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Showing results for "culture of safety".

9761. Comanagement: Who's in Charge? | PSNet
      psnet.ahrq.gov/web-mm/comanagement-whos-charge
      July 01, 2011 - comanagement must be weighed against its potential risks to patient safety. … A key strategy for improving patient safety with comanagement is the creation of a carefully considered … Potential safety risks of comanagement arise from fragmentation of care and inadequate communication … U.S. hospital patient safety culture relationships with perceptions of voluntary event reporting. … June 28, 2017 Factors influencing witnesses' perception of patient safety during pre-hospital

9762. Did We Forget Something? | PSNet
      psnet.ahrq.gov/web-mm/did-we-forget-something
      April 28, 2021 - blood culture results. … surgical instruments, needles, knife blades, electrosurgical adapters, and safety pins. … A recent national profile of patient safety indicators in US hospitals between 1995 and 2000 reported … A national profile of patient safety in U.S. hospitals. … Making health care safer: a critical analysis of patient safety practices.

9763. Communication With Consultants | PSNet
      psnet.ahrq.gov/web-mm/communication-consultants
      October 01, 2018 - Cohn, MD Communication failures are a major safety problem in health care. … 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. … The Evidence-Based Physical Examination as a Patient Safety Practice November 1, 2012

9764. Rapid Response Systems | PSNet
      psnet.ahrq.gov/primer/rapid-response-systems
      July 18, 2024 - conceptually attractive patient safety interventions supported by anecdotal evidence of benefit and … RRSs are very popular among nursing staff and can contribute to detection of underlying patient safety … Patient Safety Primers Inpatient Transitions of Care: Challenges and Safety … National Patient Safety Goals March 27, 2024 Patient Safety … Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing

9765. Falling Between the Cracks in the Software | PSNet
      psnet.ahrq.gov/web-mm/falling-between-cracks-software
      March 09, 2011 - of dollars by improving efficiency, quality, and patient safety.( 2,3 ) While little empirical evidence … safety failures and could be solved by interoperability. … March 9, 2011 The limits of clinician vigilance as an AI safety bulwark. … March 27, 2024 Inpatient EHR user experience and hospital EHR safety performance. … safety.

9766. Don't Pick the PICC | PSNet
      psnet.ahrq.gov/web-mm/dont-pick-picc
      December 01, 2011 - An MRI was highly concerning for osteomyelitis, and a bone biopsy showed chronic inflammation with cultures … native vessels has proven to be one of the most important determinants of patient outcomes. … Safety and efficacy of outpatient parenteral antibiotic therapy in an academic infectious disease clinic … Inpatient venous access practices: PICC culture and the kidney patient. … Evaluating safety of tunneled small bore central venous catheters in chronic kidney disease population

9767. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33708/psn-pdf
      March 01, 2011 - I think that's how a lot of us get involved in patient safety, through personal experiences. … RW: One of the instincts in safety and quality has been to look to other fields to see how they do things … Our culture in health care is very different from those other industries that have adopted some effective … I think if there is a yes to any of these questions, there's an inherent increase in your safety risk … What do you think has happened to the safety of handoffs since we first began cutting duty hours?

9768. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846975/psn-pdf
      March 28, 2023 - In this role, I support the quality and safety department at ACOG broadly. … The goal is to have as many people as possible provide the safety net of services and work toward implementation … How do you think that’s impacted perinatal safety? … Celebrities have spoken about it, and the culture of social media has normalized talking about mental … our core patient safety bundles are fully developed.

9769. The incidence of adverse drug events in two large academic long-term care facilities. | PSNet
      psnet.ahrq.gov/issue/incidence-adverse-drug-events-two-large-academic-long-term-care-facilities
      February 11, 2009 - The incidence of adverse drug events in two large academic long-term care facilities. … including description of the risk factors associated with each event.  … 2011 Nursing time devoted to medication administration in long-term care: clinical, safety … support on the rates of adverse drug events: a systematic review. … medication safety strategy.

