Results

Total Results: over 10,000 records

Showing results for "culture of safety".

9401. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44909/psn-pdf
      March 23, 2016 - dispensing-errors-community-pharmacy-perceived-influence-sociotechnical-factors https://psnet.ahrq.gov/issue/community-pharmacy-survey-patient-safety-culture

9402. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44475/psn-pdf
      October 03, 2017 - national-surgical-quality-improvement-program https://psnet.ahrq.gov/issue/surgeon-scorecard https://psnet.ahrq.gov/issue/safety-culture-and-complications-after-bariatric-surgery

9403. Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009. | PSNet
      psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2009
      September 21, 2011 - America's hospitals continued to improve the quality of care they provide for myocardial infarction, … Compared to the prior report published in 2007, hospitals increased their provision of evidence-based … In particular, significant improvements were achieved in use of measures to prevent surgical site infections … May 18, 2016 Improving Communication During Transitions of Care. … December 1, 2010 Adverse Events in Hospitals: Care Study of Incidence Among Medicare

9404. Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2010. | PSNet
      psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2010
      November 23, 2016 - In the fifth report on the quality of care provided by hospitals in the United States, The Joint Commission … By these metrics, the overall quality of care has improved since 2007 for patients undergoing surgery … Mark Chassin, the president of the Joint Commission, discussed the organization's approach to improving … May 18, 2016 Improving Communication During Transitions of Care. … September 26, 2012 Safety First: Top of Your Board's Agenda: 100 Day Challenge Survey

9405. Patient safety knowledge and its determinants in medical trainees. | PSNet
      psnet.ahrq.gov/issue/patient-safety-knowledge-and-its-determinants-medical-trainees
      July 29, 2020 - patient safety concepts. … July 29, 2020 The effect of workload reduction on the quality of residents' discharge … July 2, 2009 The power of collaboration with patient safety programs: building safe passage … hospitals with many safety violations. … ) to assess socio-cultural dimensions of patient safety competency.

9406. Unintended Exposure of Patient Lisa Norris During Radiotherapy Treatment at the Beatson Oncology Centre, Glasgow in January 2006. | PSNet
      psnet.ahrq.gov/issue/unintended-exposure-patient-lisa-norris-during-radiotherapy-treatment-beatson-oncology-centre
      March 06, 2005 - Systems: A Handbook of Accident and Incident Reporting. … Safety. … Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer … July 31, 2023 Safety improvements urged for MRI facilities. … March 4, 2015 The effect of clinical history on accuracy of electrocardiograph interpretation

9407. Who Nose Where the Airway Is? | PSNet
      psnet.ahrq.gov/web-mm/who-nose-where-airway
      May 01, 2016 - One group suggested the use of a safety pin ( 5 ), while another recommended the use of an endotracheal … a 2007 National Patient Safety Goal. … and reinforce a culture of consistent communication. … Structured handoffs should be considered to minimize forgotten items and to reinforce a culture of consistency … December 14, 2022 Description and yield of current quality and safety review in selected

9408. Making Healthcare Safer III Report | PSNet
      psnet.ahrq.gov/perspective/making-healthcare-safer-iii-report
      March 30, 2020 - The included cross-cutting topics/practices are: improving safety culture; teamwork and team training … Most of our work is in patient safety and quality in the hospital space. … The new cross-cutting topics, such as Safety Culture, Teamwork and Communication, etc. also help to highlight … For all of the patient safety topics, we need to think about how to maximize the use of technology. … All of that affects patient safety.

9409. Doing Harm. | PSNet
      psnet.ahrq.gov/issue/doing-harm
      February 06, 2019 - This book discusses biases and cultural limitations that influence the safety of women's health care … Systemic problems are highlighted, such as lack of respect for patient concerns and insufficient biomedical … August 1, 2012 Global Patient Safety: Law, Policy and Practice. … July 7, 2021 The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer … Providers contextualise care more often when they discover patient context by asking: meta-analysis of

9410. Critical Incident Reviews, Significant Adverse Event Reports and Action Plans. | PSNet
      psnet.ahrq.gov/issue/critical-incident-reviews-significant-adverse-event-reports-and-action-plans
      June 26, 2019 - March 16, 2022 Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple … in general practice: an analysis of incident reports. … October 10, 2017 The role of the electronic health record in patient safety events. … August 7, 2013 With Safety in Mind: Mental Health Services and Patient Safety. … June 13, 2012 Patient Safety in Canada: An Update.

