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Annual Perspective: Psychological Safety of Healthcare Staff | PSNet

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November 16, 2022 - Creating psychological safety 3 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 … safety, but only when psychological safety was low (i.e., safety motivation has a positive effect when … psychological safety is lacking). … safety.

Miscommunication During the Interhospital Transport of a Critically Ill Child | PSNet

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March 27, 2024 - Most ED providers cannot admit children to their local hospital facility due to lack of comprehensive … effectively decrease adverse events and medical errors. 17,18 I-PASS, for example, is a widely adopted program … Changes in medical errors after implementation of a handoff program. … education for better handoffs and safer care: disseminating, adapting, and implementing the I-PASS program … Financial benefits of a pediatric intensive care unit-based telemedicine program to a rural adult intensive

The Comprehensivist Model of Care: A Hospitalist's View | PSNet

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November 01, 2018 - In it, providers referred to as Comprehensive Care Physicians (CCPs) treat patients in both inpatient … became the source of funds used by hospitals and medical groups to invest in their new hospitalist programs … This recognition led him to develop and test the Comprehensive Care Physician Model. … In order to make the Comprehensive Care Program work, office visits need to be far more generous in length … Comprehensive Care Programs promote continuity in two ways.

In Conversation with... Christie Allen about Maternal Safety and Perinatal Mental Health | PSNet

psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health

March 29, 2023 - program. … Safety Program for Perinatal Care (SPPC)? … It is very comprehensive and has more coming every day. … , 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

Studying patient safety in health care organizations: accentuate the qualitative. | PSNet

psnet.ahrq.gov/issue/studying-patient-safety-health-care-organizations-accentuate-qualitative

January 18, 2011 - Studying patient safety in health care organizations: accentuate the qualitative. … illustrate these challenges with greater discussion of the pros and cons to each methodological approach (a comprehensive … December 18, 2008 Teaching but not learning: how medical residency programs handle errors … May 16, 2019 Patient Safety in Emergency Medicine. … and Maintaining Patient Safety.

Adverse events in Veterans Affairs inpatient psychiatric units: staff perspectives on contributing and protective factors. | PSNet

psnet.ahrq.gov/issue/adverse-events-veterans-affairs-inpatient-psychiatric-units-staff-perspectives-contributing

January 30, 2019 - in this setting, including safety culture , leadership engagement , and patient-centeredness . … January 30, 2019 Defining patient safety events in inpatient psychiatry. … November 21, 2021 Improving medication reconciliation with comprehensive evaluation at … January 23, 2017 Effectiveness of a graduate medical education program for improving … March 21, 2018 Medication safety in a psychiatric hospital.

Healthcare-associated Infections | PSNet

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December 15, 2024 - For example, the development and implementation of the AHRQ-supported Comprehensive Unit-based Safety … Program (CUSP) has brought about significant advances in HAI prevention. … reductions in these serious infections, thanks in part to AHRQ-funded research and dissemination programs … In-depth analysis of the project has identified other important components of the program, such as rigorous … Toolkits to help hospitals establish antibiotic stewardship programs directed to C. difficile have

Program director perceptions of surgical resident training and patient care under flexible duty hour requirements. | PSNet

psnet.ahrq.gov/issue/program-director-perceptions-surgical-resident-training-and-patient-care-under-flexible-duty

November 18, 2016 - Study Program director perceptions of surgical resident training and patient care … trial found no significant differences in patient outcomes or resident satisfaction between residency programs … This survey examined surgical program directors' perceptions within this trial. … Respondents from flexible duty hours programs reported a more positive effect of duty hours on patient … February 14, 2017 Association between implementing comprehensive learning collaborative

A tool for the concise analysis of patient safety incidents. | PSNet

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August 09, 2018 - Study A tool for the concise analysis of patient safety incidents. … A Tool for the Concise Analysis of Patient Safety Incidents. … investigation frameworks including the Canadian Incident Analysis Framework and the WHO High 5s program … A Tool for the Concise Analysis of Patient Safety Incidents. … Program.

Emergency Error | PSNet

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January 18, 2013 - day mortality varies from 9.2% to 18.2%.( 7 ) In addition, the National Surgical Quality Improvement Program … Analysis of the American College of Surgeons National Surgical Quality Improvement Program database. … Effect of a comprehensive surgical safety system on patient outcomes. … August 9, 2017 Implementation of the I-PASS handoff program in diverse clinical environments … December 19, 2018 Association of hospital participation in a quality reporting program

Harm Reduction Strategies to Improve Safety for People Who Use Substances | PSNet

psnet.ahrq.gov/perspective/harm-reduction-strategies-improve-safety-people-who-use-substances

October 30, 2024 - More comprehensive drug-checking programs are also being implemented across the country that allow individuals … to bring in a small amount of a substance for more comprehensive testing with sophisticated technology … Utilizing a comprehensive approach to harm reduction across all settings will ensure that PWUS receive … partnership drug checking program. … Sarah Mossburg: You mentioned the Compass Program.

