Results

Total Results: over 10,000 records

Showing results for "culture of safety".

9441. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45119/psn-pdf
      November 18, 2016 - Investigators found that broader organizational efforts to improve safety culture facilitated an atmosphere

9442. Racism as a Root Cause approach: a new framework. | PSNet
      psnet.ahrq.gov/issue/racism-root-cause-approach-new-framework
      December 17, 2020 - From the Same Author(s) How structural racism works - racist policies as a root cause of … December 17, 2020 Incoming interns recognize inadequate physical examination as a cause of … July 15, 2020 Increasing physician reporting of diagnostic learning opportunities. … safety collaborative. … safety or teamwork, can we only pick one?

9443. Simulation based adverse event reporting system: development and feasibility. | PSNet
      psnet.ahrq.gov/issue/simulation-based-adverse-event-reporting-system-development-and-feasibility
      July 08, 2020 - December 15, 2014 Health system redesign of cardiac monitoring oversight to optimize … alarm management, safety, and staff engagement. … February 27, 2019 Perceived causes of prescribing errors by junior doctors in hospital … professional learners: a scoping review of the barriers and enablers. … OSCE) to assess socio-cultural dimensions of patient safety competency.

9444. Health literacy and quality: focus on chronic illness care and patient safety. | PSNet
      psnet.ahrq.gov/issue/health-literacy-and-quality-focus-chronic-illness-care-and-patient-safety
      September 26, 2012 - Health literacy and quality: focus on chronic illness care and patient safety. … evaluation of hospital medication-related clinical decision support. … March 9, 2022 National trends in the safety performance of electronic health record systems … June 17, 2020 Assessing the safety of electronic health records: a national longitudinal … study of medication-related decision support.

9445. Rapid Response Systems | PSNet
      psnet.ahrq.gov/curated-library/rapid-response-systems
      September 15, 2024 - hospital mortality and the incidence of in-hospital cardiorespiratory arrest. … Perspectives (1) Surveillance Monitoring to Improve Patient Safety … and how a culture of safety can enable care team members to voice concerns about patient safety.  … Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units Susan McGrath, PhD … and treat the patient with the goal of preventing adverse clinical outcomes.

9446. Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. | PSNet
      psnet.ahrq.gov/issue/clinical-lab-quality-cms-and-survey-organization-oversight-should-be-strengthened
      September 28, 2010 - This government report found that the clinical laboratory survey process is flawed, allowing safety requirements … June 25, 2010 VA Patient Safety Program: A Cultural Perspective at Four Medical Facilities … February 1, 2023 Cybersecurity is Patient Safety: Policy Options in the Health Care Sector … Device Safety Fails Patients. … study of key stakeholders.

9447. Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety. | PSNet
      psnet.ahrq.gov/issue/assessment-quality-data-provided-pap-test-requisitions-implications-quality-care-and-patient
      March 15, 2017 - for quality of care and patient safety. … Assessment of quality of data provided on Pap test requisitions: implications for quality of care and … patient safety. … patient safety. … safety.

9448. Human factors of complex sociotechnical systems. | PSNet
      psnet.ahrq.gov/issue/human-factors-complex-sociotechnical-systems
      June 09, 2021 - September 13, 2023 A roadmap to advance patient safety in ambulatory care. … October 3, 2013 SEIPS 3.0: human-centered design of the patient journey for patient safety … February 19, 2020 Application of human factors to improve usability of clinical decision … evidence-based design strategies on patient safety, healing, and satisfaction in an adult inpatient … October 9, 2013 Patient Safety: An Engineering Approach.

9449. Delay in Malignancy Diagnosis Reflects Systemic Failures | PSNet
      psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
      September 25, 2019 - Approach to Improving Safety & Patient Safety Target The Three Phases of Error in Pathology As with clinical … May 27, 2020 Education for the next frontier in patient safety: a longitudinal resident … July 19, 2023 Rooting an error review process in just culture: lessons learned. … Echocardiogram Result Lost to Follow-up June 14, 2023 Patient Safety … a Positive Blood Culture July 1, 2017 WebM&M Cases

9450. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49748/psn-pdf
      December 01, 2015 - 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 … infection, including a urinalysis, blood cultures, and a chest radiograph. … ascites in almost 90% of patients, compared to about 50% of those given furosemide alone. … There are no data on the safety of large volume paracentesis in patients with SBP.

