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Showing results for "culture of safety".

9381. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49562/psn-pdf
      May 01, 2008 - Patient Safety Goal and the following year required compliance with a Universal Protocol.(1,2) The … all identified the reduction of wrong site surgeries as a high priority patient safety initiative. … the anesthesia and nursing staff.(10) It is likely that the traditional culture found in surgical … members of the team from speaking up, since this will significantly hamper any patient safety effort … Paper presented at: 2007 Executive Symposium on Surgical Safety; July 15-17, 2007; Beaver Creek, CO.

9382. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33863/psn-pdf
      August 01, 2018 - Weinger is Director of the Center for Research and Innovation in Systems Safety and Professor of Anesthesiology … Wachter: From the early days, was your view of simulation that it was about patient safety? … Some other countries do more simulation, but there's a fundamental cultural belief that's still hard … Contrast that with nuclear power, where a safety culture is imposed in part by the regulators and in … has told us about the value of simulation in patient safety?

9383. Hospital Reporting Program: Annual Summary. | PSNet
      psnet.ahrq.gov/issue/hospital-reporting-program-annual-summary
      August 17, 2022 - The 2024 EDR analysis discusses the importance of transparency to motivate progress after a patient safety … January 12, 2022 Health literacy-related safety events: a qualitative study of health … July 28, 2021 Reporting of health information technology system-related patient safety … October 6, 2021 System factors affecting patient safety in the OR: an analysis of safety … August 21, 2018 Content analysis of patient safety incident reports for older adult patient

9384. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35345/psn-pdf
      July 20, 2009 - https://psnet.ahrq.gov/issue/fixing-healthcare-inside-today This commentary provides a broad overview of … the issues facing health care systems in their efforts to promote quality and safety. … pervasive cultural barriers and process limitations that contribute to errors, while providing a series of … Approaches for improvement that draw from the experiences of non-health care organizations, such as … The strength of the commentary lies in the compelling stories shared and the perspectives offered to

9385. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37196/psn-pdf
      June 06, 2018 - June 6, 2018 ISMP Medication Safety Alert! Acute Care Edition. September 6, 2007;12:1-4. … fold-overdoses-can-occur-particularly-neonates-transposing-mcg-and-mg https://psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer

9386. Second victim experiences of nurses in obstetrics and gynaecology: a Second Victim Experience and Support Tool Survey | PSNet
      psnet.ahrq.gov/issue/second-victim-experiences-nurses-obstetrics-and-gynaecology-second-victim-experience-and
      May 19, 2021 - May 19, 2021 Evaluation of a second victim peer support program on perceptions of second … of the training environment on postevent adaptation. … June 5, 2024 Rapid expansion of the Healing Emotional Lives of Peers program during COVID … second victim experiences of respiratory therapists. … April 26, 2023 Development and validation of a brief culture-of-safety survey.

9387. Medical error reporting, patient safety, and the physician. | PSNet
      psnet.ahrq.gov/issue/medical-error-reporting-patient-safety-and-physician
      February 04, 2009 - Medical Error Reporting, Patient Safety, and the Physician. … This survey of practicing obstetrician/gynecologists found that only slightly more than half of respondents … Medical Error Reporting, Patient Safety, and the Physician. … February 4, 2009 Voluntary review of quality of care peer review for patient safety. … March 8, 2023 Explaining the negative effects of patient participation in patient safety

9388. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49638/psn-pdf
      January 01, 2012 - this, as well as the belief that the attending ICU physician was in-house throughout the night, neither … outside what the mental model predicts or therapy does not produce the expected improvement, unit culture … the critical care culture. … communication, member role definition, and culture are all required to provide optimal care for the critically … Jt Comm J Qual Patient Safety. 2008;34:333-341. [go to PubMed] 14.

9389. Don't come back, hospitals say. | PSNet
      psnet.ahrq.gov/issue/dont-come-back-hospitals-say
      August 17, 2016 - July 24, 2008 View More Related Resources The impact of the COVID … -19 pandemic on Emergency Department visits and patient safety in the United States. … August 26, 2020 Hospital safety: your responsibility or theirs? … : results of two exploratory studies. … May 2, 2012 To be safe, keep track of pills.

9390. Learning from Disasters: A Management Approach. Third ed. | PSNet
      psnet.ahrq.gov/issue/learning-disasters-management-approach-third-ed
      June 18, 2013 - September 10, 2014 Practical Patient Safety. … August 6, 2016 A Socio-cultural Perspective on Patient Safety. … June 15, 2011 The Habits of an Improver. … October 28, 2010 The competitive imperative of learning. … December 21, 2008 Event reporting: the value of a nonpunitive approach.

