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psnet.ahrq.gov/issue/reducing-iatrogenic-risks-icu-acquired-delirium-and-weakness-crossing-quality-chasm
November 30, 2022 - June 29, 2011
Organisational culture: variation across hospitals and connection to patient … January 5, 2011
Effect of crew resource management on diabetes care and patient outcomes … 2021
Management of arterial lines and blood sampling in intensive care: a threat to patient … January 8, 2014
Multiprofessional survey of protocol use in the intensive care unit. … April 1, 2009
A model for increasing patient safety in the intensive care unit: increasing
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psnet.ahrq.gov/issue/resolving-productivity-paradox-health-information-technology-time-optimism
November 16, 2022 - electronic health records has thus far been disappointing for many clinicians, with limited effect on … September 2, 2015
Development of a high-value care culture survey: a modified Delphi … September 29, 2017
Failures in the respectful care of critically ill patients. … April 12, 2023
A Crisis in Health Care: A Call to Action on Physician Burnout. … November 14, 2018
Orders on file but no labs drawn: investigation of machine and human
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psnet.ahrq.gov/issue/improving-governance-patient-safety-emergency-care-systematic-review-interventions
March 06, 2013 - The growing focus on enhancing health care safety has placed new demands on hospital leadership to implement … Providing good and comfortable care by building a bond of trust': nurses views regarding their role in patients … A survey of 10 healthcare professions in the Netherlands about experiences with impaired and incompetent … 26, 2015
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Impact of weekend effect on … postoperative mortality in patients undergoing emergency General surgery procedures: meta-analysis of
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psnet.ahrq.gov/issue/introduction-sts-national-database-series-outcomes-analysis-quality-improvement-and-patient
August 04, 2021 - Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient … March 14, 2022
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … Crisis scenarios for simulation-based nontechnical skills training for cardiac surgery teams: a national survey … November 6, 2019
Patient safety science in cardiothoracic surgery: an overview. … October 22, 2014
Quality, patient safety, and the cardiac surgical team.
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psnet.ahrq.gov/issue/medication-safety-teams-guided-implementation-electronic-medication-administration-records
September 27, 2016 - Jt Comm J Qual Patient Saf. 2009;35(1):29-35. doi:10.1016/s1553-7250(09)35005-9. … Jt Comm J Qual Patient Saf . 2009; 35 (1) :29-35 . … Achieving quality improvement in the nursing home: influence of nursing leadership on … Organizational readiness to change as a leverage point for improving safety: a national nursing home survey … June 10, 2018
Personal health records: a randomized trial of effects on elder medication
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psnet.ahrq.gov/issue/evaluating-physician-performance-individualizing-care-pilot-study-tracking-contextual-errors
September 20, 2011 - This study describes a methodology for measuring physician performance and focuses on the ability to … March 2, 2016
Validating domains of patient contextual factors essential to preventing … depression screening: identifying diagnostic error and improving accuracy through unannounced standardized patients … students' abilities to probe for contextual issues in simulated patients. … from a national survey.
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psnet.ahrq.gov/issue/patient-and-public-involvement-healthcare-systematic-mapping-review-systematic-reviews
August 24, 2016 - on PPI in patient safety and the others focused on healthcare quality improvement, community-based initiatives … March 9, 2022
Lessons learned for reducing the negative impact of adverse events on patients … , explorative survey. … February 28, 2024
Five strategies for how patients and families can improve patient safety … April 12, 2019
Patient centred diagnosis: sharing diagnostic decisions with patients
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psnet.ahrq.gov/issue/putting-action-rca2-analysis-intervention-strength-after-adverse-events
April 17, 2024 - Resources From the Same Author(s)
Associations between organizational communication and patients … October 27, 2021
Interhospital transfer patients discharged by academic hospitalists … June 21, 2016
Talking with patients about other clinicians' errors. … safety culture. … the implementation of a multifaceted intervention to improve teamwork and quality for hospitalized patients
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psnet.ahrq.gov/issue/how-payers-can-help-hospitals-become-safer-through-value-based-programs
December 21, 2022 - patient safety is inconsistent . … In contrast to some other programs, the VBC program bases the overall score on nationally-normalized … December 21, 2022
Enhancing patient safety in prehospital environment: analyzing patient … A national random sample survey about "truth-telling practices" in the perioperative setting in the United … September 27, 2023
A Transformational Effort on Patient Safety.