9770. Anesthesia: A Weighty Issue | PSNet
      psnet.ahrq.gov/web-mm/anesthesia-weighty-issue
      September 01, 2006 - Efficacy and safety of single and repeated administration of 1 gram intravenous acetaminophen injection … the Health Care System Learn from the VA's Quality and Safety Transformation? … March 10, 2011 Improving safety and eliminating redundant tests: cutting costs in U.S … June 2, 2021 Using event reports in real-time to identify and mitigate patient safety … February 23, 2022 Creating a stronger culture of safety within US community pharmacies

9771. In Conversation With… Paul Aylin, MBChB | PSNet
      psnet.ahrq.gov/perspective/conversation-paul-aylin-mbchb
      June 01, 2017 - In one hospital I worked at, the microbiologist had to come in to deal with your blood culture. … So, you were encouraged not to do blood cultures on the weekend. … We published in Quality and Safety in Health Care in 2009; the study received huge amounts of press … of patient safety climate and patient satisfaction. … Collective insights from patient safety leaders in Maryland.

9772. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.233_slideshow.ppt
      February 01, 2011 - and patient safety. … Understand limitations of physician self assessment of competence and the important role for external … benefit. * Case: One Toxic Drug (5) Concerned for the patient’s safety and well being, the medical … The Culture Code: An Ingenious Way to Understand Why People Around the World Live and Buy as They Do. … scope of normal practice

9773. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33648/psn-pdf
      March 01, 2007 - She has subsequently become one of the nation's foremost patient advocates for safety, forming an influential … safety around the world. … I did not know that there was this dysfunctional culture between patients and doctors, or families and … of themselves. … RW: What are you proudest of in terms of what you've accomplished?

9774. The Dangerous Detour | PSNet
      psnet.ahrq.gov/web-mm/dangerous-detour
      November 28, 2018 - Clearly, the typical systems in place will not function adequately to protect the safety of a suicidal … The physical environment of the psychiatric ward typically includes safety design features such as unbreakable … checklists rather than true care or patient safety.( 12 ) Each hospital should have a set of clearly … real-time electronic clinical data to improve the safety and reliability of their own care. … May 4, 2022 Design of a safety dashboard for patients.

9775. Health Plan Patient Safety Initiatives | PSNet
      psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
      July 10, 2024 - safety, quality, and affordability of the care that their enrollees receive. … of reimbursements to quality metrics related to patient safety outcomes. … Linking Patient Safety Culture to Quality Ratings in the Nursing Home Setting. … The role of insurers in maternity safety. … You touched a little on specific health plan measures of patient safety.

9776. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49667/psn-pdf
      October 01, 2012 - 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 … Unfortunately, there are limits to medication-safety https://psnet.ahrq.gov//#references https://psnet.ahrq.gov … Subsequently, the environmental culture needs to support and encourage clinicians to report medication … Patient safety—the role of human factors and systems engineering.

9777. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49413/psn-pdf
      September 01, 2003 - culture results. … including surgical instruments, needles, knife blades, electrosurgical adapters, and safety pins. … A recent national profile of patient safety indicators in US hospitals between 1995 and 2000 reported … A national profile of patient safety in U.S. hospitals. … Making health care safer: a critical analysis of patient safety practices.

9778. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49625/psn-pdf
      May 01, 2011 - Foundation (8) has issued a set of recommendations intended to improve safety. … ://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references advocated establishing a "just culture … to the recovery room, safety factors require the immediate availability of preloaded syringes of suitable … in drug safety in anesthesia. … Effect of bar-code technology on the safety of medication administration.

9779. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49409/psn-pdf
      July 01, 2003 - This understanding is critical to the study of error and patient safety because a basic tenet of psychology … legal, regulatory, national culture, and reimbursement factors (these first five relate to the environment … Such factors can promote the enhancement of patient safety. … Enhancing patient safety by effectively reducing the likelihood of error necessitates that actions be … Safety in Medicine. Amsterdam: Pergamon; 2000:83-101 8. von Bertalanffy L.

9780. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49808/psn-pdf
      October 01, 2017 - After the patient's infection improved and blood cultures cleared, the decision was made to have the … However, the medication issue could be a proxy for any number of patient safety issues that can arise … Interdisciplinary communication should be expanded to include critical patient safety information. … A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically … Improving safety and documentation in intrahospital transport: development of an intrahospital transport