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Showing results for "culture of safety".

9701. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49501/psn-pdf
      February 03, 2006 - and safety in the ED. … providers and their teams, as well as the quality and safety of the system. … ACEP Patient Safety Task Force. Patient Safety in the Emergency Department. … Profiles in patient safety: emergency care transitions. … Culture and high reliability organizations: the case of the nuclear submarine. J Manage.

9702. Inpatient suicide: preventing a common sentinel event. | PSNet
      psnet.ahrq.gov/issue/inpatient-suicide-preventing-common-sentinel-event
      May 28, 2015 - This article reviews the suicide rate in hospitals, related risk factors, methods of suicidal behavior … pump work arounds: a study of 3 U.S. health systems. … prevalence, preventability, type of medication errors and risk factors. … 2024 View More Related Resources Perspectives on Safety … Suicide Prevention March 25, 2025 Perspectives on Safety

9703. Development of a standardized, citywide process for managing smart-pump drug libraries. | PSNet
      psnet.ahrq.gov/issue/development-standardized-citywide-process-managing-smart-pump-drug-libraries
      June 07, 2017 - Commentary Development of a standardized, citywide process for managing smart-pump … Development of a standardized, citywide process for managing smart-pump drug libraries. … September 25, 2019 The medication kit conundrum: considerations to enhance safety and … interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient safety … pump work arounds: a study of 3 U.S. health systems.

9704. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-10/final_slides_oct_2020_spotlight_case_inpt_stroke_mngt_in_adolescent_with_type1_diabetes.pdf
      January 01, 2020 - can be safely utilized in an inpatient setting • Discuss recommended practices to optimize patient safety … setting but cannot demonstrate critical skills during a hospitalization. 16 Approach to Improving Safety … with diabetes technology and expertise recognizing/managing problems. 17 Approach to Improving Safety … Approach to Improving Safety (5) Protocols and Technology (cont … An Overview of Safety Issues on Use of Insulin Pumps and Continuous Glucose Monitoring Systems in the

9705. Are Residency Duty Hour Rules Improving Patient Safety? | PSNet
      psnet.ahrq.gov/perspective/are-residency-duty-hour-rules-improving-patient-safety
      April 01, 2013 - Of course, the safety of the patients presently being cared for in hospitals and clinics is of paramount … This means that the local context (not just the schedules but the quality of the residents, the culture … Do certain schedules, or other matters of culture, information technology, and leadership, lead to better … Systematic review: effects of resident work hours on patient safety. … safety over the course of a 5- or 6-year time horizon.

9706. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33861/psn-pdf
      July 01, 2018 - Schiff is Associate Director of Brigham and Women's Center for Patient Safety Research and Practice, … Associate Professor of Medicine at Harvard Medical School, and Quality and Safety Director for the … safety movement? … Getting better follow-up and feedback and creating the conditions that support such a culture of partnership … Those kinds of things will create a culture, foster the preconditions for better diagnosis, and allow

9707. Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable | PSNet
      psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable
      December 20, 2023 - Approach to Improving Safety Cultivating a culture of communication and collaboration across providers … plays a vital role in patient safety by decreasing risk for errors during transitions of care. … Systems Change Needed Patient safety is an inherent responsibility of the clinical microsystem. … problems. 12 This approach recognizes that patient safety is the result of the collective efforts of … A survey of physician and nurse knowledge, attitudes, and practices around injection safety.

9708. Central, not Epidural | PSNet
      psnet.ahrq.gov/web-mm/central-not-epidural
      August 28, 2024 - Recognizing human limitations allows us to design safety measures to mitigate the risk of human error … preventing 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 care … While we wait, we must increase awareness of human factors and create a health care culture that responds … safety.

9709. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846125/psn-pdf
      March 15, 2023 - The first step and the foundation of the I-READI framework is the integration of quality and safety … https://psnet.ahrq.gov//#1 Just over a week after the identification of the first safety incidents … rounds with review of real-time patient data and systematic patient safety checklists Ability to convene … regular meetings A culture of trust, commitment, teamwork, and flexibility Processes for gathering … communication with frontline clinicians to be aware of real-time safety issues and to be able to respond

9710. Artificial Intelligence and Patient Safety: Promise and Challenges | PSNet
      psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
      March 27, 2024 - Current Applications for Patient Safety Most uses of AI to increase patient safety are still in the research … One of the most common potential applications of AI for patient safety is risk prediction—for example … First, we have a patient who is hypotensive, tachycardic with fever, and positive blood cultures immediately … What are some risks of AI implementation to patient safety that we should be cognizant of? … Culture in Healthcare March 27, 2024 Perspective

