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psnet.ahrq.gov/issue/computer-alert-system-prevent-injury-adverse-drug-events-development-and-evaluation-community
November 01, 2016 - The effect of structured medication review followed by face-to-face feedback to prescribers on … June 15, 2016
Development and validation of a brief culture-of-safety survey. … November 21, 2021
Can we make postoperative patient handovers safer? … August 8, 2018
Trigger alerts associated with laboratory abnormalities on identifying … Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients
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psnet.ahrq.gov/issue/high-cost-low-frequency-events-anatomy-and-economics-surgical-mishaps
October 19, 2022 - This prospective, 1-year survey identified adverse outcomes due to errors from surgical intervention … January 6, 2018
The 5th National Audit Project (NAP5) on accidental awareness during … of coworker reports about unprofessional behavior by surgeons with surgical complications in their patients … April 8, 2020
Clinical impact of intraoperative electronic health record downtime on … surgical patients.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
January 01, 2025 - Caregivers are open and transparent with
patients. Patients are truly partners in their own care. … patients and families to the redesign of health care with patients and
families. … being integrated into
root cause analyses, accrediting surveys, and other investigations. … o Research on the dynamics of communication of risk and the impact on patient
engagement. … The macrosystems of health care
organizations and the microsystems of patient care teams and patients—even
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024767-yen-final-report-2019.pdf
January 01, 2019 - For instance, researchers on this team have found a relationship between the speed of adoption and patient … Do your
patients have care plans applied to them? … Development of the Health IT adaptation survey instrument
Base on the results from the qualitative … EMR Implementation Speed: Patient Safety Culture Paradox. … EMR Implementation Speed: Patient Safety Culture Paradox.
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psnet.ahrq.gov/issue/clinical-oversight-conceptualizing-relationship-between-supervision-and-safety
June 23, 2010 - suggest that this framework could be used to evaluate the effects of different types of supervision on … patient care and housestaff education. … A study of patients' and operating room team members' perceptions of error definition, reporting, and … June 17, 2014
Influence of house-staff experience on teaching-hospital mortality: the … Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-plan-b-slides.html
December 01, 2017 - Slide 12
Just because a patient is in the ICU does NOT mean that the patient needs a Foley…
The … Safety (GPS)
Image: Screen shot of a CAUTI questionnaire. … trouble-shooting tips
www.catheterout.org
Slide 24
Image: Screen shot of CAUTI questionnaire … surrounding the prevention of CAUTI and other hospital-acquired conditions
To compare the CAUTI GPS survey … behalf of patients
Slide 41
Thank you!
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psnet.ahrq.gov/issue/interdisciplinary-team-training-identifies-discrepancies-institutional-policies-and-practices
November 26, 2012 - September 18, 2024
Electronic health records in ambulatory care- a national survey of … July 20, 2022
Evaluation of clinical practice guidelines on fall prevention and management … 2021
In-situ interprofessional perinatal drills: the impact of a structured debrief on … maximizing training while sensing patient safety threats. … May 22, 2019
A comprehensive obstetrics patient safety program improves safety climate
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cdsic.ahrq.gov/sites/default/files/2023-08/Checklist_SMD%20Planning%20Implementation%20Reporting_508fillable.pdf
January 01, 2023 - Engagement trends among
patients from patient user
data. … Rank usability problems
based on severity and their
potential impact on patient
safety. … Results from pre- and
post-implementation
user satisfaction
surveys, including
satisfaction with … patients representing vulnerable populations":
Was the task "Report on the Identification of End-User … :
2-Collect feedback from patients during regular audits":
Was the task "Report on the Extent of
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psnet.ahrq.gov/perspective/conversation-katie-j-suda-pharmd-ms
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
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psnet.ahrq.gov/issue/can-communication-and-resolution-programs-achieve-their-potential-five-key-questions
September 01, 2018 - RIS
Download Citation
Related Resources From the Same Author(s)
Patients … November 23, 2016
Disclosing harmful medical errors to patients: tackling three tough … April 13, 2011
Long-term impacts faced by patients and families after harmful healthcare … September 29, 2017
Error disclosure: a new domain for safety culture assessment. … threats: a national survey of interns and residents.
