-
psnet.ahrq.gov/issue/learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors
November 15, 2011 - review: do patients know something that hospitals do not? … March 9, 2022
A national assessment on patient safety curricula in undergraduate medical … education: results from the 2012 clerkship directors in internal medicine survey. … 2019
Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey … June 12, 2019
Data omission by physician trainees on ICU rounds.
-
psnet.ahrq.gov/node/72467/psn-pdf
November 18, 2020 - Higher incidence of adverse events in isolated patients
compared with non-isolated patients: a cohort … Higher incidence of adverse
events in isolated patients compared with non-isolated patients: a cohort … These findings highlight the importance of training and safety culture
when providing care to patients … https://psnet.ahrq.gov/issue/higher-incidence-adverse-events-isolated-patients-compared-non-isolated-patients-cohort-study … interrelationship-isolation-precautions-and-adverse-events-acute-care-facility
https://psnet.ahrq.gov/issue/hospital-ward-adaptation-during-covid-19-pandemic-national-survey-academic-medical-centers
-
psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
September 01, 2006 - 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. … of the patient: The hope was that keeping patients healthy by providing preventive services and better … April 23, 2014
The long road to patient safety: a status report on patient safety systems
-
psnet.ahrq.gov/node/60269/psn-pdf
April 29, 2020 - on call. … Second, they have at least some training in critical care, and many of these patients require lengthy … summarized these concerns nicely in their survey of subspecialty surgeons: “while EGS surgeons appear … Statements on Principles. American College of Surgeons. … surgeons, subspecialty surgeons and the
future management of emergency surgery: results of a national survey
-
psnet.ahrq.gov/issue/clostridium-difficile-infection-united-states-national-study-assessing-preventive-practices
July 03, 2014 - This finding underscores the need to focus on appropriate antibiotic use as part of patient safety efforts … device-associated infections during the coronavirus disease 2019 (COVID-19) pandemic: results from a national survey … September 2, 2015
Hospital deaths in patients with sepsis from 2 independent cohorts. … July 15, 2014
Tennessee Center for Patient Safety. … September 10, 2013
New 2012 National Patient Safety Goal - catheter-associated urinary
-
psnet.ahrq.gov/issue/medical-errors-during-training-how-do-residents-cope-descriptive-study
October 13, 2021 - Results of a choice experiment survey. … September 8, 2010
Why do systems for responding to concerns and complaints so often fail patients … on Veterans Health Administration data? … July 14, 2009
How do hospital inpatients conceptualise patient safety? … impact of humiliation on trainee well-being.
-
psnet.ahrq.gov/issue/medication-error-reporting-and-pharmacy-resident-experience-during-implementation
November 17, 2010 - Related Resources From the Same Author(s)
Effect of emergency medicine pharmacists on … December 21, 2014
Improving the accuracy of patient identification in the medication-use … diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient … May 18, 2022
View More
Related Resources
ASHP national survey of … September 30, 2020
Impact of a drug shortage on medication errors and clinical outcomes
-
psnet.ahrq.gov/issue/use-paediatric-early-warning-systems-great-britain-has-there-been-change-practice-last-7
September 23, 2020 - Although only a minority of British children's hospitals had a formal rapid response team , this survey … found that most used some type of system (based on abnormal vital sign criteria) to identify patients … More
Related Resources
Reducing failure to rescue rates in a paediatric in-patient … hospitalized pediatric patients. … on the ward.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability-transcript.docx
January 01, 2014 - They've taken the culture of patient safety survey. They took the results seriously. … They are allowed to come in and actually round with patients and addressing the patient safety events … Depending on how many patients you add on this. … You could add as many patients on your unit or your floor, how many unit to select. … Remember safety culture continue to assess it annually, celebrate your successes and ensure that based
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/finalreportphase2.pdf
September 29, 2014 - culture in dialysis facilities. … on Patient Safety Culture (HSOPS) and 1 question about patient-provider
relations. … HD patient count in 2013(2 categories): above or below 70 HD patients in 2013
4. … CMS
Survey and Certification ESRD Facility Surveyors Trainings in fall 2013 and 2014. … culture, communication,
teamwork, and the use of data to reduce infection risks.
