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Showing results for "culture of safety".

9821. An Easily Forgotten Tube | PSNet
      psnet.ahrq.gov/web-mm/easily-forgotten-tube
      June 01, 2016 - —An OR Fire April 1, 2015 Improving departmental psychological safety through … PlayDecide patient safety' to educate junior doctors about patient safety and the importance of reporting … safety concerns October 2, 2019 About politeness, face, and feedback: exploring … resident and faculty perceptions of how institutional feedback culture influences feedback practices. … See More About The Topic Intensive Care Units Health Care Providers Quality and Safety

9822. Too Much, Too Fast | PSNet
      psnet.ahrq.gov/web-mm/too-much-too-fast
      June 14, 2019 - , each of these has the potential to enhance patient safety and prevent adverse outcomes from repleting … healthcare information technology to improve prescribing and patient safety. … 'High-alert' medications and patient safety. Int J Qual Health Care. 2001;13:339-340. … Effects of computerized physician order entry and clinical decision support systems on medication safety … October 11, 2023 When illegitimate tasks threaten patient safety culture: a cross-sectional

9823. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848124/psn-pdf
      April 26, 2023 - Our role is to analyze data related to patient safety, especially monitoring of general care patients … Our specialty was applying aviation safety concepts to patient safety. … That’s an example of error tolerance, and you need all three of these safety aspects. … It’s a safety net. … also positioned as an organizational leader who valued systems engineering, and I think having the culture

9824. The Forgotten Radiographic Read | PSNet
      psnet.ahrq.gov/web-mm/forgotten-radiographic-read
      June 07, 2016 - clinician associated with an adverse event is generally an ineffective strategy for improving patient safety … In some cases, the organizational culture may discourage seeking help, with the covert implication that … This question of radiology procedures at night is only one of many safety concerns that relate to off-hours … care delivery may enhance patient safety. … Do patient safety indicators explain increased weekend mortality? J Surg Res. 2016;200:164-170.

9825. The “Great Pretender” (Syphilis) is Still Stumping Healthcare Providers | PSNet
      psnet.ahrq.gov/web-mm/great-pretender-syphilis-still-stumping-healthcare-providers
      January 07, 2022 - As one goal of patient safety , organizations such as the Joint Commission list steps that may be taken … These steps comprise multiple approaches to improving safety as no single system can ensure that all … September 23, 2020 Healthcare system-wide implementation of opioid-safety guideline recommendations … culture, higher employee engagement and lower burnout. … during the pandemic: safety or teamwork, can we only pick one?

9826. How Does Health Care Simulation Affect Patient Care? | PSNet
      psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
      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?

9827. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73104/psn-pdf
      January 04, 2021 - AHRQ PSNet Annual Perspective: Impact of the COVID-19 Pandemic on Patient Safety. … 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. … , and strengthening the safety culture and fostering characteristics of a high-reliability organization … safety of non-healthcare essential workers.

9828. Think Like a Surgeon | PSNet
      psnet.ahrq.gov/web-mm/think-surgeon
      December 04, 2024 - However, results of blood and urine cultures were negative, and no clear source of infection was found … Systematic approaches for error reporting and reducing miscalibration errors can improve patient safety … December 4, 2024 Perspective Getting Into Patient Safety … June 12, 2019 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … a comprehensive patient safety strategy on obstetric adverse events.

9829. High-Risk Medications, High-Risk Transfers | PSNet
      psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers
      December 21, 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

9830. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49484/psn-pdf
      June 01, 2005 - An independent pharmacy review system needs to complement this process as a second-tier safety measure … More effective safety measures, however, can be put into practice only in electronic devices such as … users and may require extensive training to achieve desired levels of safety and performance.(10) Visual … Impact on organizational culture and behavior. Acad Med. 1993;68:20-25. [ go to PubMed ] 9. … Patient safety and computerized medication ordering at Brigham and Women's Hospital.

