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psnet.ahrq.gov/issue/perceived-value-ward-based-pharmacists-perspective-physicians-and-nurses
February 15, 2011 - The introduction of clinical pharmacists on inpatient services was positively received by physicians … February 15, 2011
Prescription and transcription errors in multidose-dispensed medications on … April 5, 2023
The complexities of communication at hospital discharge of older patients … information with a modified QPP questionnaire-a case-control study. … August 26, 2020
Survey shows recession has weakened patient safety net.
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www.ahrq.gov/practiceimprovement/delivery-initiative/rodriguez/index.html
December 01, 2020 - Patient Experience Survey (random samples of patients with 2+ visits) (2012 RR= 45%, n=907; 2013 RR= … Slide 16
Patient Survey Respondent Characteristics: Education and Language (n=907)
Image: Bar graph … shows the following Patient Survey respondent characteristics:
Education:
8th grade or less: … Only one control clinic respondent indicated any changes to the management of diabetic patients during … surveys.
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psnet.ahrq.gov/issue/hospital-board-oversight-quality-and-patient-safety-narrative-review-and-synthesis-recent
November 13, 2019 - Review
Classic
Hospital board oversight of quality and patient … Hospital leadership oversight is thought to be critical for advancing patient safety initiatives. … 2022
Assessing organisational culture for quality and safety improvement: a national survey … June 5, 2019
Chasing Zero: Winning the War on Healthcare Harm. … September 19, 2016
The impact of anti-infective drug shortages on hospitals in the United
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psnet.ahrq.gov/issue/pharmacologically-inappropriate-prescriptions-elderly-patients-general-practice-how-common
March 08, 2023 - Study
Pharmacologically inappropriate prescriptions for elderly patients in general … Pharmacologically inappropriate prescriptions for elderly patients in general practice: How common? … on hospital managers' perception of the nurse-led Rapid Response Team. … in older polymedicated patients with multiple comorbidities. … survey of Medicare beneficiaries.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/008-antibiotic-stewardship-slides.pptx
October 01, 2022 - Ensuring that every patient gets:
An antibiotic only when one is needed
The right agent
At the right … Focus on the common goals of quality care and the welfare of the patient. … It’s great that the patient is now doing so much better.” … Association of adverse events with antibiotic use in hospitalized patients. … Emerging infections program hospital prevalence survey team.
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psnet.ahrq.gov/issue/assessing-adverse-events-among-home-care-clients-three-canadian-provinces-using-chart-review
June 28, 2017 - Study
Assessing adverse events among home care clients in three Canadian provinces … Assessing adverse events among home care clients in three Canadian provinces using chart review. … March 11, 2013
Identification of serious and reportable events in home care: a Delphi survey … May 28, 2014
On the ball: leadership for patient safety and learning in critical care … June 8, 2016
Implications of case managers' perceptions and attitude on safety of home-delivered
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psnet.ahrq.gov/issue/retained-lumbar-catheter-tip
June 07, 2017 - Discussing an incident involving the unintended retention of a catheter tip in a patient, this commentary … October 14, 2020
Management of a patient with a latex allergy. … February 21, 2018
Insulin dosing error in a patient with severe hyperkalemia. … January 17, 2018
Development and validation of a brief culture-of-safety survey. … April 25, 2016
Mandatory reporting of impaired medical practitioners: protecting patients
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psnet.ahrq.gov/issue/use-report-cards-and-outcome-measurements-improve-safety-surgical-care-american-college
May 26, 2016 - This narrative review discusses how NSQIP has been implemented and utilized to support patient safety … for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: focus on … February 7, 2018
Incident and long-term opioid therapy among patients with psychiatric … 2019
Perception of safety of surgical practice among operating room personnel from survey … , 2013
The role of practice guidelines and evidence-based medicine in perioperative patient
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psnet.ahrq.gov/issue/learning-patient-safety-incidents-green-cross-method
June 14, 2023 - Learning from patient safety incidents: the Green Cross method. … Learning from patient safety incidents: the Green Cross method. … Impact of participation in the California Healthcare-Associated Infection Prevention Initiative on … safety survey results in surgical departments. … January 15, 2025
Perspectives on anesthesia and perioperative patient safety: past, present
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psnet.ahrq.gov/issue/adverse-incidents-patient-flow-and-nursing-workforce-variables-acute-psychiatric-wards
April 03, 2019 - Study
Adverse incidents, patient flow and nursing workforce variables on acute psychiatric … Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins … Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins … April 3, 2019
Survey of nurses' experiences applying The Joint Commission's medication … November 21, 2012
Identifying the 'right patient': nurse and consumer perspectives on
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psnet.ahrq.gov/issue/medical-malpractice-lawsuits-involving-trainees-obstetrics-and-gynecology-usa
