-
psnet.ahrq.gov/issue/perruche-case-and-issue-compensation-consequences-medical-error
July 31, 2024 - high-profile French diagnostic error case and draws parallels from its resolution to the U.S. debate on … "just" compensation for patients and families affected by medical error . … raising concerns about patient deterioration: a qualitative study. … July 8, 2020
Effect of a multifaceted clinical pharmacist intervention on medication … October 19, 2011
A Call for Change: The 2011 Commonwealth Fund Survey of Public Views
-
psnet.ahrq.gov/issue/world-health-organization-field-trial-assessing-proposed-icd-11-framework-classifying-patient
December 29, 2014 - A World Health Organization field trial assessing a proposed ICD-11 framework for classifying patient … events in administrative datasets could improve detection of errors, adverse events, and near misses on … Opportunities and challenges for quality and safety applications in ICD-11: an international survey … Impact of opioid administration in the intensive care unit and subsequent use in opioid-naïve patients … February 20, 2019
A Crisis in Health Care: A Call to Action on Physician Burnout.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a3_pdi_selfassessment.docx
May 12, 2016 - 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 MA, Youngberg BJ, Cerese JL, et al. … staff, patients, and caregivers about quality and patient safety.
|_|
|_|
|_|
Overall, our hospital … ’s organizational structure places a high priority on quality and patient safety.
|_|
|_|
|_|
My … reduce complications in children.
|_|
|_|
|_|
· We have open communication among providers, staff, patients
-
psnet.ahrq.gov/issue/experiences-and-perceptions-healthcare-stakeholders-disclosing-errors-and-adverse-events
July 31, 2024 - J Patient Saf. 2023;19(8):547-552. doi:10.1097/pts.0000000000001173. … and caregiver perspectives on causes and prevention of ambulatory adverse events: multilingual qualitative … October 21, 2020
Multispecialty physician online survey reveals that burnout related … February 26, 2025
Communication of incidental imaging findings on inpatient discharge … patient safety.
-
psnet.ahrq.gov/issue/reduction-hospital-wide-clinical-laboratory-specimen-identification-errors-following-process
August 26, 2011 - Correct identification of patient specimens is crucial to timely and accurate diagnosis . … safety in Taiwan: a survey on orthopedic surgeons. … November 27, 2009
Professional commitment, patient safety, and patient-perceived care … Resources
Adherence to national guidelines for timeliness of test results communication to patients … February 2, 2011
Frequency of failure to inform patients of clinically significant outpatient
-
psnet.ahrq.gov/issue/missed-diagnosis-critical-congenital-heart-disease
September 09, 2020 - September 23, 2020
Association of hospital employee satisfaction with patient safety … Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient … hospital staff burnout at military treatment facilities: findings from the 2019 Department of Defense Patient … Safety Culture Survey. … June 25, 2018
Unrecognized cardiovascular emergencies among Medicare patients.
-
psnet.ahrq.gov/issue/influence-causes-and-contexts-medical-errors-emergency-medicine-residents-responses-their
April 11, 2011 - Study
The influence of the causes and contexts of medical errors on emergency medicine … The influence of the causes and contexts of medical errors on emergency medicine residents' responses … The influence of the causes and contexts of medical errors on emergency medicine residents' responses … September 9, 2010
Quality improvement implementation and hospital performance on patient … June 28, 2010
Medication reconciliation and patient safety in trauma: Applicability of
-
psnet.ahrq.gov/issue/utilizing-systems-and-design-thinking-approach-improving-well-being-within-health
March 10, 2021 - Burnout can diminish the safety of clinicians , students, health care workers, and patients. … A past Annual Perspective covered the impact of burnout on patient safety. … December 21, 2022
Oxford Professional Practice: Handbook of Patient Safety. … Skochelak, MD, PhD
February 1, 2019
Self-reported patient safety competence … among Canadian medical students and postgraduate trainees: a cross-sectional survey.
-
psnet.ahrq.gov/issue/bullying-junior-doctors-prevails-irish-health-system-bitter-reality
July 15, 2020 - The investigators surveyed junior doctors in south and western regions of Ireland; 30% of respondents … Download Citation
Related Resources From the Same Author(s)
Effect on … patient safety of a resident physician schedule without 24-hour shifts. … January 11, 2023
Opioid-Related Inpatient Stays and Emergency Department Visits Among Patients … April 21, 2021
Race differences in reported "near miss" patient safety events in health
-
psnet.ahrq.gov/issue/psychological-impact-and-recovery-after-involvement-patient-safety-incident-repeated-measures
September 19, 2016 - Research demonstrates that involvement in adverse events can have a significant effect on providers' … findings, the study showed that supportive environments reduced the psychological impact of the incident on … The authors concluded that health care organizations should focus on appropriately supporting providers … June 9, 2021
Impact of the communication and patient hand-off tool SBAR on patient safety … January 11, 2017
The effects of the second victim phenomenon on work-related outcomes
-
www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool1.html
March 01, 2013 - Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Rate" on … Outcome Survey (phone version)
Patient Outcome Survey (mailed version)
Tool 6: How To Monitor RED … 19-21 This toolkit is an enhancement of previous RED resources and introduces a new RED component on … patients who did not receive the RED. … Improves Return on Investment
Reduces costs by $412 per patient.
