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psnet.ahrq.gov/issue/large-language-models-preventing-medication-direction-errors-online-pharmacies
February 27, 2019 - March 15, 2023
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … October 19, 2022
ASHP Guidelines on the Safe Use of Automated Compounding Devices for … telephone-based self-management support program to identify adverse events among ambulatory diabetes patients … February 22, 2011
Development of a high-value care culture survey: a modified Delphi … A multi-method exploratory evaluation of a service designed to improve medication safety for patients
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psnet.ahrq.gov/issue/can-first-year-medical-students-acquire-quality-improvement-knowledge-prior-substantial
April 24, 2019 - The National Patient Safety Foundation has called for medical educators to emphasize quality, safety … September 23, 2020
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … November 28, 2018
Sustaining quality improvement and patient safety training in graduate … and postgraduate trainees: a cross-sectional survey. … January 18, 2012
Graduate medical education and patient safety: a busy--and occasionally
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psnet.ahrq.gov/issue/safe-day-call-reducing-silos-health-care-through-frontline-risk-assessment
May 25, 2016 - January 15, 2025
Preventing harm in the ICU—building a culture of safety and engaging patients … March 2, 2011
Preventing patient harm via adverse event review: An APSA survey regarding … July 5, 2016
The influence of organizational factors on patient safety: examining successful … January 20, 2016
What do patients think about year-end resident continuity clinic handoffs … Healthcare professional views on hospital to home care transitions.
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psnet.ahrq.gov/issue/emotional-impact-medical-errors-practicing-physicians-united-states-and-canada
January 23, 2008 - Study
Classic
The emotional impact of medical errors on … The emotional impact of medical errors on practicing physicians in the United States and Canada. … This survey sought to evaluate the effects of medical errors on the emotional health of the physician … majority of more than 3000 physicians surveyed had been involved with a serious medical error resulting in patient … July 10, 2008
Patient concerns about medical errors in emergency departments.
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psnet.ahrq.gov/issue/implementation-josie-king-care-journal-pediatric-intensive-care-unit-quality-improvement
November 21, 2016 - This study reports on the implementation of the journal in a pediatric intensive care unit. … December 6, 2017
Parents' perspective on safety in neonatal intensive care: a mixed-methods … November 23, 2016
The effect of an electronic SBAR communication tool on documentation … 2014
The morbidity and mortality conference in PICUs in the United States: a national survey … More About The Topic
Intensive Care Units
Children's Hospitals
Health Care Providers
Patients
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psnet.ahrq.gov/issue/systematic-review-prevalence-medication-errors-resulting-hospitalization-and-death-nursing
July 23, 2008 - revealed that a significant number of errors were related to handoffs and that 75% of these older patients … Related Resources From the Same Author(s)
Measurement for improvement: a survey … August 12, 2009
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … , and management of the psychological effects of emerging virus outbreaks on healthcare workers: rapid … November 2, 2018
Effects of interdisciplinary collaboration in hospitals on medication
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psnet.ahrq.gov/periodic-issue/weekly-resource
March 25, 2025 - This methodology ensured the audit was patient-centered and focused on the patient's journey through … Findings from this cross-sectional survey with 255 nurse leaders highlight the important role of authentic … Survey respondents also endorsed the importance of formal support programs, including peer support, education … Patients presenting with non-specific symptoms (NSSs) suggestive of cancer may experience diagnostic … Updates, WebM&M, and Perspectives on Safety.
