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psnet.ahrq.gov/issue/diagnostic-error-medicine-analysis-583-physician-reported-errors
June 24, 2009 - errors occurring most frequently in the testing phase (eg, failure to order, report, and follow up on … An invited commentary [see link below] by a leader in the patient safety field, Dr. … January 26, 2022
A national survey assessing the number of records allowed open in electronic … Effect of restriction of the number of concurrently open records in an electronic health record on … wrong-patient order errors: a randomized clinical trial.
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psnet.ahrq.gov/issue/listen-whispers-they-become-screams-addressing-black-maternal-morbidity-and-mortality-united
December 05, 2012 - Resources From the Same Author(s)
Introduction of checklists at daily progress notes improves patient … May 19, 2018
Prioritizing patient safety efforts in office practice settings
December … May 17, 2018
The effects of three consecutive 12-hour shifts on cognition, sleepiness … and testing of an objective structured clinical exam (OSCE) to assess socio-cultural dimensions of patient … August 10, 2022
Psychometric properties of the perinatal missed care survey and missed
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psnet.ahrq.gov/issue/leadership-through-crisis-fighting-fatigue-pandemic-healthcare-during-covid-19
October 07, 2020 - October 21, 2020
Use of patient complaints to identify diagnosis-related safety concerns … September 1, 2021
Exploring changes in patient safety incidents during the COVID-19 pandemic … health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey … and safety framework: a health system’s response to airway complications in mechanically ventilated patients … Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on
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psnet.ahrq.gov/issue/quantification-hawthorne-effect-hand-hygiene-compliance-monitoring-using-electronic
July 29, 2020 - Since many publicly reported hand hygiene rates are based on direct auditor observations, this study … 2015
Physician task load and the risk of burnout among US physicians in a national survey … December 21, 2018
Physicians' experiences with mistreatment and discrimination by patients … November 5, 2015
Patient-as-observer approach: an alternative method for hand hygiene … August 22, 2011
Safety of patients isolated for infection control.
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psnet.ahrq.gov/issue/i-pass-handoff-program-use-campaign-effect-transformational-change
April 24, 2018 - Patient handoffs carry high risk for errors . … April 11, 2012
Association of patient and family reports of hospital safety climate with … September 18, 2019
A randomized experimental study to assess the effect of language on … September 12, 2018
Preparing clinicians for transitioning patients across care settings … Interhospital transfer handoff practices among US tertiary care centers: a descriptive survey
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psnet.ahrq.gov/issue/enhancing-departmental-preparedness-covid-19-using-rapid-cycle-situ-simulation
October 07, 2020 - November 25, 2020
The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated … September 22, 2021
Hospital ward adaptation during the COVID-19 pandemic: a national survey … November 16, 2022
Adverse events associated with patient isolation: a systematic literature … September 30, 2020
The impact of COVID-19 response on central line associated bloodstream … August 19, 2020
Patient Safety Primers
COVID-19: Team and
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship5.html
August 01, 2024 - Here, however, we focus on how diagnostic stewardship reduces the risk of diagnostic errors and patient … An intervention in 2006 involved annual albumin-creatinine ratio reporting in patients with diabetes. … The subsequent management of patients was more likely to be rated by an independent record reviewer as … Development should involve laboratory professionals, clinician end users, patients, 66 and ideally, … informatics and human factors experts as well. 11 A survey of 78 clinicians in 9 European countries suggested
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digital.ahrq.gov/sample-questions-answers-1
January 01, 2023 - We've been asked to implement a computerized physician order entry (CPOE) CPOE system as part of a patient … Also some data presented were collected from a time-motion study and a user survey. … Health Care Utilization : 12.7% reduction in total charges per admission for patients in the intervention … in the intervention group spent an average of 33 minutes/day longer writing orders (avg. 5.5 minutes/patient … Survey of the intervention group revealed than most felt that the accuracy of orders improved (75%).
