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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/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/McNeill.pdf
January 01, 2004 - safety; (5) research on the effects of working conditions on
quality of care and patient safety; and … Do other
groups pick up on AHRQ’s information and drive the point home to patients
through conferences … Culture of safety
AHRQ has developed a Hospital Survey on Patient Safety Toolkit to assess
the culture … Indeed, Congress and
patients themselves will be counting on it. … Hence, moving the
national needle on patient safety measures is a big challenge.
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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 .
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pdf
June 01, 2015 - s operating losses are offset by revenue generated by a health plan that primarily
serves Medicaid clients … funding and
therefore are focusing their redesign on patient care delivery. … In contrast, as a result of a sentinel event
and unsatisfactory responses with accrediting surveys, … Most of
these initiatives focus on service excellence and patient safety or experience of care. … The specific subset of questions asked of each
respondent was determined by the role of each person
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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/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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psnet.ahrq.gov/issue/hospital-board-and-management-practices-are-strongly-related-hospital-performance-clinical
October 27, 2021 - This study, which used survey data from a large sample of hospitals in the United States and England, … As many hospital boards still do not prioritize patient safety, these results help identify management … framework to identify and categorise patient-reported breakdowns related to the diagnostic process in … Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience … March 2, 2016
Post event debriefs: a commitment to learning how to better care for patients
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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/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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www.ahrq.gov/sites/default/files/wysiwyg/topics/bridging-feedback-gap.pdf
June 21, 2021 - is, informa
tion on the subsequent clinical course and
outcomes of patients that they have diag
nosed … Feedback on patient outcomes
flows from a downstream source back upstream to a
recipient. … outcomes of individual patients (as opposed
to aggregated patient data)12
No clear guidelines as … Certain metrics can be tracked such as reductions in
unnecessary transfers or by conducting periodical
surveys … "I never hear what
happens, even if they die": a survey of emergency physicians
about outcome feedback
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www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-transcript.html
February 01, 2023 - A recent national survey of catheter placement practices in acute care hospitals demonstrated that many … When assessing the indication on a daily basis, ask the question, does my patient still need a urinary … X, a patient on a ventilator, no longer required a urinary catheter. … Sally noted that the patient was on a chronic diuretic, but it was not being adjusted. … Once you have helped contribute to that safety culture, you will need to sustain your progress.
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psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery
January 19, 2016 - His physical examination was documented as unremarkable, and he was started on a patient-controlled analgesia … On postoperative day 2, the patient was weaned off the PCA and started on a clear liquid diet. … Hospital and patient characteristics associated with death after surgery. … May 6, 2015
The WHO surgical safety checklist: survey of patients' views. … June 13, 2018
Patient safety in the OR.
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part3-nqs3.html
October 01, 2015 - Hispanic Health Care
Acknowledgments
Health Care For Hispanics
National Quality Strategy Priorities: Patient … 7.3
8.0
Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey … Provider-Patient Communication in Home Health Care
Provider-patient communication among adults receiving … Provider-Patient Communication in Home Health Care
Provider-patient communication among adults receiving … Population: Hispanic patients and families.
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psnet.ahrq.gov/issue/managing-competing-demands-through-task-switching-and-multitasking-multi-setting
December 19, 2018 - using the internet: a multisite survey. … error rates in hospital in-patients: a before and after study. … February 15, 2012
Drug-drug interactions and actual harm to hospitalized patients: a … June 12, 2024
View More
Related Resources
Patient Safety … May 28, 2014
Is culture associated with patient safety in the emergency department?
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psnet.ahrq.gov/issue/giving-voice-mothers-study-inequity-and-mistreatment-during-pregnancy-and-childbirth-united
January 23, 2020 - April 24, 2018
Nursing home patient safety culture perceptions among US and immigrant … January 24, 2018
Lost information during the handover of critically injured trauma patients … February 7, 2024
‘The Retrievals’ reveals painful experiences of female patients are … February 15, 2023
Explaining the negative effects of patient participation in patient … September 8, 2021
Parent engagement in perinatal mortality reviews: an online survey
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psnet.ahrq.gov/issue/racial-disparities-maternal-mortality-and-impact-structural-racism-and-implicit-racial-bias
July 13, 2009 - The racial disparities in maternal mortality and impact of structural racism and implicit racial bias on … The racial disparities in maternal mortality and impact of structural racism and implicit racial bias on … increased risk of maternal morbidity and mortality among Black women in the United States is a patient … November 13, 2024
Impact of patient safety bundle and team-based training on obstetric … September 21, 2022
Psychometric properties of the perinatal missed care survey and missed
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psnet.ahrq.gov/web-mm/failure-report
July 01, 2008 - acknowledge the potentially harmful medication error, caregivers missed a chance to protect future patients … How many other patients must be harmed by similar mistakes before the factors that led to the mistakes … The Handbook on Storing and Securing Medications. … Committed to Safety: Ten Case Studies on Reducing Harm to Patients. … December 14, 2022
ISMP survey on tall man (mixed case) lettering to reduce drug name
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www.ahrq.gov/news/newsletters/e-newsletter/967.html
July 01, 2025 - Many Pediatric Pneumonia Patients Receive Antibiotics Outside of Guidelines
Issue Number
967 … In the study, patients with symptoms visible on chest radiographs and those with viral sample testing … (Source: AHRQ Medical Expenditure Panel Survey Statistical Brief #563, Recent Changes in Treatment Patterns … Access the abstract on PubMed®. … Access the abstract on PubMed®.
-
www.ahrq.gov/sites/default/files/2025-02/nishimi2-report.pdf
January 01, 2025 - , heart failure patients,
and diabetes patients. … Otolaryngology was the first to have a specialty-wide
patient safety survey. … In 2004, 2,500 surveys were mailed to specialists in the
field. … its surveys of ear, nose, and throat (ENT) specialists. … populations with discipline-
specific goals, focusing on patient and cost outcomes.
-
www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncil3.html
April 01, 2018 - ) patients on the team. … Patients
Patient members on the council provide the consumer perspective to the project goal. … Number of patients on the patient advisory councils. … Impact of project on patient behaviors and practices, measured through surveys (mail, phone, or Email … Patient satisfaction survey results meet or exceed target.