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Total Results: 3,038 records

Showing results for "accountability".

201. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49702/psn-pdf
     March 01, 2014 - Review how to balance systems thinking with individual accountability in health care. … Describe two examples of well-defined processes to identify individual accountability for adverse events … to identify individual accountability for adverse events and respond in a measured and fair way. … Balancing systems and individual accountability in a safety culture. … Professional Accountability Pyramid. Adapted from (6) with permission of the author.

202. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39381/psn-pdf
     March 17, 2010 - getting-it-right-when-things-go-wrong This brief commentary discusses the relationship between blame, accountability … psnet.ahrq.gov/issue/getting-it-right-when-things-go-wrong https://psnet.ahrq.gov/issue/balancing-no-blame-accountability-patient-safety

203. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39726/psn-pdf
     August 04, 2010 - incident reporting systems and their management practices, and found them to be intimately tied to local accountability … psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/balancing-no-blame-accountability-patient-safety

204. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39017/psn-pdf
     October 14, 2009 - just-culture-who-gets-draw-line This commentary explores the just culture concept and how the assignment of accountability … patient-safety-and-just-culture-primer-health-care-executives https://psnet.ahrq.gov/issue/balancing-no-blame-accountability-patient-safety

205. Gross Negligence Manslaughter in Healthcare: The Report of a Rapid Policy Review. | PSNet
     psnet.ahrq.gov/issue/gross-negligence-manslaughter-healthcare-report-rapid-policy-review
     June 14, 2023 - Accountability for errors and organizational assessment of failures affect incident reporting. … November 2, 2018 Actions Needed to Address Employee Misconduct Process and Ensure Accountability

206. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43051/psn-pdf
     May 29, 2014 - The authors advocate for a just culture that balances blame and accountability to address complexities … psnet.ahrq.gov/primer/detection-safety-hazards https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition

207. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44793/psn-pdf
     February 17, 2016 - social factors that affect patient safety improvement, including balancing collective versus individual accountability … explaining-michigan-developing-ex-post-theory-quality-improvement-program https://psnet.ahrq.gov/issue/what-role-individual-accountability-patient-safety-multi-site-ethnographic-study

208. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38219/psn-pdf
     May 24, 2015 - emotional impact of medical error involvement on physicians: a call for leadership and organisational accountability … emotional impact of medical error involvement on physicians: a call for leadership and organisational accountability

209. Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety. | PSNet
     psnet.ahrq.gov/issue/investigating-improvement-five-strategies-ensure-national-patient-safety-investigations
     February 28, 2024 - emphasizes a focus on system risks , redesigning systems, examination process transparency, public accountability … Epidemiology of Errors and Adverse Events Error Analysis Human Factors Engineering Transparency and Accountability

210. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45386/psn-pdf
     November 23, 2016 - ahrq-communication-and-optimal-resolution-candor-toolkit https://psnet.ahrq.gov/issue/collaboration-regulators-support-quality-and-accountability-following-medical-errors … https://psnet.ahrq.gov/issue/collaborative-accountability-and-improvement https://psnet.ahrq.gov/issue

211. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45146/psn-pdf
     July 18, 2016 - commentary describes how utilizing videos in operating rooms can enhance patient safety and clinician accountability … video-improve-patient-safety-clinical-and-educational-uses https://psnet.ahrq.gov/issue/competent-surgeon-individual-accountability-era-systems-failure

212. Reducing Diagnostic Error: Measurement Considerations. | PSNet
     psnet.ahrq.gov/issue/reducing-diagnostic-error-measurement-considerations
     September 06, 2011 - of a project focused on the development and review of measures to enhance viability, reporting, accountability … February 21, 2024 Focus on HARM (Harmonizing Accountability in Reporting and Monitoring

213. Near-miss medication errors provide a wake-up call. | PSNet
     psnet.ahrq.gov/issue/near-miss-medication-errors-provide-wake-call
     January 24, 2024 - highlights strategies such as the use of the 10 rights of drug administration, near-miss reporting , shared accountability … July 28, 2010 Bedside shift report improves patient safety and nurse accountability.

214. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44132/psn-pdf
     May 13, 2015 - are unavoidable, many are preventable and efforts to improve safety in health care should focus on accountability … psnet.ahrq.gov/issue/adverse-outcomes-why-bad-things-happen-good-people https://psnet.ahrq.gov/issue/accountability-medical-error-moving-beyond-blame-advocacy

215. Tracking progress in patient safety: an elusive target. | PSNet
     psnet.ahrq.gov/issue/tracking-progress-patient-safety-elusive-target
     March 13, 2013 - Creating a Pediatric Joint Council to promote patient safety and quality, governance, and accountability … April 11, 2011 Sustaining reliability on accountability measures at the Johns Hopkins … January 27, 2016 Demonstrating high reliability on accountability measures at The Johns

216. The role of medical liability reform in federal health care reform. | PSNet
     psnet.ahrq.gov/issue/role-medical-liability-reform-federal-health-care-reform
     May 20, 2015 - February 9, 2011 "Health courts" and accountability for patient safety. … October 2, 2017 "Health courts" and accountability for patient safety. … 2010 No-fault compensation in New Zealand: harmonizing injury compensation, provider accountability

217. Patient safety is not elective: a debate at the NPSF Patient Safety Congress. | PSNet
     psnet.ahrq.gov/issue/patient-safety-not-elective-debate-npsf-patient-safety-congress
     March 18, 2019 - Past commentaries have explored the tension between balancing no blame and individual accountability … This commentary summarizes a debate exploring accountability in patient safety, with one argument describing

218. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45028/psn-pdf
     May 25, 2016 - just-culture-improving-safety-achieving-substantive-procedural-and-restorative- justice A just culture balances organizational context with appropriate accountability … development-just-culture-assessment-tool-measuring-perceptions-health-care-professionals https://psnet.ahrq.gov/perspective/context-intervention https://psnet.ahrq.gov/perspective/accountability-patient-safety

219. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41741/psn-pdf
     October 10, 2012 - These accountability measures have been shown to be directly linked to patient outcomes. … //psnet.ahrq.gov/issue/joint-commission-center-transforming-healthcare https://psnet.ahrq.gov/issue/accountability-measures-using-measurement-promote-quality-improvement

220. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46006/psn-pdf
     May 03, 2017 - Creating a Pediatric Joint Council to promote patient safety and quality, governance, and accountability … Creating a Pediatric Joint Council to Promote Patient Safety and Quality, Governance, and Accountability