Results

Total Results: over 10,000 records

Showing results for "approach".

281. 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

282. Toward a theoretical approach to medical error reporting system research and design. | PSNet
     psnet.ahrq.gov/issue/toward-theoretical-approach-medical-error-reporting-system-research-and-design
     November 30, 2011 - Study Toward a theoretical approach to medical error reporting system research and … Toward a theoretical approach to medical error reporting system research and design. … Toward a theoretical approach to medical error reporting system research and design. … Integrated EMR March 1, 2011 A prospective hazard and improvement analytic approach … reporting through Med Safe Tool: the clinical pharmacists and the inpatient nursing staff collaborative approach

283. e-Prescribing: characterisation of patient safety hazards in community pharmacies using a sociotechnical systems approach. | PSNet
     psnet.ahrq.gov/issue/e-prescribing-characterisation-patient-safety-hazards-community-pharmacies-using
     January 07, 2015 - : characterisation of patient safety hazards in community pharmacies using a sociotechnical systems approach … : characterisation of patient safety hazards in community pharmacies using a sociotechnical systems approach … : characterisation of patient safety hazards in community pharmacies using a sociotechnical systems approach … November 4, 2014 E-prescribing: a focused review and new approach to addressing safety … July 28, 2014 E-prescribing: a focused review and new approach to addressing safety in

284. Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach. | PSNet
     psnet.ahrq.gov/issue/teaching-internal-medicine-residents-quality-improvement-and-patient-safety-lean-thinking
     March 28, 2012 - Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach … Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach … Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach … February 3, 2011 A multistep approach to improving biopsy site identification in dermatology … Improving Diagnostic Safety and Quality April 26, 2023 A dynamic risk management approach

285. E-prescribing: a focused review and new approach to addressing safety in pharmacies and primary care. | PSNet
     psnet.ahrq.gov/issue/e-prescribing-focused-review-and-new-approach-addressing-safety-pharmacies-and-primary-care
     January 07, 2015 - Review E-prescribing: a focused review and new approach to addressing safety in pharmacies … E-prescribing: a focused review and new approach to addressing safety in pharmacies and primary care. … E-prescribing: a focused review and new approach to addressing safety in pharmacies and primary care. … : characterisation of patient safety hazards in community pharmacies using a sociotechnical systems approach … : characterisation of patient safety hazards in community pharmacies using a sociotechnical systems approach

286. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42582/psn-pdf
     September 18, 2013 - When diagnostic testing leads to harm: a new outcomes- based approach for laboratory medicine. … When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine. … https://psnet.ahrq.gov/issue/when-diagnostic-testing-leads-harm-new-outcomes-based-approach- laboratory-medicine … This commentary recommends an approach to examine laboratory testing and identify weaknesses that … https://psnet.ahrq.gov/issue/when-diagnostic-testing-leads-harm-new-outcomes-based-approach-laboratory-medicine

287. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/840170/psn-pdf
     November 16, 2022 - errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach … This qualitative study used an innovative approach to examine prospective medication dispensing errors … using a two-step approach. … medication-errors-retail-pharmacies-wrong-patient-wrong-instructions https://psnet.ahrq.gov/issue/beyond-corrective-action-hierarchy-systems-approach-organizational-change

288. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36905/psn-pdf
     September 01, 2011 - Engineering a safe landing: engaging medical practitioners in a systems approach to patient safety. … Engineering a safe landing: engaging medical practitioners in a systems approach to patient safety. … https://psnet.ahrq.gov/issue/engineering-safe-landing-engaging-medical-practitioners-systems-approach … surveyed Australian medical practitioners and identified factors limiting their engagement in a systems approach … https://psnet.ahrq.gov/issue/engineering-safe-landing-engaging-medical-practitioners-systems-approach-patient-safety

289. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41203/psn-pdf
     December 18, 2014 - A multicenter collaborative approach to reducing pediatric codes outside the ICU. … A multicenter collaborative approach to reducing pediatric codes outside the ICU. … https://psnet.ahrq.gov/issue/multicenter-collaborative-approach-reducing-pediatric-codes-outside-icu … This study leveraged a multicenter collaborative approach to address the complex process of managing … https://psnet.ahrq.gov/issue/multicenter-collaborative-approach-reducing-pediatric-codes-outside-icu

290. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867652/psn-pdf
     February 26, 2025 - /perspective/evolution-root-cause-analysis Introduction Root Cause Analysis (RCA) is a structured approach … //psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors https://psnet.ahrq.gov/primer/systems-approach … One new component of RCA2 is its structured approach to prioritizing harm events for investigation. … The RCA2 toolkit offers a flexible approach to root cause analysis, allowing healthcare organizations … This proactive approach helps organizations identify potential risks before they result in actual harm

291. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46751/psn-pdf
     July 23, 2018 - A call for a systems-thinking approach to medication adherence: stop blaming the patient. … A Call for a Systems-Thinking Approach to Medication Adherence: Stop Blaming the Patient. … https://psnet.ahrq.gov/issue/call-systems-thinking-approach-medication-adherence-stop-blaming-patient … discusses factors that affect patient medication nonadherence and suggests that a systems thinking approach … https://psnet.ahrq.gov/issue/call-systems-thinking-approach-medication-adherence-stop-blaming-patient

292. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40550/psn-pdf
     June 22, 2011 - Applying a multidisciplinary approach to the selection, evaluation, and acquisition of smart infusion … Applying a multidisciplinary approach to the selection, evaluation, and acquisition of smart infusion … https://psnet.ahrq.gov/issue/applying-multidisciplinary-approach-selection-evaluation-and-acquisition … clinicians, patient safety experts, human factors engineers, and biomedical engineers used a user-centered approach … https://psnet.ahrq.gov/issue/applying-multidisciplinary-approach-selection-evaluation-and-acquisition-smart-infusion-pumps

293. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33579/psn-pdf
     September 07, 2019 - Systems Approach September 7, 2019 Systems Approach. PSNet [internet]. 2019. … https://psnet.ahrq.gov/primer/systems-approach PSNet primers are regularly reviewed and updated by the … The systems approach, by contrast, takes the view that most errors reflect predictable human failings … Analyzing Errors Using the Systems Approach The systems approach provides a framework for analysis of … FMEA makes sense as a general approach and has been used in other high-risk industries.

294. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44729/psn-pdf
     January 07, 2016 - The morbidity and mortality meeting: time for a different approach? January 7, 2016 Fraser J. … The morbidity and mortality meeting: time for a different approach? … https://psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-approach Mortality and morbidity … of the traditional M&M conference model, this commentary advocates for a proactive risk management approach … https://psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-approach https://psnet.ahrq.gov

295. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47200/psn-pdf
     August 20, 2018 - Creating a comprehensive, unit-based approach to detecting and preventing harm in the neonatal intensive … https://psnet.ahrq.gov/issue/creating-comprehensive-unit-based-approach-detecting-and-preventing-harm … This commentary describes a broad collaborative approach to improve the safety of neonatal intensive … The approach involved the use of trigger tool technology, patient and family advisory councils, and … https://psnet.ahrq.gov/issue/creating-comprehensive-unit-based-approach-detecting-and-preventing-harm-neonatal-intensive

296. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43128/psn-pdf
     August 25, 2015 - Locating errors through networked surveillance: a multimethod approach to peer assessment, hazard identification … Locating Errors Through Networked Surveillance: A Multimethod Approach to Peer Assessment, Hazard Identification … https://psnet.ahrq.gov/issue/locating-errors-through-networked-surveillance-multimethod-approach-peer … - assessment-hazard This study describes a comprehensive approach to identifying safety hazards in … This type of in-depth, multidisciplinary approach shows promise for determining and prioritizing safety

297. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41816/psn-pdf
     September 26, 2016 - Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication … Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication … https://psnet.ahrq.gov/issue/designing-distractions-human-factors-approach-decreasing-interruptions- … interruptions while preserving a patient-centered environment, this study used a human factors engineering approach … This approach resulted in significantly fewer interruptions and improved staff satisfaction with medication

298. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34650/psn-pdf
     April 21, 2015 - human-error-models-and-management The author discusses concepts of human error, contrasting the person approach … with a system approach in understanding the differing philosophies of error management. … The person approach focuses on blaming individuals, whereas the system approach concentrates on the … He explains the benefits of making the transition from a person approach to a system approach in the

299. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46013/psn-pdf
     January 01, 2018 - The dichotomy of the application of a systems approach in UK healthcare the challenges and priorities … The dichotomy of the application of a systems approach in UK healthcare the challenges and priorities … https://psnet.ahrq.gov/issue/dichotomy-application-systems-approach-uk-healthcare-challenges-and- priorities-implementation … commentary uses case examples to illustrate how combining human factors engineering and the systems approach … https://psnet.ahrq.gov/issue/dichotomy-application-systems-approach-uk-healthcare-challenges-and-priorities-implementation

300. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45696/psn-pdf
     January 23, 2017 - Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex … Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex … psnet.ahrq.gov/issue/understanding-patient-safety-performance-and-educational-needs-using- safety-ii-approach … psnet.ahrq.gov/issue/understanding-patient-safety-performance-and-educational-needs-using-safety-ii-approach … psnet.ahrq.gov/issue/understanding-patient-safety-performance-and-educational-needs-using-safety-ii-approach