9831. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49584/psn-pdf
      April 01, 2009 - shortness of breath. … patient identification mix-ups within electronic medical records (EMRs) and their impact on patient safety … widespread EMR implementation, experts in the field are unequivocal in supporting EMRs as patient safety … Ross Koppel, PhD Principal Investigator Study of Hospital Workplace Culture and Medication Errors Center … Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety

9832. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49805/psn-pdf
      September 01, 2017 - clinician associated with an adverse event is generally an ineffective strategy for improving patient safety … In some cases, the organizational culture may discourage seeking help, with the covert implication that … This question of radiology procedures at night is only one of many safety concerns that relate to off-hours … care delivery may enhance patient safety. … Do patient safety indicators explain increased weekend mortality? J Surg Res. 2016;200:164-170.

9833. Dangerous Dapsone | PSNet
      psnet.ahrq.gov/web-mm/dangerous-dapsone
      January 10, 2011 - Beyond these considerations, communication and culture may have played an additional, subtler role in … clinical pharmacist as a team member serving on the wards has been demonstrated to improve medication safety … , 2011 A multidisciplinary teamwork training program: The Triad for Optimal Patient Safety … February 14, 2024 Adverse safety events in emergency medical services care of children … Related Resources Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety

9834. Two Pills, Same Drug | PSNet
      psnet.ahrq.gov/web-mm/two-pills-same-drug
      May 27, 2011 - An independent pharmacy review system needs to complement this process as a second-tier safety measure … More effective safety measures, however, can be put into practice only in electronic devices such as … users and may require extensive training to achieve desired levels of safety and performance.( 10 ) Visual … Impact on organizational culture and behavior. Acad Med. 1993;68:20-25. [ go to PubMed ] 9. … Patient safety and computerized medication ordering at Brigham and Women's Hospital.

9835. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49607/psn-pdf
      August 01, 2010 - For example, one could measure and regularly report on certain measures of the safety of the handoff … Sittig, PhD University of Texas—Memorial Hermann Center for Healthcare Quality & Safety School of Biomedical … Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain … Joint Commission on Accreditation of Health Care Organizations. 2007 National Patient Safety Goals Hospital … Internal organizational policies, procedures, and culture Organizational leaders and committees write

9836. The Cleveland Clinic Pairs Advanced Practice Registered Nurses and Paramedics To Provide Home Visits to Recently Discharged Patients at Highest Risk for Hospital Readmission | PSNet
      psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
      October 30, 2024 - Innovation Patient Safety Focus The focus of the HRTIC program is to reduce preventable 30-day hospital … https://www.ahrq.gov/patient-safety/resources/improve-discharge/index.html Footnotes Leppin AL, … Copy URL Related Resources Patient Safety … the COVID-19 Pandemic April 27, 2022 Patient Safety Innovations … Stay August 25, 2021 Patient Safety Innovations

9837. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49618/psn-pdf
      February 01, 2011 - and patient safety. … https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references Concerned for the patient's safety … This case reinforces the critical importance of ongoing assessment of physicians. … Impeding this change in culture is the lack of robust, systematic assessment approaches, fear of retribution … The Culture Code: An Ingenious Way to Understand Why People Around the World Live and Buy as They Do

9838. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49855/psn-pdf
      March 01, 2019 - Rafiei P, Walser EM, Duncan JR, et al; Society of Interventional Radiology Health and Safety Committee … Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist by the Safety and Health … Adopting a surgical safety checklist could save money and improve the quality of care in U.S. hospitals … Impact and culture change after the implementation of a preprocedural checklist in an interventional … Patient safety in interventional radiology: a CIRSE IR checklist.

9839. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33796/psn-pdf
      January 01, 2016 - He is a national leader in the field of patient safety and has pioneered efforts to address diagnostic … issue/improving-diagnosis-health-care https://psnet.ahrq.gov/primer/diagnostic-errors It's my own belief … MG: The progress in accepting diagnostic error as a major safety concern has been very slow. … We need to get much better feedback if we want to excel at this, and we need to create a culture where … that will be needed to improve the safety in diagnosis.

9840. Security Lapse | PSNet
      psnet.ahrq.gov/web-mm/security-lapse
      December 18, 2019 - completed 4 years of medical school, fear of punishment still pervades many aspects of our training. … On the culture of student abuse in medical school. … Medical Overuse March 1, 2017 Perspective Safety … Related Resources Annual Perspective Improving Diagnostic Safety … Regarding a Possible Artifact June 30, 2021 Overcoming human barriers to safety