. … September 16, 2020
Open Notes shines light on errors in patient medical records — will … May 2, 2018
Assessing nursing quality and patient safety. … April 13, 2011
A human factors framework and study of the effect of nursing workload on … patient safety and employee quality of working life.
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psnet.ahrq.gov/issue/why-admitting-mistakes-can-help-doctors-and-patients
September 13, 2023 - Audiovisual Presentation
Why admitting to mistakes can help doctors (and patients … Citation Text:
Why admitting to mistakes can help doctors (and patients). McDonald T. … The lack of a safety culture fundamentally restricts the ability of clinicians to address mistakes, … patients. … Please take our survey!
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015400-brown-final-report-2008.pdf
January 01, 2008 - All healthcare professionals at each hospital will be ask to participate in the Hospital Survey
on Patient … Safety Culture in the study. … The survey will be voluntary. … The patient record will never become part of the data.
(3) There was minimal risk to patients. … Safety Culture: A Practical Approach to
Developing Performance Improvement Initiatives.
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psnet.ahrq.gov/issue/simulation-improve-patient-safety-getting-started
June 26, 2024 - of these two elements provides an adaptable training strategy for learning without direct harm to patients … Frameworks
December 14, 2022
View More
Related Resources
Survey … September 11, 2024
AHRQ-Funded Patient Safety Project Highlights: Improving Patient Safety … September 11, 2024
WHO Global Report on Patient Safety. … March 20, 2024
Why simulation matters: a systematic review on medical errors occurring
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psnet.ahrq.gov/issue/potential-twitter-data-source-patient-safety
October 29, 2012 - These researchers reviewed 839 publicly available posts on Twitter that mentioned a possible patient … The authors conclude that Twitter may be a useful data source for obtaining patient perspectives on … January 2, 2017
Creating a high-reliability health care system: improving performance on … June 9, 2021
Learning from patients' experiences related to diagnostic errors is essential … June 18, 2013
Measurement for improvement: a survey of current practice in Australian
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psnet.ahrq.gov/issue/center-innovations-quality-effectiveness-and-safety-iquest
April 06, 2022 - The goals of the program include a focus on behavioral health interventions and measurement . … January 25, 2017
Joint Statement on Multiple Patients Per Ventilator. … Wears Patient Safety Leadership Award. … April 1, 2020
Patient perspectives on the usefulness of an artificial intelligence-assisted … symptom checker: cross-sectional survey study.
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psnet.ahrq.gov/issue/ibeas-pioneer-study-patient-safety-latin-america-towards-safer-hospital-care
January 29, 2019 - Book/Report
IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer … This publication reports on the findings of the Latin American Study of Adverse Events, the first survey … March 9, 2022
10 Facts on Patient Safety. … March 20, 2024
WHO Global Report on Patient Safety. … February 18, 2009
Building a Culture of Patient Safety: Report of the Commission on Patient
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psnet.ahrq.gov/issue/effects-hospital-safety-scores-total-price-out-pocket-cost-and-household-income-consumers
July 02, 2014 - J Patient Saf. 2017;13(4):192-198. doi:10.1097/PTS.0000000000000146. … This online survey measured how the Leapfrog Group quality rating system and cost affected patients … Patients chose quality over cost in almost all scenarios, particularly when the differential was large … 2020
Interunit handoffs from emergency department to inpatient care: a cross-sectional survey … Eisenberg Patient Safety and Quality Award Recipients Announced.
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psnet.ahrq.gov/node/72689/psn-pdf
January 29, 2021 - 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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psnet.ahrq.gov/issue/interventions-and-measurements-highly-reliableresilient-organization-implementations
July 21, 2021 - July 21, 2021
Care transition of trauma patients: processes with articulation work before … Delayed access to care and late presentations in children during the COVID-19 pandemic: a snapshot survey … July 29, 2020
Do patient engagement interventions work for all patients? … December 8, 2021
Communication with patients and families regarding health care-associated … care and adverse events during COVID-19: a cross-sectional online survey among nurses.
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psnet.ahrq.gov/issue/icd-11-quality-and-safety-overview-who-quality-and-safety-topic-advisory-group
February 17, 2017 - Opportunities and challenges for quality and safety applications in ICD-11: an international survey … November 30, 2022
International comparability of patient safety indicators in 15 OECD … Consequences of Safety-II on governmental regulation of healthcare quality. … May 11, 2016
Patient safety in the era of healthcare reform. … May 22, 2015
Public reporting of patient safety metrics: ready or not?