-
www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool1.html
March 01, 2013 - Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Rate" on … Outcome Survey (phone version)
Patient Outcome Survey (mailed version)
Tool 6: How To Monitor RED … 19-21 This toolkit is an enhancement of previous RED resources and introduces a new RED component on … patients who did not receive the RED. … Improves Return on Investment
Reduces costs by $412 per patient.
-
psnet.ahrq.gov/issue/impact-miscommunication-medical-dispute-cases-japan
September 25, 2019 - June 27, 2011
The proportion of clinically relevant alarms decreases as patient clinical … A cross-sectional survey of patient perceptions and beliefs. … Cognitive error as the most frequent contributory factor in cases of medical injury: a study on … : impact of the present on admission indicator. … December 17, 2010
The value of 'gentle reminder' on safe medical behaviour.
-
psnet.ahrq.gov/issue/integrative-systematic-review-promoting-patient-safety-within-prehospital-emergency-medical
June 10, 2020 - Review
An integrative systematic review of promoting patient safety within prehospital … October 8, 2016
Patient participation in patient safety and nursing input—a systematic … surveys of nurses and patients in 12 countries in Europe and the United States. … July 27, 2022
Reasons for bias in ambulance clinicians' assessments of non-conveyed patients … October 7, 2020
Medication dosing safety for pediatric patients: recognizing gaps, safety
-
psnet.ahrq.gov/issue/incorporating-metacognition-morbidity-and-mortality-rounds-next-frontier-quality-improvement
September 21, 2016 - Snakes on a dock. … July 10, 2019
Association of surgeon-patient sex concordance with postoperative outcomes … December 18, 2014
Encouraging patients to ask questions: how to overcome "white-coat … August 20, 2018
To the point: integrating patient safety education Into the obstetrics … Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey
-
psnet.ahrq.gov/issue/beyond-medication-reconciliation-correct-medication-list
February 15, 2017 - This commentary describes strategies to improve the process to ensure patients and care teams have … wrong-patient order errors: a randomized clinical trial. … March 14, 2022
Approval and perceived impact of duty hour regulations: survey of pediatric … December 14, 2016
The alarming reality of medication error: a patient case and review … June 12, 2013
JCAHO tightens leash on medication reconciliation.
-
digital.ahrq.gov/sites/default/files/docs/behavior-change-slides-07172025.pdf
July 17, 2025 - Empowering Patients To Change Behavior Using Digital Healthcare Tools
Empowering Patients … .
55
Project Game On! … • System Usability Scale (SUS)1 & Usefulness, Satisfaction,
and Ease of Use (USE)2 questionnaire … Measuring usability with the USE
questionnaire.
13
14 … Patient followup messaging features
3. Patient motivation through feedback
4.
-
psnet.ahrq.gov/issue/trigger-tool-method-measure-harmful-medication-errors-children
August 03, 2022 - performance of a pediatric medication-focused trigger tool with a multifaceted method which relied on … Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey … September 14, 2022
The patients' perspective: hematological cancer patients' experiences … September 21, 2022
Pediatric trainee perspectives on the decision to disclose medical … October 5, 2016
A human factors framework and study of the effect of nursing workload on
-
psnet.ahrq.gov/issue/potentially-inappropriate-medications-large-cohort-patients-geriatric-units-association
April 21, 2021 - Author(s)
The randomized AMBORA trial: impact of pharmacological/pharmaceutical care on … medication safety and patient-reported outcomes during treatment with new oral anticancer agents. … Artificial intelligence-powered chatbots in search engines: a cross-sectional study on … November 20, 2019
Development and validation of a brief culture-of-safety survey. … Related Resources
Emotional exhaustion and workload predict clinician-rated and objective patient
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.docx
June 02, 2025 - The patient was awake, alert, able to void on his own. … patient, not so much on systems. … Are patients and families included in [inaudible 00:33:01] that are focused on safety issues. … Part of establishing a safety culture requires that we have an atmosphere where we look at defects or … This survey really embodies the core CUSP principles of respecting the wisdom and observations of the