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psnet.ahrq.gov/issue/periodic-resuscitation-cart-checks-and-nurse-situational-awareness-observational-study
March 18, 2020 - March 11, 2020
Surgeon burnout, impact on patient safety and professionalism: a systematic … October 21, 2020
Patient perspectives on the usefulness of an artificial intelligence-assisted … symptom checker: cross-sectional survey study. … for Quality and Safety (FIQS): using mobile technology for in-hospital reporting from families and patients … February 23, 2011
How RNs rescue patients: a qualitative study of RNs' perceived involvement
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/key_drivers_descriptions.pdf
February 01, 2019 - Lean (focused on efficiency), Six Sigma (focused on standardization), and
several patient safety approaches … Some patients will need support in the community to help them follow through on
their plans. … Some practices obtain
feedback by administering brief surveys. … Another advanced strategy for partnering with patients and families is forming
a Patient and Family … patient outcomes.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a3_combo_selfassessment.docx
June 27, 2014 - While not part of this toolkit, AHRQ’s Hospital Survey on Patient Safety Culture may help you assess … References Used To Inform Survey Design
Keroack M A, Youngberg BJ, Cerese JL., et al. (2007). … staff, patients, and caregivers about quality and patient safety.
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Overall, our hospital … ’s organizational structure places a high priority on quality and patient safety.
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My … mortality and reduce complications.
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· We have open communication among providers, staff, patients
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psnet.ahrq.gov/issue/evolving-role-medical-scribe-variation-and-implications-organizational-effectiveness-and
October 24, 2018 - February 1, 2023
Orders on file but no labs drawn: investigation of machine and human … April 29, 2018
Unrealized potential and residual consequences of electronic prescribing on … November 15, 2018
Resource-based view on safety culture's influence on hospital performance … September 19, 2018
A national survey assessing the number of records allowed open in … February 10, 2018
The impact of electronic medical records on hospital-acquired adverse
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_1-speaker-notes.docx
September 01, 2015 - A recent national survey of catheter placement practices in acute care hospitals demonstrated that many … · Does your facility evaluate and share information on CAUTI rates and device use ratios? … patient. … When assessing the indication on a daily basis, ask the question, does my patient still need a urinary … You can also drill down on CAUTI using the “Learning From Defects” tool on the AHRQ Web site and review
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psnet.ahrq.gov/issue/real-time-debriefing-after-critical-events-exploring-gap-between-principle-and-reality
December 15, 2021 - Multi-professional simulation-based team training in obstetric emergencies for improving patient … performance
February 17, 2021
The safety of emergency care systems: results of a survey … Association of provider specialty with abortion-related morbidity and adverse events among patients … operating room: a narrative review of environmental and self-initiated distractions and their effect on … patient safety.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/102-how-to-integrate-cusp-approach-periop.pptx
April 01, 2025 - patient care. … and Family
Both provide a valuable perspective
Patients
Provide recommendations for care
Voice concerns … Services
How to Integrate a CUSP Approach
Staff Safety Assessment
The Staff Safety Assessment (SSA) is a survey … the Program and the Patient
The safety culture empowers the team to achieve excellence in patient safety … Association of safety culture with surgical site infection outcomes.
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psnet.ahrq.gov/issue/most-dangerous-time-hospital-it-may-be-when-you-leave
March 08, 2017 - October 21, 2015
In a culture of disrespect, patients lose out. … October 11, 2017
Structured patient handoffs: the movement toward adverse event reduction … Association between end-of-rotation resident transition in care and mortality among hospitalized patients … Interhospital transfer handoff practices among US tertiary care centers: a descriptive survey
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psnet.ahrq.gov/perspective/health-equity-and-maternal-health
October 06, 2021 - I'd suggest that a paper survey sent to patients weeks later without framing the utility of engaging … We have a bilingual research assistant who’s been recruiting patients for our longitudinal surveys. … On a number of occasions she has come in to meet the patient, and she asks about feeding, and the patient … We have to stop pretending that a 7 on a 1–10 scale is meaningful to a patient. … Safety
Safety Culture in EMS
May 26, 2021
Perspectives
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psnet.ahrq.gov/issue/what-else-could-it-be-scoping-review-questions-patients-ask-throughout-diagnostic-process
November 03, 2021 - A scoping review of questions for patients to ask throughout the diagnostic process. … A scoping review of questions for patients to ask throughout the diagnostic process. … RIS
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Related Resources From the Same Author(s)
Survey … safety, learning environments, and relationships with continuity patients. … 24, 2018
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Stakeholder perspectives on
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psnet.ahrq.gov/issue/beyond-surgical-safety-checklist-using-intraoperative-handoff-facilitate-team-situation
June 13, 2018 - record with wrong-patient order entry errors. … Effect of restriction of the number of concurrently open records in an electronic health record on … wrong-patient order errors: a randomized clinical trial. … , 2019
Analysis of clinical decision support system malfunctions: a case series and survey … April 6, 2022
Influence of perioperative handoffs on complications and outcomes.