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psnet.ahrq.gov/issue/nursing-guidelines-comprehensive-harm-prevention-strategies-adult-patients-acute-hospitals
August 10, 2022 - Review
Nursing guidelines for comprehensive harm prevention strategies for adult patients … Nursing guidelines for comprehensive harm prevention strategies for adult patients in acute hospitals … Nurses have a significant impact on patient safety. … in hospital: a cross-sectional survey. … August 17, 2022
The effects of three consecutive 12-hour shifts on cognition, sleepiness
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/clinical-care-protocol.pdf
January 01, 2024 - Association of open communication and the
emotional and behavioural impact of medical error on patients … and families: state-wide cross-
sectional survey. … Communicating with patients about breakdowns
in care: a national randomised vignette-based survey. … Error disclosure: a new domain for safety
culture assessment. … Factors determining safety culture in hospitals: a
scoping review.
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psnet.ahrq.gov/issue/selection-incorrect-medication-pump-leads-chemotherapy-overdose
September 09, 2015 - June 10, 2018
Pump up the volume: tips for increasing error reporting and decreasing patient … , 2015
ISMP updates its list of drug names with tall man (mixed case) letters based on … survey results.
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psnet.ahrq.gov/issue/investigating-us-medical-students-motivation-respond-lapses-professionalism
January 12, 2022 - August 10, 2016
Prevalence of medication transfer errors in nephrology patients and potential … 2020
Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized patients … More
Related Resources
Bad things can happen: are medical students aware of patient … March 19, 2018
Speaking up about traditional and professionalism-related patient safety … threats: a national survey of interns and residents.
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www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program2.html
April 01, 2018 - Disease-specific focus— programs that focus on patient safety for a specific condition (e.g., diabetes … Specific patient care issues— programs that focus on one specific area of patient safety, such as fall … Triage questions— techniques to categorize patients based on their needs or benefit from treatment. … Level 4 Training Impact— measures the program's overall impact on patient safety at the participating … What kind of cultural readiness assessment is included (survey, external, internal)?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-110414.pptx
January 01, 2013 - at least as common as clinically significant urinary tract infections.”
4
Falls
Partnership for Patients … 11
Just because a patient is in the ICU does NOT mean that the patient needs a Foley…
The Key Question … surrounding the prevention of CAUTI and other hospital-acquired conditions
To compare the CAUTI GPS survey … Asking…
Is it absolutely necessary to use an indwelling catheter in this patient? … behalf of patients
40
Thank you!
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psnet.ahrq.gov/issue/handover-after-pediatric-heart-surgery-simple-tool-improves-information-exchange
July 03, 2016 - of a structured tool improved the quality of handoffs for postoperative pediatric cardiac surgery patients … March 5, 2025
Purchase of prescription medicines via social media: a survey-based study … May 28, 2015
Tracing the foundations of a conceptual framework for a patient safety ontology … A prospective observational study of physician handoff for intensive-care-unit-to-ward patient … , 2011
Standardized multidisciplinary protocol improves handover of cardiac surgery patients
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-review55/genital-herpes-screening-2005
March 15, 2005 - transmitted disease (STD) in the United States. 3 The most accurate estimates derived from seroprevalence surveys … , or to diagnose infection in a symptomatic patient when culture is not feasible or the clinical syndrome … No patient in either group experienced asymptomatic viral shedding, and no infant in either group had … Cesarean section and vaginal delivery were used for different patient subgroups in the cohort. … Blinding: Outcome Assessors, Care Provider, Patient?
Intention- to-Treat Analysis?
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psnet.ahrq.gov/issue/occurrence-prevention-and-management-psychological-effects-emerging-virus-outbreaks
July 19, 2023 - Compared with clinicians at lower risk, those in contact with affected patients had greater levels of … interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient … July 19, 2023
The challenges in monitoring and preventing patient safety incidents for … January 2, 2017
Survey of nurses' experiences applying The Joint Commission's medication … May 29, 2013
View More
Related Resources
Patient Safety
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-monitor.pdf
April 20, 2021 - Planned, Patient-Centered Visits
Plan and prepare for the clinic visits of all patients on chronic opioid … Support
patient-centered, empathic communication for care of patients on chronic opioid therapy. … Survey … , milestones checklist you have maintained, and Measuring Outcomes Survey … Caring for Complex Patients
☐ Ensure clear referral pathways for complex patient resources and close
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/ZzZp7_aoJn73k9z25w_-qr
March 01, 2005 - transmitted
disease (STD) in the United States.3 The most
accurate estimates derived from seroprevalence
surveys … , or
to diagnose infection in a symptomatic patient when
culture is not feasible or the clinical syndrome … No patient in
either group experienced asymptomatic viral
shedding, and no infant in either group had … • Cesarean section and vaginal delivery were used for
different patient subgroups in the cohort. … Patient? Analysis?
