-
psnet.ahrq.gov/issue/medical-error-and-moral-luck
October 02, 2024 - Interview
In Conversation With...Amy Helwig about Health Plan Patient … Safety Initiatives
July 10, 2024
Perspectives on Safety … Health Plan Patient Safety Initiatives
July 10, 2024
When public … September 23, 2020
COVID-19 has united patients and providers against institutional betrayal … Standard Based on Results of the 2019 Leapfrog Hospital Survey.
-
www.ahrq.gov/evidencenow/tools/keydrivers/description.html
October 01, 2020 - Clinical evidence may be chosen based on what: is important to and has the greatest impact on their patients … (focused on efficiency), Six Sigma (focused on standardization), and several patient safety approaches … among the team for their patient panel
Assigning patients to clinicians and teams, a process known … Some practices obtain feedback by administering brief surveys. … Another advanced strategy for partnering with patients and families is forming a Patient and Family Advisory
-
psnet.ahrq.gov/issue/using-opportunity-estimator-tool-improve-engagement-quality-and-safety-intervention
August 25, 2010 - Jt Comm J Qual Patient Saf. 2012;38(1):41-47, 1. … Jt Comm J Qual Patient Saf . 2012; 38 (1) :41-47, 1 . … Jt Comm J Qual Patient Saf. 2012;38(1):41-47, 1. … hospitals are currently doing to prevent common device-associated infections: results from a national survey … September 7, 2016
Do clinicians know which of their patients have central venous catheters
-
psnet.ahrq.gov/issue/unaccountable-what-hospitals-wont-tell-you-and-how-transparency-can-revolutionize-health-care
July 07, 2021 - This book, written by a Johns Hopkins University surgeon and patient safety researcher , highlights … September 11, 2019
Charting the Course: Launching Patient-Centric Healthcare. … December 4, 2016
Managing the after effects of serious patient safety incidents in the … NHS: an online survey study. … , 2015
View More
See More About The Topic
Hospitals
Physicians
Patients
-
psnet.ahrq.gov/issue/10-ways-guarantee-lawsuit
February 10, 2021 - This article lists ten nonclinical mistakes physicians make when dealing with patients. … View More
Related Resources
A Conversation Among Stakeholders on … December 21, 2011
How does routine disclosure of medical error affect patients' propensity … : Evidence from survey data. … April 19, 2011
Neurologic patient safety: an in-depth study of malpractice claims.
-
psnet.ahrq.gov/issue/white-blood-cell-left-shift-neonate-case-mistaken-identity
March 30, 2022 - March 30, 2022
Safety culture, safety climate, and safety performance in healthcare facilities … Improving Diagnostic Safety and Quality
April 26, 2023
Patient … November 26, 2014
Diagnostic error: untapped potential for improving patient safety? … June 12, 2013
In-house, overnight physician staffing: a cross-sectional survey of Canadian
-
psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
April 01, 2015 - Safety Goals (NPSG) to reduce the impact of medication errors on patient safety.( 4 ) This case identifies … The use of nationwide on-line prescription records improves the drug history in hospitalized patients … August 14, 2024
Exploring the impact of safety culture on incident reporting: lessons … learned from machine learning analysis of NHS England staff survey and incident data. … regularly used drugs among home care clients.
-
psnet.ahrq.gov/issue/workplace-bullying-or-results-descriptive-study
December 21, 2017 - Although this survey of perioperative nurses, technologists, and unlicensed staff in two academic medical … centers found disruptive behavior to be common, staff did not perceive any impact on patient safety … December 21, 2017
Registered nurses' judgments of the classification and risk level of patient … Effects of the Accreditation Council for Graduate Medical Education duty hour limits on … July 29, 2020
Does an insulin double-checking procedure improve patient safety?
-
psnet.ahrq.gov/issue/health-literacy-and-communication-quality-health-care-organizations
November 26, 2014 - - and medication-related factors on inpatient medication reconciliation errors. … A national random sample survey about "truth-telling practices" in the perioperative setting in the United … January 20, 2016
Talking with patients about other clinicians' errors. … assessment approach to determine which factors influence whether partially bilingual physicians rely on … December 21, 2014
Patients' attitudes towards patient involvement in safety interventions
-
psnet.ahrq.gov/web-mm/deadly-duo
April 28, 2021 - Empty bottles of both were found on the floor near the patient at his home, and it was presumed that … One study suggested that only one-third of non-psychiatric patients on TCAs had a therapeutic dose or … Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey … September 19, 2018
Hospital cultural competency and attributes of patient safety culture … survey study among healthcare staff.
