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Showing results for "culture of safety".

9841. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846922/psn-pdf
      March 29, 2023 - To focus their efforts, safety and quality leaders reviewed claims data over time. … Innovation Patient Safety Focus The innovation focused on assessing, addressing, and linking social … determinants of health (SDOH) factors to improve patient outcomes, including patient safety. … Sustaining This Innovation To sustain the innovation requires transparency, teamwork, commitment, and a culture … of willingness to invest in the health of patients and the community.

9842. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73650/psn-pdf
      August 25, 2021 - Creating more systematic and proactive follow-up safety nets to ensure patients are improving rather … than worsening can help operationalize such an open-minded culture and decrease the likelihood that … Research and Practice, and the State of Massachusetts Betsy Lehman Center for Patient Safety, contributes … Efficacy and safety of sirolimus in lymphangioleiomyomatosis. … Improving Clinical Communication and Patient Safety: Clinician- Recommended Solutions.

9843. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73953/psn-pdf
      October 27, 2021 - Deprescribing as a Patient Safety Strategy October 27, 2021 Takhar S, Nelson N. … Deprescribing as a Patient Safety Strategy. PSNet [internet]. 2021. … each of the patient’s medications as it relates to safety and efficacy; it empowers the patient to … ://www.hqsc.govt.nz/assets/Our-work/System-safety/Reducing-harm/Medicines/Publications-resources/Use-of-the-Medication-Appropriateness-Index.pdf … the prescribing culture of the health system, and implementing interventions to facilitate deprescribing

9844. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33774/psn-pdf
      December 01, 2014 - We spoke with him about his work with WHO and the global impact of the organization on patient safety … The World Alliance on Patient Safety was the first global effort to put patient safety on the international … Those two put together really turned the tide in terms of getting people to focus on safety. … You have that times 200 given all the countries and variations in resources and culture and history. … Safety Office at Johns Hopkins.

9845. Complications of Vascular Access Procedures in Patients with Kidney Disease | PSNet
      psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease
      November 15, 2023 - After careful review by the hospital’s patient safety committee , it was determined that the death was … Approach to Improving Patient Safety While vascular access procedures remain extremely common and … Safety of benzodiazepines and opioids in very severe respiratory disease: national prospective study. … Utilizing 'soft signals' in the regulation of patient safety. … April 20, 2022 Fostering a just culture in healthcare organizations: experiences in practice

9846. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49664/psn-pdf
      January 01, 2013 - patient safety. … However, we also found that the highest degrees of safety are achieved when both standard practices … Surgical Safety and Human Factors Research Department of Surgery Cedars-Sinai Medical Center   … contributions built into the discussions Threat & Error Management Reliability established in safe cultures … process Safety checks built into process Prediction of future patient needs and likely risks Overview

9847. Patient and Family Roles in Safety | PSNet
      psnet.ahrq.gov/perspective/patient-and-family-roles-safety
      June 14, 2023 - .” 2 To define the roles of patients and families in safety , the Canadian Patient Safety Institute … My work, beliefs, and commitment have been shaped by early life experiences. … 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

9848. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33744/psn-pdf
      February 01, 2013 - even members of their safety team. … RW: There's kind of a thread within the patient safety field these days about patients and families protecting … RW: Part of the thread about patients and families getting more involved in their safety is that yes, … 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

9849. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33803/psn-pdf
      January 01, 2015 - caused by the delivery of care, and we are in the early stages of figuring out how to improve safety … focusing on advancing our understanding of diagnostic safety. … We have made extensive progress in changing the culture in hospitals and other health care institutions … RW: Talk about some of the resources AHRQ has developed in patient safety. … of safety to ensure that evidence-based care is delivered.

9850. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49779/psn-pdf
      January 01, 2017 - multiple groups and professions to collaborate, facilitated by a transparent, proactive, and nonpunitive culture … Purchasing provides an opportunity to shape the safety and usability of medical technology. … Time to accelerate integration of human factors and ergonomics in patient safety. … Design for Patient Safety: A Guide to the Design of Electronic Infusion Devices. … fall outside of safety limits.

