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psnet.ahrq.gov/issue/epidemiology-patterns-care-and-mortality-patients-acute-respiratory-distress-syndrome
August 04, 2021 - August 4, 2021
The influence of hospital physician integration on culture of patient … Monitoring and reducing central line-associated bloodstream infections: a national survey … August 3, 2010
Eliminating central line-associated bloodstream infections: a national patient … March 16, 2016
ICU attending handoff practices: results from a national survey of academic … care unit patients.
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psnet.ahrq.gov/web-mm/snfs-opening-black-box
August 27, 2012 - On arrival to the SNF, the patient was on 14 medications for her various conditions and remained mildly … The SNF physician saw the patient on the first day but not after that time. … , present in up to 40% of post-acute patients and associated with poor outcomes.( 3 ) This patient is … DESCRIPTION RESOURCES Enhanced SNF leadership and culture of safety and quality AHRQ Nursing Home Survey … on Patient Safety Culture allows facilities to enter and benchmark data on safety culture http://www.ahrq.gov
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psnet.ahrq.gov/issue/whos-surgical-safety-checklist-being-hyped
February 07, 2018 - 2018
Perception of safety of surgical practice among operating room personnel from survey … December 29, 2014
Communication practices on 4 Harvard surgical services: a surgical … January 19, 2022
Recommendations from a national panel on quality improvement in obstetrics … September 9, 2015
Effectiveness of interventions to improve patient handover in surgery … June 3, 2013
Transfer of accountability: transforming shift handover to enhance patient
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psnet.ahrq.gov/perspective/methicillin-resistant-staphylococcus-aureus
June 24, 2010 - These include health care workers, dialysis patients, patients with diabetes, injection drug users, patients … A complete review of the controversy regarding culturing patients on admission to the hospital is beyond … Certainly, the impact on patient safety is paramount, but there are potential financial implications … Like most patient safety activities, this requires a comprehensive approach focusing on the system and … Resources From the Same Author(s)
Preventing catheter-associated bloodstream infections: a survey
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psnet.ahrq.gov/issue/sbar-communication-technique-teaching-nursing-students-professional-communication-skills
June 22, 2022 - Resources From the Same Author(s)
Development and validation of a brief culture-of-safety survey … January 18, 2023
Effect of genetic diagnosis on patients with previously undiagnosed … February 13, 2013
Reasons for after-hours calls by hospital floor nurses to on-call physicians … Perspectives on Safety
The Role of Undergraduate … February 20, 2010
Fostering patient safety competencies using multiple-patient simulation
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psnet.ahrq.gov/issue/strategies-improve-patient-safety-outcome-indicator-preventing-or-reducing-falls
March 24, 2021 - safety: a cross-sectional survey. … August 3, 2022
Engaging patients and informal caregivers to improve safety and facilitate … outcomes on transition from adult intensive care settings: a systematic review and meta-analysis. … Related Resources
Registered nurses' efforts to ensure safety for home-dwelling older patients … June 23, 2009
Caregiver perspectives on safety in home dementia care.
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psnet.ahrq.gov/node/49535/psn-pdf
May 01, 2007 - ECT, creating pressure on the clinic staff to get the procedure done that
day, and subsequently on … both the health care providers and the patients. … staffing, poor incentive systems, hierarchical systems, competition
for cases, long work hours, and low safety … culture. … NICU patient and (ii) a decision analysis model (integer linear programming) that assigns
patients
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-current-state.pdf
January 01, 2024 - , patient experience surveys,
and economic costs.46-52 Data from malpractice claims indicate that diagnostic … management and frontline staff on filed safety reports.136 In an observational study,
Chopra, et al … ), and
■ System-related aspects of diagnosis (e.g., human factors, safety culture).243
3.9.2. … Patient safety culture, health information technology
implementation, and medical office problems that … survey
study.
