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What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety | PSNet

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March 01, 2017 - In contrast, health care leaders can undermine their ability to affect lasting change and create a learning … Leaders need others to form a guiding coalition with access to information, resources, complementary … Instructional Coaching: A Partnership Approach to Improving Instruction. … Department of Health and Human Services. … Department of Health and Human Services.

The Role of Undergraduate Nursing Education in Patient Safety | PSNet

psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety

November 27, 2023 - But that’s why practice and academia need to come together to have a common language, clear expectations … Faculty and practitioners need to have a common understanding and a common language for what is expected … One thing that I do want to share with the readers is that in 2004, AACN started a national discussion … Department of Health and Human Services. … Department of Health and Human Services.

Clinical Handover: Critical Communications. | PSNet

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June 07, 2006 - A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care. … April 1, 2009 Patient Safety in Dialysis Access. … plans for nursing services and establishing recordkeeping and reporting requirements. … July 8, 2015 Language Barriers in Health Care. … June 22, 2011 Preventable morbidity at a mature trauma center.

Incident Reporting: More Attention to the Safety Action Feedback Loop, Please | PSNet

psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please

September 01, 2011 - In addition, analysts at both the hospital and national levels need information that enables them to … No one wants to look at a Swiss cheese model with just one slice of cheese and a couple of holes. … You may almost need a natural language search engine to be able to be trolling around in your 15,000 … Department of Health and Human Services. … Department of Health and Human Services.

Safety cases for digital health innovations: can they work? | PSNet

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April 13, 2022 - to 20 hospitals in England during implementation of the 7-day services national health policy. … December 9, 2020 Impact of providing patients access to electronic health records on … March 27, 2024 To do no harm - and the most good - with AI in health care. … August 17, 2022 Outsourcing health-care services to the private sector and treatable … to 20 hospitals in England during implementation of the 7-day services national health policy.

Time out! Rethinking surgical safety: more than just a checklist. | PSNet

psnet.ahrq.gov/issue/time-out-rethinking-surgical-safety-more-just-checklist

April 27, 2022 - A national prospective cohort study. … to 20 hospitals in England during implementation of the 7-day services national health policy. … to drive improvement at three academic hospitals. … threats: a national survey of interns and residents. … September 13, 2017 Impact of providing patients access to electronic health records on

The Role of the Patient in Improving Patient Safety | PSNet

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March 01, 2007 - A second role for patients and family members is in working to improve safety and quality in health care … You've got to look at the patient. … In some ways, you look at the steps that Hopkins has taken and it shows a lot of good people getting … Department of Health and Human Services. … Department of Health and Human Services.

In Conversation With… Shantanu Nundy, MD | PSNet

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April 23, 2024 - Look at what they used as a training set: chess matches played between different grand masters at different … It was to look at the greatest chess players in the universe and see how they reason. … But in many ways when it comes to health and not just health care, physicians are at the top of their … Department of Health and Human Services. … Department of Health and Human Services.

The Evolution of Patient Safety in Surgery | PSNet

psnet.ahrq.gov/perspective/evolution-patient-safety-surgery

August 01, 2017 - Rather, it would lead to a hard look at the program's culture and structure.( 4 ) Within a strong safety … In the accompanying interview this month, surgeon and health services researcher Karl Bilimoria discusses … I didn't do very well, but they've devised an automated way to look at the mechanics of my swing and … Department of Health and Human Services. … Department of Health and Human Services.

How timely is diagnosis of lung cancer? Cohort study of individuals with lung cancer presenting in ambulatory care in the United States. | PSNet

psnet.ahrq.gov/issue/how-timely-diagnosis-lung-cancer-cohort-study-individuals-lung-cancer-presenting-ambulatory

August 17, 2022 - and natural language processing (NLP) to identify relevant signs and symptoms in the two years prior … September 16, 2020 Unintended consequences of patient online access to health records … August 3, 2022 A look into the nature and causes of human errors in the intensive care … comparative analysis between patients living at home and in a nursing home. … in a national patient safety collaborative.