9391. Patient Stories 2013: Time for Change. | PSNet
      psnet.ahrq.gov/issue/patient-stories-2013-time-change
      November 14, 2011 - November 14, 2011 The perception of patient safety in an alternate site of care for elective … April 24, 2013 Involving Patients in Improving Safety. … January 30, 2013 Management and patient safety of complex elderly patients in primary … August 6, 2016 Identifying Risks and Monitoring Safety: the Role of Patients and Citizens … November 21, 2016 Safety in Doses.

9392. Signout Fallout | PSNet
      psnet.ahrq.gov/web-mm/signout-fallout
      November 16, 2022 - errors and patient safety. … Drawing on the lessons from major patient safety successes that had implemented a bundle of complementary … Because handoff processes become entrenched in institutional culture, efforts to improve them require … Hospital Boston Director, Sleep and Patient Safety Program, Sleep Medicine, Departments of Medicine … December 19, 2018 Association of patient and family reports of hospital safety climate

9393. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33622/psn-pdf
      November 01, 2005 - patient safety. … evidence-based interventions to improve patient safety and decrease mortality in six clinical areas … What's the culture? … DB: We have a set of values that we try to use here that guide the operational culture of the organization … End of story.

9394. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836850/psn-pdf
      March 31, 2022 - Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices.1 … “medication error” as 1 of 22 nursing- sensitive issues that can affect patient safety outcomes. … The report recommended transitioning to a “Just Culture” in nursing school programs. … Research on medication safety should promote the use of improved practices that are standardized in … Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices.

9395. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33772/psn-pdf
      September 01, 2014 - We spoke with her about overuse of medical care and its effect on patient safety. Dr. … Fear of malpractice suits drives overuse. Beliefs are a factor. … Physicians and patients have their beliefs about medicine and its possibilities and limitations. … Overuse is a patient safety concern, not just a financial burden. … At a National Patient Safety Foundation meeting, 80% of people raised their hand indicating that they

9396. Relationships Between Physician Professional Satisfaction and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/relationships-between-physician-professional-satisfaction-and-patient-safety
      September 29, 2017 - and the quality and safety of care? … On the other hand, there might truly be a relationship, but the available measures of quality and safety … If the underlying causes of physician dissatisfaction also seem likely to threaten the safety of patients … Instead, as with other indicators of threats to quality and safety, the best responses to physicians' … Mental Health March 29, 2023 The barriers and enhancers to trust in a just culture

9397. Core Entrustable Professional Activities for Entering Residency. | PSNet
      psnet.ahrq.gov/issue/core-entrustable-professional-activities-entering-residency
      June 01, 2022 - Washington, DC: Association of American Medical Colleges; 2014. … February 15, 2023 Oxford Professional Practice: Handbook of Patient Safety. … improvement and patient safety from perspectives of interprofessional teams. … of medical training: an annotated bibliography. … to assess socio-cultural dimensions of patient safety competency.

9398. The Inside of a Time Out | PSNet
      psnet.ahrq.gov/web-mm/inside-time-out
      March 01, 2004 - Patient Safety Goal and the following year required compliance with a Universal Protocol.( 1,2 ) The … have all identified the reduction of wrong site surgeries as a high priority patient safety initiative … the anesthesia and nursing staff.( 10 ) It is likely that the traditional culture found in surgical … members of the team from speaking up, since this will significantly hamper any patient safety effort, … Paper presented at: 2007 Executive Symposium on Surgical Safety; July 15-17, 2007; Beaver Creek, CO.

9399. In Conversation With…David C. Classen, MD, MS | PSNet
      psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms
      May 01, 2012 - of the Institute of Medicine Committee on Patient Safety and Health Information Technology. … for (a positive blood culture looking for evidence of a certain kind of infection) and other triggers … Building a safety culture clearly has a big part in enabling people to report problems in the system … One argument is that this effort is an essential part of building a culture of safety. … I think that's going to be a very different view of safety.

9400. Getting the Diagnosis Both Right and Wrong | PSNet
      psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
      May 29, 2024 - While the patient was being coded, the laboratory called the ICU to report that the patient had blood cultures … Review of the laboratory results and chart revealed that the ICU team had ordered blood cultures and … Teamwork is most effective when all members of the team feel a sense of psychological safety to question … November 13, 2024 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … and Quality April 26, 2023 Patient Safety Innovations