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psnet.ahrq.gov/issue/alternative-strategy-studying-adverse-events-medical-care
June 03, 2020 - , regardless of whether they were subsequently recorded in the medical record or discussed with the patient … symptoms and work-related behavior among healthcare workers and other professionals: results of a global survey … patient safety and employee quality of working life. … Healthcare professional views on hospital to home care transitions. … on medical wards: self-assessment of quality of care is suboptimal.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_508.docx
April 05, 2013 - experience of care surveys, CMS quality care measures, or informal feedback from patients and families … and families, either by visiting current patients on specific units or by inviting patients and family … Hospital Survey scores, including overall scores and scores on questions that relate more directly to … Hospital Examples:
Adding Questions to Patient Experience of Care Surveys to Assess Patient and Family … patients in decisions about treatment
Extent to which patient and family are educated on how to report
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psnet.ahrq.gov/issue/ismp-medication-safety-alertr-nurse-advise-err
January 26, 2023 - nurses who transcribe medication orders, administer medications, and monitor the effects of medications on … patients. … November 16, 2022
ISMP Survey on High-Alert Medications in Acute Care Settings. … February 12, 2020
Patient Safety. … July 24, 2013
Drug, Healthcare and Patient Safety.
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digital.ahrq.gov/sites/default/files/docs/page/2006Glab_051711comp.pdf
June 16, 2021 - established a community
anticoagulation therapy clinic (CAT Clinic) to facilitate
management of patients … workers
National Academy on an Aging Society, 1998 figures
Create patient education materials to … survey of clients using warfarin
Review of current materials being used
Process mapping in the … workshop
Literature review
Considerations in Product Design
Cognitive and physical
needs of patients … users
Audit process
Lessons Learned…
Burden of care increasingly lies with patients/families
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psnet.ahrq.gov/node/49451/psn-pdf
June 01, 2004 - On Monday, the physician who originally ordered the C. difficile test returned to assess the patient … The nurse on duty at that time told him that the patient was on IV vancomycin. … values is unknown, but surveys suggest it is less than one third.(7) It
is common practice, however … outpatient) and patient populations (oncology
patients, pediatrics)
Hematocrit >60%
Inpatient settings … Critical values can vary depending on the needs of patient population being served.
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psnet.ahrq.gov/issue/association-between-transfer-emergency-department-boarders-inpatient-hallways-and-mortality-4
October 28, 2020 - that only lower-acuity patients were deemed appropriate for hallway transfer. … July 16, 2018
Practice Advisory on Intraoperative Awareness and Brain Function Monitoring … June 30, 2021
Effect of hospital follow-up appointment on clinical event outcomes and … survey of practices and recommendations. … May 5, 2010
The safety of emergency care systems: results of a survey of clinicians in
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psnet.ahrq.gov/issue/physicians-views-interventions-reduce-medical-errors-does-evidence-effectiveness-matter
February 18, 2011 - Using a questionnaire and a random sampling of U.S. physicians, the investigators collected data from … December 31, 2014
Electronic health records in ambulatory care- a national survey of … February 17, 2011
Hospitalized patients' participation and its impact on quality of care … and patient safety. … April 30, 2014
A facilitated survey instrument captures significantly more anesthesia
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-061014.pptx
March 07, 2014 - antibiotics
216 DDD/1000 patient days to 161 . … the impact of stewardship on C. difficile included 16 studies. … hygiene, device use)
Indication, duration
HOSPITALISTS
31
Growth of Hospital Medicine
AHA Survey … Society
Physicians prioritize individual patient needs
Good News! … SHOULD THIS PATIENT BE EVALUATED FOR A URINARY TRACT INFECTION*?
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-presenters-notes.pdf
January 12, 2022 - Good patient outcomes hinge on
having the right diagnosis. … • Surveys find that 1 in 3 patients has a firsthand experience with a diagnostic error
(Society to … program reinforces high‐reliability concepts and leverages the unique importance of
teamwork to enhance safety … culture. … Instructions for completing the questionnaire and calculating the
average summary score can be found
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psnet.ahrq.gov/issue/conversation-among-stakeholders-medical-malpractice
January 11, 2023 - Meeting/Conference Proceedings
A Conversation Among Stakeholders on Medical Malpractice … Citation Text:
A Conversation Among Stakeholders on Medical Malpractice. … Communication and resolution programs (CRP) can improve response to patients and families after a harmful … Cite
Citation
Citation Text:
A Conversation Among Stakeholders on … : Evidence from survey data.
