Results

Total Results: over 10,000 records

Showing results for "culture of safety".

9801. In Conversation With… Michelle Mello, MPhil, JD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
      July 01, 2017 - How did the dynamic of that relationship change when the patient safety field became a thing 15 years … the patient safety movement and additional research on the causality of medical error, we become more … the culture of the notion that adversarial clashes tend to produce the truth. … quality and safety of care. … Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety November 27, 2023

9802. Saved by ECMO | PSNet
      psnet.ahrq.gov/web-mm/saved-ecmo
      May 05, 2017 - A Systematic Approach to Improving Patient Safety While the patient in this case ultimately had a good … Perspective Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety … Failure to Rescue the Mother July 2, 2019 A comprehensive obstetrics patient safety … program improves safety climate and culture. … May 21, 2019 Impact of a comprehensive patient safety strategy on obstetric adverse events

9803. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49830/psn-pdf
      May 01, 2018 - Loss of critical information during patient transfers is a common root cause of suicide attempts and … Finally, there are problems with the safety of the environment of care on this unit. … Mills, PhD, MS Director, VA National Center for Patient Safety Field Office Veterans Affairs Medical … Suicide-specific safety in the inpatient psychiatric unit. … Inpatient suicide prevention: promoting a culture and system of safety over 30 years of practice.

9804. Pocket Syringe Swap | PSNet
      psnet.ahrq.gov/web-mm/pocket-syringe-swap
      July 01, 2006 - Foundation ( 8 ) has issued a set of recommendations intended to improve safety. … Finally, the committee strongly advocated establishing a "just culture" for reporting errors, cooperation … the recovery room, safety factors require the immediate availability of preloaded syringes of suitable … drug safety in anesthesia. … Effect of bar-code technology on the safety of medication administration.

9805. Primary Workaround, Secondary Complication | PSNet
      psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
      January 24, 2018 - Ensuring patient safety mandates considering the potential ramifications of using workarounds, specifically … Data on the use of workarounds can be used by managers, patient safety officers, and frontline staff … Communication about the use of workarounds is essential for patient safety. … culture and patient experience in hospital settings: a scoping review. … June 19, 2013 The safety of hospital stroke care.

9806. COVID-19 and the Built Environment | PSNet
      psnet.ahrq.gov/perspective/covid-19-and-built-environment
      June 30, 2021 - However, as guidelines recommending safety parameters of the built environment are updated, there is … Culture and Redesign. Agency for Healthcare Research and Quality; 2008. … rooms [ORs] to improve patient safety and worker safety. … Safety Culture in EMS May 26, 2021 Perspectives … Patient Safety Events and the Role of Patient Safety Organizations During the COVID

9807. Technical Expert Panel | PSNet
      psnet.ahrq.gov/Information/Panel
      January 01, 2012 - Additionally, while at the US Department of Health and Human Services, she was the Director of HIT Safety … Under her leadership, CANDOR (Communications AND Optimal Resolution) and Just Culture were spread across … and Patient Safety Pathway at the Medical College of Wisconsin. … of the Washington Patient Safety Coalition’s Steering Committee. … She is a reviewer for the Journal of Patient Safety , and she teaches TeamSTEPPS at the University of

9808. Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality | PSNet
      psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
      October 01, 2004 - For example, patient safety indicators derived from administrative data sources can be valuable tools … was in fact no such reporting requirement, and the attending physician was not correct in his or her belief … Safety of intramuscular influenza immunization among patients receiving long-term warfarin anticoagulation … Oxygenation Assessment Initial Antibiotic Timing Pneumococcal Vaccination Influenza vaccination Blood culture … October 3, 2017 Stories from the sharp end: case studies in safety improvement.

9809. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850673/psn-pdf
      June 14, 2023 - My work, beliefs, and commitment have been shaped by early life experiences. … patient safety. … 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

9810. Debriefing for Clinical Learning | PSNet
      psnet.ahrq.gov/primer/debriefing-clinical-learning
      September 15, 2024 - Establishing psychological safety for participants is essential, regardless of the type of debriefing … She has a list of items to bring to the Quality and Safety committee for further follow-up including … Primers Culture of Safety September 15, 2024 Communication Between Clinicians March 15, 2025 … August 24, 2022 Debrief it all: a tool for inclusion of Safety-II. … Safety January 31, 2024 Nature of blame in patient safety incident reports:

9811. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33655/psn-pdf
      August 01, 2007 - The PeaceHealth Governance Journey in Support of Quality and Safety August 1, 2007 Haughom JL. … The PeaceHealth Governance Journey in Support of Quality and Safety. PSNet [internet]. 2007. … In recent years, the case for improving the quality and safety of care has become irrefutable. … 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

9812. The Missing Suction Tip | PSNet
      psnet.ahrq.gov/web-mm/missing-suction-tip
      January 01, 2006 - This is an interest of many patient safety researchers due in part to the success of aviation’s Crew … Making health care safer: a critical analysis of patient safety practices. … Behavioural markers of surgical excellence. Safety Sci. 2003;41:409-25. 15. … The University of Texas Center of Excellence for Patient Safety Research and Practice Web site. [ go … December 30, 2014 Burnout in the NICU setting and its relation to safety culture.

9813. Too Tight Control | PSNet
      psnet.ahrq.gov/web-mm/too-tight-control
      March 20, 2013 - "effectiveness" of an intervention.( 11-14 ) We believe that it will be important for the safety literature … When our quality and safety improvement projects focus on correcting underuse of particular medications … Safety in clinical trials differs from safety in practice. … Improving medication safety across a multihospital system. … June 2, 2019 Evaluation of the culture of safety: survey of clinicians and managers in

9814. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33583/psn-pdf
      March 01, 2023 - Because of the potential risks to patient and staff safety in the clinical environment, special care … culture.2,16-19   Learner Experience Creating a simulation environment conducive to learning is a … , a small portion (2%) focused on feelings of humiliation, lack of safety, and embarrassment.18 According … Emerging role of drills and simulations in patient safety. … The Role of Simulation in Improving Patient Safety. In: Grant, V., Cheng, A.

9815. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73905/psn-pdf
      October 06, 2021 - safety refers to the safety of a person during pregnancy, childbirth, and the postnatal period. … maternal safety demand accountability for critical clinical components of care. … One approach is more closely aligned to traditional definitions of maternal safety. … maternal safety, but they have very different roles in the provision of safe and equitable care. … Overview of Patient Safety Learning Laboratory (PSLL) Projects.

9816. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49692/psn-pdf
      September 01, 2013 - Following this case, data safety and monitoring policies were changed. … Hospital and departmental leaders should encourage a culture that allows for open discussion of errors … Hemphill, MD, MPH Chief Safety and Risk Awareness Officer, Veterans Health Administration Director, … VA National Center for Patient Safety References 1. … Reducing the rate of repeat imaging: import of outside images to PACS.

9817. What Have We Learned About Safe Inpatient Handovers? | PSNet
      psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
      March 01, 2011 - and Patient Safety. … I think that's how a lot of us get involved in patient safety, through personal experiences. … Our culture in health care is very different from those other industries that have adopted some effective … What do you think has happened to the safety of handoffs since we first began cutting duty hours? … ) to assess socio-cultural dimensions of patient safety competency.

9818. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49767/psn-pdf
      August 21, 2016 - of dollars by improving efficiency, quality, and patient safety.(2,3) While little empirical evidence … safety failures and could be solved by interoperability. … Julia Adler-Milstein, PhD Assistant Professor of Information, School of Information Assistant Professor … of Health Management and Policy, School of Public Health University of Michigan Ann Arbor, MI References … Readers should not interpret any statement in this report as an official position of AHRQ or of the

9819. In Conversation With… Beverley H. Johnson | PSNet
      psnet.ahrq.gov/perspective/conversation-beverley-h-johnson
      February 01, 2013 - members of their safety team. … RW : There's kind of a thread within the patient safety field these days about patients and families … This physician placed this patient as a key member of his safety team. … Yes, we need to improve patient experience scores, but much more importantly we need to change the culture … Hospitalized patients' participation and its impact on quality of care and patient safety.

9820. Abdominal Pain in Early Pregnancy | PSNet
      psnet.ahrq.gov/web-mm/abdominal-pain-early-pregnancy
      November 13, 2024 - Appendicitis in pregnancy: new information that contradicts long-held clinical beliefs. … The effects of safety checklists in medicine: a systematic review. … March 30, 2022 System planning for modern-day Just Culture to mitigate worker distress … March 14, 2018 Use of the WHO surgical safety checklist in trauma and orthopaedic patients … hospital presentation and the quality and safety of stroke care.