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Showing results for "cultural".
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  1. Normalization of deviance is contrary to the principles of high reliability. | PSNet

    psnet.ahrq.gov/issue/normalization-deviance-contrary-principles-high-reliability
    June 09, 2021 - Commentary Normalization of deviance is contrary to the principles of high reliability. Citation Text: Wright I. Normalization of deviance Is contrary to the principles of high reliability. AORN J. 2023;117(4):231-238. doi:10.1002/aorn.13894. Copy Citation Format: DOI Googl…

  2. Time for prefilled syringes - everywhere. | PSNet

    psnet.ahrq.gov/issue/time-prefilled-syringes-everywhere
    July 13, 2010 - Commentary Time for prefilled syringes - everywhere. Citation Text: Whitaker DK, Lomas JP. Time for prefilled syringes – everywhere. Anaesthesia. 2024;79(2):119-122. doi:10.1111/anae.16181. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote…

  3. Patient safety systems for case management. | PSNet

    psnet.ahrq.gov/issue/patient-safety-systems-case-management
    December 22, 2008 - Review Patient safety systems for case management. Citation Text: Greenberg L. Patient safety systems for case management. Lippincotts Case Manag. 2004;9(5):223-229. doi:10.1097/00129234-200409000-00004. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNo…

  4. Opioids, iatrogenic harm and disclosure of medical error. | PSNet

    psnet.ahrq.gov/issue/opioids-iatrogenic-harm-and-disclosure-medical-error
    November 21, 2021 - Commentary Opioids, iatrogenic harm and disclosure of medical error. Citation Text: Blinderman CD. Opioids, iatrogenic harm and disclosure of medical error. J Pain Symptom Manage. 2010;39(2):309-13. doi:10.1016/j.jpainsymman.2009.11.242. Copy Citation Format: DOI Google Sc…

  5. Designing a strategy to promote safe, innovative off-label use of medications. | PSNet

    psnet.ahrq.gov/issue/designing-strategy-promote-safe-innovative-label-use-medications
    May 06, 2009 - Commentary Designing a strategy to promote safe, innovative off-label use of medications. Citation Text: Ansani N, Sirio CA, Smitherman T, et al. Designing a strategy to promote safe, innovative off-label use of medications. Am J Med Qual. 2006;21(4):255-261. Copy Citation Format…

  6. Toolkit 2. Using Nursing Home Antibiograms To Choose the Right Antibiotic (Concise Antibiogram Toolkit) | Agency for Healthcare Research and Quality

    www.ahrq.gov/nhguide/toolkits/help-clinicians-choose-the-right-antibiotic/toolkit2-concise-antibiogram-toolkit.html
    October 01, 2016 - Toolkit 2. Using Nursing Home Antibiograms To Choose the Right Antibiotic (Concise Antibiogram Toolkit) Toolkit Effectiveness When an antibiogram was implemented in nursing homes, results suggested that it had an effect on antibiotic prescribing. For example, Ciprofloxacin was prescribed 15% of the time versu…

  7. Air pressure: human factors are the key to a safer flight environment. | PSNet

    psnet.ahrq.gov/issue/air-pressure-human-factors-are-key-safer-flight-environment
    October 27, 2021 - Newspaper/Magazine Article Air pressure: human factors are the key to a safer flight environment. Citation Text: Air pressure: human factors are the key to a safer flight environment. Erich J. EMS World. April 2019;48:26-31. Copy Citation Save Save to your library…

  8. Patient Safety Investigation report into services at University Hospital Galway (UHG) and as reflected in the care provided to Savita Halappanavar. | PSNet

    psnet.ahrq.gov/issue/patient-safety-investigation-report-services-university-hospital-galway-uhg-and-reflected
    June 14, 2017 - Book/Report Patient Safety Investigation report into services at University Hospital Galway (UHG) and as reflected in the care provided to Savita Halappanavar. Citation Text: Patient Safety Investigation report into services at University Hospital Galway (UHG) and as reflected in the ca…

  9. Improving patient safety in radiotherapy by learning from near misses, incidents and errors. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-radiotherapy-learning-near-misses-incidents-and-errors
    July 10, 2017 - Commentary Improving patient safety in radiotherapy by learning from near misses, incidents and errors. Citation Text: Williams M. Improving patient safety in radiotherapy by learning from near misses, incidents and errors. Br J Radiol. 2007;80(953):297-301. Copy Citation Format:…

