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Showing results for "culture of safety".

9561. Assessing patient safety in a pediatric telemedicine setting: a multi-methods study. | PSNet
      psnet.ahrq.gov/issue/assessing-patient-safety-pediatric-telemedicine-setting-multi-methods-study
      May 01, 2024 - Assessing patient safety in a pediatric telemedicine setting: a multi-methods study. … , (2) experience, (3) use of rules of thumb and protocols, (4) making shared decisions with parents, … improvement and patient safety from perspectives of interprofessional teams. … of Diagnosis. … August 19, 2020 Response of practicing chiropractors during the early phase of the COVID

9562. In Conversation With... Jack Westfall, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-jack-westfall-md-mph
      September 28, 2022 - The community culture around medical care matters, and if people don’t understand the complexities of … that could happen at the dinner table, at the bowling alley, or at the livestock sale barn, and the culture … I think there’s been a broad culture change over the last 20 years related to this, but I think there … Part of it became some of the work that AHRQ continued, specifically the lab safety component of the … Lab safety was one of the conditions for which we found a larger number of patient safety events like

9563. One Toxic Drug Is Not Like Another | PSNet
      psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
      October 02, 2019 - and patient safety. … Concerned for the patient's safety and well-being, the medical director instructed the clinic staff to … Impeding this change in culture is the lack of robust, systematic assessment approaches, fear of retribution … The Culture Code: An Ingenious Way to Understand Why People Around the World Live and Buy as They Do. … Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

9564. Preventing wrong site, procedure, and patient events using a common cause analysis. | PSNet
      psnet.ahrq.gov/issue/preventing-wrong-site-procedure-and-patient-events-using-common-cause-analysis
      October 03, 2017 - Download Citation Related Resources From the Same Author(s) Patient safety … December 21, 2017 The link between clinically validated patient safety indicators and … Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety … April 24, 2018 Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator … View More Related Resources Grading recommendations for enhanced patient safety

9565. Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards. | PSNet
      psnet.ahrq.gov/issue/inpatient-suicide-mental-health-units-veterans-affairs-va-hospitals-avoiding-environmental
      September 05, 2018 - a national interprofessional fellowship in patient safety. … Safety Program: a model to spread change. … March 18, 2020 Use of the Safety Attitudes Questionnaire as a measure in patient safety … safety incidents in Norway. … March 6, 2019 Nursing staff's perceptions of patient safety in psychiatric inpatient

9566. Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events. | PSNet
      psnet.ahrq.gov/issue/residents-reflections-quality-improvement-temporal-stability-and-associations-preventability
      September 20, 2011 - Associations between attending physician workload, teaching effectiveness, and patient safety … September 29, 2017 The effects of power, leadership and psychological safety on resident … 24, 2012 Poor resident–attending intraoperative communication may compromise patient safety … the safety of analgesic prescription practice in the transition from the hospital to home. … 6, 2009 View More See More About The Topic Hospitals Quality and Safety

9567. High-alert medication stratification tool-revised: an exploratory study of an objective, standardized medication safety tool. | PSNet
      psnet.ahrq.gov/issue/high-alert-medication-stratification-tool-revised-exploratory-study-objective-standardized
      September 23, 2020 - an objective, standardized medication safety tool. … Medication Safety Tool. … Medication Safety Tool. … of medication errors. … May 18, 2011 Medication safety program reduces adverse drug events in a community hospital

9568. Working with a fixed operating room team on consecutive similar cases and the effect on case duration and turnover time. | PSNet
      psnet.ahrq.gov/issue/working-fixed-operating-room-team-consecutive-similar-cases-and-effect-case-duration-and
      January 07, 2015 - January 7, 2015 Effect of a comprehensive surgical safety system on patient outcomes. … September 20, 2011 Development and validation of the SURgical PAtient Safety System ( … ) to assess socio-cultural dimensions of patient safety competency. … October 15, 2014 The surgical safety checklist and teamwork coaching tools: a study of … January 4, 2011 A prospective study of patient safety in the operating room.

9569. The girl who cried pain: a bias against women in the treatment of pain. | PSNet
      psnet.ahrq.gov/issue/girl-who-cried-pain-bias-against-women-treatment-pain
      February 08, 2023 - safety incidents in Norway. … including before and after implementation of the WHO surgical safety checklist. … February 2, 2022 Impact of the WHO Surgical Safety Checklist relative to its design and … November 24, 2021 We asked the experts: the WHO Surgical Safety Checklist and the COVID … October 7, 2020 Nonoperating room anaesthesia: safety, monitoring, cognitive aids and

