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psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
August 01, 2007 - The PeaceHealth Governance Journey in Support of Quality and Safety
John L. … for the organization's quality and safety of care. … We are currently in the process of defining the relative quality and safety roles of system and regional … For example, very few of these systems make and achieve great changes in measured levels of patient safety … And that has had a toxic effect on what I call the culture of discipline around serious rules.
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psnet.ahrq.gov/node/49420/psn-pdf
October 01, 2003 - Management of the febrile infant without obvious source has been a subject of intense study over the … of cerebrospinal fluid (CSF), blood, and urine taken to rule out the presence of bacterial
https:// … should be thoroughly evaluated and treated
expectantly while awaiting cultures. … The provider´s referral of this patient to the local ED, and follow-up call to learn the results of the … develop, as working conditions improve, and as the culture of medicine gradually becomes
more safety-conscious
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psnet.ahrq.gov/node/33689/psn-pdf
October 01, 2009 - The Media: An Essential, If Sometimes Arbitrary,
Promoter of Patient Safety
October 1, 2009
Wachter … The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety. … But, by serving as an essential catalyst for all of these forces, media coverage of patient safety might … understood that
health care could cause harm, this concern was too inchoate to generate real change in the culture … media coverage of patient safety.
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psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
December 15, 2024 - Deprescribing as a Patient Safety Strategy. PSNet [internet]. … Deprescribing as a Patient Safety Strategy. PSNet [internet]. … each of the patient’s medications as it relates to safety and efficacy; it empowers the patient to be … the prescribing culture of the health system, and implementing interventions to facilitate deprescribing … Deprescribing as a Patient Safety Strategy. PSNet [internet].
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psnet.ahrq.gov/issue/health-disparities-impact-health-disparities-and-treatment-decision-making-biases-cancer
October 14, 2020 - Racial and ethnic disparities in healthcare can affect patient safety and contribute to adverse health … care on medication safety and patient-reported outcomes during treatment with new oral anticancer agents … June 1, 2022
Nurse work environment and its impact on reasons for missed care, safety … April 21, 2021
Use and impact of virtual primary care on quality and safety: the public's … August 17, 2022
Achieving zero inequity: lessons learned from patient safety.
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psnet.ahrq.gov/web-mm/delayed-diagnosis-endocrinologic-emergencies
November 13, 2024 - Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain … August 4, 2021
Factors determining safety culture in hospitals: a scoping review. … symptoms and medical errors: A systematic review and meta-analysis
December 11, 2019
Safety … Influence of burnout on patient safety: systematic review and meta-analysis. … a Positive Blood Culture
July 1, 2017
WebM&M Cases
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psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
September 28, 2022 - However, it'll take a change in the culture because we’re so used to the idea that care is provided within … 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 … Lab safety was one of the conditions for which we found a larger number of patient safety events like
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psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
September 23, 2024 - care processes with the goal of improving failure to rescue rates and overall patient safety. 1 The … Innovation Patient Safety Focus
A study was conducted on 84,730 patients from 2005 to 2007 using data … This shift in mindset can promote patient safety. … Creating an environment where a culture of safety is incorporated into daily practice is the ultimate … Innovation Summary
September 23, 2024
Patient Safety Innovations
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psnet.ahrq.gov/issue/hospital-board-and-management-practices-are-strongly-related-hospital-performance-clinical
October 27, 2021 - in safety activities compared to low-performing hospitals. … February 10, 2015
Results of an effort to integrate quality and safety into medical and … Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience … , safety and costs. … patient safety in UK hospitals.
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psnet.ahrq.gov/perspective/health-equity-and-maternal-health
October 06, 2021 - Maternal safety refers to the safety of a person during pregnancy, childbirth, and the postnatal … and Social Determinants of Maternal Safety 6
Given the importance of safety as a positive concept … Our culture of health, I think, is the most powerful intervention that we have because everything flows … Safety Culture in EMS
May 26, 2021
Perspectives … Patient Safety Events and the Role of Patient Safety Organizations During the COVID
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psnet.ahrq.gov/node/843150/psn-pdf
December 05, 2022 - What do you
think are some of the key patient safety issues that the LGBTQ+ community faces? … a
patient's name or pronouns because they do not want to enable something that goes against their beliefs … When it comes to healthcare though, their beliefs of normal shouldn’t interfere with someone’s
ability … ideals or beliefs, rather than this is just who you
are.8 In these cases, healthcare is still very … Do you
see any potential patient safety issues in that part of the healthcare continuum?
