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Compliance with a time-out procedure intended to prevent wrong surgery in hospitals: results of a national patient safety programme in the Netherlands. | PSNet

psnet.ahrq.gov/issue/compliance-time-out-procedure-intended-prevent-wrong-surgery-hospitals-results-national

December 29, 2014 - View more articles from the same authors. … December 29, 2014 The role of patient safety culture in the causation of unintended events … October 14, 2009 The psychometric properties of the 'Hospital Survey on Patient Safety … of the WHO surgical safety checklist across hospitals in England: lessons from the "Surgical Checklist … August 7, 2013 Surgical checklists: the human factor.

Measuring the overall development of patient safety in a new hospital using trigger tools. | PSNet

psnet.ahrq.gov/issue/measuring-overall-development-patient-safety-new-hospital-using-trigger-tools

April 12, 2019 - Study Measuring the overall development of patient safety in a new hospital using … Measuring the overall development of patient safety in a new hospital using trigger tools. … View more articles from the same authors. … The rate of AE increased in the new hospital during the first 6 months, highlighting the importance … February 21, 2024 Medication safety amid technological change: usability evaluation to

Incidence of adverse events in an integrated US healthcare system: a retrospective observational study of 82,784 surgical hospitalizations. | PSNet

psnet.ahrq.gov/issue/incidence-adverse-events-integrated-us-healthcare-system-retrospective-observational-study

April 08, 2011 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … Same Author(s) Team training in the neonatal resuscitation program for interns: teamwork … care on the administration of high-risk drug combinations, and their monitoring: a cluster randomised … September 1, 2016 Impact of rounding checklists on the outcomes of patients admitted

The effect of facility characteristics on patient safety, patient experience, and service availability for procedures in non–hospital-affiliated outpatient settings: a systematic review. | PSNet

psnet.ahrq.gov/issue/effect-facility-characteristics-patient-safety-patient-experience-and-service-availability

April 12, 2023 - Review The effect of facility characteristics on patient safety, patient experience … The effect of facility characteristics on patient safety, patient experience, and service availability … View more articles from the same authors. … May 11, 2022 The nature of reported safety events related to care coordination in the … May 2, 2018 Correlates of the third victim phenomenon.

Patient safety in community dementia services: what can we learn from the experiences of caregivers and healthcare professionals? | PSNet

psnet.ahrq.gov/issue/patient-safety-community-dementia-services-what-can-we-learn-experiences-caregivers-and

March 05, 2025 - View more articles from the same authors. … The authors emphasize the tradeoffs between risk of harm and patient autonomy. … July 19, 2019 Measuring harm and informing quality improvement in the Welsh NHS: the … Learning from preventable deaths: exploring case record reviewers' narratives using change … October 16, 2012 The safety of hospital stroke care.

Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs. | PSNet

psnet.ahrq.gov/issue/starting-elective-cardiac-surgery-after-3-pm-does-not-impact-patient-morbidity-mortality-or

February 12, 2020 - View more articles from the same authors. … The investigators found no differences in mortality, complications, or length of stay and posit that … this may stem from resource availability in these specialized care settings regardless of the time of … : a scientific statement from the American Heart Association. … to the cardiovascular surgery operating room.

Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating room environment. | PSNet

psnet.ahrq.gov/issue/ergonomic-and-human-factors-affecting-anesthetic-vigilance-and-monitoring-performance

May 31, 2011 - The authors begin by discussing errors in anesthesia and the opportunities created for such errors by … the inevitable nature of the job. … They continue by presenting a framework for the contributing factors, which include the work environment … (eg, noise, lighting, temperature), the human component (eg, team factors, fatigue, workload), and the … The authors advocate for greater attention to these contributing factors and further study based on the

Leveraging artificial intelligence to reduce diagnostic errors in emergency medicine: challenges, opportunities, and future directions. | PSNet

psnet.ahrq.gov/issue/leveraging-artificial-intelligence-reduce-diagnostic-errors-emergency-medicine-challenges

May 29, 2019 - View more articles from the same authors. … This article summarizes the features of clinical decision-making in the ED and how artificial intelligence … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … Same Author(s) Effect of restriction of the number of concurrently open records in an … Prospective evaluation of medication-related clinical decision support over-rides in the

Does seasonal variation in orthopaedic trauma volume correlate with adverse hospital events and burnout? | PSNet

psnet.ahrq.gov/issue/does-seasonal-variation-orthopaedic-trauma-volume-correlate-adverse-hospital-events-and

May 25, 2022 - View more articles from the same authors. … The study team also found that patient safety events were highest during the summer, but these were not … May 25, 2022 Guidance for health care leaders during the recovery stage of the COVID- … March 20, 2019 The FIRST curriculum: cultivating speaking up behaviors in the Clinical … June 3, 2013 Examining patient safety events using the behaviour change wheel: a cross-sectional

Speaking up about patient safety concerns: the influence of safety management approaches and climate on nurses' willingness to speak up. | PSNet

psnet.ahrq.gov/issue/speaking-about-patient-safety-concerns-influence-safety-management-approaches-and-climate

August 12, 2020 - View more articles from the same authors. … December 21, 2017 Dedicated teams to optimize quality and safety of surgery: a systematic … November 3, 2021 The Psychological Safety Scale of the Safety, Communication, Operational … video reflexive ethnography method, as applied to the physician–nurse dyad. … the mediating role of burnout engagement.

