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psnet.ahrq.gov/issue/error-or-act-god-study-patients-and-operating-room-team-members-perceptions-error-definition
August 10, 2011 - A study of patients' and operating room team members' perceptions of error definition, reporting, and … represents a small sample size from two tertiary institutions, it does emphasize the importance of a safety … culture and the need to redefine errors as opportunities for learning and improvement rather than individual … December 18, 2014
Error, stress, and teamwork in medicine and aviation: cross sectional surveys … April 6, 2011
Trends influencing the cost of care and patient safety.
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psnet.ahrq.gov/issue/ordering-continuous-renal-replacement-therapy-computerized-provider-order-entry-system
April 01, 2024 - Citation
Related Resources From the Same Author(s)
Training Program for Nurses on … May 26, 2010
Teaming up to prevent 'crashes': some hospitals give patients the power … July 1, 2020
Prospective daily review of discharge medications by pharmacists: effects on … January 16, 2019
ASHP national survey of pharmacy practice in hospital settings: prescribing … September 20, 2017
ASHP national survey of pharmacy practice in hospital settings: prescribing
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psnet.ahrq.gov/issue/safety-implications-missed-test-results-hospitalised-patients-systematic-review
November 26, 2014 - events after hospital discharge are a growing driver for safety interventions, including a focus on … A past AHRQ WebM&M commentary discussed a case where a patient was incorrectly treated based on failure … using the internet: a multisite survey. … March 25, 2015
Patient groups, clinicians and healthcare professionals agree—all test … September 27, 2023
Variation in electronic test results management and its implications for patient
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psnet.ahrq.gov/issue/eliminating-central-line-associated-bloodstream-infections-pediatric-oncology-patients
July 19, 2023 - Eliminating central line associated bloodstream infections in pediatric oncology patients … a quality improvement initiative to reduce central line-associated bloodstream infections (CLABSI) on … the vascular access team, and hospital-acquired condition (HAC) rounding cards to prompt discussions on … device-associated infections during the coronavirus disease 2019 (COVID-19) pandemic: results from a national survey … : using medication triggers to identify patient harm in a specialized pediatric patient population.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.461_slideshow.ppt
November 01, 2018 - Spotlight
Spotlight
Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting … Beyond hands-on and hands-off: supervisory approaches and entrustment on the inpatient ward. … A survey of the American College of Surgeons Board of Governors and Young Fellows Association. … General surgery residency inadequately prepares trainees for fellowship: results of a survey of fellowship … safety
The right "dose" of supervision for critical tasks should convince patients that they receive
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www.ahrq.gov/patient-safety/reports/engage/interventions/teachback-slides.html
May 01, 2017 - to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families. … Image: A physician talking to a patient while they review infomation displayed on the screen of an electronic … Slide 14: Making Teach-Back Successful
Use teach-back on all patients. … Survey for clinicians to self-assess their use of teach-back. … Patient and family engagement: a survey of US hospital practices. BMJ Qual Saf . June 2015.
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/spreading-fac-notes.html
December 01, 2017 - Say:
When a safe surgery project is sustainable, the accomplishments are more likely to persist on … Test the changes on a small scale before rolling out a new process. … For example, test a new tool with one provider on a shift or two. … Ask:
How will the next patient get a surgical site infection? … Say:
CUSP employs the Staff Safety Assessment, often called the two-question survey.
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www.ahrq.gov/patient-safety/resources/learning-lab/design-environments-long-desc.html
April 01, 2021 - Empowering patients during hospitalization: perspectives on inpatient portal use . … Use preferences for continuous cardiac and respiratory monitoring systems in hospitals: a survey of patients … How nurses identify hospitalized patients on their personal notes: findings from analyzing "brains" headers … Assessing the relationship between patient safety culture and EHR strategy . … How nurses identify hospitalized patients on their personal notes: findings from analyzing "brains" headers
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www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module1-speaker-notes.html
February 01, 2023 - 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/medical-morbidity-and-mortality-conferences-past-present-and-future
November 30, 2022 - January 31, 2018
Impact of COVID-19 on inpatient clinical emergencies: a single-center … patient safety and interprofessional teamwork. … the covid-19 pandemic using OpenSAFELY: population based, retrospective cohort study of 57 million patients … roles based on a Delphi consensus. … August 2, 2015
Effect of a comprehensive surgical safety system on patient outcomes.