9451. Patient, carer and family experiences of seeking redress and reconciliation following a life-changing event: systematic review of qualitative evidence. | PSNet
      psnet.ahrq.gov/issue/patient-carer-and-family-experiences-seeking-redress-and-reconciliation-following-life
      April 24, 2018 - event: systematic review of qualitative evidence. … event: systematic review of qualitative evidence. … April 24, 2018 Patient safety after implementation of a coproduced family centered communication … key stakeholders: a review of the qualitative evidence. … August 17, 2022 Why accountability sharing in health care organizational cultures means

9452. Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things. | PSNet
      psnet.ahrq.gov/issue/safety-learning-among-young-newly-employed-workers-three-sectors-challenge-assumed-order
      August 12, 2020 - of things. … Safe workplaces, and employees who work safely, are an important component of patient safety. … This study explores new employees’ safety learning in three sectors, including care of older adults … July 29, 2020 The potential of artificial intelligence to improve patient safety: a scoping … December 9, 2014 Case studies of patient safety research classics to build research capacity

9453. Attitudes to patient safety amongst medical students and tutors: developing a reliable and valid measure. | PSNet
      psnet.ahrq.gov/issue/attitudes-patient-safety-amongst-medical-students-and-tutors-developing-reliable-and-valid
      August 02, 2012 - December 21, 2016 Improving patient safety through the involvement of patients: development … and evaluation of novel interventions to engage patients in preventing patient safety incidents and … July 21, 2017 Exploring how ward staff engage with the implementation of a patient safety … factors shaping the role of a safety professional. … to assess socio-cultural dimensions of patient safety competency.

9454. The limits of knowledge management for UK public services modernization: the case of patient safety and service quality. | PSNet
      psnet.ahrq.gov/issue/limits-knowledge-management-uk-public-services-modernization-case-patient-safety-and-service
      January 29, 2014 - case of patient safety and service quality. … THE LIMITS OF KNOWLEDGE MANAGEMENT FOR UK PUBLIC SERVICES MODERNIZATION: THE CASE OF PATIENT SAFETY AND … THE LIMITS OF KNOWLEDGE MANAGEMENT FOR UK PUBLIC SERVICES MODERNIZATION: THE CASE OF PATIENT SAFETY AND … March 3, 2021 Content analysis of patient safety incident reports for older adult patient … The Report of the Independent Medicines and Medical Devices Safety Review.

9455. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46475/psn-pdf
      April 16, 2018 - Participants cited time, the reporting process, culture, organizational issues, and inadequate feedback … incident-reporting-behaviours-following-francis-report-cross-sectional-survey https://psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please

9456. Spotlight: Overdiagnosis and Delay: Challenges in Sepsis Diagnosis | PSNet
      psnet.ahrq.gov/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis
      October 28, 2020 - Blood cultures can take 24–48 hours to turn positive, and most patients with sepsis do not have documented … bacteremia.( 2 ) Many patients with sepsis, in fact, never have pathogens recovered from any cultures … shown that these alerts lead clinicians to more frequently order lactate, chest radiographs, blood cultures … Characteristics and outcomes of culture-negative versus culture-positive severe sepsis. … February 27, 2019 The potential of artificial intelligence to improve patient safety:

9457. Barriers to nurses' reporting of medication administration errors in Taiwan. | PSNet
      psnet.ahrq.gov/issue/barriers-nurses-reporting-medication-administration-errors-taiwan
      May 01, 2006 - August 15, 2013 Medication safety teams' guided implementation of electronic medication … September 4, 2016 Findings of a naloxone database and its utilization to improve safety … July 10, 2013 A plan for achieving significant improvement in patient safety. … January 19, 2011 Nursing 2006 Patient-safety survey report. … July 21, 2010 Professional commitment, patient safety, and patient-perceived care quality

9458. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49479/psn-pdf
      April 01, 2005 - The physician ordered stat blood cultures, electrolytes, and a head CT scan. … second common preventive approach aims to redesign workflow and build in safety checks. … Custom documentation is common for higher-risk nursing tasks, such as documenting patient-controlled … 6), rendering the safety checks ineffective. … Computerized provider order entry (CPOE) is a powerful tool to address a range of patient safety issues

9459. Learning from disasters to improve patient safety: applying the generic disaster pathway to health system errors. | PSNet
      psnet.ahrq.gov/issue/learning-disasters-improve-patient-safety-applying-generic-disaster-pathway-health-system
      June 23, 2010 - Commentary Learning from disasters to improve patient safety: applying the generic … undergoing a safety improvement programme. … June 29, 2011 Implementation of a patient safety incident management system as viewed … Learning from disasters to improve patient safety. … Learning from disasters to improve patient safety.

9460. Quality improvement in medical education: current state and future directions. | PSNet
      psnet.ahrq.gov/issue/quality-improvement-medical-education-current-state-and-future-directions
      June 09, 2015 - promotion in departments of medicine: innovative language in promotion criteria. … July 13, 2016 Learning through experience: influence of formal and informal training … February 15, 2023 A state-of-the-art review of speaking up in healthcare. … A multicentre experimental study of Isabel. … to assess socio-cultural dimensions of patient safety competency.