9711. Surprise Wire | PSNet
      psnet.ahrq.gov/web-mm/surprise-wire
      July 15, 2020 - Our experience suggests that the vision for and reality of interdisciplinary patient safety education … Sample of the Venous Access Patient Safety course from the UCSF Training OnLine System. … July 15, 2020 Effect on patient safety of a resident physician schedule without 24-hour … safety culture on incident reporting: lessons learned from machine learning analysis of NHS England … May 27, 2011 The impact of prescribing safety alerts for elderly persons in an electronic

9712. Listen to the Family | PSNet
      psnet.ahrq.gov/web-mm/listen-family
      April 15, 2015 - Because they were worried about her safety, the family signed the patient out of the hospital and returned … Bagian, MD, of the National Center for Patient Safety, written communication, March 2004). … (85% in some estimates), and it is thus a critical piece of any institutional safety policy. … August 2, 2015 Patient safety rounds: description of an inexpensive but important strategy … to improve the safety culture.

9713. Wrong-side Bedside Paravertebral Block: Preventing the Preventable | PSNet
      psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
      August 10, 2019 - not performed the usual safety checks or a "time out" to identify the correct side. … This process is endorsed by the widely adopted United Kingdom national safety initiative titled "Stop … The current safety standard for preventing wrong-site errors includes The Joint Commission Universal … Culture August 22, 2013 WebM&M Cases Weighing … January 17, 2019 Evaluation of a patient safety programme on Surgical Safety Checklist

9714. CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure | PSNet
      psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure
      March 01, 2005 - Results from the original wound culture revealed CA-MRSA resistant to clindamycin. … In addition, an early follow-up visit would have provided an opportunity to review culture results and … Partnering with patients and families living with chronic conditions to coproduce diagnostic safety … May 3, 2018 Safety at the time of the COVID-19 pandemic: how to keep our oncology patients … May 13, 2020 Filling a gap in safety metrics: development of a patient-centred framework

9715. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49674/psn-pdf
      December 01, 2012 - Her blood cultures subsequently grew staphylococcus aureus and she was diagnosed with endocarditis and … reduced by 40% with application of the bundle through a comprehensive unit-based safety program (CUSP … Technology also plays a part in establishing safety for a patient. … complications and achieve desired safety outcomes. … Along with education and training, adoption of a central line bundle of safety practices is recommended

9716. Medication Handling and Compounding Errors in the Operating Room. | PSNet
      psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
      May 16, 2022 - confirmation bias (evidence that confirms a belief without seeking other information). … -15              Compounding Safety Due to the nature of procedural areas, many required medication … in the compounding pharmacy setting. 5 Approach to Improving Safety & Patient Safety Target As a … Back to basics: medication safety. … patient safety programmes.

9717. A Loss of Trust and a Missed Diagnosis | PSNet
      psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
      October 31, 2023 - Perspective What We've Learned About Leveraging Leadership and Culture … to Affect Change and Improve Patient Safety September 1, 2013 … Perspective Our Maturing Understanding of Safety Culture: How to Change It and How … It Changes Safety March 1, 2017 Incident reporting in surgical trainees-revisited … March 23, 2022 Improving general practice computer systems for patient safety: qualitative

9718. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33822/psn-pdf
      January 01, 2017 - Wachter: One of the defining elements of your career has been a passion for the safety of the workforce … One of the things that really sharpened my belief about it came when I was first the vice president, … Or in the case of workplace safety: "Accidents will happen." … as viewed through this lens of workforce safety? … RW: Because the approaches and the culture are essentially the same. PO: Exactly.

9719. A Case of Mistaken Capacity: Why A Thorough Psychosocial History Can Improve Care. | PSNet
      psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
      July 08, 2022 - Approach to Improving Systemic Safety: Palliative Care and the Interdisciplinary Team Model System … July 28, 2021 Just culture: the foundation of staff safety in the perioperative … May 12, 2021 Why is patient safety a challenge? … and Quality April 26, 2023 Social risk, health inequity, and patient safety … to the Hospital July 8, 2022 WebM&M Cases Culture

9720. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33773/psn-pdf
      September 01, 2014 - Overuse as a Patient Safety Problem September 1, 2014 Moriates C. … Overuse as a Patient Safety Problem. PSNet [internet]. 2014. … https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem Perspective Nearly half of primary … many reinforcing drivers, including a physician culture that rewards perceived thoroughness, a fee-for-service … Although there was little focus on overuse as a patient safety problem during the early years of the