-
psnet.ahrq.gov/web-mm/who-nose-where-airway
May 01, 2016 - standardized tools or checklists to facilitate handoffs may help remind practitioners and reinforce a culture … Structured handoffs should be considered to minimize forgotten items and to reinforce a culture of consistency
-
psnet.ahrq.gov/node/854897/psn-pdf
October 31, 2023 - various organizational levels:
Organizational Influences: These encompass the broader organizational culture … accurate dosage
calculations, understanding appropriate patient ranges for weight/height, and fostering a culture
-
psnet.ahrq.gov/node/49497/psn-pdf
December 01, 2005 - Deficiencies in organizational culture (hierarchy
and intimidation, failure to function as a team, and … Culture change and resource acquisition require the cooperation of those controlling people, space
and
-
psnet.ahrq.gov/web-mm/complaints-safety-surveillance
May 05, 2021 - patient safety benefits of complaints, individuals and institutions need to foster an environment and culture … The aim should be a just culture where physicians are not punished for isolated lapses or systems failures
-
psnet.ahrq.gov/node/33616/psn-pdf
August 01, 2005 - of the American Nurses Credentialing Center is the best example of a successful
blueprint to guide culture
-
psnet.ahrq.gov/primer/disclosure-errors
September 15, 2024 - Current Context
Related Patient Safety Primers
Never Events September 15, 2024
Culture
-
psnet.ahrq.gov/curated-library/rapid-response-systems
September 15, 2024 - commentary discusses appropriate management of ongoing intraoperative and postoperative bleeding and how a culture
-
psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
September 15, 2024 - Ultimately, preventing WSPEs depends on the combination of system solutions, strong teamwork and safety culture
-
psnet.ahrq.gov/issue/rise-human-factors-optimising-performance-individuals-and-teams-improve-patients-outcomes
July 10, 2024 - Commentary
The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes.
Citation Text:
Casali G, Cullen W, Lock G. The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes. J Thorac Dis. 2019;11(…
-
psnet.ahrq.gov/issue/carers-medication-administration-errors-domiciliary-setting-systematic-review
December 18, 2017 - Review
Carers' medication administration errors in the domiciliary setting: a systematic review.
Citation Text:
Parand A, Garfield S, Vincent CA, et al. Carers' Medication Administration Errors in the Domiciliary Setting: A Systematic Review. PLoS One. 2016;11(12):e0167204. doi:10.1371/j…
-
psnet.ahrq.gov/issue/preventing-wrong-site-procedure-and-patient-events-using-common-cause-analysis
October 03, 2017 - Study
Preventing wrong site, procedure, and patient events using a common cause analysis.
Citation Text:
Mallett R, Conroy M, Saslaw LZ, et al. Preventing wrong site, procedure, and patient events using a common cause analysis. Am J Med Qual. 2012;27(1):21-9. doi:10.1177/10628606114120…
-
psnet.ahrq.gov/issue/hiding-plain-sight-inconvenient-facts-patient-safety-non-247-theatre-site-staffed-obstetric
November 02, 2022 - Commentary
Hiding in plain sight: inconvenient facts for patient safety in non-24/7 theatre on-site staffed obstetric units.
Citation Text:
McGurgan P. Hiding in plain sight: Inconvenient facts for patient safety in non‐24/7 theatre on‐site staffed obstetric units. Aust N Z J Obstet Gyna…
-
psnet.ahrq.gov/issue/patient-safety-and-ethical-implications-healthcare-sick-leave-policies-pandemic-era
September 16, 2020 - Commentary
Patient safety and ethical implications of healthcare sick leave policies in the pandemic era.
Citation Text:
Preston-Suni K, Celedon MA, Cordasco KM. Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. Jt Comm J Qual Patient Saf. 202…
-
psnet.ahrq.gov/issue/addressing-bias-acute-postoperative-pain-management
September 23, 2020 - Review
Addressing bias in acute postoperative pain management.
Citation Text:
Harbell MW, Maloney J, Anderson MA, et al. Addressing bias in acute postoperative pain management. Curr Pain Headache Rep. 2023;27(9):407-415. doi:10.1007/s11916-023-01135-0.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/changing-work-environment-icus-achieve-patient-focused-care-time-has-come
April 05, 2023 - Commentary
Changing the work environment in ICUs to achieve patient-focused care: the time has come.
Citation Text:
McCauley K, Irwin RS. Changing the work environment in ICUs to achieve patient-focused care: the time has come. Chest. 2006;130(5):1571-8.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/adverse-event-rates-measures-hospital-performance
July 29, 2020 - Study
Adverse event rates as measures of hospital performance.
Citation Text:
Hauck K, Zhao X, Jackson T. Adverse event rates as measures of hospital performance. Health Policy (New York). 2012;104(2):146-154. doi:10.1016/j.healthpol.2011.06.010.
Copy Citation
Format:
DOI…
-
psnet.ahrq.gov/issue/progress-interoperability-measuring-us-hospitals-engagement-sharing-patient-data
March 27, 2024 - Study
Progress in interoperability: measuring US hospitals' engagement in sharing patient data.
Citation Text:
Holmgren J, Patel V, Adler-Milstein J. Progress in interoperability: measuring US hospitals' engagement in sharing patient data. Health Aff (Millwood). 2017;36(10):1820-1827. do…
-
psnet.ahrq.gov/issue/inpatient-suicide-mental-health-units-veterans-affairs-va-hospitals-avoiding-environmental
September 05, 2018 - Study
Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards.
Citation Text:
Mills PD, King LA, Watts B, et al. Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards. Gen Hosp Psych…
-
psnet.ahrq.gov/issue/human-factors-analysis-technical-and-team-skills-among-surgical-trainees-during-procedural
March 03, 2011 - Study
A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre.
Citation Text:
Moorthy K, Munz Y, Adams S, et al. A human factors analysis of technical and team skills among surgical trainees during pro…
-
psnet.ahrq.gov/issue/silent-witnesses-faculty-reluctance-report-medical-students-professionalism-lapses
March 10, 2021 - Study
Silent witnesses: faculty reluctance to report medical students' professionalism lapses.
Citation Text:
Ziring D, Frankel RM, Danoff D, et al. Silent Witnesses: Faculty Reluctance to Report Medical Students' Professionalism Lapses. Acad Med. 2018;93(11):1700-1706. doi:10.1097/ACM.0…