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Total Results: 287 records

Showing results for "comprehensive unit-based safety program".

101. Implementation of Patient Safety Projects | PSNet
     psnet.ahrq.gov/curated-library/implementation-patient-safety-projects
     April 17, 2025 - Implementation of large-scale safety improvement programs requires learning organizations—organizations … Read More Implementing a Program of Patient Safety in Small Rural Hospitals … Book/Report Implementing a Program of Patient Safety in Small Rural Hospitals. … This article discusses implementation of the comprehensive unit-based safety program, which was the cornerstone … Implementation of large-scale safety improvement programs requires learning organizations—organizations

102. Dangerous Dialysis | PSNet
     psnet.ahrq.gov/web-mm/dangerous-dialysis
     June 12, 2024 - dialysis providers favoring single-use dialyzers, the proportion of dialysis units employing a reuse program … Although there is no comprehensive published study on the prevalence of errors in dialysis centers, one … the dialysis unit medical director's responsibilities include leading the center's quality assurance program … [Available at] 12. 5-Diamond Patient Safety Program. … [Available at] 13. 5-Diamond Patient Safety Program. Woodbridge, CT: Network of New England. 

103. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33567/psn-pdf
     June 15, 2024 - in Home-Based Care Programs. … readmissions-and-adverse-events-after-discharge https://psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs … https://psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs https … Current Context https://psnet.ahrq.gov/issue/changes-medical-errors-after-implementation-handoff-program … psnet.ahrq.gov/issue/enhancing-implementation-i-pass-handoff-tool-using-provider-handoff-task-force-comprehensive

104. The effect of an organizational network for patient safety on safety event reporting. | PSNet
     psnet.ahrq.gov/issue/effect-organizational-network-patient-safety-safety-event-reporting
     October 16, 2013 - Study The effect of an organizational network for patient safety on safety event … The effect of an organizational network for patient safety on safety event reporting. … An organization-wide patient safety program consisting of open access online educational modules, an … November 8, 2013 A comprehensive quality assurance program for personnel and procedures … May 1, 2013 Washington Hospital Center safety program seeks to catch 'near-misses.'

105. Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003. | PSNet
     psnet.ahrq.gov/issue/probabilistic-risk-assessment-accidental-abo-incompatible-thoracic-organ-transplantation-and
     June 24, 2020 - June 24, 2020 The Critical Care Safety Study: the incidence and nature of adverse events … August 26, 2020 Impact of pharmacist-led multidisciplinary medication review on the safety … August 10, 2022 A comprehensive quality assurance program for personnel and procedures … June 24, 2020 Identifying and categorising patient safety hazards in cardiovascular operating … July 5, 2013 Quality, patient safety, and the cardiac surgical team.

106. Building a Safety Program Using Principles of Resilience Engineering | PSNet
     psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
     October 23, 2013 - Building a Safety Program Using Principles of Resilience Engineering Sudeep Hegde, PhD; Ann M. … Building a Safety Program Using Principles of Resilience Engineering. PSNet [internet]. … Building a Safety Program Using Principles of Resilience Engineering. PSNet [internet]. … Resilience Engineering—Implications for Safety Programs A key area of emphasis in resilience engineering … program.

107. Key Issues in Developing a Successful Hospital Safety Program | PSNet
     psnet.ahrq.gov/perspective/key-issues-developing-successful-hospital-safety-program
     July 01, 2006 - Key Issues in Developing a Successful Hospital Safety Program. PSNet [internet]. … Key Issues in Developing a Successful Hospital Safety Program. PSNet [internet]. … program? … Can you explain what makes an effective patient safety program and officer? … AF: Over the past decade, we have started to develop a picture of what comprehensive patient safety

108. Evaluation of Quality, Safety and Value in Veterans Health Administration Facilities, Fiscal 2021. | PSNet
     psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-facilities-fiscal-2021
     October 12, 2022 - Administration care facilities that focused on assessing oversight , system redesign and surgical programs … Copy Citation Related Resources From the Same Author(s) Comprehensive Healthcare … June 14, 2023 National Patient Safety Board Act of 2022. … December 21, 2022 Comprehensive Healthcare Inspection Summary Report: Evaluation of Care … May 27, 2020 Patient Safety Improvement Act of 2020.

109. Medication errors with pediatric liquid acetaminophen after standardization of concentration and packaging improvements. | PSNet
     psnet.ahrq.gov/issue/medication-errors-pediatric-liquid-acetaminophen-after-standardization-concentration-and
     May 19, 2021 - May 6, 2020 Implementation of the I-PASS handoff program in diverse clinical environments … November 16, 2022 Determination of unnecessary blood transfusion by comprehensive 15- … June 16, 2019 Strategies for optimizing OR drug safety.

