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Showing results for "culture of safety".

9641. Inflicting Confusion | PSNet
      psnet.ahrq.gov/web-mm/inflicting-confusion
      August 04, 2021 - patients with increasing diarrhea or abdominal pain, stool studies including C. difficile toxin, culture … more recent data suggests this risk is likely due to thiopurine.( 17 ) Considering the complex safety … Stool culture, CDI testing, and screening for ova and parasites should be considered at admission for … Safety of infliximab and other Crohn's disease therapies: TREAT Registry data with a mean of 5 years … March 23, 2012 Patient safety in the cardiac operating room: human factors and teamwork

9642. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33626/psn-pdf
      January 01, 2006 - several others, works with health care providers and organizations in an effort to translate aviation safety … RW: In terms of culture, what did you expect to see when you began meeting doctors, nurses, and hospital … Because you're talking about wholesale culture change. … RW: When I speak about aviation and patient safety, I sometimes observe that your incentive is different … should be a greater motivation to try to do the best that you can to avoid error and improve patient safety

9643. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33797/psn-pdf
      January 01, 2016 - outside the mainstream conversation on patient safety. … Progress will require not only advances in the science but also changes to today's culture, which inhibits … To bolster measurement (9), patient safety teams can tap into a treasure trove of data from incident … Patient Safety Centers of Inquiry (PSCI). … Washington, DC: VA National Center for Patient Safety, US Department of Veterans Affairs; 2015.

9644. Engaging Seriously Ill Older Patients in Advance Care Planning | PSNet
      psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
      December 22, 2018 - with poorer patient ratings of quality of life in the terminal phase of the illness, lower ratings of … November 23, 2016 The relationship between organizational culture and family satisfaction … November 21, 2016 Organizational and safety culture in Canadian intensive care units: … August 23, 2023 Patient Safety Innovations Preventing Falls … 31, 2023 Annual Perspective Improving Diagnostic Safety

9645. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49471/psn-pdf
      December 01, 2004 - all states have laws and rules prohibiting licensing drivers with medical conditions that may pose safety … Based on generally favorable safety experiences with this standard and the growing importance of the … A single standard probably would not satisfy all because of varied culture, social and environmental … predictive of the risks of recurrence. … safety must be balanced against a parallel increase in non-compliance with reporting requirements seen

9646. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49502/psn-pdf
      February 01, 2006 - Such discussions require exquisite tact and sensitivity to cultural issues and to the patient’s prior beliefs … of its 2006 National Patient Safety Goals. … that arose with introduction of new technology intended to improve patient safety.(12) Many of the … Arch Intern Med. 2004;164:1573-1578. [ go to PubMed ] 8. 2005 National Patient Safety Goals. … Patient safety in guideline-based decision support for hypertension management: ATHENA DSS.

9647. Multifactorial Medication Mishap | PSNet
      psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
      September 01, 2016 - identifying, reporting, and analyzing medication errors, all organizations should actively cultivate a culture … ISMP Medication Safety Alert! Community/Ambulatory Care Edition. … ISMP Medication Safety Alert! Acute Care Edition. … Cultivation of a just culture of safety Table 2. … September 16, 2020 Evaluation of effectiveness and safety of pharmacist independent prescribers

9648. Communicating Clearly About Medicines: Proceedings of a Workshop. | PSNet
      psnet.ahrq.gov/issue/communicating-clearly-about-medicines-proceedings-workshop
      September 12, 2018 - National Academies of Sciences, Engineering, and Medicine. … Patient health literacy is a known challenge in health care safety. … November 6, 2019 Crisis Standards of Care: Ten Years of Successes and Challenges–Proceedings … of a Workshop. … All consumer medication information is not created equal: implications for medication safety

9649. Surgeons' opioid-prescribing habits are hard to kick. | PSNet
      psnet.ahrq.gov/issue/surgeons-opioid-prescribing-habits-are-hard-kick
      August 28, 2019 - This news article reports on an analysis of 5 years of Medicare data that revealed particular physician … October 12, 2005 The Habits of an Improver. … failure in the medication delivery system-how disclosure and systems investigation improve patient safety … January 11, 2023 A Socio-cultural Perspective on Patient Safety. … Human Errors, System Failures and Lack of Mindfulness.