  10. Beyond the organisational accident: the need for "error wisdom" on the frontline. | PSNet

    psnet.ahrq.gov/issue/beyond-organisational-accident-need-error-wisdom-frontline
    November 18, 2015 - Commentary Beyond the organisational accident: the need for "error wisdom" on the frontline. Citation Text: Reason J. Beyond the organisational accident: the need for "error wisdom" on the frontline. Qual Saf Health Care. 2004;13 Suppl 2:ii28-33. Copy Citation Format: Goo…

  11. Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results. | PSNet

    psnet.ahrq.gov/issue/integration-formalized-handoff-system-surgical-curriculum-resident-perspectives-and-early
    May 25, 2016 - Study Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results. Citation Text: Telem DA. Integration of a Formalized Handoff System Into the Surgical Curriculum. Archives of Surgery. 2011;146(1). doi:10.1001/archsurg.2010.294. Cop…

  12. Electronically Generated Medication Administration and Electronic Medication Administration Records for the Prevention of Medication Transcription Errors: Review of Clinical Effectiveness and Safety. | PSNet

    psnet.ahrq.gov/issue/electronically-generated-medication-administration-and-electronic-medication-administration
    May 25, 2016 - Book/Report Electronically Generated Medication Administration and Electronic Medication Administration Records for the Prevention of Medication Transcription Errors: Review of Clinical Effectiveness and Safety. Citation Text: Electronically Generated Medication Administration and Electr…

  13. An evolving hospital quality star rating system from CMS: aligning the stars. | PSNet

    psnet.ahrq.gov/issue/evolving-hospital-quality-star-rating-system-cms-aligning-stars
    December 13, 2017 - Commentary An evolving hospital quality star rating system from CMS: aligning the stars. Citation Text: Bilimoria KY, Barnard C. An evolving hospital quality star rating system from CMS: aligning the stars. JAMA. 2021;325(21):2151-2152. doi:10.1001/jama.2021.6946. Copy Citation For…

  14. Confronting racism in pediatric care. | PSNet

    psnet.ahrq.gov/issue/confronting-racism-pediatric-care
    February 22, 2023 - Commentary Confronting racism in pediatric care. Citation Text: Danielson B. Confronting racism in pediatric care. Health Affairs. 2022;41(11):1681-1685. doi:10.1377/hlthaff.2022.01157. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

  15. Surveys on Patient Safety Culture (SOPS) Hospital Workplace Safety: 2022 Updated Results, Appendix C (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/2022-HSOPS-WPS-database-report-appendix-508.pdf
    January 01, 2022 - Surveys on Patient Safety Culture (SOPS) Hospital Workplace Safety: 2022 Updated Results, Appendix C 2022 Updated Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Workplace Safety Supplemental Item Set for Hospitals Appendix C: Results by Additional Respondent Characteristics Prepared for: A…

  16. Community Pharmacy Survey on Patient Safety Culture: 2015 User Comparative Database Report Part II (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/pharmacy/2015-report-part-2.pdf
    January 01, 2015 - Community Pharmacy Survey on Patient Safety Culture: 2015 User Comparative Database Report Part II Community Pharmacy Survey on Patient Safety Culture: 2015 User Comparative Database Report Part II Appendix A—Overall Results by Community Phar…

  17. Diagnostic Safety Issue Brief 21 Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis (pdf file)

    www.ahrq.gov/sites/default/files/publications2/files/dx-safety-21-diagnostic-stewardship.pdf
    August 01, 2024 - Diagnostic Safety Issue Brief 21 Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis Issue Brief 21 Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis PATIENT SAFETY e This page intentionally left blank. e Issue Brief 21 Diagnostic Stewardshi…

  18. Paul Tedrick (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-transcript.doc
    May 13, 2014 - Paul Tedrick AHA – Chicago May National Content Call May 13, 2014 11:00AM CT Operator: This recording is for Paul Tedrick with the American Hospital Association of Chicago on Tuesday, May 13, 2014 at 11:00 a.m. Central Time. Excuse me, everyone. We now have all speakers in conference. Please be aware that each of y…

  19. Preventing CAUTI in Specialized Patient Populations: The ICU | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu.html
    December 01, 2017 - Preventing CAUTI in Specialized Patient Populations: The ICU Webinar Transcript AHA – Chicago May National Content Call May 13, 2014 11:00AM CT Operator:  This recording is for Paul Tedrick with the American Hospital Association of Chicago on Tuesday, May 13, 2014 at 11:00 a.m. Central Time. Excuse me…

  20. High Reliability Organization (HRO) Principles and Patient Safety | PSNet

    psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
    February 26, 2025 - High Reliability Organization (HRO) Principles and Patient Safety Timothy Vogus, PhD; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | February 26, 2025  Also Read the Conversation View more articles from the same authors. Citation Text: Vogus T, Lee M, Mos…
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