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Showing results for "surveys on patient safety culture".
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5021. Intentionally harmful violations and patient safety: the example of Harold Shipman. | PSNet
      psnet.ahrq.gov/issue/intentionally-harmful-violations-and-patient-safety-example-harold-shipman
      January 25, 2017 - Intentionally harmful violations and patient safety: the example of Harold Shipman. … the Same Author(s) Opioid prescribing after surgical extraction of teeth in Medicaid patients … May 4, 2012 Drug-drug interactions and actual harm to hospitalized patients: a multicentre … December 30, 2014 How will we know patients are safer? … February 22, 2012 Safety First: Top of Your Board's Agenda: 100 Day Challenge Survey

5022. Challenges with requiring five characters during ADC drug searches via override. | PSNet
      psnet.ahrq.gov/issue/challenges-requiring-five-characters-during-adc-drug-searches-override
      October 20, 2021 - November 2, 2022 Temporarily holding medication orders safely in order to prevent patient … June 10, 2018 Survey on LASA drug name pairs: who knows what’s on your list and the best … May 7, 2014 Collaboration focused on priority issues promotes safety. … June 10, 2018 View More Related Resources Patient death after inadvertent … infusion of PRN medication hanging on bedside intravenous (IV) pole.

5023. Learning from preventable adverse events in health care organizations: development of a multilevel model of learning and propositions. | PSNet
      psnet.ahrq.gov/issue/learning-preventable-adverse-events-health-care-organizations-development-multilevel-model
      June 28, 2010 - Building on established organizational behavioral and learning theories, the authors present a model … June 28, 2010 Development of a measure of patient safety event learning responses. … November 27, 2009 Patient safety climate (PSC) perceptions of frontline staff in acute … September 17, 2008 Patient safety in Taiwan: a survey on orthopedic surgeons. … June 28, 2010 Patient Safety Papers.

5024. Surgeon age and operative mortality in the United States. | PSNet
      psnet.ahrq.gov/issue/surgeon-age-and-operative-mortality-united-states
      August 02, 2015 - and operative risk and conclude that, in general, surgeon age was not an important risk factor for patient … Related Resources From the Same Author(s) Composite measures for profiling hospitals on … Assessment of Healthcare Providers and Systems survey. … April 18, 2019 Safety culture and complications after bariatric surgery. … October 6, 2011 Time of day effects on the incidence of anesthetic adverse events.

5025. A dose of reality for medical malpractice reform. | PSNet
      psnet.ahrq.gov/issue/dose-reality-medical-malpractice-reform
      March 09, 2016 - This survey of health care workers and safety professionals found that fear of malpractice litigation … November 4, 2020 The limits of current A.I. in health care: patient safety policing in … July 5, 2006 Our broken health care system and how to fix it: an essay on health law … September 10, 2014 Conditions that influence the impact of malpractice litigation risk on … physicians' behavior regarding patient safety.

5026. Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-ethical-implications-healthcare-sick-leave-policies-pandemic-era
      September 16, 2020 - has been attributed to various cultural and system factors , such as fear of failing colleagues or patients … October 27, 2021 Variation in the reporting of elective surgeries and its influence on … July 6, 2022 Communication with patients and families regarding health care-associated … August 12, 2020 Medication errors in overweight and obese pediatric patients: a systematic … 2020 Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey

5027. Changing the work environment in ICUs to achieve patient-focused care: the time has come. | PSNet
      psnet.ahrq.gov/issue/changing-work-environment-icus-achieve-patient-focused-care-time-has-come
      April 05, 2023 - The authors cite the recommendations of the seminal Institute of Medicine reports on medical errors … care, encourage patient participation in safety measures, and evaluate providers on their teamwork … Provider perception of injured John Doe patients. … June 12, 2013 Error, stress, and teamwork in medicine and aviation: cross sectional surveys … Worries and concerns experienced by nurse specialists during inter-hospital transports of critically ill patients

5028. Case Report on Ambulatory Safety and Quality (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-casereport.pdf
      September 05, 2017 - A small general internal medicine (GIM) practice’s use of the Patient Experience Survey in the toolkit … While most patients indicated on the survey that they did know why a test was ordered, the care teams … observed that patients started asking more questions after completing the survey. … Survey in the toolkit to assess their patients’ level of understanding and knowledge about the lab … While most patients indicated on the survey that they did know why a test was ordered, the care teams

5029. Tablet-splitting: a common yet not so innocent practice. | PSNet
      psnet.ahrq.gov/issue/tablet-splitting-common-yet-not-so-innocent-practice
      August 31, 2022 - Pharmacists and patients commonly split pills in order to increase dose flexibility and make pills easier … April 14, 2011 Seen through the patients' eyes: safety of chronic illness care. … July 10, 2024 Patient safety near misses – still missing opportunities to learn. … performance of a drug-drug interaction clinical decision support system: quantitative evaluation and end-user survey … September 22, 2017 Public Meeting on Improving Patient Safety by Enhancing the Container

5030. Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/results.html
      March 01, 2017 - Upon receiving OMB approval in December 2015, we conducted a survey of patients and patient advocates … on the domains of interest. … in primary care to build on the evidence from AHRQ's Guide to Patient and Family Engagement in Hospital … Another primary care provider indicated that patient engagement means that patients are "on top of their … They reported on surveys of patients and providers about the issues, consensus processes to develop practice

5031. Final Progress Report: Measuring Quality of Primary Care in Complex Pediatric Patients (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/chen-report.pdf
      January 01, 2025 - , or patient survey). … V Process Patient Survey 2 The primary care team should actively involve patient or parent(s) in decision … V Process Patient Survey 3 The clinic or medical home should have a formal process in which patient … IV Process Patient Survey 3 The primary care team should help patient/parent(s) coordinate care: " … , and the remaining 29% would be based on patient survey.