9570. VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses of Adverse Events. | PSNet
      psnet.ahrq.gov/issue/va-health-care-actions-needed-assess-decrease-root-cause-analyses-adverse-events
      November 22, 2017 - The National Center for Patient Safety (NCPS) has contributed to patient safety improvement initiatives … August 15, 2018 Patient Safety: HHS Has Taken Steps to Address Unsafe Injection Practices … November 29, 2023 Evaluation of Quality, Safety, and Value in Veterans Health Administration … January 29, 2020 Implementing a Program of Patient Safety in Small Rural Hospitals. … March 30, 2016 Developing and deploying a patient safety program in a large health care

9571. Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. | PSNet
      psnet.ahrq.gov/issue/use-audit-feedback-implementation-strategy-promote-medication-error-reporting-nurses
      March 24, 2021 - Audit and feedback are key patient safety strategies intended to improve error reporting behavior . … promote patient safety event reporting by trainees. … causation: refining and validating the systems thinking safety tenets. … April 27, 2022 Associations between safety outcomes and communication practices among … December 16, 2020 Nursing peer review: developing a framework for patient safety.

9572. Kaiser Permanente's innovation on the front lines. | PSNet
      psnet.ahrq.gov/issue/kaiser-permanentes-innovation-front-lines
      January 20, 2021 - January 20, 2021 Meta-analyses of the effects of standardized handoff protocols on patient … May 5, 2018 Anticoagulation patient safety goal compliance at a university health system … November 1, 2011 Promoting health care safety through training high reliability teams … April 6, 2011 Ten years after the IOM report: engaging residents in quality and patient safety … March 4, 2011 Medication reconciliation at an academic medical center: implementation of

9573. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867497/psn-pdf
      February 26, 2025 - National reports of events are collated and made public with follow-up to device manufacturers on safety … to inter-professional culture differences and ways of sharing knowledge and information between clinical … determine whether the devices under consideration are likely to be helpful at that site, given that site’s culture … The Swiss cheese model of safety incidents: are there holes in the metaphor?. … Principles of Perioperative Safety and Efficiency.

9574. Sustained decrease in latent safety threats through regular interprofessional in situ simulation training of neonatal emergencies. | PSNet
      psnet.ahrq.gov/issue/sustained-decrease-latent-safety-threats-through-regular-interprofessional-situ-simulation
      June 15, 2016 - October 18, 2023 Healthcare workers' experiences of patient safety in the intensive care … June 19, 2013 The role of an assistant nurse in implementing the WHO Surgical Safety … debrief on maximizing training while sensing patient safety threats. … May 22, 2019 Impact of the Agency for Healthcare Research and Quality's Safety Program … November 13, 2011 In situ simulation: a method of experiential learning to promote safety

9575. Battle Buddy Pocket Card - Final (1) (pdf file)
      psnet.ahrq.gov/sites/default/files/2021-09/Battle%20Buddy%20Pocket%20Card%20-%20final%20(1).pdf
      January 01, 2021 - safety and control. … Many of us are experiencing unusual levels of professional anxiety and stress under these “battlefield … A cognitively and emotionally resilient team culture. … What strengths and resilience factors will you make use of? … Experiencing working conditions that are hazardous or have insufficient supplies •Worrying about the safety

9576. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50613/psn-pdf
      October 30, 2019 - In the way I saw it in the trenches as a clinician, we had relatively narrow conceptions of safety that … dignity is in service of safety and other things that we care about as well. … of safety. … narrow conceptualization of safety in that we don't harm you in the process of delivering care—how … change culture, what does that look like to get to a better place?

9577. The Forgotten Med | PSNet
      psnet.ahrq.gov/web-mm/forgotten-med
      July 01, 2006 - The physician ordered stat blood cultures, electrolytes, and a head CT scan. … A 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

9578. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33564/psn-pdf
      March 15, 2025 - CPOE systems were originally developed to improve the safety of medication orders, but modern systems … New Safety Concerns: Implementation Issues and Workflow Impact of CPOE The implementation of CPOE has … and vulnerability testing, to achieve the safety potential of CPOE. … new types of errors Unexpected changes in an institution's power structure, organizational culture, … Safety Primer.

9579. How can interventions more directly address drivers of unprofessional behaviour between healthcare staff? | PSNet
      psnet.ahrq.gov/issue/how-can-interventions-more-directly-address-drivers-unprofessional-behaviour-between
      October 09, 2024 - Disruptive and unprofessional behavior jeopardizes patient safety and the overall quality of care. … : a study of staff experiences of speaking up across seven hospitals. … June 26, 2024 What can safety cases offer for patient safety? … March 8, 2023 National patient safety goal to improve health care equity. … management, safety, and staff engagement.

9580. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33842/psn-pdf
      January 01, 2018 - Assessing the Safety of Electronic Health Records: What Have We Learned? … the range of safety problems and identify potential solutions. … Of course, EHR-related patient safety exists as a subset of an organization's overall safety programs … As such, another key facet of this work is for organizational leadership to create the blame-free culture … Identification and Prioritization of HIT Patient Safety Measures.