-
psnet.ahrq.gov/issue/practising-safely-foundation-years
February 04, 2015 - safety skills in primary care: a national survey of GP educators. … February 4, 2015
How can we keep patients with dementia safe in our acute hospitals? … October 31, 2011
Impact of reduction in working hours for doctors in training on postgraduate … medical education and patients' outcomes: systematic review. … March 30, 2011
The impact of shift patterns on junior doctors' perceptions of fatigue
-
psnet.ahrq.gov/issue/nurses-use-computerized-clinical-guidelines-improve-patient-safety-hospitals
June 06, 2018 - Review
Nurses' use of computerized clinical guidelines to improve patient safety … Nurses' Use of Computerized Clinical Guidelines to Improve Patient Safety in Hospitals. … August 8, 2018
Cascades of care after incidental findings in a US national survey of … September 18, 2019
How do nurses use early warning scoring systems to detect and act on … patient deterioration to ensure patient safety?
-
psnet.ahrq.gov/issue/academic-year-end-transfers-outpatients-outgoing-incoming-residents-unaddressed-patient
January 27, 2016 - Academic year-end transfers of outpatients from outgoing to incoming residents: an unaddressed patient … Care transitions pose a risk to patient safety. … January 3, 2017
"July Effect": impact of the academic year-end changeover on patient … March 25, 2017
Residency training in handoffs: a survey of program directors in psychiatry … June 10, 2015
Delivering on the promise of CLER: a patient safety rotation that aligns
-
psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-surgical-safety-checklists-cesarean
May 18, 2022 - 18, 2022
Society for Maternal-Fetal Medicine Special Statement: curriculum outline on … patient safety and quality for maternal-fetal medicine fellows. … June 1, 2022
"Some version, most of the time": the surgical safety checklist, patient … April 21, 2021
ASHP National Survey of Pharmacy Practice in Hospital Settings: clinical … August 11, 2010
Implementing a pre-operative checklist to increase patient safety: a
-
psnet.ahrq.gov/issue/effect-surgical-safety-checklists-pediatric-surgical-complications-ontario
December 07, 2016 - Association between handover of anesthesia care and adverse postoperative outcomes among patients … March 2, 2022
Hospital ward adaptation during the COVID-19 pandemic: a national survey … September 23, 2020
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … August 24, 2022
Engaging the patient and family in the surgical safety process utilizing … December 18, 2017
Enhancing pediatric perioperative patient safety.
-
psnet.ahrq.gov/issue/prescription-errors-psychiatry-multi-centre-study
September 27, 2017 - of patient safety and organizational culture. … April 12, 2019
The impact of abbreviations on patient safety. … 2, 2017
Pharmacist medication reviews to improve safety monitoring in primary care patients … August 31, 2011
Oral chemotherapy safety practices at US cancer centres: questionnaire … survey.
-
psnet.ahrq.gov/issue/what-causes-near-misses-and-how-are-they-mitigated
April 16, 2008 - This survey of hospital nurses identified both individual and system factors that contributed to near … December 12, 2012
Disclosing adverse events to patients: international norms and trends … February 26, 2014
Principles of pediatric patient safety: reducing harm due to medical … August 8, 2013
Crew resource management improved perception of patient safety in the … Understanding the types and effects of clinical interruptions and distractions recorded in a multihospital patient
-
psnet.ahrq.gov/issue/pediatric-medical-errors-part-1-case-pediatric-drug-overdose-case
April 22, 2020 - April 3, 2024
Impact of pharmacist-led admission medication reconciliation on patient … September 6, 2023
The effect of a system-level tiered huddle system on reporting patient … October 6, 2016
Leveraging the Partnership for Patients' initiative to improve patient … May 3, 2017
Medication histories in critically ill patients completed by pharmacy personnel … July 1, 2016
Medication safety in the operating room: a survey of preparation methods
-
psnet.ahrq.gov/issue/closed-medical-negligence-claims-can-drive-patient-safety-and-reduce-litigation
February 05, 2020 - This review evaluates the impact of peer review and tort reform measures on patient safety. … November 21, 2021
A resilience view on health system resilience: a scoping review of … November 15, 2023
Implementation of barcode medication administration (BMCA) technology on … July 1, 2013
How does routine disclosure of medical error affect patients' propensity … : Evidence from survey data.