5032. Good and bad reasons: the Swiss cheese model and its critics. | PSNet
      psnet.ahrq.gov/issue/good-and-bad-reasons-swiss-cheese-model-and-its-critics
      September 14, 2022 - July 21, 2021 The scientific literature on Coronaviruses, COVID-19 and its associated … July 15, 2020 Nurse work environment and its impact on reasons for missed care, safety … October 20, 2021 Impact of technological and departmental changes on incident rates in … considerations in using personal protective equipment in the COVID-19 pandemic context: a bi-national survey … July 1, 2020 The patient died: what about involvement in the investigation process?

5033. Learning without borders: a review of the implementation of medical error reporting in Médecins Sans Frontières. | PSNet
      psnet.ahrq.gov/issue/learning-without-borders-review-implementation-medical-error-reporting-medecins-sans
      December 21, 2022 - the humanitarian organization Médecins Sans Frontières in response to two safety incidents in which patients … Related Resources From the Same Author(s) Inappropriate prescribing of opioids for patients … July 9, 2018 Patient mortality during unannounced accreditation surveys at US hospitals … November 25, 2020 The relationship between safety culture and voluntary event reporting … March 22, 2017 Barriers to implementing a reporting and learning patient safety system

5034. Identifying nontechnical skills associated with safety in the emergency department: a scoping review of the literature. | PSNet
      psnet.ahrq.gov/issue/identifying-nontechnical-skills-associated-safety-emergency-department-scoping-review
      December 12, 2012 - June 17, 2010 'The ABC of Handover': impact on shift handover in the emergency department … September 27, 2016 Patient safety factors in children dying in a paediatric intensive … September 25, 2011 SECUre: a multicentre survey of the safety of emergency care in UK … April 3, 2019 How to master the new art of training: teamwork on the fly. … October 26, 2010 Clinical handover of patients arriving by ambulance to the emergency

5035. Reducing inappropriate polypharmacy: the process of deprescribing. | PSNet
      psnet.ahrq.gov/issue/reducing-inappropriate-polypharmacy-process-deprescribing
      September 23, 2020 - Polypharmacy in older patients is a predictor of medication errors. … August 17, 2016 Optimizing the use of dose error reduction software on intravenous infusion … July 1, 2019 In patient safety efforts, pharmacists gain new prominence. … May 28, 2015 Language barriers to prescriptions for patients with limited English proficiency … : a survey of pharmacies.

5036. Reducing Harms from Unsafe Use of Antibiotics and Preventing the Spread of Antibiotic Resistance | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/grantee-profiles/grtprofile-trautner.html
      October 01, 2023 - The research has three aims: to assess how the patient, healthcare system, and factors of the clinical … encounter are associated with non-prescription antibiotic use in low-income patients; to explore patient … perspectives and experiences with non-prescription antibiotic use among racially/ethnically diverse respondents … ; and to develop a communication tool for clinics to help steer patients toward safer antibiotic use … ASB, common in catheterized hospital patients and nursing home residents, often is confused with a urinary

5037. To err is human: use of simulation to enhance training and patient safety in anaesthesia. | PSNet
      psnet.ahrq.gov/issue/err-human-use-simulation-enhance-training-and-patient-safety-anaesthesia
      January 18, 2023 - Review To err is human: use of simulation to enhance training and patient safety … To err is human: use of simulation to enhance training and patient safety in anaesthesia. … September 2, 2015 The impact of racism on child and adolescent health. … July 29, 2020 Evaluation of the culture of safety: survey of clinicians and managers … 2021 The effect of computerised decision support alerts tailored to intensive care on

5038. Facilitator Guide: Sustaining and Spreading Surgical Safety Improvements (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustspreading_facnotes.docx
      December 01, 2017 - Test the changes on a small scale before rolling out a new process. … For example, test a new tool with one provider on a shift or two. … ASK: How will the next patient get a surgical site infection? … SAY: CUSP employs the Staff Safety Assessment, often called the two-question survey. … Reflect on your team. ASK: What is the right team mix? SAY: Change members as needed.

5039. ChartBook On Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
      March 04, 2016 - ChartBook On Patient Safety CHARTBOOK ON PATIENT SAFETY National Healthcare Quality and … Safety Measures of Patient Safety  Summary of information on patient safety from the National … offices, 2014 Source: Westat analysis of the AHRQ 2014 Medical Office Survey on Patient Safety Culture … on Patient Safety Culture Comparative Database (N=935). … to a survey across 10 facilities.

5040. Ward round template: enhancing patient safety on ward rounds. | PSNet
      psnet.ahrq.gov/issue/ward-round-template-enhancing-patient-safety-ward-rounds
      April 19, 2023 - Commentary Ward round template: enhancing patient safety on ward rounds. … Ward round template: enhancing patient safety on ward rounds. … Ward round template: enhancing patient safety on ward rounds. … Results of a national survey of surgical trainees. … hospitalized pediatric patients.