Results

Total Results: 287 records

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

261. X-ray Flip | PSNet
     psnet.ahrq.gov/web-mm/x-ray-flip
     August 10, 2019 - Accident Causation Model ( 10 ) is a good framework for incident investigation and provides a more comprehensive … person' model of error—'blame and train'—to a focus on systems is necessary, but we must balance our safety … programs to ensure human factors training exists for front-line clinical personnel. … July 13, 2016 Profiles in patient safety: medication errors in the emergency department … Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

262. Spotlight: Overdiagnosis and Delay: Challenges in Sepsis Diagnosis | PSNet
     psnet.ahrq.gov/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis
     October 28, 2020 - From a systems standpoint, hospitals can focus on implementation of comprehensive performance improvement … programs centering on education and process improvement. … The greatest improvements in outcomes tend to come from programs that have both components, which can … Rhee C, Dantes R, Epstein L, et al; CDC Prevention Epicenter Program. … February 27, 2019 The potential of artificial intelligence to improve patient safety:

263. Weekly Resource | PSNet
     psnet.ahrq.gov/periodic-issue/weekly-resource
     March 25, 2025 - describes the development of an audit plan using Tracer methodologies to audit six oncology ICPs at a comprehensive … Survey respondents also endorsed the importance of formal support programs, including peer support, education … Disruptive and unprofessional behavior can impact patient safety. … Patient Safety Authority . … Updates, WebM&M, and Perspectives on Safety.

264. Clinical Areas | PSNet
     psnet.ahrq.gov/clinical-areas
     March 24, 2025 - Patient Safety Primers Radiation Safety Save to Library … Survey respondents also endorsed the importance of formal support programs, including peer support, education … describes the development of an audit plan using Tracer methodologies to audit six oncology ICPs at a comprehensive … Production pressure and decision fatigue can pose patient safety risks. … Disruptive and unprofessional behavior can impact patient safety.

265. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected | PSNet
     psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
     September 25, 2024 - Comprehensive monitoring, as was done for the patient in this case, is also essential. … Approach to Improving Systemic Safety: Non-technical Considerations Even with implementation of all … Resources From the Same Author(s) Peer support to promote surgeon well-being: the APSA program … May 22, 2024 Safety checklists for emergency response driving and patient transport: … May 24, 2023 Medication Safety for Look-alike, Sound-alike Medicines.

266. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care | PSNet
     psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
     June 28, 2023 - programs. … Patient safety incidents associated with tracheostomies occurring in hospital wards: a review of reports … to the UK National Patient Safety Agency. … December 3, 2008 Effect of a central call center on employee perceptions of safety culture … June 5, 2019 Implementation of the I-PASS handoff program in diverse clinical environments

267. Can Research Help Us Improve the Medical Liability System? | PSNet
     psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
     March 01, 2012 - Take disclosure-and-offer programs, for example. … With disclosure-and-offer programs, institutions enact a process to rapidly investigate cases of harm … Finding the solution is going to require firm evidence and more research on comprehensive reforms. … We have seen the launch of a small number of projects testing newer and more comprehensive interventions … Liability claims and costs before and after implementation of a medical error disclosure program.

268. Health Equity and Maternal Health | PSNet
     psnet.ahrq.gov/perspective/health-equity-and-maternal-health
     October 06, 2021 - Maternal safety refers to the safety of a person during pregnancy, childbirth, and the postnatal … , PhD Associate Professor, School of Information and Library Science Carolina Health Informatics Program … https://psnet.ahrq.gov/primer/maternal-safety Patient Safety Bundles. … opportunity to approach this with our strong programs of work and our good ideas. … So, folks who were getting weekly appointments who are on Suboxone in a substance use disorder program

269. Patient and Family Roles in Safety | PSNet
     psnet.ahrq.gov/perspective/patient-and-family-roles-safety
     June 14, 2023 - and families in healthcare decisions about patient care and in hospital and health system policy and programs … - Centered Care’s (IPFCC) Better Together: Partnering with Families campaign and developed a more comprehensive … Patient safety expert Tejal K. … This organization has some helpful materials for a program called Essential Together . … Children’s National Hospital has a “Navigator Program” for families caring for children with complex

270. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60328/psn-pdf
     May 27, 2020 - These best practices include, but are not limited to, comprehensive identification and assessment of … Safety Issues with Patient Controlled Analgesia Part II - How To Prevent Errors ISMP Medication Safety … Safety assessment of postoperative pain management by an acute pain service. … San Diego Patient Safety Council. … Safety).