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psnet.ahrq.gov/issue/development-and-validation-tool-assess-emergency-physicians-nontechnical-skills
December 12, 2012 - This study reports on the development of a tool to assess emergency physicians' nontechnical skills. … June 17, 2010
'The ABC of Handover': impact on shift handover in the emergency department … September 27, 2016
Patient safety factors in children dying in a paediatric intensive … September 25, 2011
SECUre: a multicentre survey of the safety of emergency care in UK … November 24, 2021
The outcomes of recent patient safety education interventions for trainee
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psnet.ahrq.gov/issue/fall-prevention-implementation-strategies-use-60-united-states-hospitals-descriptive-study
November 11, 2020 - Fall prevention remains a patient safety priority . … May 19, 2021
Impact of structured interdisciplinary bedside rounding on patient outcomes … Safety and Quality
April 26, 2023
Distractions in the operating room: a survey … October 19, 2022
Keeping patients at risk for self-harm safe in the emergency department … December 2, 2020
Clinical deterioration and hospital‐acquired complications in adult patients
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psnet.ahrq.gov/issue/situation-background-assessment-and-recommendation-guided-huddles-improve-communication-and
September 23, 2020 - July 29, 2020
Medical harm: patient perceptions and follow-up actions. … November 21, 2017
Evaluation of clinical practice guidelines on fall prevention and management … patient simulation for agitation management in the emergency department. … : effects on behaviour and attitude. … management course for emergency medicine, phase 1: results from an interdisciplinary needs assessment survey
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psnet.ahrq.gov/issue/how-can-interventions-more-directly-address-drivers-unprofessional-behaviour-between
October 09, 2024 - Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on … June 26, 2024
What can safety cases offer for patient safety? … July 12, 2023
Identifying safety practices perceived as low value: an exploratory survey … March 8, 2023
National patient safety goal to improve health care equity. … July 7, 2021
Improving America's Hospitals: The Joint Commission's Annual Report on Quality
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/nac/2020-07-nac/nacminutes-071420.pdf
January 01, 2020 - • The Medical Expenditure Panel Survey (MEPS) was used to analyze spending on
prescription opioids … for assessing patient experience in the ambulatory
setting, with an emphasis on telehealth. … National Advisory Council, July 14, 2020 Page 5
• 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)
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psnet.ahrq.gov/issue/resident-physicians-clinical-training-and-error-rate-roles-autonomy-consultation-and
July 13, 2010 - This survey study examined the relationship between medical errors and resident autonomy , consultation … September 13, 2017
Diagnostic delays among COVID-19 patients with a second concurrent … the impact of humiliation on trainee well-being. … April 13, 2016
Resident supervision and patient safety: do different levels of resident … January 22, 2016
'Speaking up' about patient safety concerns and unprofessional behaviour
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psnet.ahrq.gov/issue/medication-errors-neonatal-intensive-care-unit-influence-observation-error-rate
May 13, 2009 - Influence of observation on the error rate. … Influence of observation on the error rate. … May 13, 2009
Safety culture and the positive association of being a primary care training … August 11, 2021
Measuring faculty reflection on adverse patient events: development and … October 13, 2018
View More
Related Resources
ASHP national survey
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psnet.ahrq.gov/issue/empowerment-failure-how-shortcomings-physician-communication-unwittingly-undermine-patient
January 17, 2019 - The authors argue that well-intentioned physicians fail to empower patients and recommend communication … are patients aware of when they do not understand? … Health Organization Trauma Care Checklist Program in 11 centers across multiple economic strata: effect on … symptoms and work-related behavior among healthcare workers and other professionals: results of a global survey … and patient experience.
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psnet.ahrq.gov/web-mm/communication-failure-whos-charge
April 01, 2018 - Adequacy of information transferred at resident sign-out (in-hospital handover of care): a prospective survey … Generation and evaluation of intraoperative inferences for automated health care briefings on patient … Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review. … A qualitative study of expert and team cognition on complex patients in the pediatric intensive care … 2016
The morbidity and mortality conference in PICUs in the United States: a national survey
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psnet.ahrq.gov/perspective/adverse-events-dentistry
December 22, 2020 - Dental patients receive medications, tests, and procedures and many of the same patient safety risks … We have data on about 4-4.5 million patients now. … and a module on patient safety in dentistry. … safety culture in primary dental care. … May 6, 2020
Factors affecting patient safety culture among dental healthcare workers:
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digital.ahrq.gov/sites/default/files/docs/page/buildinghealthitresearchcapacity.pdf
December 01, 2012 - Most patient
portals give patients access
to a summary of their
health data and permit
two-way electronic … A simulated patient portal containing a fictitious
medical record, based on EPIC’s MyChart patient … However, the
benefit of patient portals is contingent on patients’
ability to navigate the technology … now a Senior Consultant at Bates White
Economic Consulting, provides government agen-
cies and other clients … Behavioral Risk Factors Surveillance System surveys. 1991-2005.
4 Chaudhry B, Wang J, Wu S, et al.
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psnet.ahrq.gov/issue/checklist-based-intervention-improve-surgical-outcomes-michigan-evaluation-keystone-surgery
May 01, 2015 - which combined an evidence-based checklist and the comprehensive unit-based safety program to enhance safety … culture. … the Same Author(s)
Evaluation of the effectiveness of a surgical checklist in Medicare patients … Association of hospital participation in a regional trauma quality improvement collaborative with patient … Intraoperative sentinel events in the era of surgical safety checklists: results of a national survey
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psnet.ahrq.gov/issue/effect-lean-quality-improvement-implementation-program-surgical-pathology-specimen
December 03, 2014 - Study
The effect of a Lean quality improvement implementation program on surgical … a rapid review of evidence, practice and patient perspectives. … November 25, 2020
Patient perspectives on the usefulness of an artificial intelligence-assisted … symptom checker: cross-sectional survey study. … Adherence to national guidelines for timeliness of test results communication to patients