The Role of Patient-facing Technologies to Empower Patients and Improve Safety | PSNet

psnet.ahrq.gov/perspective/role-patient-facing-technologies-empower-patients-and-improve-safety

November 01, 2017 - It is time to bring on a team that has the patient perspective and look at it from that angle. … RW : It is obvious the language has to be different, and someone who knows the language of medicine and … to justify previous things because the patient had time to look at the information and process it. … Department of Health and Human Services. … Department of Health and Human Services.

Strengthening the Business Case for Patient Safety | PSNet

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May 01, 2013 - When I look at what Pronovost did initially at Johns Hopkins then for Michigan , it's a herculean … We have to then go out and look for a new solution. … Department of Health and Human Services. … Department of Health and Human Services. … root cause analysis at national VA medical centers.

In Conversation With… Beverley H. Johnson | PSNet

psnet.ahrq.gov/perspective/conversation-beverley-h-johnson

February 01, 2013 - With electronic health records, patients and families should have access to the daily recording of care … in simple language and reinforcing visually with pictures. … and limitations of patient engagement—at all of these levels—are illustrated in ongoing efforts to understand … Department of Health and Human Services. … Department of Health and Human Services.

Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment. | PSNet

psnet.ahrq.gov/issue/reduction-incorrect-record-accessing-and-charting-patient-electronic-medical-records

May 30, 2018 - November 17, 2021 The current and ideal state of anatomic pathology patient safety. … safety efforts in infection prevention: a multi-center qualitative study. … September 16, 2015 Association between language use and ICU transfer and serious adverse … EHR medication reconciliation at a health system. … March 28, 2018 Impact of a national QI programme on reducing electronic health record

The Role of Health Literacy in Patient Safety | PSNet

psnet.ahrq.gov/perspective/role-health-literacy-patient-safety

March 22, 2009 - services needed to make appropriate health decisions—has become a primary objective for many health … adherence to recommended health actions as part of larger patient safety efforts.( 1 , 6 , 10 ) Improving … Low Health Literacy: Implications for National Health Policy. [Available at] 6. … him in a unique position to pursue influential and relevant research related to health literacy and improving … Department of Health and Human Services.

The Dropped "No" | PSNet

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October 30, 2019 - at another site and, therefore, did not have access to the image. … Most radiologists do not look at a study, decide what the interpretation is, and then dictate the entire … Department of Health and Human Services. … Department of Health and Human Services. … May 5, 2010 Opportunities and Recommendations for State–Federal Coordination to Improve

Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout. | PSNet

psnet.ahrq.gov/issue/providing-feedback-following-leadership-walkrounds-associated-better-patient-safety-culture

February 01, 2023 - June 2, 2021 A closer look at associations between hospital leadership walkrounds and … threats: a national survey of interns and residents. … November 11, 2020 Impact of providing patients access to electronic health records on … to 20 hospitals in England during implementation of the 7-day services national health policy. … December 21, 2022 A state-of-the-art review of speaking up in healthcare.

What does it take? A case study of radical change toward patient safety. | PSNet

psnet.ahrq.gov/issue/what-does-it-take-case-study-radical-change-toward-patient-safety

June 08, 2005 - March 13, 2013 Look back and talk openly: responding to and communicating about the risk … February 9, 2022 Creating a safety culture at the Children's and Women's Health Centre … efforts. … to safety and quality can drive accountability in a large health care system. … November 11, 2020 View More Related Resources Health Services Safety

X-ray Flip | PSNet

psnet.ahrq.gov/web-mm/x-ray-flip

August 10, 2019 - "( 5 ) Risk management databases might provide an alternative source of information, but access to national … Culture at work in aviation and medicine. National, organizational and professional influences. … Department of Health and Human Services. … Department of Health and Human Services. … August 16, 2006 Language Barriers in Health Care.

Using Twitter to assess patient takes on patient experience. | PSNet

psnet.ahrq.gov/issue/using-twitter-assess-patient-takes-patient-experience

April 22, 2020 - July 15, 2015 Are national efforts to reduce drug name confusion paying off? … September 11, 2019 A hard look at hard stops and workarounds in the acute care setting … August 5, 2020 Failures in Care Coordination and Reviewing a Patient's Death at the VA … August 2, 2023 Physician task load and the risk of burnout among US physicians in a national … March 18, 2020 National and institutional trends in adverse events over time: a systematic

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