-
psnet.ahrq.gov/issue/reengineered-hospital-discharge-program-decrease-rehospitalization-randomized-trial
August 04, 2021 - a patient-centered discharge plan, which was given to the patient and primary physician. … Patients also received a follow-up phone call from a pharmacist after discharge. … January 27, 2019
View More
Related Resources
Survey results: community … October 14, 2015
Hospitalized patients' understanding of their plan of care. … reduce costs, and boost patient satisfaction.
-
psnet.ahrq.gov/issue/reporting-and-second-order-problem-solving-can-turn-short-term-fixes-long-term-remedies
May 07, 2018 - March 9, 2016
Understanding human over-reliance on technology. … June 10, 2018
View More
Related Resources
Survey shows recession … has weakened patient safety net. … August 24, 2013
Top 10 ways to improve patient safety now. … October 7, 2008
Hospitals boost patients' power as advisers.
-
psnet.ahrq.gov/issue/second-victim-experiences-nurses-obstetrics-and-gynaecology-second-victim-experience-and
May 19, 2021 - Nurse respondents expressed desires for more peer support interventions for ‘second victim’ experiences … May 19, 2021
Evaluation of a second victim peer support program on perceptions of second … Second victim experiences of health care learners and the influence of the training environment on … September 21, 2022
Diagnostic error experiences of patients and families with limited … February 16, 2022
Burnout and its relationship to self-reported quality of patient care
-
psnet.ahrq.gov/node/33823/psn-pdf
January 01, 2017 - has highlighted the risks that patients face when receiving health care. … from lifting heavy instrument kits in Central Processing and the OR, and injuries caused by moving
patients … culture to one in which employees believe that all accidents are preventable and that everyone plays … Job Safety Behavioral Observation teams and
adopting a robust, repeatable process can improve the safety … culture of the workplace and result in fewer
injuries.
-
www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
January 01, 2025 - A questionnaire
was administered to solicit data on physicians’ experience with diagnosis errors. … The survey questionnaire asked physicians to list three clinically significant
diagnosis errors they … To ensure anonymity and confidentiality, no names or coded numbers were placed on survey
forms. … meetings (hence, received the survey by mail), pre-paid post cards were
used to keep track of surveys … by diseases they see more commonly, there is lack of commonality of
definition given to respondents
-
psnet.ahrq.gov/issue/canary-measures-among-ahrq-patient-safety-indicators
November 27, 2012 - "Canary measures" among the AHRQ patient safety indicators. … single measure to screen for patient safety problems. … July 10, 2017
Adverse-event-reporting practices by US hospitals: results of a national survey … A complexity thinking account of the COVID-19 pandemic: implications for systems-oriented safety … management.
-
psnet.ahrq.gov/issue/patient-safety-knowledge-and-its-determinants-medical-trainees
July 29, 2020 - Patient safety knowledge and its determinants in medical trainees. … July 29, 2020
The effect of workload reduction on the quality of residents' discharge … for patients, nurses, and clinical staff. … Resources
Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey … June 12, 2019
Data omission by physician trainees on ICU rounds.
-
psnet.ahrq.gov/issue/accountability-nursing-practice-why-it-important-patient-safety
April 07, 2021 - Results of a choice experiment survey. … February 6, 2019
Speaking up: factors and issues in nurses advocating for patients when … patients are in jeopardy. … December 18, 2013
The impact of safety organizing, trusted leadership, and care pathways on … December 16, 2011
A secondary care nursing perspective on medication administration safety
-
psnet.ahrq.gov/issue/doctors-thinking-about-system-threat-patient-safety
December 09, 2020 - in mental healthcare transitions mean for service users and other stakeholder groups: an open-ended questionnaire … feedback on experiences of safety. … December 15, 2014
The interpretability of doctor identification badges in UK hospitals: a survey … of nurses and patients. … December 12, 2012
Adverse incidents, patient flow and nursing workforce variables on
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-transcript.html
December 01, 2017 - They've taken the culture of patient safety survey. They took the results seriously. … They are allowed to come in and actually round with patients and addressing the patient safety events … Depending on how many patients you add on this. … You could add as many patients on your unit or your floor, how many unit to select. … Remember safety culture continue to assess it annually, celebrate your successes and ensure that based