Results

Total Results: 287 records

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

201. Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. | PSNet
     psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
     August 14, 2024 - exercises known to effectively decrease fall risk or prevent falls (e.g., Tai Chi or other exercise programs … Whether team discussions were held to consider a more comprehensive personalized approach, involving … Medicare and Medicaid programs. … Geriatr Nurs. 2022;43:288-292. [ Available at ] Centers for Medicare & Medicaid Services Medicare programs … and value-based purchasing program for federal fiscal year 2023.

202. The Role of the National Quality Forum (NQF) in the Quest for Transparency in U.S. Hospitals' Patient Safety Performance | PSNet
     psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
     April 01, 2010 - Quality in the Health Care Industry envisioned an entity that would be responsible for (i) implementing a comprehensive … practices such as implementing a computerized prescriber order entry system, ICU intensivist staffing, comprehensive … It's often used in the context of pay-for-performance programs. … And right now, we primarily have pay-for-performance programs that reward individual physicians or small … We're always hearing from the front lines that there are disincentives in our current payment programs

203. In Conversation With… Gregg S. Meyer, MD, MSc | PSNet
     psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
     June 01, 2016 - programs to be patient safety programs. … The test is comprehensive and requires critical thinking. … Our patient safety program embraces the high reliability concepts of resilience, reluctance to simplify … Other techniques promoted through the patient safety program within my organization are clarifying through … I participate in two comprehensive unit-based safety program (CUSP) teams (in Labor & Delivery and Pharmacy

204. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport | PSNet
     psnet.ahrq.gov/web-mm/misplaced-vial-medication-kit-variability-contributes-medication-error-during-patient
     March 12, 2021 - Comprehensive resuscitation efforts were carried out during and after transport to the closest emergency … Placement of items should be based on the frequency of use and safety principles. … I SMP Medication Safety Alert! June 13, 2013;18:1-4 . … Paralyzed by mistakes - reassess the safety of neuromuscular blockers in your facility. … Program in a Vast Health Care Network March 1, 2019 Perspective

205. Hyperglycemia and Switching to Subcutaneous Insulin | PSNet
     psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
     May 19, 2021 - Lack of familiarity with new technology is an increasingly important patient safety problem. … Safety is a systems property.( 5,7,13 ) Therefore, the safety of glucose management depends on safe system … Safety is a systems property. … and American College of Endocrinology—clinical practice guidelines for developing a diabetes mellitus comprehensive … Human factors systems approach to healthcare quality and patient safety.

206. In Conversation With... Dr. Michelle Schreiber on Measuring Patient Safety | PSNet
     psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
     December 14, 2022 - home health, and hospice; many hospital programs (such as the Hospital Readmission Reduction Program, … the Hospital-Acquired Condition Reduction Program, the Hospital Value-Based Purchasing program, the … dialysis programs, the inpatient psychiatric facility programs, the cancer programs); and clinician programs … Sometimes measures are just slightly different from one program to another. … need to develop comprehensive patient safety measurement systems that cut across the entire continuum

207. Reducing Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle | PSNet
     psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
     July 23, 2024 - stories are shared, implementing safety coaching programs, leveraging patient safety expert communities … stories are shared, implementing safety coaching programs, leveraging patient safety expert communities … Funding Sources Ascension funded this innovation through its internal patient safety program. … This comprehensive approach ensures a methodical and effective integration of the innovation, ultimately … For example, Ascension implemented a Good Catch Award program to reinforce wins in patient safety, storytelling

208. The Role of Graduate Medical Education (GME) in Improving Patient Safety | PSNet
     psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
     February 01, 2010 - The Outcomes Project has further resulted in the development of new, more comprehensive, assessment strategies … Vidyarthi, MD Associate Professor of Clinical Medicine Director, Quality and Safety Programs, Graduate … Common Program Requirements: General Competencies. Outcome Project. … training programs in every discipline. … the time the program complies with our requirements.

209. The Perils of Cross Coverage | PSNet
     psnet.ahrq.gov/web-mm/perils-cross-coverage
     September 22, 2010 - As a result, programs are currently developing new handoff curricula.( 4 ) Because programs must also … Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. … Common program requirements. … The patient handoff: a comprehensive curricular blueprint for resident education to improve continuity … A structured handoff program for interns. Acad Med. 2009;84:347-352. [go to PubMed] 18.

210. Medication use leading to emergency department visits for adverse drug events in older adults. | PSNet
     psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults
     March 05, 2008 - The authors argue that focusing on improving prescribing safety for these necessary but higher-risk medications … March 24, 2021 National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive … randomized trial of two implementation strategies to deliver audit and feedback in the EQUIPPED medication safety … program.

211. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867986/psn-pdf
     March 24, 2025 - One tool that we have created and validated is called the Patient Safety Screener. … controllability of their ideation, the severity of any past behavior, all those things should be done during the comprehensive … Most hospitals will have protocols for that, such as an environmental safety checklist. … to their environment, then you may send that person to an inpatient unit or an intensive outpatient program … It should be on their safety plan; they should have it with them.

212. Missed Opportunities for Suicide Risk Assessment | PSNet
     psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
     September 27, 2023 - 3,4 Elements of these programs include environmental assessment, suicide assessment of patients who … (intensive outpatient programs), assertive community models, and acute psychiatric hospitals.  … or repeated ED visits associated with suicidal ideation, gestures, or attempts should all receive a comprehensive … Suicide risk assessment is a comprehensive evaluation based on a synthesis of multiple acute, chronic … Toolkit for Primary Care Practices; Western Interstate Commission of Higher Education Mental Health Program

213. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33595/psn-pdf
     December 15, 2024 - Fatigue, Sleep Deprivation, and Patient Safety December 15, 2024 Fatigue, Sleep Deprivation, and Patient … Safety. … supported by AHRQ—have shown that residents make fewer errors in the setting of closely monitored, comprehensive … https://psnet.ahrq.gov/primer/duty-hours-and-patient-safety https://psnet.ahrq.gov/issue/health-care-worker-fatigue-and-patient-safety … revised its work hour standards in 2017 to provide more flexibility to physician learners and training programs

214. Methicillin-Resistant Staphylococcus aureus | PSNet
     psnet.ahrq.gov/perspective/methicillin-resistant-staphylococcus-aureus
     June 24, 2010 - implementing a widespread program, and that states tread carefully before mandating infection control … Like most patient safety activities, this requires a comprehensive approach focusing on the system and … policies for insertion and care of central venous catheters from hospitals in the Prevention Epicenter Program … and a culture of safety. … Program?

215. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33574/psn-pdf
     March 15, 2025 - Ambulatory Care Safety March 15, 2025 Ambulatory Care Safety. PSNet [internet]. 2019. … Factors Influencing Safety in Ambulatory Care Ensuring patient safety outside of the hospital setting … The AHRQ Medical Office Survey on Patient Safety Culture is designed to assess safety culture in ambulatory … Improving Safety in Ambulatory Care Improving outpatient safety will require both structural reform … through programs and research funding.

216. Root Cause Analysis Gone Wrong | PSNet
     psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
     August 28, 2024 - In: Comprehensive Accreditation Manual for Hospitals. CAMH Update 1. … Brussels, Belgium: Education and Training in Patient Safety Subgoup of the Patient Safety and Quality … Proceedings of the 12th Australian Workshop on Safety Critical Systems and Software and Safety-Related … Explaining Michigan: developing an ex post theory of a quality improvement program. … December 13, 2023 What can safety cases offer for patient safety?

217. Potentially inappropriate prescribing in older patients discharged from acute care hospitals to residential aged care facilities. | PSNet
     psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-older-patients-discharged-acute-care-hospitals
     June 23, 2021 - for delivering optimal care July 28, 2021 Implementation of the I-PASS handoff program … See More About The Topic Hospitals Long-Term Care Health Care Providers Quality and Safety

218. Suicidal Ideation in the Family Medicine Clinic | PSNet
     psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic
     October 01, 2007 - There is no empirical evidence to support this practice of "contracting for safety." … A framework called Zero Suicide is one example of a comprehensive systems approach to mitigating suicide … Western Interstate Commission for Higher Education Mental Health Program and Suicide Prevention Resource … Safety planning intervention: a brief intervention to mitigate suicide risk. … January 15, 2014 Implementing a national program to reduce catheter-associated urinary

219. A Stroke of Error | PSNet
     psnet.ahrq.gov/web-mm/stroke-error
     February 01, 2016 - The safety and efficacy of rtPA in routine clinical use has been subsequently confirmed in a large cohort … care in the United States.( 14 ) Various state-based agencies, the Healthcare Facilities Accreditation Program … Barrett, MD, MSc Consultant Associate Professor of Neurology Director, Neurohospitalist Fellowship Program … July 8, 2022 Perspective Operationalizing Patient Safety

220. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72834/psn-pdf
     March 10, 2021 - Approach to Improving Patient Safety: Communication . PSNet [internet]. 2021. … More discrete interventions include the use of discharge education programs and simplified discharge … https://psnet.ahrq.gov/issue/design-safety-dashboard-patients https://psnet.ahrq.gov/issue/patient-safety-incidents-advance-care-planning-serious-illness-mixed-methods-analysis … https://psnet.ahrq.gov/issue/implementation-discharge-education-program-improve-transitions-care-patients-high-risk … https://psnet.ahrq.gov/issue/implementation-discharge-education-program-improve-transitions-care-patients-high-risk