9650. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49497/psn-pdf
      December 01, 2005 - Deficiencies in organizational culture (hierarchy and intimidation, failure to function as a team, and … maintaining a high level of performance and safety. … Culture change and resource acquisition require the cooperation of those controlling people, space and … Patient safety is an important issue at every health care institution in our country. … investigators, hospital administrators, risk managers, industry, and national medical and patient safety

9651. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33726/psn-pdf
      March 01, 2012 - RW: How do you think about risk management and patient safety in terms of how they've acted with each … First with the culture change: peer review, for instance, has traditionally meant that we wait until … So we have to move this culture in tandem. We have to convince people that we care about them. … openly, honestly in these dialogues, then we'll get to the real important point and that is patient safety … headlines that say apology saves money because ultimately it's not about claims—it's really about patient safety

9652. Diagnostic error in medicine: analysis of 583 physician-reported errors. | PSNet
      psnet.ahrq.gov/issue/diagnostic-error-medicine-analysis-583-physician-reported-errors
      June 24, 2009 - Diagnostic errors are a known cause of preventable adverse events, and while safety prevention efforts … An invited commentary [see link below] by a leader in the patient safety field, Dr. … transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient transfusion safety … View More See More About The Topic Health Care Providers Quality and Safety … Professionals Safety Scientists Diagnostic Errors Epidemiology of Errors and Adverse Events

9653. Patient handoffs and multi-specialty trainee perspectives across an institution: informing recommendations for health systems and an expanded conceptual framework for handoffs. | PSNet
      psnet.ahrq.gov/issue/patient-handoffs-and-multi-specialty-trainee-perspectives-across-institution-informing
      February 23, 2022 - ) to assess socio-cultural dimensions of patient safety competency. … September 13, 2017 Mixed-methods evaluation of real-time safety reporting by hospitalized … June 13, 2018 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … in intensive care: the Promoting Respect and Ongoing Safety through Patient Engagement Communication … June 14, 2023 WebM&M Cases The Safety Challenges of Supervision

9654. Observational study of conformity in yet another medical learning environment: conformity to preceptors during high-fidelity simulation. | PSNet
      psnet.ahrq.gov/issue/observational-study-conformity-yet-another-medical-learning-environment-conformity-preceptors
      June 19, 2019 - May 22, 2024 Creating psychological safety in interprofessional simulation for health … professional learners: a scoping review of the barriers and enablers. … Schuelke about Virtual Nursing August 30, 2023 Perspectives on Safety … December 15, 2021 "Good catch, Kiddo"--enhancing patient safety in the pediatric emergency … ) to assess socio-cultural dimensions of patient safety competency.

9655. Incidence of adverse drug events and medication errors in intensive care units: a prospective multicenter study. | PSNet
      psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-medication-errors-intensive-care-units-prospective
      March 29, 2012 - Download Citation Related Resources From the Same Author(s) Patient safety … September 23, 2020 Effect of restriction of the number of concurrently open records in … December 16, 2020 Safety of elderly fallers: identifying associated risk factors for … safety threats in a post-intensive care clinic. … See More About The Topic Intensive Care Units Health Care Providers Quality and Safety

9656. Listen to the whispers before they become screams: addressing Black maternal morbidity and mortality in the United States. | PSNet
      psnet.ahrq.gov/issue/listen-whispers-they-become-screams-addressing-black-maternal-morbidity-and-mortality-united
      December 05, 2012 - December 5, 2012 Safe Administration of Medication in School: Policy Statement. … May 19, 2018 Prioritizing patient safety efforts in office practice settings December … 18, 2019 Dynamics of dignity and safety: a discussion. … ) to assess socio-cultural dimensions of patient safety competency. … February 14, 2015 Inpatient safety outcomes following the 2011 residency work-hour reform

9657. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33840/psn-pdf
      August 01, 2017 - This environment includes patient safety, supervision, well-being of residents and faculty, and clinical … They include emphasis on the culture of safety, requiring residents and faculty to actively participate … in patient safety and quality improvement systems. … patient safety, continuity of care, surgical training, and professionalism … Patient safety, resident well-being and continuity of care with different resident duty schedules in

9658. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33739/psn-pdf
      October 01, 2012 - Below, we discuss some of the key findings from the Pebble partners as they relate to patient safety … the patient bed were better used than those by the sink.(12) Medication Safety A growing body of … Are specific resources needed, such as mock-up rooms or virtual tools, to integrate safety culture, … Have the postoccupancy evaluations of safety outcomes been included as part of the organization's performance … The architecture of safety: hospital design. Curr Opin Crit Care. 2007;13:714-719.

9659. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33826/psn-pdf
      February 01, 2017 - RW: Talk a little bit about the overarching org chart and management leadership culture you found in … In health care you have a unique overlay, the culture of physicians, the craftsman piece. … Over the last 15 years, you have another overlay—the patient safety and quality movements. … So it sounds like both of those can happen. AE: Yes, both of those can happen. … The industry culture is changing. And small changes can make a big difference.

9660. In Conversation With... Dr. Michelle Schreiber on Measuring Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
      December 14, 2022 - , but are given the time to do it within a culture of safety, where they feel they can speak up (report … Workforce safety is part of patient safety. … There are many lessons here, including communication strategies, culture, leadership, teamwork training … We wish to promote systems of safety to ensure that safety remains durable, even at times of immense … I have a personal belief that if we unleash the voice of the patient in quality reporting, we are going