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psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
April 26, 2023 - CDS provides clinicians, patients, and other individuals with relevant data (e.g. patient-specific information … Despite respondents giving the tool high usability ratings and reporting that the CDS was valuable, actual … Here we limit the discussion to several patient-safety-focused resources posted on PSNet in 2022. … For CDS specifically, more focus is needed on patient-centered CDS (PC CDS), which supports patient-centered … and Workforce Safety Culture in Healthcare
March 27, 2024
Perspective
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www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
December 01, 2017 - The patient was awake, alert, able to void on his own. … patient, not so much on systems. … Are patients and families included in [inaudible 00:33:01] that are focused on safety issues. … Part of establishing a safety culture requires that we have an atmosphere where we look at defects or … This survey really embodies the core CUSP principles of respecting the wisdom and observations of the
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psnet.ahrq.gov/perspective/conversation-susan-e-skochelak-md-phd
February 01, 2019 - Moreover, on top of these patient safety concerns, many studies have suggested the United States health … safety issues across the continuum for individual patients and populations of patients are critical … Ensure that leaders establish and sustain a safety culture
2. … Partner with patients and families for the safest care
8. … and postgraduate trainees: a cross-sectional survey.
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psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
January 03, 2017 - After a urine culture was obtained in the ED, the patient was started on vancomycin and admitted to the … Finally, patients often have poor access to primary care, resulting in patients having no medical support … Consequently, patient care suffers, and often, patients recently discharged return to the hospital for … In a survey of the leaders of seven Divisions of Hospital Medicine at academic centers across the country … Several large programs have focused on improving the discharge process for patients.
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psnet.ahrq.gov/issue/weekend-effect-hospital-mortality-ischemic-and-hemorrhagic-stroke-us-rural-and-urban
January 19, 2022 - The ” weekend effect ” refers to worse patient outcomes occurring outside of usual business hours. … stroke admitted on the weekend versus on a weekday. … After adjusting for patient and hospital characteristics, in-hospital mortality among hemorrhagic stroke … Future research should explore the influence of additional factors, such as patient-level behavioral … September 2, 2020
Burnout in pediatric residents: three years of national survey
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www.ahrq.gov/sites/default/files/2024-07/middleton-wald-report.pdf
January 01, 2024 - Results: Based on pre-post survey analysis, over half of study patients felt that electronic visit-
based … User surveys to all patients, providers, and staff were sent to assess attitudes toward
VBJs and the … Patient survey data showed that the
majority of patients who used a medication journal found it easy … Patient Survey Results
At study conclusion, a greater proportion of survey respondents in the intervention … Overall, 179 patients (response rate = 41%) responded, and
81% of the respondents found the journal
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/ahrq-works/impact-burnout.pdf
July 01, 2017 - to
health systems on how
to build healthier
workplaces for
providers and
patients.” … Linzer, M.D.,
FACP, of Hennepin County Medical Center in Minneapolis,
MN, created the Mini Z Burnout Survey … grant=R18+HS22065-01A1
https://www.stepsforward.org/modules/physician-burnout-survey
https://www.stepsforward.org … grant=R18+HS18160-01
AHRQ RESEARCH ON CLINICIAN BURNOUT 3
Implementing a Patient-Centered … Conclusion
Burnout takes a toll on physicians, their patients, and their
practices.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/implement/teamworknotes.docx
June 02, 2025 - · What will we do for the patient today?
· What are the patients’ greatest safety risks? … Here is an example of a huddle:
On a very busy evening shift, the ICU Green Team has four patients. … , team members protect both themselves and their patients from stress and harm. … Handoffs maintain the continuity of care despite changing staff and patients. … every 3 to 6 months, or as needed, to initiate culture conversations, evaluate cultural issues (between survey
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www.ahrq.gov/news/newsletters/e-newsletter/920.html
July 01, 2024 - Strategies such as mitigating staffing shortages, building a safety culture and adopting related organizational … Highlights From AHRQ’s Patient Safety Network AHRQ’s Patient Safety Network (PSNet) highlights journal … articles, books and tools related to patient safety. … WHO Global Report on Patient Safety . … ET: Upcoming Medical Expenditure Panel Survey Insurance Component and Household Component .