Results

Total Results: over 10,000 records

Showing results for "culture of safety".

9741. Mitigating the Risk of Intrahospital Transport for Pediatric Patients at Risk of Physiologic Instability | PSNet
      psnet.ahrq.gov/web-mm/mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic-instability
      May 27, 2020 - Safety and Quality of Patient Care   Efforts to mitigate the risks associated with intrahospital transport … that both the safety climate (measured using the short form of the “Patient Safety Climate in Healthcare … The role of safety climate and team processes in reducing adverse events during intrahospital transport … a Critically Ill Child August 31, 2022 Human factors analysis of latent safety … May 18, 2022 Effect of a multispecialty faculty handoff initiative on safety culture

9742. AHRQ PSNet Annual Perspective: Impact of the COVID-19 Pandemic on Patient Safety | PSNet
      psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
      August 31, 2020 - It addresses some of the most significant areas of COVID-19 patient safety news and research published … and practices, and a supportive workplace safety culture all contribute to successful adherence. … The University of California, San Diego employed medical distancing to help ensure the safety of their … , and strengthening the safety culture and fostering characteristics of a high-reliability organization … safety of non-healthcare essential workers.

9743. In Conversation with...James L. Reinertsen, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md
      August 01, 2007 - For example, very few of these systems make and achieve great changes in measured levels of patient safety … JR: Well, first was a public awareness of quality and safety problems in hospitals. … And that has had a toxic effect on what I call the culture of discipline around serious rules. … 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

9744. In Conversation with...Richard Ricciardi about Office-Based Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-withrichard-ricciardi-about-office-based-patient-safety
      January 31, 2024 - of issues that influence quality and safety. … some of these safety issues we’ve mentioned. … review of diagnostic safety has noted. … healthcare settings impacts patient safety, and guidance is emerging that a culture of safety may mitigate … , especially the culture of patient safety. 

9745. Walking Patient, Missing Drain | PSNet
      psnet.ahrq.gov/web-mm/walking-patient-missing-drain
      April 01, 2006 - for participation in early mobilization in the intensive care unit should be established to ensure safety … Perspective Count and Be Counted: Preparing Future Pharmacists to Promote a Culture … of Safety April 1, 2006 Families as partners in hospital error and adverse … August 4, 2021 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … October 19, 2022 Does an insulin double-checking procedure improve patient safety?

9746. A Picture Speaks 1000 Words | PSNet
      psnet.ahrq.gov/web-mm/picture-speaks-1000-words
      July 16, 2015 - Hospital and departmental leaders should encourage a culture that allows for open discussion of errors … , VA National Center for Patient Safety References 1. … Safety Program: a model to spread change. … fellowship in patient safety. … Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

9747. Accreditation and Regulation: Can They Help Improve Patient Safety? | PSNet
      psnet.ahrq.gov/perspective/accreditation-and-regulation-can-they-help-improve-patient-safety
      April 01, 2009 - It is not surprising, therefore, to find a certain tension between the culture of medicine and the demands … of improving patient safety? … First is the need to consider both costs and effects of potential safety and QI interventions. … Impact of clinical alarms on patient safety: a report from the American College of Clinical Engineering … The PeaceHealth governance journey in support of quality and safety [Perspective].

9748. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33642/psn-pdf
      November 01, 2006 - From there, I started looking at aviation safety, working for NASA and the military. … First of all, a lot of the machinery and equipment is not well designed. … The whole culture of aviation encourages admitting your mistakes, so everybody benefits from it. … One, it goes against the culture, but second, there are very strong legal issues. … belief across all professions is that the skilled people don't make mistakes.

9749. Suicidal Ideation in the Family Medicine Clinic | PSNet
      psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic
      October 01, 2007 - There is no empirical evidence to support this practice of "contracting for safety." … Safety planning intervention: a brief intervention to mitigate suicide risk. … Physician counseling on firearm safety: a new kind of cultural competence. JAMA. 2015;314:449-450. … September 24, 2010 Assessing and improving safety climate in a large cohort of intensive … May 11, 2011 Infection preventionist checklist to improve culture and reduce central

9750. Doctors With Multiple Malpractice Claims, Disciplinary Actions, and Complaints: What Do We Know? | PSNet
      psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
      July 01, 2017 - quality and safety of care. … 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 … Patient Safety and Medical Liability. … and Patient Safety.

9751. In Conversation with...Mark Chassin, MD, MPP, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph
      April 01, 2009 - It is not surprising, therefore, to find a certain tension between the culture of medicine and the demands … of improving patient safety? … First is the need to consider both costs and effects of potential safety and QI interventions. … Impact of clinical alarms on patient safety: a report from the American College of Clinical Engineering … The PeaceHealth governance journey in support of quality and safety [Perspective].

