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psnet.ahrq.gov/issue/overarching-goals-strategy-improving-healthcare-quality-and-safety
September 24, 2018 - March 13, 2013
Case 34-2010: a 65-year-old woman with an incorrect operation on the left … September 20, 2011
Advancing the science of patient safety. … September 20, 2011
Electronic health records in ambulatory care- a national survey of … February 17, 2011
Transforming concepts in patient safety: a progress report. … Safety
September 1, 2013
Effects of shift length on quality of patient care
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psnet.ahrq.gov/issue/tracking-intraoperative-complications
April 30, 2014 - 2014
Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey … November 5, 2008
Oncology pharmacist-led medication reconciliation among cancer patients … June 27, 2018
Use of personal electronic devices by nurse anesthetists and the effects on … patient safety. … July 31, 2013
Perioperative patient safety: a multisite qualitative analysis.
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psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
November 21, 2021 - The delay in appropriate treatment of sepsis with continued antibiotic therapy on admission resulted … Several studies have been published on these electronic "sniffers" demonstrating limited results.( 8,9 … Quality in 2009 of hospital staff from more than 500 hospitals in the United States, more than 80% of respondents … Multistate point-prevalence survey of health care–associated infections. … Septic shock: an analysis of outcomes for patients with onset on hospital wards versus intensive care
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psnet.ahrq.gov/issue/ten-years-after-keeping-patients-safe-have-nurses-work-environments-been-transformed
April 04, 2018 - Book/Report
Ten Years After Keeping Patients Safe: Have Nurses' Work Environments … Citation
Related Resources From the Same Author(s)
Placing Diagnosis Errors on … June 12, 2013
Engaging Patients in Improving Ambulatory Care. … October 3, 2017
National Survey on Consumers' Experiences With Patient Safety and Quality … February 9, 2011
On the Edge: Nursing in the Age of Complexity.
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psnet.ahrq.gov/issue/evaluation-postoperative-handover-using-tool-assess-information-transfer-and-teamwork
April 30, 2014 - Handoffs of patients after surgery pose patient safety risks. … This study reports on the validation of a structured tool to improve postoperative handoff communication … teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey … Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients … 2021
Unintended consequences of health care reform: impact of changes in payor mix on
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/case_for_re.jsp
February 01, 2025 - Surveys were implemented to evaluate patient experiences, as well as hospital staff knowledge and attitudes … staff based on a patients appearance, people accompanying the patient, or information imported from … Investigators from New Mexico and California developed surveys of hospital staff and patients to evaluate … Studies have shown that patients are more willing to share information on R/E/L if they understand why … Educating Patients
FAQs about the Collection of Patient Race, Ethnicity, and Language For Patients
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psnet.ahrq.gov/issue/nursing-homes-fined-covid-infection-control-lapses
November 24, 2021 - May 15, 2024
Anesthesia outside of the OR: cause for patient safety concerns? … January 25, 2023
Patients should know who's operating, surgeons say. … Hospitals will still have to share safety data publicly—CMS will publish scorecard of avoidable patient … October 12, 2022
Patient Safety Primers
Coronavirus Disease … Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey
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psnet.ahrq.gov/issue/petty-dangerous-disruptive-doctors-watch-out
March 07, 2018 - 2008
Prescription opioid use, misuse, and use disorders in U.S. adults: 2015 National Survey … on Drug Use and Health. … February 17, 2011
To improve health care, focus on fixing systems — not people. … June 1, 2022
Duration of second victim symptoms in the aftermath of a patient safety … July 31, 2019
Improving patient care through improved caregiver support.
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psnet.ahrq.gov/issue/cdc-central-line-bloodstream-infection-prevention-efforts-produced-net-benefits-least-640
October 31, 2014 - Multiple national efforts focus on eliminating central line–associated bloodstream infections (CLABSIs … ), which are a key source of patient harm. … This translates into a per dollar rate of return on Centers for Disease Control and Prevention investments … August 20, 2018
Patient safety perceptions: a survey of Iowa physicians, pharmacists, … A survey of physician and nurse knowledge, attitudes, and practices around injection safety.
