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Total Results: 287 records

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

161. Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue | PSNet
     psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
     May 01, 2016 - Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue. PSNet [internet]. … The recent Joint Commission National Patient Safety Goal on clinical alarm safety highlighted the complexities … The Joint Commission announces 2014 National Patient Safety Goal. … August 21, 2013 Team training in the neonatal resuscitation program for interns: teamwork … 2016 Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive

162. Shaping systems for better behavioral choices: lessons learned from a fatal medication error. | PSNet
     psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error
     February 12, 2020 - A range of safety interventions were implemented as a result. … However, the related editorials by leaders in the safety field (Drs. … July 31, 2013 Patient safety reporting systems: sustained quality improvement using a … mortality and costs after design and implementation of a nurse-based early recognition and response program … December 2, 2020 A comprehensive estimation of the costs of 30-day postoperative complications

163. In Conversation with...Allan Frankel, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withallan-frankel-md
     July 01, 2006 - RW: Many places are just starting to think about how to structure a safety program, who should be its … 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 … What are the key success factors in developing a hospital safety program? … What other important issues should you consider when starting a safety program?

164. Patient Safety in Home Dialysis | PSNet
     psnet.ahrq.gov/perspective/patient-safety-home-dialysis
     April 28, 2021 - Critical safeguard procedures that help to reduce the risk of patient error include comprehensive training … JAM : Exactly; they all have an in-center program, which is what most conventional programs are, and … JAM : We have policies and procedures and training programs, and a lot of the intense safety considerations … JAM : You'll see different practices from different programs: all still ensure safety and quality. … We also need to think about home programs and the things that a home program provides.

165. Health Plan Patient Safety Initiatives | PSNet
     psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
     July 10, 2024 - CMS uses the CMS PSI 90 in several federal programs, including the Value-Based Purchasing Program. 10 … with a network of nurses, physicians, pharmacists, and other stakeholders to develop and implement a comprehensive … , differences remain in care quality and patient safety across health insurance programs. … level, the Center for Medicare & Medicaid Services’ (CMS’) Medicare Star Ratings is a public reporting program … Sarah Mossburg: Earlier, you mentioned the CMS Star Ratings program and publicly reported data.

166. Antibiotic and Opioid Stewardship in Dentistry | PSNet
     psnet.ahrq.gov/perspective/antibiotic-and-opioid-stewardship-dentistry
     December 07, 2020 - are the most common types of stewardship programs. … In developing and implementing stewardship programs, there are a number of challenges unique to dentistry … practices. 9  Further, many dental EHR platforms operate as practice management software, rather than as a comprehensive … The lack of comprehensive patient-level health and treatment data limits a practice’s ability to collect … In general, dental practices also do not have access to a comprehensive electronic medical history.

167. Think Like a Surgeon | PSNet
     psnet.ahrq.gov/web-mm/think-surgeon
     December 04, 2024 - for acute cholecystitis using the American College of Surgeons National Surgical Quality Improvement Program … June 12, 2019 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … September 18, 2024 An effective program to reduce malpractice claims and payments in … Failure to Rescue the Mother July 2, 2019 Impact of a comprehensive … patient safety strategy on obstetric adverse events.

168. Reducing diagnostic errors in the emergency department at the time of patient treatment. | PSNet
     psnet.ahrq.gov/issue/reducing-diagnostic-errors-emergency-department-time-patient-treatment
     August 26, 2020 - September 30, 2020 Learning from diagnostic errors to improve patient safety when GPs … January 12, 2022 Patient safety strategies targeted at diagnostic errors: a systematic … May 15, 2024 Psychological safety as a new ACGME requirement: a comprehensive all-in-one … guide to radiology residency programs. … March 24, 2021 Patient Safety Innovations Algorithm-Based

169. Interruptions and Distractions in Health Care: Improved Safety With Mindfulness | PSNet
     psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulness
     February 01, 2014 - This guide is a very good example of how our programs identify opportunities to help others understand … The Comprehensive Unit-based Safety Program , or CUSP, toolkit includes training tools to make care … It includes a comprehensive set of ready-to-use materials and a customizable training curriculum to successfully … Key elements of these programs include full disclosure of an adverse event, apology, and then fair and … October 7, 2013 Enhancing safety of a system-wide in situ simulation program using no-go

170. Updates in the Role of Health IT in Patient Safety | PSNet
     psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
     January 31, 2020 - CPOE and continued pharmacist review are both essential for more comprehensive error prevention. … across the board. [15] However, a report from the Trusted Network Accreditation Program (TNAP) collaborative … Evaluating the impact of health IT on medication safety. … [16] The Trusted Network Accreditation Program (TNAP) Collaborative Survey Finds Concern Over … press-release=the-trusted-network-accreditation-program-tnap-collaborative-survey-finds-concern-over-privacy-and-security-key-barrier-to-interoperability