National Partnership for Maternal Safety: consensus bundle on support after a severe maternal event. | PSNet

psnet.ahrq.gov/issue/national-partnership-maternal-safety-consensus-bundle-support-after-severe-maternal-event

December 15, 2021 - View more articles from the same authors. … patient safety in the context of rehabilitation. … June 1, 2022 Investigating the impact of structural racism on Black birthing people - … February 15, 2023 Impact of pharmacist-led multidisciplinary medication review on the … safety and medication cost of the elderly people living in a nursing home: a before-after study.

Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home. | PSNet

psnet.ahrq.gov/issue/adopting-fall-tailoring-interventions-patient-safety-tips-program-engage-older-adults-fall

December 08, 2021 - Commentary Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program … Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in … View more articles from the same authors. … in the rate of falls and injuries. … March 8, 2023 Organizational readiness to change as a leverage point for improving safety

Implicit bias in healthcare: clinical practice, research and decision making. | PSNet

psnet.ahrq.gov/issue/implicit-bias-healthcare-clinical-practice-research-and-decision-making

May 25, 2022 - View more articles from the same authors. … This literature review sought to define implicit bias and identify the impact on clinical practice and … The authors found that no effective debiasing strategies seem to currently exist. … WebM&M commentary discusses how implicit bias can contribute to poor communication between healthcare teams … Same Author(s) Development and usability testing of the Agency for Healthcare Research

Does one size fit all? Assessing the need for organizational second victim support programs. | PSNet

psnet.ahrq.gov/issue/does-one-size-fit-all-assessing-need-organizational-second-victim-support-programs

January 14, 2011 - harm to the healthcare providers involved in the incident. … September 19, 2016 Assessing the perceived level of institutional support for the second … January 12, 2022 COVID-19: the dark side and the sunny side for patient safety. … July 7, 2021 Supporting the emotional well-being of health care workers during the COVID … October 13, 2021 Suicide risk, changing jobs, or leaving the nursing profession in the

What and when to debrief: a scoping review examining interprofessional clinical debriefing. | PSNet

psnet.ahrq.gov/issue/what-and-when-debrief-scoping-review-examining-interprofessional-clinical-debriefing

September 09, 2015 - View more articles from the same authors. … This review characterizes the clinical contexts, timing , and intentions of debriefing. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … An analysis of the incidence and factors behind the failure of bedside clinical staff to activate the … January 31, 2024 Validation and use of the Second Victim Experience and Support Tool

A systematic review of failures in handoff communication during intrahospital transfers. | PSNet

psnet.ahrq.gov/issue/systematic-review-failures-handoff-communication-during-intrahospital-transfers

November 03, 2015 - View more articles from the same authors. … The review summarizes the key issues pertaining to safety in intrahospital transfers and suggests improvement … ill patient was transported from the inpatient ward to the radiology department. … November 28, 2012 Improving teamwork on general medical units: when teams do not work … November 8, 2012 The effects of a 'discharge time-out' on the quality of hospital discharge

Making health care safer: what is the contribution of health psychology? | PSNet

psnet.ahrq.gov/issue/making-health-care-safer-what-contribution-health-psychology

November 26, 2008 - View more articles from the same authors. … This commentary discusses behavior change , error disclosure , team communication, decision making … September 25, 2011 COVID-19: the dark side and the sunny side for patient safety. … November 21, 2018 Dying for the weekend: a retrospective cohort study on the association … November 25, 2020 Supporting the emotional well-being of health care workers during the

Defining and studying errors in surgical care: a systematic review. | PSNet

psnet.ahrq.gov/issue/defining-and-studying-errors-surgical-care-systematic-review

July 20, 2022 - View more articles from the same authors. … and use of a common definition and taxonomy of errors will provide a more accurate indication of the … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … February 6, 2019 Surgical teams' attitudes about surgical safety and the surgical safety … the complexity of surgical antimicrobial prescribing behavior in hospital settings.

Longer work experience and age associated with safety attitudes in operating room nurses: an online cross-sectional study. | PSNet

psnet.ahrq.gov/issue/longer-work-experience-and-age-associated-safety-attitudes-operating-room-nurses-online-cross

July 28, 2013 - View more articles from the same authors. … Same Author(s) Medication errors and response bias: the tip of the iceberg. … April 6, 2022 The spectrum of hospitalization-associated harm in the elderly. … patients admitted to the department of medicine of an academic hospital. … findings for the quality of care of patients with acute myocardial infarction: results of the Emergency

Toward a responsible future: recommendations for AI-enabled clinical decision support. | PSNet

psnet.ahrq.gov/issue/toward-responsible-future-recommendations-ai-enabled-clinical-decision-support

April 03, 2024 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … Same Author(s) Evaluation of the design and structure of electronic medication labels … November 16, 2022 Recommendations for the safe, effective use of adaptive CDS in the … April 21, 2021 Optimizing Pediatric Patient Safety in the Emergency Care Setting.

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