-
psnet.ahrq.gov/perspective/antibiotic-and-opioid-stewardship-dentistry
December 07, 2020 - KH : Has anybody looked at what the safety culture is within dental practices and how that correlates … In this intervention, the patients were instructed on what to expect post extraction, we provided non-opioid … safety culture in primary dental care. … May 6, 2020
Factors affecting patient safety culture among dental healthcare workers: … A nationwide cross-sectional survey
October 16, 2019
View More
See More
-
psnet.ahrq.gov/issue/balancing-patient-safety-clinical-efficacy-and-cybersecurity-clinician-partners
May 04, 2022 - May 18, 2022
ASHP National Survey of Pharmacy Practice in Hospital Settings: clinical … of patients with COVID-19: a systematic review. … May 25, 2022
Engaging patients as safety partners: some considerations for ensuring a … June 14, 2023
AI may be on its way to your doctor’s office, but it’s not ready to see … patients.
-
psnet.ahrq.gov/issue/how-will-state-medical-boards-handle-cases-involving-disclosure-and-apology-medical-errors
September 07, 2022 - J Patient Saf Risk Manag . 2022; 27 (1) :15-20 . … In this study, 38 state medical boards responded to a survey regarding disclosure and apology practices … apologize, and that these actions would not make the clinician a target for disciplinary action; respondents … 1, 2021
View More
Related Resources
Perspectives on … Suicide Prevention
March 25, 2025
Perspectives on
-
psnet.ahrq.gov/issue/incidence-and-types-non-ideal-care-events-emergency-department
April 27, 2010 - Active surveillance identified problems in the care of nearly one-third of patients in an urban emergency … April 27, 2010
Preventing catheter-associated bloodstream infections: a survey of policies … June 24, 2010
Perspectives on Safety
Meaningful Measurement … April 19, 2023
A program to provide clinicians with feedback on their diagnostic performance … September 16, 2009
Preventable deaths in patients admitted from emergency department.
-
www.ahrq.gov/hai/cusp/modules/understand/science-safety-notes.html
July 01, 2018 - On average, every patient admitted to an intensive care unit suffers an adverse event.
44,000 to 99,000 … influences on patient care. … When nurses are responsible for more than two patients, there is an increased risk of patient complications … CUSP teams are able to focus on patient care and have confidence that any accidental breach in protocol … every 3 to 6 months, or as needed, to initiate culture conversations, evaluate cultural issues (between survey
-
psnet.ahrq.gov/issue/health-plan-members-views-about-disclosure-medical-errors
November 15, 2011 - 23, 2008
Effect of computerized provider order entry with clinical decision support on … May 25, 2011
Effect of a multifaceted clinical pharmacist intervention on medication … September 29, 2017
Hospitals slow to adopt patient apology policies. … NHS: an online survey study. … Patient Disclosure
-
psnet.ahrq.gov/issue/infection-prevention-compendium-long-term-care-facilities
November 08, 2017 - This toolkit highlights multidisciplinary approaches to reducing HAIs and teaching tools focused on distinct … November 8, 2017
2015 Rosenthal Symposium: Protecting Patients: Advances and Future Directions … in Patient Safety. … September 29, 2017
Medical Error Reporting System Could Boost Patient Safety. … Organizational readiness to change as a leverage point for improving safety: a national nursing home survey
-
psnet.ahrq.gov/issue/patient-and-physician-experience-interhospital-transfer-qualitative-study
April 12, 2023 - This single-site survey of resident and attending physicians across multiple specialties uncovered multiple … Investigators found that physicians and patients were both dissatisfied with timing of transfers and … May 8, 2017
Adverse diagnostic events in hospitalised patients: a single-centre, retrospective … November 16, 2022
Effect of patient- and medication-related factors on inpatient medication … July 14, 2010
Resident uncertainty in clinical decision making and impact on patient
-
psnet.ahrq.gov/issue/caregivers-perception-drug-administration-safety-pediatric-oncology-patients
August 14, 2024 - This survey found that caregivers for pediatric oncology patients experience significant apprehension … Related Resources From the Same Author(s)
Hospital rating organizations' quality and patient … describe serious reportable patient safety incidents: a systematic review. … pediatric patients: a systematic review and meta-analysis. … January 27, 2021
Are the World Health Organization's patient safety learning objectives
-
psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone-overdose
June 03, 2020 - Lack of familiarity with smart pumps can lead to user error and patient harm. … It suggests enhanced “hands on” education, improved medication labeling, required engagement with drug … May 19, 2021
Survey shows room for improvement with three new best practices for hospitals … October 21, 2020
WebM&M Cases
Fatal Patient-Controlled … April 1, 2020
Trends influencing the cost of care and patient safety.
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs025238-xie-final-report-2020.pdf
January 01, 2020 - To implement the CDS tool and assess its use and impacts on blood culture use and patient outcomes. … Aim 3: To implement the CDS tool and assess its use and impacts on blood culture use and patient … ) • Different patients having different current status and trend
• Matching patient conditions signs … blood culture use and patient
outcomes
Data on blood culture use. … Survey-
based work system assessment to facilitate large-scale dissemination of healthcare quality improvement