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psnet.ahrq.gov/issue/cost-opioid-related-adverse-drug-events
August 30, 2017 - medication errors in "high-risk" patients. … February 14, 2018
Multiprofessional survey of protocol use in the intensive care unit … September 29, 2017
Shift-to-shift handoff effects on patient safety and outcomes: a systematic … January 23, 2017
An integrative review of patient safety in studies on the care and safety … : opportunities to prevent patient harm.
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psnet.ahrq.gov/issue/2014-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced
February 28, 2018 - The awards were presented at the National Quality Forum's annual conference on March 23, 2015, in Washington … Eisenberg Patient Safety and Quality Award Winners. … April 27, 2022
View More
Related Resources
The Leapfrog Hospital Survey … December 17, 2008
How safe do patients feel? … More
See More About The Topic
Health Care Executives and Administrators
Media
Patients
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psnet.ahrq.gov/node/33865/psn-pdf
September 01, 2018 - We focused on how patients could provide feedback on patient safety. … Some studies in the States had looked at
whether patients were able to report on patient safety incidents … Patients have a unique perspective on the care environment and provide feedback on that, which can be … We developed
a questionnaire that asked patients about the factors that contribute to patient safety … As
you said, this might be measurements of staff safety culture or it might be a measure of incident
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digital.ahrq.gov/health-care-theme/sociotechnical-aspects
January 01, 2023 - complications and improve patient-centered care. … Investigator(s)
Xie, Anping
The Effect of Health Information Technology on … incorporate quantitative and qualitative research in developing and validating a health IT adaptation survey … Portals
Description
This project identified patients’ needs, preferences, and responses when … Investigator(s)
Singh, Hardeep
Enhancing Providers' Ability to Follow Up on
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Implement_Hndbook_508_v2.pdf
January 28, 2011 - satisfaction survey mailings. … and problems reported via the survey
• Convene focus groups of patients and families as specific issues … and family experience of care surveys. … • Assist with distributing questionnaires and encouraging patients
and family members to complete … Getting patients and families to complete this
type of brief survey is not always easy; however, experienced
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psnet.ahrq.gov/issue/computerized-physician-order-entry-clinical-decision-support-long-term-care-setting-insights
February 26, 2009 - 27, 2011
Effect of computerized provider order entry with clinical decision support on … 2011
The effect of computerized physician order entry with clinical decision support on … September 18, 2024
Exploring the impact of safety culture on incident reporting: lessons … learned from machine learning analysis of NHS England staff survey and incident data. … Safety
Annual Perspective
Technology as a Tool for Improving Patient
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psnet.ahrq.gov/issue/miros-dots-and-lines
September 21, 2016 - Snakes on a dock. … December 18, 2014
Encouraging patients to ask questions: how to overcome "white-coat … Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey … September 15, 2011
Leadership behavior associations with domains of safety culture, engagement … October 9, 2017
Effect of availability bias and reflective reasoning on diagnostic accuracy
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psnet.ahrq.gov/issue/artificial-intelligence-patient-safety-and-achieving-quintuple-aim-anesthesiology
October 25, 2023 - January 2, 2011
APSF endorsed statement on revising recommendations for patient monitoring … May 4, 2022
Position Statement on Criminalization of Medical Error and Call for Action … to Prevent Patient Harm from Error. … November 30, 2022
APSF endorsed statement on revising recommendations for patient monitoring … teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey
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psnet.ahrq.gov/issue/mortality-trends-after-voluntary-checklist-based-surgical-safety-collaborative
September 24, 2017 - This study reports on a voluntary, statewide collaborative program to implement a surgical safety checklist … Past PSNet interviews with Lucian Leape and David Urbach discussed their perspectives on surgical … Author(s)
Perception of safety of surgical practice among operating room personnel from survey … Effect of a 19-item surgical safety checklist during urgent operations in a global patient … July 1, 2016
Patients' perspectives of surgical safety: do they feel safe?
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psnet.ahrq.gov/issue/keeping-patients-safe-iatrogenic-methadone-overdoses
February 27, 2019 - Newspaper/Magazine Article
Keeping patients safe from iatrogenic methadone overdoses … Citation Text:
Keeping patients safe from iatrogenic methadone overdoses. … July 18, 2018
Proper positioning of pharmacy label on Hospira PCA vials will avoid interference … May 2, 2018
Survey shows recession has weakened patient safety net. … May 7, 2018
Reducing patient harm from opiates.