Results

Total Results: 794 records

Showing results for "core set".

221. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73906/psn-pdf
     October 06, 2021 - unit stay where we, in collaboration with families and their clinicians and with full transparency, set … physician-centered care, but it’s not the fault of the physician, it's a part of how the system is set … once the baby is out and really thinking about what does it mean to provide good care and then how to set … We thought implementing a standard set of postpartum pain orders would help, but it hasn’t changed at … Like with that example and pain control or the language piece, it's really fixing that core issue around

222. Debriefing to improve interprofessional teamwork in the operating room: a systematic review. | PSNet
     psnet.ahrq.gov/issue/debriefing-improve-interprofessional-teamwork-operating-room-systematic-review
     January 31, 2024 - Debriefing is a core strategy to foster learning opportunities and reduce future errors.

223. National Patient Safety Goals | PSNet
     psnet.ahrq.gov/primer/national-patient-safety-goals
     January 16, 2025 - Development The first set of NPSGs was developed in 2002 and implemented the following year. … The National Action Alliance for Patient and Workforce Safety  builds on core principles of Safer Together

224. Understanding models of error and how they apply in clinical practice. | PSNet
     psnet.ahrq.gov/issue/understanding-models-error-and-how-they-apply-clinical-practice
     October 11, 2016 - This commentary summarizes core concepts of human error and discusses how they can be applied to promote

225. In Conversation with...James P. Bagian, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
     September 01, 2006 - We did our first cultural survey back in 1998 to set the benchmark. … RW: When you set up the program what was your vision? … That is, we have a set amount of money, and we have to take care of all the patients who walk in the … We set up the structure, give them the tools, and train them. … The core purpose of analyzing errors is to identify weaknesses in systems and practices.( 12 ) One practical

226. Nursing handoffs: a systematic review of the literature. | PSNet
     psnet.ahrq.gov/issue/nursing-handoffs-systematic-review-literature
     January 08, 2025 - the perioperative environment: a conceptual framework of key theories, system factors, methods, and core

227. In Conversation with...Lucian Leape, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
     August 01, 2006 - RW: So, a medical school librarian set off the modern patient safety movement? … So we did some pilot studies, and then we set out to do a big study to see if we could find adverse drug … I just think it's another set of issues to which we must apply similar thinking. … That is, getting beyond blame, punishment, and training and going on to saying, how can we set it up … the presence of leaders who were willing to take risks and who appreciated that safety had to be the core

228. Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions | PSNet
     psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
     November 16, 2022 - This type of solution inherently addresses core design problems rather than relying on humans to adapt … SEIPS 2.0 , SEIPS 3.0 , and SEIPS 101 , depict key characteristics and interactions between three core … And so, a core concept is really understanding people and the rest of the system and the interactions … We think about them as a group of different models that have core elements, but each one of them has … skilled nursing facilities that were overseen by these advanced practice providers, an automated trigger set

229. Healthcare 411: Medical intern work hours and medical errors. | PSNet
     psnet.ahrq.gov/issue/healthcare-411-medical-intern-work-hours-and-medical-errors
     May 23, 2007 - December 21, 2016 SOPS Health Information Technology Patient Safety Supplemental Item Set … April 3, 2013 Effects of duty hour restrictions on core competencies, education, quality

230. Building a culture of safety in ophthalmology. | PSNet
     psnet.ahrq.gov/issue/building-culture-safety-ophthalmology
     March 14, 2022 - The authors also describe initiatives that integrate core safety concepts into professional development

231. Getting Into Patient Safety: A Personal Story | PSNet
     psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
     August 01, 2006 - I was lured by someone who needed a special skill I had, but did nothing to set me on a growth path or … So, we set out to interview anesthesiologists, residents, and nurse anesthetists, seeking to learn from … the presence of leaders who were willing to take risks and who appreciated that safety had to be the core … RW: So, a medical school librarian set off the modern patient safety movement? … I just think it's another set of issues to which we must apply similar thinking.

232. Addressing health care disparities by improving quality and safety. | PSNet
     psnet.ahrq.gov/issue/addressing-health-care-disparities-improving-quality-and-safety
     January 27, 2021 - Health care disparities  are  emerging as a core patient safety issue.

233. Sharing the process of diagnostic decision making. | PSNet
     psnet.ahrq.gov/issue/sharing-process-diagnostic-decision-making
     January 19, 2022 - Improving diagnosis has been recently promoted as a core area in patient safety.

234. A patient safety checklist for the cardiac catheterisation laboratory. | PSNet
     psnet.ahrq.gov/issue/patient-safety-checklist-cardiac-catheterisation-laboratory
     October 19, 2022 - initiative, this commentary describes the development of a checklist created to improve the reliability of core

235. Empowering Patients and Supporting Health Care Providers—New Avenues for High Quality Care and Safety. | PSNet
     psnet.ahrq.gov/issue/empowering-patients-and-supporting-health-care-providers-new-avenues-high-quality-care-and
     June 23, 2021 - Patient/clinician relationships supported by organizational culture and individual wellness efforts are core

236. Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical Errors and Improve Family Experience and Communication Processes) | PSNet
     psnet.ahrq.gov/innovation/patient-and-family-centered-i-pass-family-centered-communication-program-reduce-medical
     February 26, 2025 - implementation guide (for healthcare providers). 4 The implementation of observational tools (including core … Additionally, it is important to properly set the stage for the value proposition for this innovation … implementation guide (for healthcare providers). 4 The implementation of observational tools (including core

237. Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. | PSNet
     psnet.ahrq.gov/issue/diagnostic-safety-needs-assessment-and-informed-curriculum-academic-childrens-hospital
     June 28, 2023 - Diagnostic reasoning is a core component of safe care but is not always included in formal educational

238. In Conversation With... Pascale Carayon, PhD and Nicole Werner, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd
     November 16, 2022 - And so, a core concept is really understanding people and the rest of the system and the interactions … We think about them as a group of different models that have core elements, but each one of them has … The core team that participated in the design process included an ED physician, an ED nurse, sometimes … skilled nursing facilities that were overseen by these advanced practice providers, an automated trigger set … This type of solution inherently addresses core design problems rather than relying on humans to adapt

239. Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: a retrospective cohort study. | PSNet
     psnet.ahrq.gov/issue/quantification-hawthorne-effect-hand-hygiene-compliance-monitoring-using-electronic
     July 29, 2020 - Hand hygiene is a core practice for decreasing health care–associated infections , but achieving compliance

240. Patient Safety in the Ambulatory Care Setting | PSNet
     psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
     April 27, 2022 - approaches to ambulatory care safety in the future. 2 , 3 The more things change, the more the same core … addressed by the largest number of key studies and commentaries on PSNet over the past year and (2) core