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psnet.ahrq.gov/issue/addressing-bias-acute-postoperative-pain-management
September 23, 2020 - This review presents recent findings on the types and amounts of pain management patients receive. … Results suggest women and people of color receive less pain medication despite reporting higher pain … September 23, 2020
Technology, Education and Safety. … an objective, standardized medication safety tool. … April 17, 2019
Variations in surgical outcomes associated with hospital compliance with safety
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psnet.ahrq.gov/issue/comparison-voluntarily-reported-medication-errors-intensive-care-and-general-care-units
October 26, 2010 - occurrence of medical errors and adverse events. … June 25, 2012
Review of patient safety incidents reported from critical care units in … October 26, 2011
Toward learning from patient safety reporting systems. … January 12, 2011
Quality of traditional surveillance for public reporting of nosocomial … About The Topic
Intensive Care Units
Health Care Providers
Risk Managers
Quality and Safety
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psnet.ahrq.gov/issue/computerized-physician-order-entry-critical-care-environment-review-current-literature
September 19, 2012 - Review
Computerized physician order entry in the critical care environment: a review of … February 8, 2017
Filling a gap in safety metrics: development of a patient-centred framework … January 7, 2015
ICU nurses' acceptance of electronic health records. … December 31, 2014
Characterising the complexity of medication safety using a human factors … See More About The Topic
Intensive Care Units
Health Care Providers
Quality and Safety
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psnet.ahrq.gov/issue/implicit-bias-healthcare-professionals-systematic-review
September 28, 2022 - September 28, 2022
Enhancing patient safety by integrating ethical dimensions to critical … : a study of staff experiences of speaking up across seven hospitals. … review of the literature. … July 1, 2020
Medical teamwork and the evolution of safety science: a critical review. … March 11, 2020
Patient safety in marginalised groups: a narrative scoping review
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psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
February 01, 2013 - Effectiveness of interventions designed to promote patient involvement to enhance safety: a systematic … Hospitalized patients' participation and its impact on quality of care and patient safety. … members of their safety team. … This physician placed this patient as a key member of his safety team. … Yes, we need to improve patient experience scores, but much more importantly we need to change the culture
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psnet.ahrq.gov/node/49764/psn-pdf
June 01, 2016 - She was unaware of the urgent nature
of the consult. … Cohn, MD
https://psnet.ahrq.gov/web-mm/communication-consultants
Communication failures are a major safety … The 2016 National Patient Safety Goals
listed improving the effectiveness of communication among caregivers … Clear communication has been linked to strong safety cultures and positive workplace relationships. … National Patient Safety Goals: Hospital Accreditation
Program. January 2016. [Available at]
2.
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psnet.ahrq.gov/node/33599/psn-pdf
August 30, 2023 - regularly
reviewed and updated to ensure that they reflect current research and practice in the patient safety … literacy and
explicitly linking health literacy to the quality domains of patient safety, patient-centered … Health literacy is affected by many factors, including socioeconomic status,
culture, and language.11 … /settings/ambulatory/tools/diagnostic-safety/toolkit.html
https://www.ahrq.gov/health-literacy/improve … the fabric of their safety and quality programs.
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psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
January 01, 2016 - He is a national leader in the field of patient safety and has pioneered efforts to address diagnostic … It's my own belief that the major factor was the perception that we were doing okay in regard to diagnosis … We need to get much better feedback if we want to excel at this, and we need to create a culture where … Progress will require not only advances in the science but also changes to today's culture, which inhibits … Patient Safety Centers of Inquiry (PSCI).
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psnet.ahrq.gov/issue/effect-medication-reconciliation-and-without-patient-counseling-number-pharmaceutical
May 26, 2021 - This study highlights the importance of involving patients in safety efforts, which is a 2009 Joint Commission … National Patient Safety Goal . … A study of the role of salient distracting clinical features. … August 18, 2010
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See More About The Topic
Hospitals
Health Care Providers
Quality and Safety