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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/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/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/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/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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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017151-fischer-final-report-2011.pdf
January 01, 2011 - incentive
checks made out to the physicians for the surveys—to ensure that the survey reached our … intended respondents, we cannot verify that the survey was completed by the physicians
themselves. … errors using survey
methods. … In both the surveys and the focus group and observational studies it is possible
that respondents gave … Survey
Of the 1,947 eligible respondents, 1,011 completed the survey, which yielded a
response
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psnet.ahrq.gov/issue/outbreak-investigation-covid-19-among-residents-and-staff-independent-and-assisted-living
October 19, 2022 - Residents and staff were tested for COVID-19 and completed a symptom questionnaire assessing systems … Organization's Approach
October 1, 2007
Evaluation of clinical practice guidelines on … February 11, 2009
The impact of drug shortages on patients with cardiovascular disease … Homes
February 24, 2022
The impact of coronavirus disease 2019 (COVID-19) on … 2020
Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey
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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/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/morbidity-and-mortality-conference-pediatric-intensive-care-means-improving-patient-safety
December 16, 2009 - The morbidity and mortality conference in pediatric intensive care as a means for improving patient … The Morbidity and Mortality Conference in Pediatric Intensive Care as a Means for Improving Patient Safety … 2014
The morbidity and mortality conference in PICUs in the United States: a national survey … September 24, 2014
Impact of organizational culture on preventability assessment of selected … October 13, 2010
Impact of morbidity and mortality conferences on analysis of mortality
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psnet.ahrq.gov/issue/were-not-ready-i-dont-think-youre-ever-ready-clinician-perspectives-implementation-crisis
September 23, 2020 - Clinician perspectives on implementation of crisis standards of care. … Clinician perspectives on implementation of crisis standards of care. … Based on focus groups and key informant interviews conducted in 2018, this study sought to understand … Clinician perspectives on implementation of crisis standards of care. … considerations in using personal protective equipment in the COVID-19 pandemic context: a bi-national survey
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psnet.ahrq.gov/issue/patient-notification-bloodborne-pathogen-testing-due-unsafe-injection-practices-us-health
February 02, 2011 - unsafe injection practices in the United States over the past decade, leading to more than 100,000 patients … infection control practices, subsequent analysis of one widely publicized case also revealed that safety … culture played a role, as nurses did not feel empowered to report improper injection practices due … The article also discusses the challenges of notifying patients about potential harm, and a recent Australian … A survey of physician and nurse knowledge, attitudes, and practices around injection safety.
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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/qualitative-study-senior-hospital-managers-views-current-and-innovative-strategies-improve
March 08, 2023 - Study
A qualitative study of senior hospital managers' views on current and innovative … A qualitative study of senior hospital managers' views on current and innovative strategies to improve … The leaders stressed the importance of visible champions , engaged patients , and regular audit and … A qualitative study of senior hospital managers' views on current and innovative strategies to improve … the Same Author(s)
Identifying safety practices perceived as low value: an exploratory survey
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www.ahrq.gov/sites/default/files/2024-01/mcalearney-report.pdf
January 01, 2024 - We piloted this survey on 597 distinct rooms over 6
months.
b. … Streamlined and improved the hospital room survey based on findings from this pilot and
feedback from … Assessing the relationship
between patient safety culture and EHR strategy. … “Towards Proactive Safety
Management: Adopting a Safety II Perspective.” … Developing Training on Patient Portal “Rules of Engagement”
for Patients With Chronic Cardiopulmonary
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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
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psnet.ahrq.gov/issue/impact-morbidity-and-mortality-conferences-analysis-mortality-and-critical-events-intensive
December 02, 2020 - Study
Impact of morbidity and mortality conferences on analysis of mortality and … September 7, 2011
Perioperative patient safety recommendations: systematic review of … January 15, 2025
Moving towards a core measures set for patient safety in perioperative … The morbidity and mortality conference in pediatric intensive care as a means for improving patient … 2014
The morbidity and mortality conference in PICUs in the United States: a national survey
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psnet.ahrq.gov/node/49604/psn-pdf
June 01, 2010 - The patient was placed on the OR schedule for the
following day. … Recent studies have re-focused attention on the
errors and patient harm associated with handoffs and … on the OR schedule. … One barrier is "production pressure," which pushes clinicians to keep the patients moving
through the … Transfers of patient care between house staff on internal
medicine wards: a national survey.