9851. In Conversation With… Andrew Gettinger, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md
      September 01, 2017 - Quality and Safety for the Office of the National Coordinator (ONC). … I'm very proud of this. We created a group of invested stakeholders in health IT safety. … the range of safety problems and identify potential solutions. … Of course, EHR-related patient safety exists as a subset of an organization's overall safety programs … As such, another key facet of this work is for organizational leadership to create the blame-free culture

9852. Sloppy and Paste | PSNet
      psnet.ahrq.gov/web-mm/sloppy-and-paste
      February 02, 2011 - 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. … Delay March 1, 2018 Perspective Quality and Safety … the UK's Patient Safety Enterprise: Top Down vs. … Bottom Up June 1, 2012 Perspective Emerging Safety

9853. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49651/psn-pdf
      May 01, 2012 - Blood cultures were positive for E. coli, and appropriate antibiotic therapy was initiated. … of drowsiness. … by negative E. coli cultures from the ventricular cerebrospinal fluid. … Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. … Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedule to Improve Patient Safety

9854. Empty Handoff | PSNet
      psnet.ahrq.gov/web-mm/empty-handoff
      August 01, 2017 - patient safety. … However, we also found that the highest degrees of safety are achieved when both standard practices and … Surgical Safety and Human Factors Research Department of Surgery Cedars-Sinai Medical Center … contributions built into the discussions Threat & Error Management Reliability established in safe cultures … process Safety checks built into process Prediction of future patient needs and likely risks

9855. Missed Patient Assignment: Is Anyone There? | PSNet
      psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there
      September 01, 2017 - 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 … Internal organizational policies, procedures, and culture Organizational leaders and committees … safety.

9856. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49414/psn-pdf
      September 01, 2003 - Of note, she had recently completed a course of tetracycline for an asymptomatic infection with Actinomyces … However, post-operatively, the patient developed fevers, and blood cultures grew Actinomyces. … Nevertheless, as depicted by Reason in his "Swiss Cheese Model," these safety mechanisms each have enough … of safety and efficacy as the prototype. … Take-Home Points Gynecologists can improve outcomes and enhance patient safety with comprehensive pre-operative

9857. Retained Surgical Items: Definition and Epidemiology. | PSNet
      psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
      September 15, 2024 - Examples include ingested batteries, dentures, safety pins, screws and other sharp objects, inserted … An RFO or RFB is not the result of medical error, whereas an RSI is a multi-stakeholder patient safety … Organizations (PSOs), collaborations authorized under the Patient Safety and Quality Improvement Act … The occurrence of any safety variance, and specifically an incorrect count at any time during the procedure … June 12, 2024 Creating a just culture in the perioperative setting.

9858. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50698/psn-pdf
      November 27, 2019 - To ensure patient safety, protocols for further assessment and referral to treatment must be linked … patient safety improvement and can be incorporated into the PDSA (plan, do, study, act) model of quality … Take-Home Points Suicide is a common cause of death that impacts Patient Safety in EDs and medical hospitals … National Patient Safety Goal for suicide prevention, R3 Report, Requirement, Rationale, Reference. … Safety planning intervention: A brief intervention to mitigate suicide risk.

9859. Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic | PSNet
      psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
      January 12, 2022 - Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic January … Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic. … Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic. … Many aspects of patient safety had to be adapted. … Safety Safety Culture in EMS May 26, 2021 Perspectives

9860. Disclosure of Medical Error | PSNet
      psnet.ahrq.gov/perspective/disclosure-medical-error
      January 01, 2009 - Recent presidential candidates have touted using disclosure as part of a centerpiece of patient safety … In many regards, this has been a time-revered risk management belief. … Making patient safety the centerpiece of medical liability reform. … The patient's right to safety--improving the quality of care through litigation against hospitals. … September 29, 2017 Safety culture in the operating room: variability among perioperative