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Total Results: over 10,000 records

Showing results for "culture of safety".

9581. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49699/psn-pdf
      February 01, 2014 - identifying, reporting, and analyzing medication errors, all organizations should actively cultivate a culture … ISMP Medication Safety Alert! Acute Care Edition. Medication error prevention "toolbox." … ISMP Medication Safety Alert! Community/Ambulatory Care Edition. … ISMP Medication Safety Alert! Acute Care Edition. … of a just culture of safety Table 2.

9582. Experiences and perceptions of healthcare stakeholders in disclosing errors and adverse events to historically marginalized patients. | PSNet
      psnet.ahrq.gov/issue/experiences-and-perceptions-healthcare-stakeholders-disclosing-errors-and-adverse-events
      July 31, 2024 - This qualitative study involving clinicians and patient safety professionals explored challenges responding … February 28, 2024 What safety events are reported for ambulatory care? … Analysis of incident reports from a patient safety organization. … a patient safety incident: a cross-sectional study in Flanders (Belgium). … patient safety.

9583. Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of an oncology-acute care for elders unit.   | PSNet
      psnet.ahrq.gov/issue/polypharmacy-hospitalized-older-adult-cancer-patients-experience-prospective-observational
      July 19, 2023 - of medication errors in nearly one of every eight inpatients. … July 19, 2023 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … January 2, 2017 Anticoagulation patient safety goal compliance at a university health … oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety … a safety enhancement to the hospital medication reconciliation process for elderly patients.

9584. Medical error: using storytelling and reflection to impact error response factors in family medicine residents. | PSNet
      psnet.ahrq.gov/issue/medical-error-using-storytelling-and-reflection-impact-error-response-factors-family-medicine
      June 05, 2019 - June 5, 2019 HIM functions in healthcare quality and patient safety. … safety-related behaviors among different age groups: web-based cross-sectional study. … pandemic influence quality and safety? … October 6, 2011 Patient safety features of clinical computer systems: questionnaire survey … of GP views.

9585. In Conversation With... James P. Bagian, MD, PE | PSNet
      psnet.ahrq.gov/perspective/conversation-james-p-bagian-md-pe
      February 26, 2025 - Bagian is Director of the Center for Healthcare Engineering and Patient Safety at the University of Michigan … of the VA National Center for Patient Safety from 1999–2010. … preserve the nonpunitive nature of the safety system. … RW : My own bias is I think the culture is pretty good in terms of the blame and nonblame in the system … Really, part of this is culture. RW : Yeah, and leadership. JB : And leadership.

9586. Risk Management and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/risk-management-and-patient-safety
      December 01, 2010 - I think we have a whole group of physicians who grew up with that belief system and who trained the next … generation in that belief system. … the notion of safety science, patient safety, and proactive safety. … I don't think it had anything to do with the places as much as the individual cultures of those hospitals … So families have an important role, but if I can be intimidated with what I know and my beliefs about

9587. Developing open disclosure strategies to medical error using simulation in final-year medical students: linking mindset and experiential learning to lifelong reflective practice. | PSNet
      psnet.ahrq.gov/issue/developing-open-disclosure-strategies-medical-error-using-simulation-final-year-medical
      September 29, 2018 - Findings reinforced the need for psychological safety , emotional arousal during learning, and both … and safety? … ) to assess socio-cultural dimensions of patient safety competency. … February 14, 2015 Improving Patient Safety Through Simulation Research. … April 8, 2011 The teaching of a structured tool improves the clarity and content of interprofessional

9588. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39392/psn-pdf
      September 20, 2011 - Effect of point-of-care computer reminders on physician behaviour: a systematic review. … Effect of point-of-care computer reminders on physician behaviour: a systematic review. … the most widely recommended—and underutilized —safety strategies in health care. … However, this meta- analysis of 32 trials of point-of-care computer reminders found only small overall … improvements in adherence to target processes of care.

9589. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39294/psn-pdf
      January 03, 2017 - This study reviewed nearly 400 articles to outline the seven primary functions of handoffs with each … tied to a set of different interventions for improvement. … primary purpose of a handoff, and that the definition should avoid an overly narrow construct. … A past AHRQ WebM&M commentary discussed a case of a handoff error that led to an adverse event. … common-program-requirements-learning-and-working-environment-duty-hours https://psnet.ahrq.gov/issue/national-patient-safety-goals

9590. In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls | PSNet
      psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
      December 18, 2024 - I am part of the team that developed the Fall Tailoring Interventions for Patient Safety (TIPS) Toolkit … prevention strategies integrated into the day-to-day workflow, leadership support and an organizational culture … of safety is important to reducing falls. … One study examined the association between nursing unit safety culture, quality of care, nurse staffing … levels, and inpatient falls; the researchers found that nursing units with strong safety culture and