9411. Good for You, Good for Us, Good for Everybody. | PSNet
      psnet.ahrq.gov/issue/good-you-good-us-good-everybody
      October 20, 2021 - Overprescribing has attained prominence as a safety issue due to the current opioid epidemic, but it … has long reduced medication safety across the spectrum of health care. … The Report of the Independent Medicines and Medical Devices Safety Review. … March 30, 2022 The Safety of Maternity Services in England. … January 29, 2015 Safety First: One Year On.

9412. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49593/psn-pdf
      October 01, 2009 - One group suggested the use of a safety pin (5), while another recommended the use of an endotracheal … a 2007 National Patient Safety Goal. … and reinforce a culture of consistent communication. … Structured handoffs should be considered to minimize forgotten items and to reinforce a culture of consistency … Bar-coding surgical sponges to improve safety: a randomized controlled trial.

9413. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841305/psn-pdf
      January 27, 2023 - intention is a broad definition, including people, knowledge, equipment, physical spaces, protocols, culture … There are certainly contrasts between Safety-I and Safety-II, but components of both approaches are … Sarah Mossburg: There has been implementation of resilient healthcare, Safety-I, and Safety-II concepts … The question of “What went well?” really speaks to the Safety-II concept of safety as adaptation. … socio-technical systems, the physical environment, the protocols, the culture, the equipment, and the

9414. Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care. | PSNet
      psnet.ahrq.gov/issue/achieving-exceptional-patient-and-family-experience-inpatient-hospital-care
      August 09, 2017 - Book/Report Achieving an Exceptional Patient and Family Experience of Inpatient Hospital … Citation Text: Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care. … August 9, 2017 Respectful Management of Serious Clinical Adverse Events. … and Maintaining Patient Safety. … August 8, 2012 Patient Safety in the Home: Assessment of Issues, Challenges, and Opportunities

9415. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49636/psn-pdf
      October 01, 2011 - assistance and accessibility of the home), safety, and the types of services the patient will require … While this was driven by the belief that patients in the ICU were too sick to safely participate in … Regardless of the strategy to mobilize ICU patients, multidisciplinary teamwork and a culture that expects … A culture that expects this level of activity—in contrast to a tradition that encourages bedrest and … Early patient mobility in the ICU requires a culture shift that embraces mobilization and collaboration

9416. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49456/psn-pdf
      July 12, 2004 - However, despite potential implications for patient safety and medical errors, cross-coverage is not … In this culture, it is not surprising that a busy intern with limited or inadequate knowledge of a 71 … vigilance and performance has been ineffective.(5) Instead, efforts should focus on modifying the culture … In this case, patient unfamiliarity, inadequate signout, time limitations, and the institutional culture … Tools of continuity: the content of inpatient check-out lists [Abstract].

9417. Human Factors Engineering | PSNet
      psnet.ahrq.gov/primer/human-factors-engineering
      December 15, 2024 - Applications of Human Factors Engineering to Improving Safety The very nature of human factors engineering … The widening use of  checklists  as a means of ensuring that safety steps are performed in the correct … continuing pressures and challenges when the margins of safety have become thin. … March 23, 2022 SEIPS 3.0: human-centered design of the patient journey for patient safety. … October 4, 2017 Changing our culture: adopting the military aviation safety system.

9418. Nursing Homes: Despite Increased Oversight, Challenges Remain in Ensuring High-Quality Care and Resident Safety. | PSNet
      psnet.ahrq.gov/issue/nursing-homes-despite-increased-oversight-challenges-remain-ensuring-high-quality-care-and
      July 12, 2006 - This report shares findings from a 5-year review of nursing home quality and safety, which revealed inconsistencies … July 26, 2023 AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety … February 15, 2023 Long-Term Trends of Psychotropic Drug Use in Nursing Homes. … February 1, 2023 Evaluation of Quality, Safety and Value in Veterans Health Administration … August 17, 2022 Improving Diagnosis in Medicine Act of 2020.

9419. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.251_slideshow.ppt
      October 01, 2011 - Care Initial evaluation dictates plan of care and recommended safe discharge options Plan of care … response to therapy (e.g., physiological safety) See Notes for reference. … www.ncbi.nlm.nih.gov/pubmed/19446324 Shifting Paradigm in the ICU Multidisciplinary teamwork and a culture … Early patient mobility in the ICU requires a culture shift that embraces mobilization and collaboration … among all members of the team.

9420. Do you know what your doctor is talking about? | PSNet
      psnet.ahrq.gov/issue/do-you-know-what-your-doctor-talking-about
      May 01, 2013 - This newspaper article discusses the impact of limited health literacy on personal health and offers … July 22, 2009 Safety Climate: New Developments in Conceptualization, Theory, and Research … November 23, 2016 Safety Information for Patients and Families. … December 23, 2012 The wrong foot, and other tales of surgical error. … February 8, 2011 To be safe, keep track of pills.