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Showing results for "culture of safety".

9781. Electronic Err | PSNet
      psnet.ahrq.gov/web-mm/electronic-err
      April 01, 2014 - The Institution's Response After a discussion of this case at the clinic's monthly safety and quality … not to abandon the safety practices used in the past, but rather to use the richer set of patient safety … The safety practices described in this case study (eg, informing the patient of the error, assessing … ) indicate that a healthy culture of safety is in place to respond to safety incidents. … Institute of Medicine. Committee on Data Standards for Patient Safety.

9782. Safety in Radiology | PSNet
      psnet.ahrq.gov/perspective/safety-radiology
      October 01, 2013 - Safety in Radiology. PSNet [internet]. … as a potential harm to patients, bringing radiation safety under the broad umbrella of the patient safety … safety of imaging are important for our community of radiologists to address. … August 22, 2018 Improving patient safety: effects of a safety program on performance … and culture in a department of radiology.

9783. In Conversation With… Matthew Weinger, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
      August 01, 2018 - Weinger is Director of the Center for Research and Innovation in Systems Safety and Professor of Anesthesiology … Wachter : From the early days, was your view of simulation that it was about patient safety? … Some other countries do more simulation, but there's a fundamental cultural belief that's still hard … Contrast that with nuclear power, where a safety culture is imposed in part by the regulators and in … has told us about the value of simulation in patient safety?

9784. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60652/psn-pdf
      June 29, 2020 - Legreid Dopp on an Annual Perspective regarding the role of the pharmacist in patient safety. … Our members are all very mindful of changes and ensuring patient safety isn't compromised. … I credit the culture shift over the last 20 years to make sure that patient safety remains front and … Then the safe use of those medications, as we were just talking about – ensuring safety of those medications … Finally, as I mentioned, the overall safety of the healthcare workforce helps to ensure they are able

9785. Poor Prognosis | PSNet
      psnet.ahrq.gov/web-mm/poor-prognosis
      March 15, 2016 - culture. … April 3, 2019 Professionalising patient safety? … Findings from a mixed-methods formative evaluation of the patient safety specialist role in the English … January 31, 2011 National Patient Safety Agency: combining stories with statistics to … 1, 2006 View More Related Resources Patient Safety

9786. In Conversation With… Christopher P. Landrigan, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-christopher-p-landrigan-md-mph
      April 01, 2013 - of the Sleep and Patient Safety Program at Brigham and Women's Hospital. … safety over the course of a 5- or 6-year time horizon. … 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

9787. The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety | PSNet
      psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
      October 01, 2009 - The Media: An Essential, If Sometimes Arbitrary, Promoter of Patient Safety Robert M. … understood that health care could cause harm, this concern was too inchoate to generate real change in the culture … in the area of quality and safety? … View More Related Resources Transparency, public reporting, and a culture … of change to quality and safety in cardiac surgery.

9788. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49663/psn-pdf
      September 01, 2012 - Blood cultures drawn at the time grew methicillin-resistant Staphylococcus aureus (MRSA), most likely … 3165 patients, however, the majority of phlebitis cases were culture-negative, suggesting the local … of delayed recognition of catheter infection by inexperienced staff, until the development of serious … Improving the safety of peripheral intravenous catheters. BMJ. 2008;337:a630. [go to PubMed] 9. … Safety of prolonging peripheral cannula and i.v. tubing use from 72 hours to 96 hours.

9789. The published literature on handoffs in hospitals: deficiencies identified in an extensive review. | PSNet
      psnet.ahrq.gov/issue/published-literature-handoffs-hospitals-deficiencies-identified-extensive-review
      March 07, 2012 - April 25, 2016 The limits of checklists: handoff and narrative thinking. … care at hospital discharge: a review of key issues for hospitalists. … October 18, 2016 A systematic review of the literature on the evaluation of handoff tools … of patient care. … 5, 2007 View More See More About The Topic Hospitals Quality and Safety

9790. The Other Side | PSNet
      psnet.ahrq.gov/web-mm/other-side
      May 01, 2007 - patient safety issue. … Charles Vincent, PhD Professor of Clinical Safety Research Department of Surgical Oncology and Technology … Making Health Care Safer: A Critical Analysis of Patient Safety Practices. … National Patient Safety Agency. NPSA. [ go to related site ] 4. … October 14, 2020 The outcomes of recent patient safety education interventions for trainee

9791. Insert Omission | PSNet
      psnet.ahrq.gov/web-mm/insert-omission
      May 09, 2014 - test and negative cultures for gonorrhea and Chlamydia trachomatis . … July 29, 2009 Quality and patient safety metrics: developing a structured program for … Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer July 31, 2023 First … The Report of the Independent Medicines and Medical Devices Safety Review. … July 22, 2020 Patient safety in the obstetric and gynecologic office setting.