171. Racism in pain medicine: we can and should do more. | PSNet
     psnet.ahrq.gov/issue/racism-pain-medicine-we-can-and-should-do-more
     December 15, 2008 - Systemic racism in healthcare can threaten patient safety and contribute to heath disparities . … to fostering antiracism in pain medicine and suggests approaches to stem systemic racism in training programs … May 4, 2022 Impact of pharmacist-led multidisciplinary medication review on the safety … February 12, 2020 Improving medication reconciliation with comprehensive evaluation at … July 21, 2021 Do falls and other safety issues occur more often during handovers when

172. In Conversation With... Katie J. Suda, PharmD, MS | PSNet
     psnet.ahrq.gov/perspective/conversation-katie-j-suda-pharmd-ms
     December 07, 2020 - In general, dental practices also do not have access to a comprehensive electronic medical history. … KH : Has anybody looked at what the safety culture is within dental practices and how that correlates … are the most common types of stewardship programs. … practices. 9  Further, many dental EHR platforms operate as practice management software, rather than as a comprehensive … The lack of comprehensive patient-level health and treatment data limits a practice’s ability to collect

173. Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities | PSNet
     psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
     November 27, 2019 - Review and Update Infusion Pump Safety Guardrails The numeric value of the intended starting rate of … The nurse incorrectly programmed the infusion as 0.5 mcg/kg/min instead of 0.5 mcg/min, and the program … Reduce Distractions and Utilize Comprehensive Closed-loop Communication Finally, there was a breakdown … Evaluating the impact of obesity on safety and efficacy of weight-based norepinephrine dosing in septic … October 6, 2021 Patient safety in general practice during COVID-19: a descriptive analysis

174. Aiming higher to enhance professionalism: beyond accreditation and certification. | PSNet
     psnet.ahrq.gov/issue/aiming-higher-enhance-professionalism-beyond-accreditation-and-certification
     February 03, 2011 - Professionalism in medicine is considered an essential component of safety culture, but efforts to monitor … and information transfer between hospital-based and primary care physicians: implications for patient safety … April 16, 2010 Identifying organizational cultures that promote patient safety. … and Quality April 26, 2023 Creating a framework to integrate residency program … and medical center approaches to quality improvement and patient safety training January 13, 2021

175. In Conversation With...Amy Helwig about Health Plan Patient Safety Initiatives | PSNet
     psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
     July 10, 2024 - level, the Center for Medicare & Medicaid Services’ (CMS’) Medicare Star Ratings is a public reporting program … Sarah Mossburg: Earlier, you mentioned the CMS Star Ratings program and publicly reported data. … CMS uses the CMS PSI 90 in several federal programs, including the Value-Based Purchasing Program. 10 … with a network of nurses, physicians, pharmacists, and other stakeholders to develop and implement a comprehensive … , differences remain in care quality and patient safety across health insurance programs.

176. Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care | PSNet
     psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
     December 23, 2020 - the Medicare hospice benefit was a landmark recognition that hospice care, a form of intensive and comprehensive … This language is now the culture for hospice programs. … While preventing complications remains part of patient safety, preventing death is no longer a safety … Usher, PhD, LCSW  Manager, Supportive Oncology and Survivorship Comprehensive Cancer Center UC Davis … communication and conflict resolution process: Medical Orders for Life-Sustaining Treatment (MOLST) Program

177. Medication Administration Errors | PSNet
     psnet.ahrq.gov/primer/medication-administration-errors
     December 15, 2024 - Background Medication errors have been a key target for improving safety since Bates and colleagues' … primers on medication errors and adverse drug events and on the pharmacist's role in medication safety … A study of non-timing medication errors in a system with comprehensive barcoding/electronic medical … Safety advancements require a comprehensive, systems-oriented approach that considers all aspects of … April 10, 2024 Targeted Medication Safety Best Practices for Hospitals.

178. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33586/psn-pdf
     December 15, 2024 - Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety … computerized-provider-order-entry https://psnet.ahrq.gov/issue/insights-problem-alarm-fatigue-physiologic-monitor-devices-comprehensive-observational-study … https://psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety … , including fostering a culture of safety and alarm risk assessment. … A quality improvement program in the Veterans Affairs system that incorporated the above principles and

179. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867985/psn-pdf
     January 01, 2025 - care delivery.6,7 In primary care and outpatient clinics, where appointments may allow for a more comprehensive … settings, the severity of suicide risk dictates whether rapid suicide risk mitigation efforts and/or more comprehensive … improve their ability to identify and manage suicide risk, healthcare organizations can invest in comprehensive … training programs that equip staff with the skills to identify warning signs, confidently use validated … National Patient Safety Goal for suicide prevention.

180. Contaminated or Not? Guidelines for Interpretation of Positive Blood Cultures | PSNet
     psnet.ahrq.gov/web-mm/contaminated-or-not-guidelines-interpretation-positive-blood-cultures
     November 16, 2022 - individual contamination rates can be monitored as part of an institution's performance improvement program … The clinical significance of positive blood cultures in the 1990s: a prospective comprehensive evaluation … The clinical significance of positive blood cultures in the 1990s: a prospective comprehensive evaluation … Related Resources From the Same Author(s) Implementation of the I-PASS handoff program … August 9, 2011 Patient safety and error reduction in surgical pathology.