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psnet.ahrq.gov/issue/bare-minimum-reality-global-anaesthesia-and-patient-safety
April 22, 2015 - The Bare Minimum: The Reality of Global Anaesthesia and Patient Safety. … June 22, 2022
Care transition of trauma patients: processes with articulation work before … Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey … on United States operating rooms. … December 23, 2012
Influences observed on incidence and reporting of medication errors
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psnet.ahrq.gov/issue/usability-and-accessibility-publicly-available-patient-safety-databases
May 12, 2021 - Usability and accessibility of publicly available patient safety databases. … J Patient Saf. 2022;18(6):565-569. doi:10.1097/pts.0000000000001018. … Patient safety event reporting systems are a core component of patient safety and quality improvement … December 21, 2022
Development and validation of a brief culture-of-safety survey. … September 15, 2021
Implementation of patient safety structures and processes in the patient-centered
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psnet.ahrq.gov/issue/patient-reported-safety-and-quality-care-outpatient-oncology
January 23, 2012 - of using patient safety liaisons (trained patient and family volunteers) to conduct interviews of patients … of the patients felt they had experienced unsafe care. … June 14, 2011
Oral chemotherapy safety practices at US cancer centres: questionnaire … survey. … Quality
April 26, 2023
Impact of an electronic health record transition on
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psnet.ahrq.gov/issue/actions-mitigating-negative-effects-patient-participation-patient-safety-qualitative-study
February 01, 2023 - This qualitative study with patients and maternity care professionals in the Netherlands explored actions … February 1, 2023
Do patients' disruptive behaviours influence the accuracy of a doctor's … 2022
The effect of computerised decision support alerts tailored to intensive care on … problems and (contemplated) refusals of orders by physicians, and views of physicians and nurses: a questionnaire … survey.
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psnet.ahrq.gov/issue/beware-basal-opioid-infusions-pca-therapy
June 05, 2018 - analgesia (PCA) in patients at risk for developing respiratory depression. … May 7, 2018
Survey on LASA drug name pairs: who knows what’s on your list and the best … March 16, 2011
Defining the incidence of cardiorespiratory instability in patients in … early recognition and intervention in deteriorating hospital patients. … on the ward.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_7.pdf
October 01, 2016 - Alternatively, the physician may ask the BHC to see the patient based on the primary care visit. … Originally, psychologists
trained providers on telehealth use, and the health system obtained patient … Wallace
trains nurses to perform hands-on patient exams, such as palpation, placement of stethoscope … CNA=certified nursing assistant; BHC=behavioral health consultant; PHQ=patient health questionnaire; … Freeman and Khatri are on
Medicaid’s Patient Centered Medical Homes committees.
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psnet.ahrq.gov/issue/buried-answers
May 11, 2005 - October 21, 2015
In a culture of disrespect, patients lose out. … July 3, 2013
Checking the right boxes, but failing the patient. … May 4, 2015
Patient safety in the ED. … December 20, 2006
Clinical Lab Quality: CMS and Survey Organization Oversight Should … Topic
Physicians
Facility and Group Administrators
Quality and Safety Professionals
Patients
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psnet.ahrq.gov/issue/personal-accountability-healthcare-searching-right-balance
March 02, 2011 - September 7, 2022
Development of a high-value care culture survey: a modified Delphi … January 27, 2016
Effects of interdisciplinary team care interventions on general medical … August 3, 2022
A roadmap to advance patient safety in ambulatory care. … September 1, 2018
Public reporting of patient safety metrics: ready or not? … September 27, 2010
Liability reform should make patients safer: "Avoidable classes of
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psnet.ahrq.gov/issue/inattentional-blindness-what-captures-your-attention
May 07, 2018 - June 5, 2018
Eric Cropp weighs in on the error that sent him to prison. … May 7, 2018
Survey on LASA drug name pairs: who knows what’s on your list and the best … Evolution of Root Cause Analysis
February 26, 2025
Workforce safety key to patient … 2016
Ambulance personnel perceptions of near misses and adverse events in pediatric patients
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www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-7.html
July 01, 2019 - Social determinants of health have a large impact on the patient population, particularly at a homeless … Alternatively, the physician may ask the BHC to see the patient based on the primary care visit. … Originally, psychologists trained providers on telehealth use, and the health system obtained patient … CNA=certified nursing assistant; BHC=behavioral health consultant; PHQ=patient health questionnaire; … Freeman and Khatri are on Medicaid's Patient Centered Medical Homes committees.
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psnet.ahrq.gov/web-mm/one-dose-two-errors
September 29, 2017 - The patient was immediately started on treatment with intravenous (IV) amphotericin (an antifungal drug … The patient safety movement has taught us that all manner of errors—including entering errors on the … Impact of treatment strategy on outcomes in patients with candidemia and other forms of invasive candidiasis … Implementation of antimicrobial stewardship policies in U.S. hospitals: findings from a national survey … Leadership, safety climate, and continuous quality improvement: impact on process quality and patient
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psnet.ahrq.gov/issue/accountability-organisational-learning-and-risks-patient-safety-england-conflict-or
December 29, 2014 - Commentary
Accountability, organisational learning and risks to patient safety in … September 23, 2015
Vital signs: improving antibiotic use among hospitalized patients. … threats: a national survey of interns and residents. … November 25, 2020
The effect of external inspections on safety in acute hospitals in … April 8, 2019
A Patient-Safe Future.