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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017234-wagner-final-report-2011.pdf
January 01, 2011 - on patient self report was extremely useful and highly used by patients. … at their study visit via questionnaires. … on-line survey
management program (Survey Monkey)32. … --Items on the PFCC Institutional Culture Survey (ICS) were based on the
Institute for Patient- and … Most respondents were faculty or staff, with median age of 44.
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psnet.ahrq.gov/issue/day-passes-vulnerable-patients-psychiatric-hospitals-can-have-dangerous-even-fatal
October 29, 2014 - Psychiatric patients are vulnerable to particular safety hazards . … This news article reports on unintended consequences associated with a strategy to help patients adapt … February 11, 2014
Surgical fires: decreasing incidence relies on continued prevention … Engagement of leadership in quality improvement initiatives: executive quality improvement survey … November 9, 2022
Their kids died on the psych ward.
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psnet.ahrq.gov/issue/few-hospitals-are-willing-bear-cost-providing-psychiatric-care-kids
March 15, 2023 - Pediatric mental health is a patient safety concern . … news story outlines the challenges to available services to address this need, tactics to keep young patients … Related Resources From the Same Author(s)
AMA Prior Authorization (PA) Physician Survey … June 23, 2021
Safe clinical practice for patients hospitalised in mental health wards … during a suicidal crisis: qualitative study of patient experiences.
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psnet.ahrq.gov/issue/shortage-everything-except-errors-harm-associated-drug-shortages
February 13, 2019 - This article reports results from a survey of hospital pharmacy staff on patient injury associated with … Related Resources From the Same Author(s)
Just Culture and its critical link to patient … , 2018
Raising the index of suspicion: red flags that represent credible threats to patient … June 10, 2018
Side tracks on the safety express. … September 12, 2016
Impact of drug shortages on U.S. health systems.
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psnet.ahrq.gov/issue/delivering-high-reliability-maternity-care-situ-simulation-source-organisational-resilience
April 05, 2023 - Acting wisely in complex clinical situations: 'Mutual safety' for clinicians as well as patients … October 13, 2021
Detach yourself: the positive effect of psychological detachment on … patient safety in long-term care. … October 13, 2021
A qualitative survey of factors shaping the role of a safety professional … 2021
In-situ interprofessional perinatal drills: the impact of a structured debrief on
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psnet.ahrq.gov/issue/design-and-implementation-application-and-associated-services-support-interdisciplinary
February 15, 2011 - s)
Effect of an electronic medication reconciliation application and process redesign on … November 12, 2014
Effects of the introduction of the WHO "Surgical Safety Checklist" on … diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient … January 5, 2017
ASHP national survey of pharmacy practice in hospital settings: dispensing … May 9, 2012
Why patient summaries in electronic health records do not provide the cognitive
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psnet.ahrq.gov/issue/competent-surgeon-individual-accountability-era-systems-failure
May 30, 2014 - October 25, 2010
Closing the loop: follow-up and feedback in a patient safety program … March 3, 2011
The impact of professionalism on safe surgical care. … March 13, 2019
Diagnosing sepsis is subjective and highly variable: a survey of intensivists … July 5, 2016
Intravenous chemotherapy preparation errors: patient safety risks identified … opioid prescribing and patient pain in opioid-naive patients undergoing elective surgery in a large
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rundall.pdf
January 01, 2003 - Survey methodology
We used a semistructured questionnaire to guide the interviews; the research
team … Some responses were quite
specific, such as, “Diabetic patients on multiple medications are of concern … Other
responses focused on the difficulty physicians have in managing patients’
medications when medications … without knowing what other drugs the
patient was taking because, if the patients did not reveal their … One respondent said, “You probably haven’t seen a patient in
a while and you just automatically refill
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digital.ahrq.gov/population/nurse-practitioner
January 01, 2023 - Finding the Safer Way: Novel Interaction Design Approaches to Health IT Safety
Survey-based … Survey-based work system assessment to facilitate large-scale dissemination of healthcare quality improvement … Decision-centered design of patient information visualizations to support chronic pain care. … and clinician perspectives on a patient-facing dashboard that visualizes patient reported outcomes in … Patient and clinician perspectives on a patient-facing dashboard that visualizes patient reported outcomes
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www.ahrq.gov/news/newsletters/e-newsletter/953.html
April 01, 2025 - A new statistical brief from AHRQ’s Medical Expenditure Panel Survey compares characteristics of … explain how participants of the program will receive expert support to prevent infections and promote safety … culture. … Food security and mental health in the United States: evidence from the Medical Expenditure Panel Survey … Comparative effectiveness of buprenorphine adherence with telemedicine vs. in-person for rural and urban patients
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psnet.ahrq.gov/issue/case-study-webinar-series-clinician-burnout-ohio-state-university
September 28, 2022 - 2020
Characteristics and unexpected COVID-19 diagnoses in resuscitation room patients … July 20, 2022
Alcoholism and American healthcare: the case for a patient safety approach … March 18, 2025
- March 18, 2025
Patient Safety Awareness Week. … September 7, 2022
The Good, The Bad, and The Ugly: Patient Experiences with CRPs. … June 3, 2020
Introducing the New SOPS Hospital Survey 2.0.
