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Total Results: 287 records

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

241. In Conversation with…Gerald B. Hickson, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withgerald-b-hickson-md
     December 01, 2009 - It may include coaching or a comprehensive mental health evaluation for the professional. … Some reorganize their practices, add capacity, obtain coaching, or receive comprehensive mental health … For example, do malpractice carriers believe that this kind of a vigorous program ultimately saves them … years of claims experience of a defined cohort of surgeons suggests that a peer-based intervention program … Education and training programs should be implemented at several different levels.

242. A Complicated Course: Severe Alcohol Withdrawal with Dexmedetomidine Infusion | PSNet
     psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
     June 14, 2023 - Critical Care Medicine created the “ICU Admission, Discharge, and Triage Guidelines,” which provide a comprehensive … should consider root cause analyses (RCAs) of the error and systems-focused, non-punitive feedback programs … Feedback programs can involve “working backwards” with bedside staff to identify what component(s) of … Proper titration orders are essential for patient safety. … a Patient Safety Strategy October 27, 2021 Optimizing Pediatric Patient Safety

243. Personal Health Literacy | PSNet
     psnet.ahrq.gov/primer/personal-health-literacy
     October 31, 2023 - There are also programs that teach health knowledge – such as how a specific disease affects the body … Strictly speaking, these efforts only fit the definition of a health literacy improvement program if … and quality programs. … in patient safety events. … Primers Post-Acute Transitional Services: Safety in Home-Based Care Programs April

244. A Tale of Two Falls | PSNet
     psnet.ahrq.gov/web-mm/tale-two-falls
     March 27, 2024 - medications, the specific hospital unit), they must be used in conjunction with clinical judgment to ensure a comprehensive … However, flags can contribute to “ alert fatigue ” or desensitization to safety alerts. … Ensure everyone has a safety awareness focus. … Falls at the geriatric hospital ward in the context of risk factors of falling detected in a comprehensive … Inpatient fall prevention programs as a patient safety strategy: a systematic review.

245. Physical Diagnosis: A Lost Art? | PSNet
     psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
     January 17, 2018 - List barriers to performance of comprehensive physical examinations. … Reliance on program directors to sign-off on the residents' clinical skills is putting too much faith … scores, and undergraduate grade point averages (GPA) with intern performance measured by residency program … if there had been a direct correlation between the exam and intern performance measured by residency program … developing such skills is very rewarding and that they can translate these skills well to their residency programs

246. Continuity Errors in Resident Clinic | PSNet
     psnet.ahrq.gov/web-mm/continuity-errors-resident-clinic
     October 02, 2019 - "( 4 ) Medical students may come to residency with noble goals, but training programs force them to adopt … created a system that facilitated poor clinical performance.( 6 ) Internal data from our own residency program … Vilter Professor of Medicine Program Director, Internal Medicine University of Cincinnati Academic Health … Evaluating obstetrical residency programs using patient outcomes. JAMA. 2009;302:1277-1283. … Effectiveness Course February 1, 2011 Implementation of the I-PASS handoff program

247. Cognitive Overload in the ICU | PSNet
     psnet.ahrq.gov/web-mm/cognitive-overload-icu
     June 01, 2005 - the role of cognitive overload—especially interruptions—in compromising quality of care and patient safety … Evidence suggests that realistic and high-fidelity simulation programs can improve knowledge and confidence … Interruptions and distractions in health care: improved safety with mindfulness [Perspective]. … Sensemaking, safety, and cooperative work in the intensive care unit. … September 28, 2016 Comprehensive analysis of a medication dosing error related to CPOE

248. The Pains of Chronic Opioid Usage | PSNet
     psnet.ahrq.gov/web-mm/pains-chronic-opioid-usage
     April 04, 2018 - in use of therapeutic opioids is not based on evidence of their long-term efficacy or supported by safety … Consequently, a more comprehensive and contemporary curriculum for prescribers seems warranted. … chronic pain management therapy.( 1 ) In the above case, inquiry of a prescription drug monitoring program … indispensable; however, in this case the patient would have been best served with an addiction management program … Line Chief of Interventional Radiology Director of Endovascular Neurosurgery and Neuroendovascular Program

249. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33607/psn-pdf
     September 27, 2022 - Application to Patient Safety Clinicians who have been involved in errors or serious safety events may … ), which produced the National Action Plan to Advance Patient Safety. … Work–life integration The National Academies Collaborative on Clinician Well-Being has published a comprehensive … opportunities to intervene.15-18 For example, there has been increased interest in implementing peer support programs … Peer support programs for physicians: mitigate the effects of emotional stressors through peer support

250. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose | PSNet
     psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
     March 15, 2023 - addition to Reason's model, the Human Factors Analysis and Classification System (HFACS) provides a comprehensive … For instance, a study on the effectiveness of an improvement program in a pediatric hospital found that … Understanding the "Swiss Cheese Model" and its application to patient safety. … Patient Safety & Healthcare Quality (PSQH) . May/June 2012. … ISMP Medication Safety Alert!