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psnet.ahrq.gov/issue/medication-errors-2023-year-review-january-through-december
February 21, 2024 - Resources From the Same Author(s)
Health tech hazards: at-home medical devices, AI governance on … January 14, 2019
I-PASS checklist: a powerful tool for patient handoffs. … May 20, 2020
View More
Related Resources
Survey results reveal … July 1, 2020
Annual Perspective
Pharmacist Role in Patient
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psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
July 28, 2021 - A 2013 survey of 604 anesthesiology trainees reported a greater incidence of medical errors with negative … consequences for patients and medication errors among trainees who had less supervision by faculty. … safety culture in primary dental care. … October 20, 2014
Impact of a comprehensive patient safety strategy on obstetric adverse … June 22, 2017
Patient safety strategies: are we on the same team?
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psnet.ahrq.gov/issue/university-michigan-quality-and-safety-academic-medical-center
November 13, 2024 - Jt Comm J Qual Patient Saf. 2008;34(11):671-7. … February 10, 2015
Electronic health records in ambulatory care- a national survey of … July 15, 2020
Effect on patient safety of a resident physician schedule without 24-hour … February 14, 2024
Adverse drug events caused by three high-risk drug-drug interactions in patients … September 21, 2011
Effect of critical access hospital conversion on patient safety.
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psnet.ahrq.gov/issue/improving-patient-safety-repeating-read-back-telephone-reports-critical-information
March 02, 2011 - March 21, 2017
On the prospects for a blame-free medical culture. … September 20, 2011
The impact of racism on child and adolescent health. … April 11, 2011
Follow-up of outpatient test results: a survey of house-staff practices … May 24, 2010
Waiting for urgent procedures on the weekend among emergently hospitalized … patients.
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psnet.ahrq.gov/primer/health-care-associated-infections
December 15, 2024 - for Disease Control and Prevention (CDC), at any given time, approximately 1 of every 31 hospitalized patients … In a 2021 survey, infection prevention professionals in US hospitals reported CLABSI and VAE prevention … CUSP combines improvement in safety culture, teamwork, and communications, together with a checklist … CMS publicly reports certain HAI rates on its Hospital Compare website. … The most recent data from the Partnership for Patients Initiative indicates that the overall rate
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psnet.ahrq.gov/issue/independent-double-checks-worth-effort-if-used-judiciously-and-properly
January 23, 2019 - Independent double checks can reduce risk of human error as a contributor to patient harm. … This newsletter article reports on how double checks can prevent medication administration mistakes … January 23, 2019
Results of survey on pediatric medication safety—part 1 and part 2. … May 7, 2018
Partnering with families and patient advocates: another line of defense in … November 5, 2014
JCAHO tightens leash on medication reconciliation.
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psnet.ahrq.gov/issue/mandatory-pharmacy-residencies-one-way-reduce-medication-errors
July 23, 2008 - Related Resources From the Same Author(s)
Measurement for improvement: a survey … 23, 2008
The effects of leadership curricula with and without implicit bias training on … June 1, 2016
Impact of organizational leadership on physician burnout and satisfaction … April 25, 2018
Identifying patient and practice characteristics associated with patient-reported … May 17, 2023
Special Issue on Medication Safety.
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psnet.ahrq.gov/issue/missing-link-dedicated-patient-safety-education-within-top-ranked-us-nursing-school-curricula
November 15, 2018 - J Patient Saf. 2010;6(3):165-71. … J Patient Saf. 2010;6(3):165-71. … August 9, 2023
Adverse drug event detection in pediatric oncology and hematology patients … March 14, 2022
Prevalence and causes of diagnostic errors in hospitalized patients under … April 12, 2023
National survey of patient safety experiences in hospital medicine during
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psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation
September 01, 2006 - of the patient: The hope was that keeping patients healthy by providing preventive services and better … 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. … I will say though—and this might sound strange—that most of the benefit to the patients for patient safety
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psnet.ahrq.gov/perspective/measuring-patient-safety
December 14, 2022 - report patient safety events, and ensuring patients are included in robust communication and resolution … These include Conditions of Participation; surveys and certification; regional medical offices; quality … Patient’s conditions were more complicated; many patients stayed on ventilators or in intensive care … We are committed to having more patient-reported outcomes measures directly reported from patients. … We believe it is important that patients have a role in patient safety, including sitting on governance
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psnet.ahrq.gov/issue/another-fatal-failure-kingdrew
May 03, 2017 - This article reports on a death that occurred at the Martin Luther King Jr. … Copy Citation
Related Resources From the Same Author(s)
Secret data on hospital … June 11, 2014
Interactive effects of nurse-experienced time pressure and burnout on patient … safety: a cross-sectional survey. … More About The Topic
Nurses
Nurse Managers
Quality and Safety Professionals
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Patients