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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/issue/veterans-affairs-root-cause-analysis-system-action
June 22, 2022 - This article focuses on the application of root cause analysis (RCA) and the relationship between the … Resources From the Same Author(s)
Development and validation of a brief culture-of-safety survey … Eisenberg Patient Safety Awards. … System innovation: Veterans Health Administration National Center for Patient Safety. … indirect supervision in training safety study: is a chief resident general surgery service safe for patients
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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/supporting-recovery-after-adverse-events-essential-component-surgeon-well-being
February 15, 2023 - A survey found that 80% of responding pediatric surgeons had personally experienced a medical error resulting … in significant patient harm or death. … Respondents cited numerous barriers (lack of trust, blame, shame) to receiving support.
… Download Citation
Related Resources From the Same Author(s)
Partnering with patients … January 26, 2022
The impact of critical incidents on nurses and midwives: a systematic
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psnet.ahrq.gov/issue/human-factors-analysis-technical-and-team-skills-among-surgical-trainees-during-procedural
March 03, 2011 - Surgical checklist implementation project: the impact of variable WHO checklist compliance on … May 6, 2015
The WHO surgical safety checklist: survey of patients' views. … technical, teamwork, and patient interaction skills. … April 21, 2015
A surgical simulation curriculum for senior medical students based on … March 3, 2011
Communication practices on 4 Harvard surgical services: a surgical safety
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psnet.ahrq.gov/node/841566/psn-pdf
December 14, 2022 - Michelle Schreiber on
Measuring Patient Safety
December 14, 2022
In Conversation With.. Dr. … Michelle Schreiber on Measuring Patient Safety. PSNet [internet]. 2022. … These include Conditions of Participation; surveys and
certification; regional medical offices; quality … Patient’s
conditions were more complicated; many patients stayed on ventilators or in intensive care … We believe it is important that patients have a role in patient safety, including
sitting on governance
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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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psnet.ahrq.gov/issue/unprofessional-behaviors-among-tomorrows-physicians-review-literature-focus-risk-factors
January 31, 2018 - Unprofessional behaviors among tomorrow's physicians: review of the literature with a focus on … Unprofessional Behaviors Among Tomorrow's Physicians: Review of the Literature With a Focus on Risk Factors … March 14, 2012
Results of a national neurosurgery resident survey on duty hour regulations … 26, 2023
The relationship between resident physician burnout and its’ effects on … February 13, 2019
The effects of power, leadership and psychological safety on resident
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psnet.ahrq.gov/issue/associations-between-hospital-characteristics-measure-reporting-and-centers-medicare-medicaid
February 14, 2017 - March 15, 2017
Impact of the 2011 ACGME resident duty hour reform on hospital patient … April 5, 2017
Development and validation of a brief culture-of-safety survey. … June 21, 2016
Association of surgical resident wellness with medical errors and patient … March 1, 2023
Crowd-sourced hospital ratings are correlated with patient satisfaction … November 29, 2018
Secret data on hospital inspections may soon become public.
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psnet.ahrq.gov/primer/personal-health-literacy
October 31, 2023 - The only nationally representative survey of health literacy, conducted in 2003, tested adults' ability … literacy, 53% had an intermediate level, and only 12% had a proficient level of health literacy. 6 This survey … as most patients will automatically say yes. … The National Institute on Aging also has materials to build skills for healthcare encounters. … In one study, in-person training on how to use patient portals increased patients’ portal usage and satisfaction
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psnet.ahrq.gov/issue/reducing-surgical-mortality-scotland-use-who-surgical-safety-checklist
February 09, 2011 - than it had before or after implementation, and hospital mortality did not decline among nonsurgical patients … Past PSNet interviews with Lucian Leape and David Urbach discussed their perspectives on surgical … Effect of a 19-item surgical safety checklist during urgent operations in a global patient … 2018
Perception of safety of surgical practice among operating room personnel from survey … patient safety.
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psnet.ahrq.gov/issue/implementation-second-victim-program-pediatric-hospital
December 18, 2013 - January 23, 2019
ASPEN survey of parenteral nutrition access issues: how the system fails … the patients. … January 31, 2024
Validation and use of the Second Victim Experience and Support Tool questionnaire … December 20, 2023
Multispecialty physician online survey reveals that burnout related … incident and association with the level of patient harm: a cross-sectional study in the Netherlands.
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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.
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilyref.html
April 01, 2020 - National survey on consumers' experiences with patient safety and quality information. … Health care consumers' inclination to engage in selected patient safety practices: a survey of adults … Attitudes toward and beliefs about family presence: a survey of healthcare providers, patients' families … and Advocacy in Patient Safety (SEAPS) survey. … Preparing for National Patient Safety Awareness Week: one hospital's efforts in educating patients on
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psnet.ahrq.gov/issue/unscheduled-return-visits-emergency-department-icu-admission-trigger-tool-diagnostic-error
December 02, 2020 - They found that of patients who were return ED visits and admitted to the ICU, 44% (223 cases) returned … Safety): a patient-centered fall prevention toolkit. … 2018
Medical errors reported by French general practitioners in training: results of a survey … Settings Help Improve Management of Sepsis
May 31, 2023
Perspectives on … August 24, 2022
Safety events impacting hospitalized patients following motor vehicle
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psnet.ahrq.gov/issue/accuracy-proprietary-large-language-model-labeling-obstetric-incident-reports
September 23, 2020 - Jt Comm J Qual Patient Saf. 2024;50(12):877-881. doi:10.1016/j.jcjq.2024.08.001. … Jt Comm J Qual Patient Saf . 2024; 50 (12) :877-881 . … 2021
Implicit racial/ethnic bias among health care professionals and its influence on … October 28, 2020
Diagnosing sepsis is subjective and highly variable: a survey of intensivists … bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI) shows minimal impact on
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psnet.ahrq.gov/issue/cluster-randomized-trial-interventions-improve-work-conditions-and-clinician-burnout-primary
January 23, 2017 - A recent survey suggested that more than half of physicians in the United States have symptoms of … trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients … October 4, 2011
Effects of a refined evidence-based toolkit and mentored implementation on … May 19, 2021
What works in medication reconciliation: an on-treatment and site analysis … May 15, 2019
Patient Safety and Quality Improvement.
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psnet.ahrq.gov/issue/inadequate-hand-communication
April 02, 2015 - alerts to draw attention to pressing or emerging safety issues and provide guidelines for organizations on … January 25, 2023
Impact of the communication and patient hand-off tool SBAR on patient … May 12, 2021
Information concerning ICU patients’ families in the handover—the clinicians … 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/issue/diagnostic-delays-paediatric-stroke
April 24, 2018 - Diagnostic error is a rapidly growing area of patient safety research, especially in light of the recent … release of the National Academy of Medicine report on improving diagnosis. … December 14, 2016
Improving patient safety: effects of a safety program on performance … December 14, 2016
A national physician survey of diagnostic error in paediatrics. … October 21, 2015
Care and outcomes of patients with in-hospital stroke.
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psnet.ahrq.gov/issue/use-medical-abbreviations-and-acronyms-knowledge-among-medical-students-and-postgraduates
August 23, 2023 - In this educational study, investigators tested students and resident physicians on their understanding … training and patients outcomes: a systematic review. … in senior pharmacy students using the innovative "Horror Room" simulation setting: a cross-sectional survey … March 30, 2016
Patient safety education to change medical students' attitudes and sense … November 20, 2015
In-home medication reviews: a novel approach to improving patient care