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Showing results for "culture of safety".

9601. Health economic evaluation of an infection prevention and control program: are quality and patient safety programs worth the investment? | PSNet
      psnet.ahrq.gov/issue/health-economic-evaluation-infection-prevention-and-control-program-are-quality-and-patient
      June 02, 2021 - Health economic evaluation of an infection prevention and control program: are quality and patient safety … Health economic evaluation of an infection prevention and control program: are quality and patient safety … to assess socio-cultural dimensions of patient safety competency. … July 19, 2023 The association of the nurse work environment and patient safety in pediatric … Analysis of publicly reported patient safety data from 2008 to 2011.

9602. In Conversation With… Maureen Bisognano | PSNet
      psnet.ahrq.gov/perspective/conversation-maureen-bisognano
      February 26, 2025 - Let me just give you a couple of examples of the new way we're thinking at IHI about safety. … Our goal statement is that by 2018 we will have accomplished new levels of safety across the country, … It was well before the publication of the IOM reports on safety and quality. … In other words, the culture and context matter, the leaders matter, and the mechanism is the change concept—it's … Hence, the theory was that if you understood your culture and you had a mechanism that you could try

9603. Medication Errors and Adverse Drug Events | PSNet
      psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
      December 15, 2024 - Preventing medication errors requires specific steps to ensure safety at each stage of the pathway (Table … engineering  issues and impaired  safety culture —that allowed individual prescribing or administration … June 19, 2024 Patient Safety Primers Patient Safety 101 … Transitions of Care: Challenges and Safety Practices March 27, 2024 … Patient Safety Primers Post-Acute Transitional Services: Safety in Home-Based

9604. Advance Alert Monitor Program: An Automated Early Warning System for Adults At Risk for In-Hospital Clinical Deterioration | PSNet
      psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-risk-hospital
      October 30, 2024 - Implementation of this innovation resulted in improved patient safety and quality for patients at high … Innovation Patient Safety Focus The innovation uses an early detection alert system to identify patients … of the ICU is a potentially preventable patient safety issue associated with increased mortality and … Build and maintain a shared safety culture to minimize communication gaps. … Sepsis May 31, 2023 Patient Safety Innovations

9605. Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. | PSNet
      psnet.ahrq.gov/issue/clearing-error-using-public-deliberation-define-patient-roles-partners-diagnostic-process
      September 13, 2016 - Diagnosis June 24, 2020 Medical Error Reporting System Could Boost Patient Safety … Related Resources Annual Perspective Equity in Patient Safety … 27, 2024 Annual Perspective Improving Diagnostic Safety … : the perspective of 696 injured patients and families. … November 23, 2016 Reporting of sentinel events in Swedish hospitals: a comparison of

9606. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49441/psn-pdf
      March 01, 2004 - Physicians are undoubtedly influenced by their own sense of the importance of various pieces of data … Moreover, signouts are carried out in a culture unique to their hospital or training program. … The sign-out process should be standardized to include the following: Change of culture to more obviously … Gaps in the continuity of care and progress on patient safety. … Tools of continuity: the content of inpatient check-out lists [Abstract].

9607. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33623/psn-pdf
      December 01, 2005 - the patient safety gains of the 2004 legislation. … in discussing patient safety initiatives. … care more transparent and evidence based—the cornerstones of patient safety. … a wider culture of dysfunction in the US health care system. … Accessed November 15, 2005. 9.President Signs Patient Safety and Quality Improvement Act of 2005 [news

9608. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33837/psn-pdf
      July 01, 2017 - We spoke with her about legal issues in patient safety. Dr. Robert M. … How did the dynamic of that relationship change when the patient safety field became a thing 15 years … the patient safety movement and additional research on the causality of medical error, we become more … the culture of the notion that adversarial clashes tend to produce the truth. … It is a massive culture shift for institutions to move from a traditional "deny-and-defend" posture to

9609. The Weekend Effect in Cardiology: Is It Real? If So, Can It Be Fixed? | PSNet
      psnet.ahrq.gov/perspective/weekend-effect-cardiology-it-real-if-so-can-it-be-fixed
      June 01, 2017 - In one hospital I worked at, the microbiologist had to come in to deal with your blood culture. … So, you were encouraged not to do blood cultures on the weekend. … We published in Quality and Safety in Health Care in 2009; the study received huge amounts of press … Transitions of Care: Challenges and Safety Practices March 27, 2024 Guidelines … quality of care and patient safety.

9610. The aspects of healthcare quality that are important to health professionals and patients: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/aspects-healthcare-quality-are-important-health-professionals-and-patients-qualitative-study
      September 08, 2021 - Massive open online course (MOOC) learning builds capacity and improves competence for patient safety … September 8, 2021 The National Emergency Department Safety Study: study rationale and … June 7, 2008 Barriers and facilitators to patient engagement in patient safety from patients … March 15, 2023 Filling a gap in safety metrics: development of a patient-centred framework … topic in healthcare quality, patient safety, person-centeredness and human resource management.

