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Showing results for "culture of safety".

9721. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33693/psn-pdf
      February 01, 2010 - The Role of Graduate Medical Education (GME) in Improving Patient Safety February 1, 2010 Baron RB … The Role of Graduate Medical Education (GME) in Improving Patient Safety. PSNet [internet]. 2010. … movement has dramatically increased public and professional awareness of the safety hazards of hospitalization … They also recommended improvements to the culture of safety through error detection, reporting, and … need to be reassured that the safety of resident-delivered care will match or exceed that delivered

9722. Preventing PICC Complications: Whose Line Is It? | PSNet
      psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it
      October 01, 2017 - Her blood cultures subsequently grew staphylococcus aureus and she was diagnosed with endocarditis … by 40% with application of the bundle through a comprehensive unit-based safety program (CUSP) customized … complications and achieve desired safety outcomes. … Along with education and training, adoption of a central line bundle of safety practices is recommended … patient safety.

9723. Geisinger’s Outpatient Addiction Medicine Specialty Program Uses Data-Driven Decision Making and MAT to Reduce Mortality Rates | PSNet
      psnet.ahrq.gov/innovation/geisingers-outpatient-addiction-medicine-specialty-program-uses-data-driven-decision
      October 30, 2024 - Innovation Patient Safety Focus The program has succeeded in reducing mortality among individuals suffering … Unfortunately, prior to implementation, the treatment culture in PA focused on an inpatient abstinence-only … Copy URL Related Resources Patient Safety … Innovation Summary September 23, 2024 Patient Safety Innovations … Stay August 25, 2021 Patient Safety Innovations

9724. Lost in Transition | PSNet
      psnet.ahrq.gov/web-mm/lost-transition
      November 17, 2010 - 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. … Focus Patient Safety. 2004;7:1-3. … Culture and high reliability organizations: the case of the nuclear submarine. J Manage.

9725. Rethinking Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
      August 21, 2016 - Taking an overly algorithmic approach to just culture can obscure complicated relationships between individual … Dekker has also been critical of the safety movement's reliance on procedural solutions . … Summary In the early days of the patient safety movement, RCA seemed like an essential technique to … The push by an influential safety organization (NPSF) to rename the RCA is evidence of the growing imperative … of speaking up about safety concerns in labour and delivery.

9726. The Perils of Cross Coverage | PSNet
      psnet.ahrq.gov/web-mm/perils-cross-coverage
      September 22, 2010 - Blood cultures were positive for E. coli, and appropriate antibiotic therapy was initiated. … by negative E. coli cultures from the ventricular cerebrospinal fluid. … Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. … July 19, 2019 Patient safety room of horrors: a novel method to assess medical students … December 1, 2011 WebM&M Cases Patient Safety and

9727. Coming Up Short: Maintaining Safety in the Face of Drug Shortages | PSNet
      psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
      November 01, 2012 - Coming Up Short: Maintaining Safety in the Face of Drug Shortages Citation Text: Plogsted … Coming Up Short: Maintaining Safety in the Face of Drug Shortages. PSNet [internet]. … Coming Up Short: Maintaining Safety in the Face of Drug Shortages. PSNet [internet]. … a result of drug shortages can have a significant impact on patient safety. … WebM&M Cases Fatal Error in Neonate: Does "Just Culture

9728. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50701/psn-pdf
      November 26, 2019 - Kendall Hall: How did your career path bring you to this intersection of patient safety and care for … Do all of those situations lead to a specific safety event? Probably not. But can they? Yes. … The mission of safety is one of our six core values for the health system. … In addition to patient safety programs and the development of patient safety culture, we also tie in … We are very proud of our associate safety record.

9729. Preventable Transfer to the Hospital | PSNet
      psnet.ahrq.gov/web-mm/preventable-transfer-hospital
      March 31, 2022 - Primers Long-term Care and Patient Safety April 10, 2024 … Patient Safety Primers Coronavirus Disease 2019 (COVID-19) and Safety … April 24, 2024 Patient Safety Primers Post-Acute … Patient Safety Primers Simulation Training March 1, 2023 … March 31, 2022 WebM&M Cases Culture Clash No More

9730. Hospitalized patients' attitudes about and participation in error prevention. | PSNet
      psnet.ahrq.gov/issue/hospitalized-patients-attitudes-about-and-participation-error-prevention
      December 22, 2008 - The authors report that although the majority of patients expressed comfort in asking questions about … A past study discussed how to improve patients' perceptions of safety in hospitals, including educational … February 15, 2011 Risk managers, physicians, and disclosure of harmful medical errors … November 21, 2016 Indiana Patient Safety Center. … December 3, 2008 Incidence, patterns, and prevention of wrong-site surgery.