9752. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60330/psn-pdf
      May 05, 2020 - However, the overall safety of telehealth is less well studied. … //#_edn1 https://psnet.ahrq.gov/perspective/telemedicine-and-patient-safety The use of telehealth has … Its expanded use has served as a means of ensuring the safety of both patients and frontline providers … safety outcomes. … It is important for institutions to maintain good patient safety culture and ensure that providers have

9753. Deficiencies in Care Coordination and Facility Response to a Patient Suicide at the Minneapolis VA Health Care System, Minnesota. | PSNet
      psnet.ahrq.gov/issue/deficiencies-care-coordination-and-facility-response-patient-suicide-minneapolis-va-health
      September 30, 2020 - Washington, DC: Department of Veterans Affairs, Office of Inspector General. January 7, 2020. … Veterans Affairs, Office of Inspector General. … Washington, DC: Department of Veterans Affairs, Office of Inspector General. January 7, 2020. … April 19, 2023 Evaluation of Quality, Safety, and Value in Veterans Health Administration … September 9, 2015 VA Patient Safety Program: A Cultural Perspective at Four Medical Facilities

9754. Health care providers’ negative implicit attitudes and stereotypes of American Indians. | PSNet
      psnet.ahrq.gov/issue/health-care-providers-negative-implicit-attitudes-and-stereotypes-american-indians
      January 18, 2023 - October 14, 2020 Patient safety and quality improvement adaptation during the COVID-19 … October 19, 2022 Use of complete medication history to identify and correct transitions-of-care … May 10, 2023 Examining medication ordering errors using AHRQ Network of Patient Safety … June 6, 2021 Comparison of methods to reduce bias from clinical prediction models of … workers after implementation of universal SARS-CoV-2 testing.

9755. Suicide attempts and completions on medical-surgical and intensive care units. | PSNet
      psnet.ahrq.gov/issue/suicide-attempts-and-completions-medical-surgical-and-intensive-care-units
      June 21, 2017 - The majority of inpatient suicides occur in psychiatric units, but a prior Joint Commission sentinel … event alert suggested that nearly 15% of attempts happen on medical wards. … hospital discharge: a retrospective study of root cause analysis reports. … fellowship in patient safety. … April 12, 2019 View More Related Resources Patient Safety

9756. Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms. | PSNet
      psnet.ahrq.gov/issue/awareness-racial-and-ethnic-bias-and-potential-solutions-address-bias-use-health-care
      November 16, 2022 - with use of health care algorithms. … Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms … September 27, 2023 Annual Perspective Improving Diagnostic Safety … dynamics in hospital settings: a study of staff experiences of speaking up across seven hospitals. … August 3, 2022 Improving responses to safety incidents: we need to talk about justice

9757. Inadvertent Use of More Potent Acid Leads to Burn | PSNet
      psnet.ahrq.gov/web-mm/inadvertent-use-more-potent-acid-leads-burn
      November 01, 2023 - The recommendations, clearly pertinent to the medical environment, included labeling, safety in shipment … It may be that the extent of the injury in this case was underestimated because of the small area of … October 6, 2016 New technologies in radiation therapy: ensuring patient safety, radiation … safety and regulatory issues in radiation oncology. … November 12, 2008 WebM&M Cases Culture Clash No More:

9758. Myasthenia Crisis after a Delayed Diagnosis in a Medically Complex Patient. | PSNet
      psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
      February 21, 2020 - Approaches to Improving Patient Safety Effective use of electronic health records (EHRs) One of the strengths … Notification of abnormal lab test results in an electronic medical record: Do any safety concerns remain … to identify human errors and latent safety threats in adult tracheostomy care. … with hospital quality and safety outcomes. … a Positive Blood Culture July 1, 2017 WebM&M Cases

9759. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49659/psn-pdf
      July 01, 2012 - Copy-and-paste may be the Achilles heel of EMRs but, as has been pointed out, "no amount of hectoring … Perhaps the only way for the patient to ensure his own safety is to don a medic-alert bracelet with the … Turning medical residents away from copy-and-paste culture. MedCity News. February 28, 2010. … Readers should not interpret any statement in this report as an official position of AHRQ or of the … AHRQ Disclaimers http://medcitynews.com/2010/02/turning-medical-residents-away-from-copy-and-paste-culture-for

9760. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33654/psn-pdf
      August 01, 2007 - We asked him to speak with us about the role of boards in improving patient safety. Dr. … in safety. … safety. … JR: Well, first was a public awareness of quality and safety problems in hospitals. … And that has had a toxic effect on what I call the culture of discipline around serious rules.