February 15, 2023 - Download Citation
Related Resources From the Same Author(s)
Involving patients … and carers in patient safety in primary care: a qualitative study of a co-designed patient safety guide … victim experiences of nurses in obstetrics and gynaecology: a Second Victim Experience and Support Tool Survey … maximizing training while sensing patient safety threats. … May 11, 2019
Effect of a comprehensive obstetric patient safety program on compensation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a3_combo_selfassessment.pdf
May 12, 2016 - While not part of this toolkit, AHRQ’s Hospital
Survey on Patient Safety Culture may be help you assess … References Used To Inform Survey design
1. Keroack M A, Youngberg BJ, Cerese JL., et al. (2007). … • We have open communication among providers, staff, patients,
and caregivers about quality … Overall, our hospital’s organizational structure places a high priority
on quality and patient safety … Overall, our hospital’s management processes are designed to place
a high priority on quality and patient
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psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-hospitalized-elders
February 17, 2011 - October 21, 2020
A Department of Medicine infrastructure for patient safety and clinical … Related Resources
Impact of pharmacist-led multidisciplinary medication review on … February 12, 2020
Impact of pharmacist-provided medication therapy management on healthcare … June 19, 2013
ASHP national survey of pharmacy practice in hospital settings: dispensing … December 21, 2011
In-home medication reviews: a novel approach to improving patient care
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www.ahrq.gov/news/events/nac/2020-07-nac/nacmtg071420-minutes.html
November 01, 2020 - The Medical Expenditure Panel Survey (MEPS) was used to analyze spending on prescription opioids by source … AHRQ’s Surveys on Patient Safety Culture program is developing survey items on workforce safety for the … hospital and possibly other settings and supplemental survey items on diagnostic safety (for the Medical … Office Survey). … It will develop and disseminate a model hospital command center that integrates real-time data on patients
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psnet.ahrq.gov/issue/qualitative-exploration-mental-health-service-user-and-carer-perspectives-safety-issues-uk
March 31, 2021 - A qualitative exploration of mental health service user and carer perspectives on … November 30, 2022
Identifying safety practices perceived as low value: an exploratory survey … March 2, 2011
Do patient engagement interventions work for all patients? … December 7, 2022
Management and patient safety of complex elderly patients in primary … in mental healthcare transitions mean for service users and other stakeholder groups: an open-ended questionnaire
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psnet.ahrq.gov/issue/getting-doctors-clean-their-hands-lead-followers
June 12, 2013 - June 12, 2013
Improving teamwork on general medical units: when teams do not work face-to-face … November 8, 2012
An evaluation of shared mental models and mutual trust on general medical … units: implications for collaboration, teamwork, and patient safety. … Resources
Psychological safety and infection prevention practices: results from a national survey … February 19, 2020
Vital signs: improving antibiotic use among hospitalized patients.
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psnet.ahrq.gov/issue/using-human-factors-framework-assess-clinician-perceptions-and-barriers-high-reliability-hand
December 02, 2020 - The 61 respondents identified several barriers associated with aspects of organizational culture, environment … A qualitative study among patients, carers and healthcare providers. … of patients with COVID-19: a systematic review. … to identify potential errors: cross-sectional web-based survey. … July 30, 2015
Effects of CPOE on provider cognitive workload: a randomized crossover
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psnet.ahrq.gov/issue/pathology-oversight-failures-veterans-health-care-system-ozarks-fayetteville-arkansas-va
July 14, 2021 - July 14, 2021
Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced … July 26, 2023
Multiple Failures in Test Results Follow-up for a Patient Diagnosed with … October 12, 2022
Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced … Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients … October 21, 2015
Clinical Lab Quality: CMS and Survey Organization Oversight Should Be
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psnet.ahrq.gov/issue/flow-disruptions-trauma-care-handoffs
August 02, 2015 - understudied area of patient safety. … July 1, 2017
Electronic health records in ambulatory care- a national survey of physicians … May 2, 2018
Effects of an online personal health record on medication accuracy and safety … safety: a mixed method analysis of emergency department patient flow. … September 27, 2016
The effect of emergency department boarding on order completion.
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psnet.ahrq.gov/issue/intraoperative-code-blue-improving-teamwork-and-code-response-through-interprofessional-situ
April 28, 2021 - Jt Comm J Qual Patient Saf . 2022; 48 (12) :665-673 . … This study evaluated the impact of a one-hour interdisciplinary in situ simulation training on code response … May 27, 2020
A multisite study of interprofessional teamwork and collaboration on general … November 25, 2020
Development and validation of a brief culture-of-safety survey. … May 11, 2022
Variation in the reporting of elective surgeries and its influence on patient