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psnet.ahrq.gov/issue/mortality-measure-quality-implications-palliative-and-end-life-care
June 30, 2011 - Unplanned early hospital readmission among critical care survivors: a mixed methods study of patients … Preoperative communication between anesthesia, surgery, and primary care providers for older surgical patients … March 6, 2024
Electronic health records in ambulatory care- a national survey of physicians … December 6, 2013
View More
Related Resources
Patient … Safety Innovations
Preventing Falls Through Patient and Family Engagement to Create
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psnet.ahrq.gov/web-mm/fumbled-handoff
September 01, 2006 - On POD 3, the patient had no complaints for the primary team on morning rounds. … On POD 4, the patient complained to the nurse of mild chest discomfort. … Communication breakdown and discontinuity of care have deleterious effects on patients. … Gaps in the continuity of care and progress on patient safety. … Effect of a change in house staff work schedule on resource utilization and patient care.
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/spreading-slides.html
December 01, 2017 - Slide 3: Sustainment Is…
What you do to continue to build on your successes. … Image: A team of providers steadily growing to include a range of providers, patients, and family members … Stick to formal processes:
Test changes on small scale first. … Readminister Perioperative Staff Safety Assessment (two-question survey) at least every 12–18 months. … Continue updating staff on patient safety activities.
Continue collaborative activities.
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psnet.ahrq.gov/issue/discharge-missteps-can-send-seniors-back-hospital
March 28, 2012 - March 28, 2012
Patient safety: what can medicine learn from aviation? … March 31, 2010
COVID-19 dominates annual list of patient safety concerns. … June 10, 2018
Survey results: community liaison programs to decrease hospital readmissions … June 10, 2018
Reduce readmissions with pharmacy programs that focus on transitions from … October 24, 2012
The effect of medication reconciliation in elderly patients at hospital
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-pediatric-safety.pdf
September 01, 2023 - Teamwork, team cognition, safety culture, communication, and patient/family-centeredness are some of … Pediatric Clinician
Comfort Discussing Diagnostic Errors for Improving Patient Safety: A Survey. … Patient Safety Culture, Health Information Technology
Implementation, and Medical Office Problems That … Resilient health care: turning patient safety on its head. Int J
Qual Health Care. … Learning From Patients’ Experiences Related To Diagnos-
tic Errors Is Essential For Progress In Patient
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psnet.ahrq.gov/issue/through-eyes-workforce-creating-joy-meaning-and-safer-health-care
November 23, 2016 - Roundtable on Joy and Meaning in Work and Workforce Safety, The Lucian Leape Institute. … Facebook
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January 6, 2015
Roundtable on … Roundtable on Joy and Meaning in Work and Workforce Safety, The Lucian Leape Institute. … Related Resources From the Same Author(s)
Safety Is Personal: Partnering With Patients … Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey
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psnet.ahrq.gov/issue/critical-incident-monitoring-anaesthesia
September 04, 2024 - Citation
Related Resources From the Same Author(s)
Relationship between patient … safety culture and patient experience in hospital settings: a scoping review. … Prolonged diagnostic intervals as marker of missed diagnostic opportunities in bladder and kidney cancer patients … February 17, 2021
Patient activation related to fall prevention: a multisite study … survey data.
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psnet.ahrq.gov/issue/work-systems-analysis-approach-understanding-fatigue-hospital-nurses
July 08, 2020 - Prior research shows that nurse fatigue contributes to medical error, placing patient safety at risk … Investigators performed a secondary analysis of survey data from 340 inpatient nurses to determine how … November 3, 2015
Frontline providers' and patients' perspectives on improving diagnostic … More
Related Resources
Association of nurse engagement and nurse staffing on … patient safety.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring.pptx
May 01, 2017 - interpret, communicate, and document fetal heart rate (FHR) and uterine contraction patterns for all patients … Team members will advocate for the patient when one person’s viewpoint does not coincide with another … and Family Engagement
Engaging patient in decisions to use continuous EFM versus other approaches in … [Reaffirmed 2015]
American Congress of Obstetricians and Gynecologists. 2012 ACOG Survey on Professional … Patient Safety and Quality Healthcare.