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www.ahrq.gov/news/newsletters/e-newsletter/963.html
June 01, 2025 - July 17 Webinar: Empower Patients Through Digital Healthcare Tools AHRQ hosts a webinar on July 17, … from Patients for Patient Safety US, ECRI, and Barton Health. … (Source: AHRQ Medical Expenditure Panel Survey Statistical Brief #561, Expenditures for Key Diet-Related … Access the abstract on PubMed®. … Access the abstract on PubMed®.
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psnet.ahrq.gov/perspective/conversation-susan-smith-md
August 01, 2019 - Sometimes on UCSF MyChart (the UCSF patient portal), patients will ask about appointments or some question … The differences between the patients with scribes and the overall patient group is not significant. … surveys like the Net Promoter Score that there are a lot of unhappy, grumpy docs. … Effect of scribes on patient throughput, revenue, and patient and provider satisfaction: a systematic … Medical scribe impact on patient and provider experience.
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psnet.ahrq.gov/issue/rates-serious-surgical-errors-california-and-plans-prevent-recurrence
March 09, 2022 - While rare, surgical never events can have tragic consequences for patients including permanent harm … June 30, 2021
Physicians' experiences with mistreatment and discrimination by patients … June 1, 2022
Evaluation of clinical practice guidelines on fall prevention and management … Standard Based on Results of the 2019 Leapfrog Hospital Survey. … August 24, 2011
Validity of selected AHRQ Patient Safety Indicators based on VA National
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psnet.ahrq.gov/issue/failure-engage-hospitalized-elderly-patients-and-their-families-advance-care-planning
November 21, 2016 - their personal health records: mixed methods analysis of cross-sectional survey data. … Improving Diagnostic Safety and Quality
April 26, 2023
Consumers' perspectives on … March 21, 2017
Patient safety: a consumer's perspective. … December 4, 2016
Patients' and family members' views on how clinicians enact and how … they should enact incident disclosure: the "100 patient stories" qualitative study.
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psnet.ahrq.gov/issue/influence-race-and-gender-pain-management-systematic-literature-review
December 02, 2020 - Existing research has focused on how patient-provider interactions influence patient outcomes, satisfaction … July 3, 2014
Surgeon burnout, impact on patient safety and professionalism: a systematic … September 8, 2021
The views and experiences of patients and health-care professionals … June 28, 2023
Distractions in the operating room: a survey of the healthcare team. … Meta-analyses on provider, patient, organisational, and handoff outcomes.
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psnet.ahrq.gov/issue/disclosure-medical-error-parents-and-paediatric-patients-assessment-parents-attitudes-and
November 16, 2022 - This survey of parents of children seen in inpatient and ambulatory settings confirmed prior studies … threshold for disclosing errors to their children, implying that cultural factors may influence views on … March 14, 2022
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … Perspective
High Reliability Organization (HRO) Principles and Patient … and Quality
April 26, 2023
"Everybody makes mistakes": children's views on
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psnet.ahrq.gov/issue/moving-after-critical-incidents-health-care-qualitative-study-perspectives-and-experiences
February 10, 2021 - , 2021
Barriers and enablers to nurses' use of harm prevention strategies for older patients … in hospital: a cross-sectional survey. … April 21, 2021
Clinical deterioration and hospital‐acquired complications in adult patients … performance and patient outcomes: a systematic review. … August 4, 2021
Nurses as 'second victims' to their patients' suicidal attempts: a mixed-method
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/actionplan-trip-facguide.docx
January 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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psnet.ahrq.gov/perspective/conversation-elsabeth-kalenderian-dds-mph-phd-and-muhammad-f-walji-phd
December 22, 2020 - We have data on about 4-4.5 million patients now. … and a module on patient safety in dentistry. … Dental patients receive medications, tests, and procedures and many of the same patient safety risks … safety culture in primary dental care. … May 6, 2020
Factors affecting patient safety culture among dental healthcare workers:
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psnet.ahrq.gov/issue/associations-workflow-disruptions-operating-room-surgical-outcomes-systematic-review-and
April 03, 2019 - March 10, 2021
Effect of the surgical safety checklist on provider and patient outcomes … February 16, 2022
Impact of providing patients access to electronic health records on … Crisis scenarios for simulation-based nontechnical skills training for cardiac surgery teams: a national survey … July 20, 2022
Surgeon burnout, impact on patient safety and professionalism: a systematic … November 11, 2020
Impact of weekend effect on postoperative mortality in patients undergoing