9611. Inside the epidemic of misdiagnosed women. | PSNet
      psnet.ahrq.gov/issue/inside-epidemic-misdiagnosed-women
      February 02, 2022 - Citation Text: Inside the epidemic of misdiagnosed women. Rabbitt M. Prevention Magazine. … Resources From the Same Author(s) Improving hospital infant safe sleep compliance by using safety … patient safety in the United States. … February 3, 2021 Without an 'ounce of empathy': their stories show the dangers of being … September 23, 2020 The risks of the prescribing cascade.

9612. The relationship between patients' perception of care and measures of hospital quality and safety. | PSNet
      psnet.ahrq.gov/issue/relationship-between-patients-perception-care-and-measures-hospital-quality-and-safety
      February 13, 2019 - care and measures of hospital quality and safety. … The relationship between patients' perception of care and measures of hospital quality and safety. … survey tool, and technical measures of quality and safety, measured through Hospital Quality Alliance … The relationship between patients' perception of care and measures of hospital quality and safety. … October 27, 2010 Tracking rates of patient safety indicators over time: lessons from

9613. A national survey assessing the number of records allowed open in electronic health records at hospitals and ambulatory sites. | PSNet
      psnet.ahrq.gov/issue/national-survey-assessing-number-records-allowed-open-electronic-health-records-hospitals-and
      May 29, 2019 - Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer … September 19, 2018 Examining the relationship of an all-cause harm patient safety measure … safety event reports. … record safety. … effectiveness and safety.

9614. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866216/psn-pdf
      July 10, 2024 - safety, quality, and affordability of the care that their enrollees receive. … of reimbursements to quality metrics related to patient safety outcomes. … majority of the examined patient safety indicators than privately insured patients. … Linking Patient Safety Culture to Quality Ratings in the Nursing Home Setting. … The role of insurers in maternity safety.

9615. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867651/psn-pdf
      February 26, 2025 - ”.2,3 The book Foundations of Safety Science describes over 100 years of the evolving science of safety … of safety science. … Management 2000s and on Safety Culture 2010s and on Resilience Engineering Adapted from Dekker (2019 … of human error.1, 13-15 This questioning of long held beliefs in safety science resulted in several … Hollnagel terms this the causality credo, which he defines as “the belief that adverse outcomes happen

9616. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73387/psn-pdf
      March 17, 2021 - must interact.1 Research has demonstrated that the built environment plays a critical role in the safety … modifications to their waiting room environments to support social distancing and patient safety. … However, as guidelines recommending safety parameters of the built environment are updated, there is … Culture and Redesign. Agency for Healthcare Research and Quality; 2008. … Advances in Patient Safety: New Directions and Alternatives; vol. 2. [PSNet] 3.

9617. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49635/psn-pdf
      September 01, 2011 - Recognizing human limitations allows us to design safety measures to mitigate the risk of human error … tubing misconnections is a part of the World Health Organization's "Nine patient safety solutions … Many manufacturers have already changed the design of their products to increase safety, but health … While we wait, we must increase awareness of human factors and create a health care culture that responds … safety.

9618. In Conversation With… Susan Smith, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-susan-smith-md
      August 01, 2019 - patient safety. … , the largest medical scribe staffing agency in the US, has stated that using scribes can support a culture … safety. … Identification and Prioritization of Health IT Patient Safety Measures. … Murphy M. 3 ways scribes support a culture of safety. Medical Scribe America. April 12, 2016.

9619. Validating domains of patient contextual factors essential to preventing contextual errors: a qualitative study conducted at Chicago area Veterans Health Administration sites. | PSNet
      psnet.ahrq.gov/issue/validating-domains-patient-contextual-factors-essential-preventing-contextual-errors
      September 20, 2011 - This qualitative study of clinicians identified 12 types of contextual errors that can impede patient … 2022 View More Related Resources The patient's role in patient safety … June 1, 2019 Patient engagement in patient safety: barriers and facilitators. … Chemotherapy patients' perspectives towards engaging in their safety. … in Patient Safety March 1, 2009 WebM&M Cases

9620. The influence of race and gender on pain management: a systematic literature review. | PSNet
      psnet.ahrq.gov/issue/influence-race-and-gender-pain-management-systematic-literature-review
      December 02, 2020 - patient safety efforts in infection prevention: a multi-center qualitative study. … July 3, 2014 Surgeon burnout, impact on patient safety and professionalism: a systematic … administration, and closed-loop electronic medication management systems on work processes and safety … April 7, 2021 Exploring mediating effects between nursing leadership and patient safety … April 5, 2023 Factors causing variation in World Health Organization surgical safety