110. Do hospitals support second victims? Collective insights from patient safety leaders in Maryland. | PSNet
     psnet.ahrq.gov/issue/do-hospitals-support-second-victims-collective-insights-patient-safety-leaders-maryland
     May 11, 2016 - Collective Insights From Patient Safety Leaders in Maryland. … May 11, 2016 Risk managers' descriptions of programs to support second victims after … Assessing the need for organizational second victim support programs. … October 26, 2016 Case: a second victim support program in pediatrics: successes and challenges … 2022 RISE: exploring volunteer retention and sustainability of a second victim support program

111. Integrating CUSP and TRIP to improve patient safety. | PSNet
     psnet.ahrq.gov/issue/integrating-cusp-and-trip-improve-patient-safety
     June 16, 2011 - Integrating CUSP and TRIP to improve patient safety. … This commentary discusses the Comprehensive Unit-Based Safety (CUSP) and Translating Evidence Into … Integrating CUSP and TRIP to improve patient safety. … October 1, 2014 Tennessee Center for Patient Safety. … May 11, 2011 The power of collaboration with patient safety programs: building safe passage

112. Maternal Safety and Perinatal Mental Health | PSNet
     psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
     March 28, 2023 - , including the AHRQ Safety Program for Perinatal Care, which is focused on improving labor and delivery … The AIM program has led the development of patient safety bundles that provide structured processes … program. … Safety Program for Perinatal Care (SPPC)? … It is very comprehensive and has more coming every day.

113. What Does Simulation Add to Teamwork Training? | PSNet
     psnet.ahrq.gov/perspective/what-does-simulation-add-teamwork-training
     October 01, 2004 - In a comprehensive approach to teamwork training, there is a need to convey knowledge about teamwork, … point out: "High fidelity simulations can enhance the perceived realism of well designed team training programs … A comprehensive anesthesia simulation environment: re-creating the operating room for research and training … the effect of a realistic simulation-based training program. … February 10, 2015 Design and evaluation of simulation scenarios for a program introducing

114. High Reliability Organization (HRO) Principles and Patient Safety | PSNet
     psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
     February 26, 2025 - and availability of programs designed to implement HRO principles in health care, questions remain on … The authors report that use of their HRO-based tool, implemented in 38 Veterans Health Administration programs … Based on interviews with hospital executives, program leaders, staff, and physicians, the study found … Implementation of a patient safety program at a tertiary health system: A longitudinal analysis of interventions … A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and

115. Maternal Safety | PSNet
     psnet.ahrq.gov/primer/maternal-safety
     January 10, 2024 - Maternal Safety Citation Text: Shauer M, Nichols A, Lyndon A. Maternal Safety. … AHRQ’s Safety Program for Perinatal Care (SPPC) takes an overarching approach to improving safety culture … Maternal Safety Bundles. … Program in Perinatal Care - Toolkit for Improving Perinatal Care (SPPC-I) AHRQ Safety Program in Perinatal … May 29, 2019 A comprehensive obstetrics patient safety program improves safety climate

116. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836839/psn-pdf
     March 31, 2022 - Creating psychological safety3 is one component of the Comprehensive Unit- based Safety Program (CUSP … Recent findings and key themes for psychological safety and the relationship between psychological safety … Psychological Safety in High-Reliability Organizations and Healthcare Settings Optimizing patient safety … safety, but only when psychological safety was low (i.e., safety motivation has a positive effect when … psychological safety is lacking).

117. Preventing PICC Complications: Whose Line Is It? | PSNet
     psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it
     October 01, 2017 - Research and Quality (AHRQ), infections were reduced by 40% with application of the bundle through a comprehensive … unit-based safety program (CUSP) customized for each institution.( 11 ) Adoption of the bundle has led … Technology also plays a part in establishing safety for a patient. … Effect of an education program on decreasing catheter-related bloodstream infections in the surgical … Surprise Wire August 21, 2005 Implementation of the I-PASS handoff program

118. The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps | PSNet
     psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
     April 24, 2018 - A very well-known example, Atul Gawande’s “Checklist Manifesto” demonstrated a 19-item surgical safety … showed an 18% reduction in annual mortality rate for facilities that participated in their checklist program … Association between implementation of a medical team training program and surgical mortality.  … Effect of a comprehensive surgical safety system on patient outcomes.  … April 6, 2022 Drug-related-problem outcomes and program satisfaction from a comprehensive

119. Team-Developed Care Plan and Ongoing Care Management by Social Workers and Nurse Practitioners Result in Better Outcomes and Reduced Acute Care Utilization in Low-Income Seniors and other High-Risk Populations | PSNet
     psnet.ahrq.gov/innovation/team-developed-care-plan-and-ongoing-care-management-social-workers-and-nurse
     July 23, 2024 - Innovation Patient Safety Focus The GRACE program provides services to low-income seniors to help ensure … the GRACE model increased overall patient satisfaction, improved quality of life, and helped provide comprehensive … In addition, the team performs a home safety evaluation. … Annual reassessment and follow-up visit: Each year, the support team repeats the comprehensive assessment … Comprehensive primary care for older patients with multiple chronic conditions: “nobody rushes you through

120. In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety | PSNet
     psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
     February 26, 2025 - and availability of programs designed to implement HRO principles in health care, questions remain on … The authors report that use of their HRO-based tool, implemented in 38 Veterans Health Administration programs … Based on interviews with hospital executives, program leaders, staff, and physicians, the study found … Implementation of a patient safety program at a tertiary health system: A longitudinal analysis of interventions … A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and