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Showing results for "culture of safety".

9321. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45136/psn-pdf
      April 24, 2018 - Comparing trainee and staff perceptions of patient safety culture. … Comparing Trainee and Staff Perceptions of Patient Safety Culture. … Trainee and staff perceptions of safety culture differed, highlighting the challenges of coming to a … common understanding of safety culture. … /issue/surveys-patient-safety-culture https://psnet.ahrq.gov/primer/culture-safety

9322. Intubation Mishap | PSNet
      psnet.ahrq.gov/web-mm/intubation-mishap
      April 26, 2023 - to misinterpretation, due to changing context or differences in gender and culture. … enhanced safety for the next patient. … Weinger, MD Director, Center for Healthcare Simulation of the San Diego Center for Patient Safety Professor … culture and priorities Reactive culture (eg, address problems only when they occur) - Proactive … Report of a meeting sponsored by the Anesthesia Patient Safety Foundation.

9323. Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia | PSNet
      psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
      January 29, 2021 - and the number of hours worked per week, despite concerns about burnout and patient safety. … Encourage an institutional culture that values rest A culture of taking deliberate breaks during long … Expanding the pool of clinicians available to staff hospitals, and improving the culture to support shorter … Christian Bohringer, MBBS Consulting Editor, AHRQ, Patient Safety Network (PSNet) Professor of Anesthesiology … Patient safety, resident education and resident well-being following implementation of the 2003 ACGME

9324. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852807/psn-pdf
      August 30, 2023 - and the number of hours worked per week, despite concerns about burnout and patient safety. … Encourage an institutional culture that values rest A culture of taking deliberate breaks during long … Expanding the pool of clinicians available to staff hospitals, and improving the culture to support … Christian Bohringer, MBBS Consulting Editor, AHRQ, Patient Safety Network (PSNet) Professor of Anesthesiology … Patient safety, resident education and resident well-being following implementation of the 2003 ACGME

9325. How should clinicians minimize bias when responding to suspicions about child abuse? | PSNet
      psnet.ahrq.gov/issue/how-should-clinicians-minimize-bias-when-responding-suspicions-about-child-abuse
      February 09, 2022 - the influence of cognitive error on recognizing and reporting of child mistreatment. … April 24, 2024 Why accountability sharing in health care organizational cultures means … May 31, 2023 Annual Perspective Improving Diagnostic Safety … August 24, 2022 The Uneven Burden of Maternal Mortality in the U.S. … the onco-haematology center of Tor Vergata Hospital in Rome.

9326. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43613/psn-pdf
      December 19, 2014 - Benefits and risks of using smart pumps to reduce medication error rates: a systematic review. … Benefits and risks of using smart pumps to reduce medication error rates: a systematic review. … discussed in a recent qualitative study, nurses frequently employ workarounds that may bypass some safety … features of smart pumps. … The role of smart pumps in medication safety was discussed in more detail in an AHRQ WebM&M perspective

9327. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857445/psn-pdf
      January 01, 2024 - on pregnant Black women: a review of the literature. … on pregnant black women: a review of the literature. … maternal morbidity and mortality among Black women in the United States is a patient safety and public … This literature review of 42 articles highlights the importance of cultural competence and disparities … psnet.ahrq.gov/issue/bearing-burden-black-mothers-america https://psnet.ahrq.gov/perspective/maternal-safety

9328. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47361/psn-pdf
      April 07, 2019 - Although safety culture scores improved, the authors note that resistance to change was a key barrier … handoffs-and-signouts https://psnet.ahrq.gov/issue/barriers-emergency-departments-adherence-four-medication-safety-related-joint-commission

9329. 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 - safety barriers. … levels: Organizational Influences: These encompass the broader organizational culture, policies, and … Supervisory Factors: This level examines the role of supervision and leadership in influencing safety … for weight/height , and fostering a culture of learning, healthcare systems can improve safety for … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices .

9330. Translating From Normal to Abnormal | PSNet
      psnet.ahrq.gov/web-mm/translating-normal-abnormal
      October 02, 2019 - Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide for Hospitals … Perspective Count and Be Counted: Preparing Future Pharmacists to Promote a Culture … of Safety April 1, 2006 Physician and nurse well-being and preferred interventions … June 14, 2017 Adverse patient safety events during the COVID epidemic. … May 17, 2023 Patient safety event reporting expectation: does it influence residents'

9331. Empiric Steroids: the Good, the Bad, and the Ugly | PSNet
      psnet.ahrq.gov/web-mm/empiric-steroids-good-bad-and-ugly
      June 01, 2015 - Bronchoscopy revealed thick yellow mucus, and cultures were sent. … The fluid should be sent for cell count and culture. … The joint fluid contained 23,000 polymorphonuclear leukocytes (PMNs)/mm 3 and culture was negative. … If blood and urine cultures are negative, systemic vasculitis or malignancy is high on the list of differential … Rapid Mis-St(r)ep February 1, 2007 Patient Safety

9332. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35306/psn-pdf
      July 14, 2009 - the system, widespread incident reporting, and long-term financial investments will help foster a safety … culture in anesthesia.

9333. Creating a fellowship curriculum in patient safety and quality. | PSNet
      psnet.ahrq.gov/issue/creating-fellowship-curriculum-patient-safety-and-quality
      September 09, 2020 - Creating a Fellowship Curriculum in Patient Safety and Quality. … This commentary describes the development of a quality and safety clinical fellowship curriculum which … of critical test results. … March 10, 2019 Department of Veterans Affairs Chief Resident in Quality and Patient Safety … to assess socio-cultural dimensions of patient safety competency.

9334. Handoffs | PSNet
      psnet.ahrq.gov/primer/handoffs
      October 18, 2023 - For information about safety issues at the time of hospital discharge, please see the related Patient … Safety Primers  Adverse Events after Hospital Discharge and Post-Acute Transitional Services: Safety … Inpatient Transitions of Care: Challenges and Safety Practices March 27, 2024 … April 26, 2023 Effect of a multispecialty faculty handoff initiative on safety … culture and handoff quality.

9335. Managing Ascites: Hazards of Fluid Removal | PSNet
      psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
      June 01, 2018 - The case prompted a formal review since the entire hospitalization was deemed preventable given the belief … Therefore, the threshold for performing a diagnostic paracentesis and sending the fluid for culture should … infection, including a urinalysis, blood cultures, and a chest radiograph. … There are no data on the safety of large volume paracentesis in patients with SBP. … Related Resources From the Same Author(s) Perspective Safety

9336. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37718/psn-pdf
      April 23, 2008 - psnet.ahrq.gov/issue/mistakes-and-disclosure This article describes a method for teaching residents about safety … culture, medical errors, and disclosure by using a movie, magazine article, and NASA examples.

9337. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39381/psn-pdf
      March 17, 2010 - getting-it-right-when-things-go-wrong This brief commentary discusses the relationship between blame, accountability, and just culture … getting-it-right-when-things-go-wrong https://psnet.ahrq.gov/issue/balancing-no-blame-accountability-patient-safety

9338. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35092/psn-pdf
      November 30, 2007 - He proposes that the medical profession can learn valuable lessons from the engineering safety culture

9339. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.266_slideshow.ppt
      May 01, 2012 - Blood cultures were positive for E. coli and appropriate antibiotic therapy was initiated. … by negative E. coli cultures from the ventricular cerebrospinal fluid. … Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. … Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedule to Improve Patient Safety … care and patient safety Ensure that residents are competent in communicating with team members in the

9340. Continuing Education | PSNet
      psnet.ahrq.gov/continuing-education
      February 26, 2025 - Education Additional Filters Back to all filters Approach to Improving Safety … Health Literacy Improvement (5) Informed Consent (2) Culture … of Safety (14) Learning Organization (1) Red Rules (1) Education … Adverse Events (25) Latent Errors (49) Near Miss (5) Safety … and how a culture of safety can enable care team members to voice concerns about patient safety.