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Total Results: 3,038 records

Showing results for "accountability".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49808/psn-pdf
    October 01, 2017 - High-Risk Medications, High-Risk Transfers October 1, 2017 Staggers N. High-Risk Medications, High-Risk Transfers. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers The Case A 47-year-old woman with history of primary pulmonary arterial hypertension (PAH) was admitted …

  2. Patient Safety and Health Information Technology: Learning from Our Mistakes | PSNet

    psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes
    July 01, 2012 - That was the next solution to creating a business case for accountability.

  3. In Conversation With… Ashish K. Jha, MD, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-ashish-k-jha-md-mph
    May 01, 2013 - What that says to me is that the board, which is the ultimate accountability entity in a hospital, doesn't

  4. Don't Dismiss the Dangerous: Obstetric Hemorrhage | PSNet

    psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
    August 21, 2024 - SPOTLIGHT CASE Don't Dismiss the Dangerous: Obstetric Hemorrhage Citation Text: Main EK. Don't Dismiss the Dangerous: Obstetric Hemorrhage. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74121/psn-pdf
    November 30, 2021 - Hidden Danger! Insidious Postpartum Bleeding After Emergency Cesarean Delivery. November 30, 2021 Leiserowitz GS, Hedriana H. Hidden Danger! Insidious Postpartum Bleeding After Emergency Cesarean Delivery. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/hidden-danger-insidious-postpartum-bleeding-after-emerg…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838900/psn-pdf
    October 27, 2022 - Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong. October 27, 2022 Ahmed SM, Ali M. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/fecal-contamination-…

  7. In Conversation with...Albert Wu, MD, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph
    February 26, 2025 - And individual accountability, individual feelings of responsibility, and high moral fiber are crucial

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73302/psn-pdf
    May 26, 2021 - clear expectations and the tools that they need to be successful when it comes to safety, as well as accountability

  9. In Conversation with... Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety | PSNet

    psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
    November 27, 2023 - Assume accountability for reporting unsafe conditions, near misses, and errors to reduce harm. … One of the key competencies in the Essentials is to assume accountability for reporting unsafe conditions

  10. In Conversation with...James P. Bagian, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
    September 01, 2006 - The VISNs became the locus of decision-making and accountability. … The Veterans Health Administration: quality, value, accountability, and information as transforming strategies

  11. The Role of Undergraduate Nursing Education in Patient Safety | PSNet

    psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
    November 27, 2023 - Assume accountability for reporting unsafe conditions, near misses, and errors to reduce harm. … One of the key competencies in the Essentials is to assume accountability for reporting unsafe conditions

  12. Beyond the Pandemic: Creating Total Systems Safety | PSNet

    psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
    August 30, 2023 - acceptance of this reality but also actions that balance the intentional design of systems for safety with accountability … example, one section of the tool relates to whether job descriptions for senior leaders include their accountability

  13. In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety | PSNet

    psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
    August 30, 2023 - acceptance of this reality but also actions that balance the intentional design of systems for safety with accountability … example, one section of the tool relates to whether job descriptions for senior leaders include their accountability

  14. Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop communication of critical results: a time series analysis. | PSNet

    psnet.ahrq.gov/issue/impact-electronic-alert-notification-system-embedded-radiologists-workflow-closed-loop
    November 26, 2014 - Study Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop communication of critical results: a time series analysis. Citation Text: Lacson R, O'Connor SD, Sahni A, et al. Impact of an electronic alert notification system embedded in radiolo…

  15. Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-intensive-care-unit-systematic-review-autopsy-studies
    March 10, 2021 - Review Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. Citation Text: Winters BD, Custer J, Galvagno SM, et al. Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. BMJ Qual Saf. 2012;21(11):894-902. doi:10.1136/bmj…

  16. Predictors of gaps in patient safety and quality in U.S. hospitals. | PSNet

    psnet.ahrq.gov/issue/predictors-gaps-patient-safety-and-quality-us-hospitals
    December 23, 2020 - Study Predictors of gaps in patient safety and quality in U.S. hospitals. Citation Text: Unruh L, Hofler R. Predictors of Gaps in Patient Safety and Quality in U.S. Hospitals. Health Serv Res. 2016;51(6):2258-2281. doi:10.1111/1475-6773.12468. Copy Citation Format: DOI Goog…

  17. Pharmacist–physician communications in a highly computerised hospital: sign-off and action of electronic review messages. | PSNet

    psnet.ahrq.gov/issue/pharmacist-physician-communications-highly-computerised-hospital-sign-and-action-electronic
    February 27, 2019 - Study Pharmacist–physician communications in a highly computerised hospital: sign-off and action of electronic review messages. Citation Text: Pontefract SK, Hodson J, Marriott JF, et al. Pharmacist-Physician Communications in a Highly Computerised Hospital: Sign-Off and Action of Electr…

  18. US public opinion regarding proposed limits on resident physician work hours. | PSNet

    psnet.ahrq.gov/issue/us-public-opinion-regarding-proposed-limits-resident-physician-work-hours
    February 18, 2011 - Study US public opinion regarding proposed limits on resident physician work hours. Citation Text: Blum AB, Raiszadeh F, Shea S, et al. US public opinion regarding proposed limits on resident physician work hours. BMC Med. 2010;8:33. doi:10.1186/1741-7015-8-33. Copy Citation Form…

  19. Association between end-of-rotation resident transition in care and mortality among hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/association-between-end-rotation-resident-transition-care-and-mortality-among-hospitalized
    August 15, 2018 - Study Association between end-of-rotation resident transition in care and mortality among hospitalized patients. Citation Text: Denson JL, Jensen A, Saag HS, et al. Association Between End-of-Rotation Resident Transition in Care and Mortality Among Hospitalized Patients. JAMA. 2016;316(2…

  20. The well-defined pediatric ICU: active surveillance using nonmedical personnel to capture less serious safety events. | PSNet

    psnet.ahrq.gov/issue/well-defined-pediatric-icu-active-surveillance-using-nonmedical-personnel-capture-less
    July 13, 2010 - Study The well-defined pediatric ICU: active surveillance using nonmedical personnel to capture less serious safety events. Citation Text: White WA, Kennedy K, Belgum HS, et al. The Well-Defined Pediatric ICU: Active Surveillance Using Nonmedical Personnel to Capture Less Serious Safety …
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