9731. EMR Entry Error: Not So Benign | PSNet
      psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
      July 01, 2012 - patient identification mix-ups within electronic medical records (EMRs) and their impact on patient safety … Ross Koppel, PhD Principal Investigator Study of Hospital Workplace Culture and Medication Errors … December 16, 2020 Computerized prescriber order entry–related patient safety reports: … February 3, 2011 Medication safety in older adults: home-based practice patterns. … March 4, 2011 Enhancing patient safety and quality of care by improving the usability

9732. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49390/psn-pdf
      February 01, 2003 - be rendered more effective when applied in organizations with strong cultures of safety. … Magnetic resonance procedures: health effects and safety. Boca Raton, FL: CRC Press; 2001. 5. … MRI safety: everyone's job. Radiol Manage. 2001;23:36-9.[ go to PubMed ] 6. … American College of Radiology White Paper on MR Safety. … American College of Radiology. MRI monograph: Safety and sedation.

9733. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50389/psn-pdf
      September 25, 2019 - This constellation of findings was highly suggestive of tumor lysis syndrome—metabolic abnormalities … While the patient was being coded, the laboratory called the ICU to report that the patient had blood cultures … Review of the laboratory results and chart revealed that the ICU team had ordered blood cultures and … Teamwork is most effective when all members of the team feel a sense of psychological safety to question … diagnostic errors from occurring, it will be important to systematize methods to engender psychological safety

9734. Transfusion "Slip" | PSNet
      psnet.ahrq.gov/web-mm/transfusion-slip
      June 14, 2011 - of patient identification" as one of its "National Patient Safety Goals" for the last 2 years.( 8 ) … of change as well.( 14 ) Just as intended corrections may create an illusion of safety, so may recovered … Reporting of near-miss events for transfusion medicine: improving transfusion safety. … Barcode technology: its role in increasing the safety of blood transfusion. … May 1, 2013 Staff attitudes about event reporting and patient safety culture in hospital

9735. Artificial Intelligence and Diagnostic Errors | PSNet
      psnet.ahrq.gov/perspective/artificial-intelligence-and-diagnostic-errors
      January 31, 2020 - of potential and opportunity to improve patient safety through enhancing imaging processes, aiding physician … of new patient safety risks, AI will continue to serve as an adjunct rather than an alternative to a … Artificial intelligence, bias and clinical safety. … For example, EHRs have the potential to improve patient safety, but with the introduction of EHRs come … Perspectives on Safety Safety Culture in EMS May 26, 2021

9736. Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units | PSNet
      psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
      April 26, 2023 - In recognition of the importance of this systems-based approach to safety initiatives, AHRQ created … safety, could help mitigate the complex problem of failure to rescue. … That’s an example of error tolerance, and you need all three of these safety aspects. … also positioned as an organizational leader who valued systems engineering, and I think having the culture … Culture in Healthcare March 27, 2024 Perspective

9737. Looking for Meds in All the Wrong Places | PSNet
      psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
      June 16, 2021 - Clinicians also need to be cognizant of the safety features of automated pharmacy dispensing systems. … Many of the steps and techniques described above fall under the field of medication safety engineering … Subsequently, the environmental culture needs to support and encourage clinicians to report medication … Patient safety—the role of human factors and systems engineering. … May 26, 2021 The safety of health care for ethnic minority patients: a systematic review

9738. In Conversation with... Beverley H. Johnson about The Role of Patient's Family In Reducing Harm | PSNet
      psnet.ahrq.gov/perspective/conversation-beverley-h-johnson-about-role-patients-family-reducing-harm
      June 14, 2023 - My work, beliefs, and commitment have been shaped by early life experiences. … These partnerships need to be foundational to the culture of the organization. … members play in the safety of their loved ones. … Hospitals are beginning to change the concept of families as “visitors,” returning to the belief that … culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project.

9739. Flying Object Hits MRI | PSNet
      psnet.ahrq.gov/web-mm/flying-object-hits-mri
      September 01, 2005 - be rendered more effective when applied in organizations with strong cultures of safety. … American College of Radiology White Paper on MR Safety. … American College of Radiology. MRI monograph: Safety and sedation. … preventing patient safety incidents in the context of radiological examinations. … September 12, 2016 Rates of safety incident reporting in MRI in a large academic medical

9740. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49434/psn-pdf
      February 01, 2004 - This tragic but far-from-unusual case illustrates failure of the process at each of these steps. … access through cultural beliefs and distrust of the health care profession.(9,10) Strategies to improve … With the erosion of public health "safety net" hospitals that care for Medicaid patients or the uninsured … Determinants of late stage diagnosis of breast and cervical cancer: the impact of age, race, social … Meta-analysis of correlates of provider behavior in medical encounters.