9591. The Ongoing Journey to Prevent Patient Falls | PSNet
      psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
      December 18, 2024 - prevention strategies integrated into the day-to-day workflow, leadership support and an organizational culture … of safety is important to reducing falls. … One study examined the association between nursing unit safety culture, quality of care, nurse staffing … levels, and inpatient falls; the researchers found that nursing units with strong safety culture and … I am part of the team that developed the Fall Tailoring Interventions for Patient Safety (TIPS) Toolkit

9592. Drug shortages: effect on parenteral nutrition therapy. | PSNet
      psnet.ahrq.gov/issue/drug-shortages-effect-parenteral-nutrition-therapy
      June 20, 2018 - June 12, 2018 ASPEN parenteral nutrition safety consensus recommendations: translation … May 19, 2014 ASPEN parenteral nutrition safety consensus recommendations. … 28, 2017 WebM&M Cases Coming Up Short: Maintaining Safety … April 11, 2011 Computerized prescriber order entry–related patient safety reports: analysis … of 2522 medication errors.

9593. Double Dosing, by the Rules | PSNet
      psnet.ahrq.gov/web-mm/double-dosing-rules
      February 03, 2010 - to patient safety. … All too often the safety committee acts without the benefit of insightful input from the practitioners … Safety Strategies Recommendations To decrease the probability of future errors involving the medication-use … toward a culture that is collaborative and supports questions pertaining to drug therapy. … December 9, 2020 Safety enhancements every hospital must consider in wake of another

9594. In Conversation With… David Blumenthal, MD, MPP | PSNet
      psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp
      July 01, 2012 - It was not possible given our size, political culture, and political institutions. … Most of us believed health IT would automatically improve safety. … Our current policy is based on the belief that anything that encourages the purchase and use of health … This belief that health IT, by itself, improves care and reduces costs has not only diminished government … Statement of Commitment to Patient Safety and a Learning Healthcare System.

9595. Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? | PSNet
      psnet.ahrq.gov/issue/physicians-views-interventions-reduce-medical-errors-does-evidence-effectiveness-matter
      February 18, 2011 - September 20, 2011 Patient identification of diagnostic safety blindspots and participation … and patient safety. … February 15, 2023 Filling a gap in safety metrics: development of a patient-centred framework … May 15, 2019 In pursuit of quality and safety: an 8-year study of clinical peer review … August 2, 2015 National pediatric anesthesia safety quality improvement program in the

9596. Driven to distraction: a prospective controlled study of a simulated ward round experience to improve patient safety teaching for medical students. | PSNet
      psnet.ahrq.gov/issue/driven-distraction-prospective-controlled-study-simulated-ward-round-experience-improve
      March 14, 2022 - patient safety teaching for medical students. … patient safety teaching for medical students. … patient safety: an evaluation study. … ) to assess socio-cultural dimensions of patient safety competency. … February 14, 2015 Levels of reflective thinking and patient safety: an investigation

9597. Effect of point-of-care computer reminders on physician behaviour: a systematic review. | PSNet
      psnet.ahrq.gov/issue/effect-point-care-computer-reminders-physician-behaviour-systematic-review
      September 02, 2009 - Computerized provider order entry (CPOE) is one of the most widely recommended—and underutilized —safety … March 13, 2013 Advancing the science of patient safety. … December 21, 2022 Safe but sound: patient safety meets evidence-based medicine. … safety alerts on patient safety, health care utilization, and cost in ambulatory care. … September 10, 2014 Overriding of drug safety alerts in computerized physician order entry

9598. Suicide Risk in the Hospital | PSNet
      psnet.ahrq.gov/web-mm/suicide-risk-hospital
      November 01, 2011 - Finally, there are problems with the safety of the environment of care on this unit. … Mills, PhD, MS Director, VA National Center for Patient Safety Field Office Veterans Affairs Medical … Suicide-specific safety in the inpatient psychiatric unit. … Inpatient suicide prevention: promoting a culture and system of safety over 30 years of practice. … September 18, 2019 Analysis of reported suicide safety events among veterans who received

9599. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72563/psn-pdf
      December 07, 2020 - Suda, PharmD, MS is a professor at the University of Pittsburgh School of Medicine in the Division of … We’ve seen that it is a culture issue as well as their own individual practices. … KH: Has anybody looked at what the safety culture is within dental practices and how that correlates … KH: Do you think that this culture is a function of dental training that is instilled early on?   … Culture, as you know, is very hard to tease out, but we are conducting qualitative interviews of dentists

9600. Antibiotic prescribing practice in residential aged care facilities—health care providers' perspectives. | PSNet
      psnet.ahrq.gov/issue/antibiotic-prescribing-practice-residential-aged-care-facilities-health-care-providers
      November 12, 2014 - multi-hospital before–after observational study using a point-prevalence approach with an infusion safety … July 13, 2022 Patient Safety Primers Coronavirus Disease … 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes February 24, 2022 … October 29, 2014 Measuring safety climate in elderly homes. … See More About The Topic Long-Term Care Health Care Providers Quality and Safety