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psnet.ahrq.gov/issue/subtherapeutic-heparin-infusions-your-organization-risk-bypassing-soft-low-dose-alerts
November 18, 2020 - Copy Citation
Related Resources From the Same Author(s)
ISMP Survey provides … May 20, 2020
Administering just the diluent or one of two vaccine components leaves patients … Direct oral anticoagulant-related medication incidents and pharmacists' interventions in hospital in-patients … December 22, 2021
Impact of an electronic health record transition on chemotherapy error
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www.ahrq.gov/hai/tools/mvp/modules/cusp/action-plan-trip-fac-guide.html
February 01, 2017 - Local units measure the clinician and staff perceptions of safety culture, such as the Hospital Survey … on Patient Safety Culture. … culture on the unit. … Patient mobility depends on patients being awake and alert. … How often are daily SATs performed on all patients receiving sedation?
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017261-schillinger-final-report-2011.pdf
January 01, 2011 - Participants were
interviewed via telephone using close-ended surveys adapted from the original IDEALL … We
assessed the differential effects of ATSM and wait-list control on patient-centered outcomes,
with … of care (IPC)
Diabetes self-efficacy Patient self-management scale derived from questionnaire used … Preferences for self-management
support: findings from a survey of diabetes patients in
safety-net … Interpersonal processes of care
survey: patient-reported measures for diverse groups.
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psnet.ahrq.gov/issue/anti-black-racism-chronic-condition
December 17, 2020 - Racial bias and systemic racism in healthcare are increasingly seen as critical patient safety issues … using examples such as racial biases in clinical tools and algorithms, the effect of racial bias on … Acting wisely in complex clinical situations: 'Mutual safety' for clinicians as well as patients … Organizational readiness to change as a leverage point for improving safety: a national nursing home survey … More
Related Resources
Disclosing medical errors: prioritising the needs of patients
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psnet.ahrq.gov/issue/schwartz-center-rounds-evaluation-interdisciplinary-approach-enhancing-patient-centered
October 14, 2020 - The Schwartz Center Rounds: evaluation of an interdisciplinary approach to enhancing patient-centered … This study describes the impact of a longitudinal forum focused on discussing psychosocial and emotional … Related Resources
Managing disruptive behaviors in the health care setting: focus on … June 16, 2011
Role of medical students in preventing patient harm and enhancing patient … Interprofessional conflict and medical errors: results of a national multi-specialty survey
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psnet.ahrq.gov/issue/failures-communication-through-documents-and-documentation-across-perioperative-pathway
August 07, 2013 - This qualitative study of communication among providers in perioperative care revealed a reliance on … January 22, 2016
Effects of patient-, environment- and medication-related factors on … March 28, 2011
New 2011 survey of patients with complex care needs in eleven countries … December 30, 2011
Older patients' engagement in hospital medication safety behaviours … May 26, 2021
The safety of health care for ethnic minority patients: a systematic review
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psnet.ahrq.gov/issue/gaps-pediatric-clinician-communication-and-opportunities-improvement
March 24, 2011 - December 21, 2014
What do patients think about year-end resident continuity clinic handoffs … Healthcare professional views on hospital to home care transitions. … November 26, 2014
Improving teamwork on general medical units: when teams do not work … November 8, 2012
Effects of a multicentre teamwork and communication programme on patient … : A survey of practices and recommendations.
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psnet.ahrq.gov/issue/medication-injection-safety-knowledge-and-practices-among-anesthesiologists-new-york-state
August 25, 2021 - This survey revealed that anesthesiologists in New York commonly use unsafe injection techniques, such … as accessing a single medication vial for multiple patients. … November 16, 2022
Effect of an emergency department process improvement package on suicide … Association of pediatric resident physician depression and burnout with harmful medical errors on … April 22, 2013
View More
Related Resources
Patient Safety Authority
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psnet.ahrq.gov/issue/clearing-error-using-public-deliberation-define-patient-roles-partners-diagnostic-process
September 13, 2016 - Recommendations to enhance relationships with patients to reduce diagnostic error focus on managing … Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on … October 31, 2018
A patient-initiated voluntary online survey of adverse medical events … : the perspective of 696 injured patients and families. … Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by patients
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psnet.ahrq.gov/node/33654/psn-pdf
August 01, 2007 - Surveys have consistently shown that when you ask the board chair, "What do you think of quality in your … A patient lost their hand in a
farm accident and we put it back on and it's working again, and aren't … psnet.ahrq.gov/issue/engagement-leadership-quality-improvement-initiatives-executive-quality-improvement-survey … was useful for the care of the
patients. … psnet.ahrq.gov/issue/engagement-leadership-quality-improvement-initiatives-executive-quality-improvement-survey