271. The NSTEMI Curbside Consultation | PSNet
     psnet.ahrq.gov/web-mm/nstemi-curbside-consultation
     August 04, 2021 - treatment for a patient. 32 A formal consultation involves a physician who examines the patient, performs comprehensive … By minimizing this information gap, a formal consultation would likely have prompted a more comprehensive … Villablanca, MD Director and Founder, UC Davis Women’s Cardiovascular Medicine Program UC Davis Health … Pharmacotherapy Self-Assessment Program, seventh edition (PSAP-VII) Cardiology.2020:179-99. … Initial Results from a Cardiac Curbside Program.

272. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33599/psn-pdf
     August 30, 2023 - regularly reviewed and updated to ensure that they reflect current research and practice in the patient safety … to address health literacy and explicitly linking health literacy to the quality domains of patient safety … 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.

273. In Conversation With….Alison Stuebe, MD, MSc and Kristin Tully, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
     October 06, 2021 - opportunity to approach this with our strong programs of work and our good ideas. … So, folks who were getting weekly appointments who are on Suboxone in a substance use disorder program … safety refers to the safety of a person during pregnancy, childbirth, and the postnatal period. … , PhD Associate Professor, School of Information and Library Science Carolina Health Informatics Program … https://psnet.ahrq.gov/primer/maternal-safety Patient Safety Bundles.

274. Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? | PSNet
     psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
     February 01, 2007 - similar approach already seems to be working in the field of mammography, where participation in a program … involving feedback improves the accuracy of image interpretation.( 11 ) Radiologists participating in these programs … Advances in patient safety: from research to implementation. … So when you enter a set of symptoms or signs, our search engine works off a very comprehensive database … Considerations in Building a Point-of-Care Ultrasound Program June 1, 2018

275. Infection After Carpal Tunnel Surgery | PSNet
     psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery
     May 28, 2014 - nurse or PA who can contact the patient to establish a path for care. 31 , 34 Approaches to Improving Safety … Postoperative Measures After carpal tunnel release surgery, provide clear and comprehensive postoperative … Quality Improvement Approach Optimizing the healthcare system to assure safety and minimize infections … Quality Control and Improvement : Implement a quality improvement program to monitor outcomes and identify … A systematic review of randomised control trials evaluating the efficacy and safety of open and endoscopic

276. In Conversation With… Richard C. Boothman, JD | PSNet
     psnet.ahrq.gov/perspective/conversation-richard-c-boothman-jd
     March 01, 2012 - Take disclosure-and-offer programs, for example. … Finding the solution is going to require firm evidence and more research on comprehensive reforms. … We have seen the launch of a small number of projects testing newer and more comprehensive interventions … Liability claims and costs before and after implementation of a medical error disclosure program. … Medical Liability Reform and Patient Safety: Demonstration Grants.

277. In Conversation with…William B. Munier, MD, MBA | PSNet
     psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
     July 01, 2011 - at Ernst & Whinney, the director of the Department of Defense Civilian Peer Review of Military Care program … listed by the department to engage in Patient Safety Activities, reviewing the quality and safety of … 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 … time, as we all were developing a greater understanding of what it would take to successfully provide comprehensive

278. Which Line: Ordering Provider or Proceduralist? | PSNet
     psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
     September 16, 2015 - part due to all of these challenges, current CDS systems have not achieved broad acceptance and such comprehensive … Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist by the Safety and Health … A surgical safety checklist to reduce morbidity and mortality in a global population. … Patient safety in interventional radiology: a CIRSE IR checklist. … A checklist to improve patient safety in interventional radiology.

279. Retained Surgical Items: Causation and Prevention | PSNet
     psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
     January 04, 2024 - Comprehensive, multi-modal, team-based approaches that address both technology and clinician practices … , and ambulatory care surgical sites often develop site-specific or systemwide actions and training programs … The Swiss cheese model of safety incidents: are there holes in the metaphor?. … Principles of Perioperative Safety and Efficiency . … June 12, 2024 Handbook of Perioperative and Procedural Patient Safety.

280. Code Status vs. Care Status | PSNet
     psnet.ahrq.gov/web-mm/code-status-vs-care-status
     September 30, 2020 - For example, reimbursement models in programs like Medicare and Medicaid pay out a specific amount for … Becoming aware of the many biases we have and cognitive shortcuts we take can help us provide more comprehensive … Journal of patient safety. 2016 Dec 1;12(4):190-6.  … Changes in medical errors after implementation of a handoff program. … April 10, 2024 Can patient involvement improve patient safety?