9792. Feeling No Pain | PSNet
      psnet.ahrq.gov/web-mm/feeling-no-pain
      August 30, 2023 - 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.

9793. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49419/psn-pdf
      October 01, 2003 - patient safety issue. … Charles Vincent, PhD Professor of Clinical Safety Research Department of Surgical Oncology and Technology … Making Health Care Safer: A Critical Analysis of Patient Safety Practices. … National Patient Safety Agency. NPSA. [ go to related site ] 4. … Enhancing patient safety. London: BMJ Publications; 2001:461-79. 15.

9794. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60173/psn-pdf
      March 30, 2020 - Gaffey, RN, MSN, CPHRM, DFASHRM is the President of Healthcare Risk and Safety Strategies, LLC. … Most of our work is in patient safety and quality in the hospital space. … The new cross-cutting topics, such as Safety Culture, Teamwork and Communication, etc. also help to … For all of the patient safety topics, we need to think about how to maximize the use of technology. … All of that affects patient safety.

9795. Written Signout: It Only Works If You Use The Right One | PSNet
      psnet.ahrq.gov/web-mm/written-signout-it-only-works-if-you-use-right-one
      April 24, 2018 - or transfer of inaccurate information due to inadequate handoff, pose a risk to patient safety and have … In 2006, The Joint Commission established a National Patient Safety Goal focused on handoffs.( 1 ) Responding … April 24, 2018 Patient safety after implementation of a coproduced family centered communication … November 16, 2022 Association of patient and family reports of hospital safety climate … March 10, 2019 Bridging leadership roles in quality and patient safety: experience of

9796. Webmm Spotlight Suicide Risk Assessment (pdf file)
      psnet.ahrq.gov/sites/default/files/2019-11/webmm_spotlight_suicide_risk_assessment.pdf
      January 01, 2019 - versus what patients say at one point in time – While checklists are often a helpful tool in patient safety … 2019 National Patient Safety Goal (NPSG) 15.01.01 for medical hospitals and behavioral health care … Suicide Screening (2) The Joint Commission: National Patient Safety Goal (NPSG) • 2016: Universal suicide … Suicide Risk Reduction and Treatment Planning (2) • The Brown-Stanley safety plan is a collaborative … death and a patient safety problem • Suicide screening is indicated for patients who receive medical

9797. COVID-19 and Dentistry: Challenges and Opportunities for Providing Safe Care | PSNet
      psnet.ahrq.gov/primer/covid-19-and-dentistry-challenges-and-opportunities-providing-safe-care
      February 24, 2022 - United States Department of Labor Occupational Safety and Health Administration. … Primers Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes … Fundamentals of patient safety, the safety culture and implementation of patient safety measures in dental … December 22, 2021 Open wide: looking into the safety culture of dental school clinics … 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes February 24, 2022

9798. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49579/psn-pdf
      March 21, 2009 - The 2008 Joint Commission Patient Safety Goal 2E requires all health care providers to "implement a … Based on the minimal information at hand (the history of shortness of breath, the low oxygen levels, … As with all transfers of care, this should be done in accordance with the 2008 Patient Safety Goal 2E … [Available at] 6. 2008 National Patient Safety Goals Hospital Program. The Joint Commission. … The Joint Commission Accreditation Program: Ambulatory Health Care National Patient Safety Goals.

9799. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49462/psn-pdf
      October 01, 2004 - In addition to avoiding a culture of blame and striving to identify root causes, the solutions offered … However, this safety net is incomplete. … Fortunately, I noticed the gray color (color-coding is another safety feature) of the tank. … Human factors engineering and patient safety. … Safeware: system safety and computers.

9800. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846564/psn-pdf
      March 29, 2023 - error, that can lead to a safety event. … This suggests that contextual factors at each site, such as culture and organizational processes, may … https://psnet.ahrq.gov/issue/patient-safety-informatics-criteria-development-assessing-maturity-digital-patient-safety … Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER … The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related