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Showing results for "approach".

281. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40782/psn-pdf
     September 14, 2011 - Creating high reliability: a new approach for patient safety. September 14, 2011 McGinnis L. … Creating high reliability: a new approach for patient safety. AORN J. 2011;94(3):219-22. … https://psnet.ahrq.gov/issue/creating-high-reliability-new-approach-patient-safety This commentary outlines … a comprehensive approach for creating and maintaining high reliability in health care. … https://psnet.ahrq.gov/issue/creating-high-reliability-new-approach-patient-safety https://psnet.ahrq.gov

282. Microsoft PowerPoint - FINAL Spotlight_Falls in Skilled Nursing Units_04.12.2023.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
     January 01, 2023 - an interdisciplinary person-centered care plan for fall prevention would be appropriate. 17 APPROACH … TO FALL PREVENTION AND IMPROVING RESIDENT SAFETY 18 Approach to Fall Prevention and Improving Patient … to Fall Prevention and Improving Patient Safety (5) • In addition to using a multicomponent approach … to Fall Prevention and Improving Patient Safety (8) • A person-centered approach to risk reduction … 29 Systems Change Needed/Quality Improvement Approach (1) • A culture of safety is necessary to

283. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39127/psn-pdf
     November 25, 2009 - An effectiveness analysis of healthcare systems using a systems theoretic approach. … An effectiveness analysis of healthcare systems using a systems theoretic approach. … https://psnet.ahrq.gov/issue/effectiveness-analysis-healthcare-systems-using-systems-theoretic-approach … This study describes a theoretical systems approach to integrating quality measurement and reporting … https://psnet.ahrq.gov/issue/effectiveness-analysis-healthcare-systems-using-systems-theoretic-approach

284. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35918/psn-pdf
     July 23, 2010 - Spinal surgery and patient safety: a systems approach. July 23, 2010 Wong DA. … Spinal surgery and patient safety: a systems approach. J Am Acad Orthop Surg. 2006;14(4):226-32. … https://psnet.ahrq.gov/issue/spinal-surgery-and-patient-safety-systems-approach The author reviews the … epidemiology of surgical adverse events from major epidemiologic studies and discusses the need for a systems approach … https://psnet.ahrq.gov/issue/spinal-surgery-and-patient-safety-systems-approach

285. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35957/psn-pdf
     August 02, 2010 - A practical approach to measure the quality of handwritten medication orders: a tool for improvement … A Practical Approach to Measure the Quality of Handwritten Medication Orders. … https://psnet.ahrq.gov/issue/practical-approach-measure-quality-handwritten-medication-orders-tool- … https://psnet.ahrq.gov/issue/practical-approach-measure-quality-handwritten-medication-orders-tool-improvement … https://psnet.ahrq.gov/issue/practical-approach-measure-quality-handwritten-medication-orders-tool-improvement

286. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40990/psn-pdf
     December 07, 2011 - A novel approach to implementation of quality and safety programmes in anaesthesiology. … A novel approach to implementation of quality and safety programmes in anaesthesiology. … https://psnet.ahrq.gov/issue/novel-approach-implementation-quality-and-safety-programmes- anaesthesiology … https://psnet.ahrq.gov/issue/novel-approach-implementation-quality-and-safety-programmes-anaesthesiology … https://psnet.ahrq.gov/issue/novel-approach-implementation-quality-and-safety-programmes-anaesthesiology

287. Patient Safety in Frail Older Patients | PSNet
     psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
     November 26, 2019 - The typical approach for preventing HACs on a condition by condition basis has been very successful, … Given this, providers may wish to consider a horizontal approach. … A horizontal approach strives to address risk factors in the context of lowering overall facility-wide … I think the approach that we are going to fix specific conditions is a more vertical approach. … Our prior approach to falls was, “if we keep them in bed they won’t fall.”

288. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38010/psn-pdf
     August 27, 2008 - Detection of adverse events in surgical patients using the Trigger Tool approach. … Detection of adverse events in surgical patients using the Trigger Tool approach. … https://psnet.ahrq.gov/issue/detection-adverse-events-surgical-patients-using-trigger-tool-approach … The tool was tested through a collaborative approach between 11 hospitals, yielding a list of 23 clinical … https://psnet.ahrq.gov/issue/detection-adverse-events-surgical-patients-using-trigger-tool-approach https

289. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37324/psn-pdf
     February 16, 2011 - A complementary approach to promoting professionalism: identifying, measuring, and addressing unprofessional … A complementary approach to promoting professionalism: identifying, measuring, and addressing unprofessional … https://psnet.ahrq.gov/issue/complementary-approach-promoting-professionalism-identifying-measuring- … The authors share their approach and model for addressing disruptive behavior, and their related interventions … https://psnet.ahrq.gov/issue/complementary-approach-promoting-professionalism-identifying-measuring-and-addressing

290. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35395/psn-pdf
     September 10, 2009 - Toward a theoretical approach to medical error reporting system research and design. … Toward a theoretical approach to medical error reporting system research and design. … https://psnet.ahrq.gov/issue/toward-theoretical-approach-medical-error-reporting-system-research-and- … https://psnet.ahrq.gov/issue/toward-theoretical-approach-medical-error-reporting-system-research-and-design … https://psnet.ahrq.gov/issue/toward-theoretical-approach-medical-error-reporting-system-research-and-design

291. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33602/psn-pdf
     March 15, 2025 - Background The patient safety field has emphasized the use of the systems approach to improving safety … This approach takes the stance that adverse events occur due to poorly designed systems, which allow … The systems approach views errors made by individuals as inevitable, although it acknowledges that human … Use of the systems approach is tightly linked to the development of a culture of safety, which emphasizes … a nonjudgmental approach to error reporting and analysis.

292. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36564/psn-pdf
     January 12, 2011 - Preventing medication errors in hospitals through a systems approach and technological innovation: a … Preventing medication errors in hospitals through a systems approach and technological innovation: a … https://psnet.ahrq.gov/issue/preventing-medication-errors-hospitals-through-systems-approach-and- technological-innovation … https://psnet.ahrq.gov/issue/preventing-medication-errors-hospitals-through-systems-approach-and-technological-innovation … https://psnet.ahrq.gov/issue/preventing-medication-errors-hospitals-through-systems-approach-and-technological-innovation

293. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50699/psn-pdf
     November 26, 2019 - A multi-phase approach to the care of these patients may help providers minimize the risk that the patient … Indicator, the timed-up-and-go-test (TUGT), and the Edmonton Frail Scale.6 Consider a horizontal approach … The typical approach for preventing HACs on a condition by condition basis has been very successful … A horizontal approach strives to address risk factors in the context of lowering overall facility-wide … Before initiating care providers should determine what the risk of harm is, whether the proposed approach

294. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37015/psn-pdf
     September 15, 2011 - System approach to prevent common bile duct injury and enhance performance of laparoscopic cholecystectomy … System approach to prevent common bile duct injury and enhance performance of laparoscopic cholecystectomy … https://psnet.ahrq.gov/issue/system-approach-prevent-common-bile-duct-injury-and-enhance-performance- … https://psnet.ahrq.gov/issue/system-approach-prevent-common-bile-duct-injury-and-enhance-performance-laparoscopic … https://psnet.ahrq.gov/issue/system-approach-prevent-common-bile-duct-injury-and-enhance-performance-laparoscopic

295. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40670/psn-pdf
     August 03, 2011 - ED revamp: team approach to care reduces errors, boosts patient and clinician satisfaction. … August 3, 2011 ED revamp: team approach to care reduces errors, boosts patient and clinician satisfaction … https://psnet.ahrq.gov/issue/ed-revamp-team-approach-care-reduces-errors-boosts-patient-and-clinician … https://psnet.ahrq.gov/issue/ed-revamp-team-approach-care-reduces-errors-boosts-patient-and-clinician-satisfaction … https://psnet.ahrq.gov/issue/ed-revamp-team-approach-care-reduces-errors-boosts-patient-and-clinician-satisfaction

296. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41684/psn-pdf
     July 01, 2013 - A human-factors approach. July 1, 2013 Price R, Bendall JC, Patterson JA, et al. … A human-factors approach. Emerg Med J. 2013;30(7):583-8. doi:10.1136/emermed-2011-200971. … https://psnet.ahrq.gov/issue/what-causes-adverse-events-prehospital-care-human-factors-approach Patient … This survey of Australian emergency services personnel used a human factors approach to characterize … https://psnet.ahrq.gov/issue/what-causes-adverse-events-prehospital-care-human-factors-approach https

297. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37121/psn-pdf
     March 09, 2009 - An innovative mobile approach for patient safety services: the case of a Taiwan health care provider … An innovative mobile approach for patient safety services: The case of a Taiwan health care provider … https://psnet.ahrq.gov/issue/innovative-mobile-approach-patient-safety-services-case-taiwan-health-care … https://psnet.ahrq.gov/issue/innovative-mobile-approach-patient-safety-services-case-taiwan-health-care-provider … https://psnet.ahrq.gov/issue/innovative-mobile-approach-patient-safety-services-case-taiwan-health-care-provider

298. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42221/psn-pdf
     April 24, 2013 - Systems approach and systems engineering applied to health care: improving patient safety and health … https://psnet.ahrq.gov/issue/systems-approach-and-systems-engineering-applied-health-care-improving- … patient-safety-and This commentary describes a systems engineering approach to understanding how interactions … https://psnet.ahrq.gov/issue/systems-approach-and-systems-engineering-applied-health-care-improving-patient-safety-and … https://psnet.ahrq.gov/issue/systems-approach-and-systems-engineering-applied-health-care-improving-patient-safety-and

299. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40519/psn-pdf
     June 08, 2011 - A public health approach to patient safety reporting systems is urgently needed. … A public health approach to patient safety reporting systems is urgently needed. … https://psnet.ahrq.gov/issue/public-health-approach-patient-safety-reporting-systems-urgently-needed … Analyzing online patient safety reporting systems, this review suggests that applying a public health approach … https://psnet.ahrq.gov/issue/public-health-approach-patient-safety-reporting-systems-urgently-needed

300. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35674/psn-pdf
     June 28, 2010 - Medication errors and adverse drug events in an intensive care unit: direct observation approach for … Medication errors and adverse drug events in an intensive care unit: direct observation approach for … psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-intensive-care-unit-direct- observation-approach … psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-intensive-care-unit-direct-observation-approach … psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-intensive-care-unit-direct-observation-approach