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psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
September 01, 2014 - may be responsible for paying their entire deductible or copay.( 10 ) For patients on a high-deductible … reduce their out-of-pocket spending.( 15 ) This gap leaves patients on their own to navigate the complexities … The Commonwealth Fund Biennial Health Insurance Survey, 2016. [Available at] 2. … Study of physician and patient communication identifies missed opportunities to help reduce patients' … September 29, 2017
Development of a high-value care culture survey: a modified Delphi
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psnet.ahrq.gov/perspective/acgmes-2017-revision-common-program-requirements
January 31, 2018 - The 2017 requirements place greater emphasis on patient safety and quality improvement; more comprehensively … outcomes among general surgical patients or overall resident well-being. … "( 7 ) A follow-up survey of residents participating in the FIRST trial found that they strongly prefer … Effects of the 2011 duty hour reforms on interns and their patients: a prospective longitudinal cohort … June 10, 2020
Perspective
Establishing a Safety Culture
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apia.html
June 01, 2010 - Reliability and construct validity of the Client-Centred Rehabilitation Questionnaire. … A survey of patient perception of quality of care. J ET Nurs 1991 Jul-Aug;18(4):122-5. … Assessing patient safety culture: a review and synthesis of the measurement tools. … Study of Medicaid Home and Community-Based Services waiver program survey methodology. … Proxy respondents and the reliability of the Quality of Life Questionnaire Empowerment factor.
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psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury
July 07, 2021 - July 7, 2021
Learning during crisis: the impact of COVID-19 on hospital-acquired pressure … July 20, 2022
Does root cause analysis improve patient safety? … March 6, 2019
Root cause analysis of reported patient falls in ORs in the Veterans Health … Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a national survey … September 22, 2017
The Nurse's Role in Promoting a Culture of Patient Safety.
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psnet.ahrq.gov/issue/adverse-events-anesthesia-integrative-review
October 16, 2024 - February 24, 2021
Nurse work environment and its impact on reasons for missed care, safety … April 14, 2021
Patient centred diagnosis: sharing diagnostic decisions with patients … October 31, 2012
The impact of perioperative catastrophes on anesthesiologists: results … of a national survey. … February 24, 2012
Practice Advisory on Intraoperative Awareness and Brain Function Monitoring
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psnet.ahrq.gov/perspective/conversation-sigall-k-bell-md
February 26, 2025 - RW : I remember the study on patient and family experiences after errors vividly. … At BIDMC, we built an add-on to OpenNotes using a patient-reporting tool. … Survey data from patients, families, and caregivers tell us that reading the notes helps them to close … The Patient Relations staff has enjoyed forwarding this on to clinicians. … Yet that's what we're asking patients to do. But it's beyond what's on paper.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Tool_9_AdvisorTrain_508.docx
March 06, 2013 - For example, many hospitals ask patients to fill out surveys about their experiences in the hospital. … One survey that you may hear about as an advisor is called the CAHPS® Hospital Survey (also called HCAHPS … Most hospitals in the United States give this survey to patients. … The CAHPS® Hospital Survey asks patients to answer questions on how well health care providers did at … The survey also asks patients to rate how well their care was coordinated, how well their pain was managed
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psnet.ahrq.gov/issue/effects-computerized-provider-order-entry-implementation-communication-intensive-care-units
March 15, 2017 - Study
The effects of computerized provider order entry implementation on communication … The effects of Computerized Provider Order Entry implementation on communication in Intensive Care Units … September 13, 2023
Are parents who feel the need to watch over their children's care better patient … the efficiency of workflow for critically ill patients. … computer-based provider order entry at three community hospitals using an open-ended, semi-structured survey
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www.ahrq.gov/sites/default/files/publications/files/ltcinstructor.pdf
June 01, 2012 - Improving Patient Safety in Long-Term Care Facilities: Training Modules
Improving
Patient Safety … Questions to get discussion going and draw on prior knowledge might be of the
“survey” type:
› Have … For more detailed information on QI and measurement tools, please see “The
Patient Safety Education … Questions to get discussion going and draw on prior knowledge might be of the
“survey” type:
› Have … Questions to get the discussion going and draw on prior knowledge might be of
the “survey” type:
›
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part3-nqs4.html
October 01, 2015 - Hispanic Health Care
Acknowledgments
Health Care For Hispanics
National Quality Strategy Priorities: Patient … Importance of Getting Information Electronically
Patients who reported that it was important for them … 73.8
67.2
Hispanic
57.1
67.6
60.2
Source: Health Information National Trends Survey … Groups With Disparities:
In 2013, Hispanic patients were less likely than White, Black, and Asian … Population: Predominantly Latino patients with chronic illnesses and disabilities.
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psnet.ahrq.gov/issue/risk-covid-19-related-bullying-harassment-and-stigma-among-healthcare-workers-analytical
April 25, 2016 - Bullying and unprofessional behavior can negatively influence teamwork, staff retention, and patient … - an international survey. … March 27, 2024
Missed nursing care in surgical care- a hazard to patient safety: a quantitative … May 5, 2021
Maternal and neonatal health care worker well-being and patient safety climate
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psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
August 01, 2006 - 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.