251. In Conversation With… Christopher P. Landrigan, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-christopher-p-landrigan-md-mph
     April 01, 2013 - Program at Brigham and Women's Hospital. … A series of relatively small studies has been done by programs that implemented these types of changes … Insofar as a particular residency program or a particular group of workers is adhering to best practices … RW : Can you talk a little bit about napping and other strategies that may impact a given program or … CL : A lot of industries have implemented nap programs as one aspect of a comprehensive approach to dealing

252. A Pill Organizing Plight | PSNet
     psnet.ahrq.gov/web-mm/pill-organizing-plight
     June 19, 2018 - Recommendations for Medication Management Resources to improve prescribing safety in older patients … The top patient safety strategies that can be encouraged for adoption now. … Drug-related-problem outcomes and program satisfaction from a comprehensive brown bag medication review … February 24, 2021 Optimizing medication safety in the home. … More About The Topic Home Care Health Care Providers Patients Geriatrics Medication Safety

253. Managing Ascites: Hazards of Fluid Removal | PSNet
     psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
     June 01, 2018 - There are no data on the safety of large volume paracentesis in patients with SBP. … not provided may have improved the care for this patient's decompensated cirrhosis, including a more comprehensive … Related Resources From the Same Author(s) Perspective Safety … Considerations in Building a Point-of-Care Ultrasound Program June 1, 2018 … July 8, 2022 Perspective Operationalizing Patient Safety

254. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication | PSNet
     psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
     August 01, 2012 - A final comprehensive system option is the development of team-based patient navigation services, as … Hight, MD, FACS Associate Professor Associate Program Director, General Surgery Residency Program Department … Safety of percutaneous endoscopic gastrostomy in high-risk patients. … AHRQ Patient Safety Network. Accessed November 6, 2023. [ Free full text ] Pinto A, Brunese L. … Patient safety at handoff in rehabilitation medicine.

255. In Conversation with...Barbara Pelletreau and John Riggi about Cybersecurity | PSNet
     psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
     March 27, 2024 - Mossburg: What are some mistakes that organizations might make when it comes to their cybersecurity programs … John Riggi: One of the first challenges is if the organization does not have a cybersecurity program … In this day and age, we need a cybersecurity program, and we would strongly suggest that there is an … These efforts aim to establish comprehensive frameworks, guidelines, and regulations to safeguard the … director of cybersecurity who understands both security and clinical work and can oversee cyber-awareness programs

256. Another Fall | PSNet
     psnet.ahrq.gov/web-mm/another-fall
     June 01, 2010 - At the other end of the spectrum are multifactorial interventions involving comprehensive structured … absence of compelling evidence for different strategies hinders the adoption of formal fall prevention programs … Making Health Care Safer: A Critical Analysis of Patient Safety Practices. … Do hospital fall prevention programs work? A systematic review. … among nursing home residents: an examination of incident reports before and after restraint reduction programs

257. Integrating Multiple Medication Decision Support Systems: How Will We Make It All Work? | PSNet
     psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-systems-how-will-we-make-it-all-work
     May 01, 2008 - Over the years, safety alerts have proliferated. … Is comprehensive drug decision support broken? … Overriding of drug safety alerts in computerized physician order entry. … American Medical Informatics Association (AMIA), a member of the Institute of Medicine, and External Program … Leader, Patient Safety Research, WHO World Health Alliance for Patient Safety.

258. Becoming a Patient Safety Organization | PSNet
     psnet.ahrq.gov/perspective/becoming-patient-safety-organization
     July 01, 2011 - time, as we all were developing a greater understanding of what it would take to successfully provide comprehensive … of patient safety work product for the purposes of encouraging a culture of safety and of providing … at Ernst & Whinney, the director of the Department of Defense Civilian Peer Review of Military Care program … WM : The entire PSO program is voluntary for everyone except AHRQ, which obviously administers the program … We have tried to address that problem in the PSO program through the common definitions and reporting

259. From Pain Relief to Risk: A Case of Suspected Opioid Overdose in a Pediatric Patient | PSNet
     psnet.ahrq.gov/web-mm/pain-relief-risk-case-suspected-opioid-overdose-pediatric-patient
     October 04, 2023 - and persistent opioid use in opioid-naïve children. 1 Best practices for opioid prescribing include comprehensive … Approaches to Improving Safety System Optimization of EHR Opioid Prescribing  Various safeguards may … The CDC recommends that prescribers check state prescription drug monitoring program (PDMP) data when … FDA Drug Safety Communication. … : World Patient Safety Day 2023.

260. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867475/psn-pdf
     February 26, 2025 - and persistent opioid use in opioid- naïve children.1 Best practices for opioid prescribing include comprehensive … Approaches to Improving Safety System Optimization of EHR Opioid Prescribing  Various safeguards may … The CDC recommends that prescribers check state prescription drug monitoring program (PDMP) data when … Take-Home Points Education on opioid safety including adverse effects, appropriate dosing, and storage … FDA Drug Safety Communication.