-
psnet.ahrq.gov/issue/role-emotion-patient-safety-are-we-brave-enough-scratch-beneath-surface
January 09, 2014 - Health care can be stressful for both providers and the patients. … Findings from a UK multicentre survey study. … workplace triggers of emotions in the healthcare environment, the emotions experienced, and the impact on … patient safety. … medical error: a systematic review of papers to assess the effects of involvement in medical errors on
-
psnet.ahrq.gov/issue/iv-push-gap-analysis-tool-gat-helps-uncover-national-priorities-safe-injection-practices
August 14, 2019 - Mistakes in the administration of intravenous (IV) medications can result in patient harm . … December 12, 2018
Drug shortages threaten patient safety. … August 11, 2021
Side tracks on the safety express. … June 16, 2019
IV push medications survey results—part 1 and part 2. … May 5, 2018
Drug shortages forcing hard decisions on rationing treatments.
-
psnet.ahrq.gov/issue/report-6-managing-risk-and-minimising-mistakes-services-children-and-families
June 13, 2012 - May 16, 2012
Global State of Patient Safety 2023. … December 20, 2023
Unintended consequences of patient online access to health records: … November 25, 2009
Management and patient safety of complex elderly patients in primary … Delayed access to care and late presentations in children during the COVID-19 pandemic: a snapshot survey … weight in kilograms on pediatric medication dosing errors in emergency medical services.
-
psnet.ahrq.gov/issue/variation-reporting-elective-surgeries-and-its-influence-patient-safety-indicators
June 30, 2021 - Study
Variation in the reporting of elective surgeries and its influence on patient … Variation in the reporting of elective surgeries and its influence on patient safety indicators. … Variation in the reporting of elective surgeries and its influence on patient safety indicators. … November 18, 2020
Development and validation of a brief culture-of-safety survey. … March 24, 2021
The effects of harm events on 30-day readmission in surgical patients.
-
psnet.ahrq.gov/issue/preventing-medical-errors-how-proceed-caution
January 24, 2024 - Making a move: using simulation to identify latent safety threats before the care of injured patients … September 1, 2021
Paralyzed by errors, this Xbox designer is taking on hospital safety … December 5, 2012
Measuring inappropriate medical diagnosis and treatment in survey data … January 21, 2011
Scathing report on Kaiser kidney program. … July 12, 2006
How safe do patients feel?
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/rodriguez/rodriguez.pptx
June 02, 2025 - for all adult patients with diabetes (n=6,111) in 2011 and 2012
Patient Experience Survey (random samples … Patient Survey Respondent Characteristics:
Education and Language (n=907)
16
8th grade or less … surveys. … MA
sees 4 patients per day for
health coaching on alternate
days.
2. … MA sees 4 patients per day for health coaching on alternate days.
2.
-
psnet.ahrq.gov/issue/pursuit-quality-and-safety-8-year-study-clinical-peer-review-best-practices-us-hospitals
April 13, 2017 - This survey study suggests that adopting certain best practices might make peer review programs more … April 13, 2017
An assessment of the impact of just culture on quality and safety in US … October 13, 2018
A longitudinal study of clinical peer review's impact on quality and … October 24, 2018
The "Seven Pillars" response to patient safety incidents: effects on … September 1, 2018
Patient Safety and the Invitational Conference on Contemporary Surgical
-
psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
December 15, 2024 - Examples include patients who may be on medications that could increase their risk of falls or bleeding … , patients with indwelling central venous or urinary catheters, or patients with similar names. … The huddle leader provides updates on recent or upcoming relevant patient safety announcements and initiatives … June 14, 2023
The effect of a system-level tiered huddle system on reporting patient safety events … considerations in using personal protective equipment in the COVID-19 pandemic context: a bi-national survey
-
psnet.ahrq.gov/issue/patient-safety-intensive-care-results-multinational-sentinel-events-evaluation-see-study
March 03, 2011 - quality improvement intervention with daily round checklists, goal setting, and clinician prompting on … mortality of critically ill patients. … January 19, 2014
Lessons learned for reducing the negative impact of adverse events on … patients, health professionals and healthcare organizations. … March 1, 2011
Adverse drug event reporting in intensive care units: a survey of current
-
psnet.ahrq.gov/issue/miles-go-introduction-5-million-lives-campaign
April 04, 2011 - Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients … relevant and implementable: a consensus statement on key principles and necessary first steps. … February 26, 2020
Pain as the neglected patient safety concern: five years on. … March 13, 2013
IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer … October 12, 2011
French national survey of inpatient adverse events prospectively assessed