Improving Diagnostic Safety and Quality | PSNet

psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality

February 22, 2023 - programs. … Beyond this, a key step to strengthening diagnostic safety is the widespread use of a comprehensive framework … With a comprehensive framework, diagnostic safety can be bolstered at multiple levels. … programs. … Innovations Patient and Family Centered I-PASS (Family-Centered Communication Program

Exploring Alternatives To Malpractice Litigation. | PSNet

psnet.ahrq.gov/issue/exploring-alternatives-malpractice-litigation

September 01, 2018 - Citation Text: Improved safety, eliminating errors top policy agenda. … Full disclosure, patient engagement , and communication-and-resolution programs are highlighted as … September 28, 2010 Patient Safety. … June 19, 2019 Creating a comprehensive, unit-based approach to detecting and preventing … Eisenberg Patient Safety and Quality Awards.

Bedside shift report improves patient safety and nurse accountability. | PSNet

psnet.ahrq.gov/issue/bedside-shift-report-improves-patient-safety-and-nurse-accountability

April 16, 2010 - Commentary Bedside shift report improves patient safety and nurse accountability. … Bedside shift report improves patient safety and nurse accountability. … Bedside shift report improves patient safety and nurse accountability. … September 26, 2012 Implementation of the I-PASS handoff program in diverse clinical environments … October 30, 2013 Nurses' perceptions of simulation-based interprofessional training program

Building Capacity for Patient Safety | PSNet

psnet.ahrq.gov/perspective/building-capacity-patient-safety

July 31, 2023 - Federal programs, like AHRQ’s Patient Safety Organizations (PSOs), make it possible for sharing and … Creating spaces of open and transparent dialogue, such as the Comprehensive Unit-based Safety Program … Limited funding and resources can hinder the development and implementation of comprehensive patient … safety education programs. … We also have a formal education program.

Signout Fallout | PSNet

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November 16, 2022 - Review the evidence in support of handoff improvement programs and their associated impact on medical … errors and patient safety. … single institution pilot project, we rigorously measured the effects of such a bundle through: (i) comprehensive … A central hallmark of I-PASS and other high-quality handoff communication programs is the emphasis on … References 1. 2017 Comprehensive Accreditation Manual for Hospitals (CAMH).

Implementation of prescription drug monitoring programs associated with reductions in opioid-related death rates. | PSNet

psnet.ahrq.gov/issue/implementation-prescription-drug-monitoring-programs-associated-reductions-opioid-related

September 09, 2020 - This study used secondary data sources to determine whether implementing a drug monitoring program decreased … complete and timely opioid monitoring achieved greater overdose reductions compared to states with less comprehensive … programs. … September 9, 2020 Healthcare system-wide implementation of opioid-safety guideline recommendations … October 13, 2018 Alternatives to opioid education and a prescription drug monitoring program

Deficiencies after the New Electronic Health Record Go-Live at the Mann-Grandstaff VA Medical Center in Spokane, WA. | PSNet

psnet.ahrq.gov/issue/deficiencies-after-new-electronic-health-record-go-live-mann-grandstaff-va-medical-center

March 16, 2022 - April 19, 2023 Comprehensive Healthcare Inspection Summary Report: Evaluation of Care … March 1, 2023 Cybersecurity is Patient Safety: Policy Options in the Health Care Sector … December 14, 2022 Comprehensive Healthcare Inspection Summary Report: Evaluation of Care … October 12, 2022 Examining the Status of VA’s Electronic Health Record Modernization Program … April 27, 2022 The Safety of Maternity Services in England.

Revising TeamSTEPPS: The Evolution of Patient Safety Teamwork Training | PSNet

psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork-training

February 28, 2024 - Finally, the TeamSTEPPS curriculum closes with a comprehensive guide for successfully implementing … I have managed a variety of domestic and global health programs and overseen a range of patient safety … At AHRQ, I serve as a program officer in the General Patient Safety Division. … Therefore, when I joined AHRQ, the TeamSTEPPS program was a natural fit. … TeamSTEPPS is a program designed for healthcare professionals.

Eptifibatide Epilogue | PSNet

psnet.ahrq.gov/web-mm/eptifibatide-epilogue

March 04, 2011 - Clinical Decision Support CPOE systems are most effective when they are integrated into a comprehensive … Smart Pump Technology Including smart infusion pump technology as part of a comprehensive medication … safety system can further help to improve medication safety. … If users program an infusion rate that falls outside of approved ranges (i.e., over-doses or under-doses … June 25, 2010 Creating an integrated patient safety team.

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