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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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www.ahrq.gov/sites/default/files/2024-01/hartung-report.pdf
January 01, 2024 - improving knowledge on
the opioid epidemic, utilizing the PDMP, and communicating with patients and … Whereas the algorithm focuses mainly on protocol and communication about patient care, the checklist … made more accessible to
participants, such as by altering the module instructions and embedding the surveys … Although the survey data demonstrated improvements on most outcomes, significant
improvement was not … ; T2 - post-
intervention survey
Table 2: Survey Outcomes for Single Item Questions on PDMP Knowledge
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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/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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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/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
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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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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/issue/walgreens-complaints-medication-errors-go-missing
February 19, 2020 - Related Resources From the Same Author(s)
How chaos at chain pharmacies is putting patients … 2022
Addiction treatment providers in Pa. face little state scrutiny despite harm to clients … May 12, 2021
Survey by Ohio regulator shows stress, fatigue among pharmacists at chain … July 29, 2020
How chaos at chain pharmacies is putting patients at risk.
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psnet.ahrq.gov/node/49422/psn-pdf
November 01, 2003 - The data on errors with verbal orders, however, is mixed. … Such short cuts place patients at unnecessary risk for error. … Despite widespread use of ADDs,
information regarding their impact on patient safety is limited. … Joint Commission Perspectives on Patient Safety. 2003;3:1-11. [ go to related site ]
2. … ASHP national survey of pharmacy practice in hospital
settings: dispensing and administration-2002.
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www.ahrq.gov/news/events/nac/2022-11-nac/nacmtg111722-minutes.html
July 01, 2023 - on the Patient-Centered Outcomes Research Trust Fund Subcommittee (PCORTF SNAC)
Public Comment
Chair's … Grace presented a session on AHRQ’s and Director Valdez’s emphasis on a systems approach to patient safety … Patient Safety US survey will be helpful in gathering and making actionable data on the culture of safety … been conducting analyses and distributing clinical solutions and protocols to improve outcomes and the safety … culture.
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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/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/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/sites/default/files/wysiwyg/hai/tools/mrsa/101-how-integrate-cusp-approach.pptx
June 26, 2024 - patient care. … Program for MRSA Prevention | ICU & Non-ICU
How to Integrate a CUSP Approach
Provider Champion
Serves the patients … How to Integrate a CUSP Approach
18
Staff Safety Assessment
The Staff Safety Assessment (SSA) is a survey … patient safety and quality. … Impact of the Comprehensive Unit-based Safety Program (CUSP) on safety culture in a surgical inpatient
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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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psnet.ahrq.gov/issue/electronic-health-record-usability-issues-and-potential-contribution-patient-harm
July 07, 2021 - understanding, learning, and using the interface) impair physician workflow and may result in harm to patients … organizations include " hold harmless " clauses limiting the EHR vendors' legal liability, meaning that patients … May 11, 2019
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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psnet.ahrq.gov/innovation/stoplight-mobility-alert-system-safety-and-prevention-falls-children-physical-and
September 14, 2022 - assigned a color in the SMAS:
Red = patients requiring hands-on assistance at all times
Yellow … = patients requiring close supervision
Green = patients does not require assistance
After admission … , all patients are placed on a red mobility alert until a fall risk-assessment is completed by the healthcare … Education and one-on-one education for staff, patients and families is also provided. … Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey
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psnet.ahrq.gov/issue/quality-and-safety-practices-among-academic-obstetrics-and-gynecology-departments
October 19, 2022 - This survey of 52 obstetrics and gynecology departments at academic medical centers found that few departments … time or financial support for quality improvement activities, and only 5% of departments included a patient … representative on the quality committee. … Citation
Related Resources From the Same Author(s)
Optimizing Pediatric Patient … roles based on a Delphi consensus.