Results

Total Results: over 10,000 records

Showing results for "culture of safety".

9861. The Michigan Hospital Medicine Safety Consortium (HMS) Finds Infectious Diseases (ID) Physician Approval for Placement of Peripherally Inserted Central Catheters (PICCs) Prevents Unnecessary PICC Use and Reduces Complications | PSNet
      psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-consortium-hms-finds-infectious-diseases-id-physician
      July 23, 2024 - Innovation Patient Safety Focus The initiative addresses the inappropriate use of, and complications … PICCs and potential patient safety issues associated with them. … Inpatient venous access practices: PICC culture and the kidney patient. … Patient Safety Network. December 1, 2012. Accessed November 17, 2021. … the COVID-19 Pandemic April 27, 2022 The Role of Hospitalists in Patient Safety

9862. Continuity Errors in Resident Clinic | PSNet
      psnet.ahrq.gov/web-mm/continuity-errors-resident-clinic
      October 02, 2019 - patient safety, the learning environment, and resident–patient relationships, but no actual patient … Frequent measurement and sharing of data are first steps to achieving a culture of shared responsibility … Building the bridge to quality: an urgent call to integrate quality improvement and patient safety … education with clinical care October 2, 2019 The Quality and Safety Educators Academy … September 22, 2021 Perspective Aviation Safety Methods:

9863. Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care | PSNet
      psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
      June 01, 2003 - The solutions are multifaceted, and all solutions begin with the nursing culture of the organization … Nurse Staffing and Patient Care Quality and Safety. In: Hughes RG, ed. … Patient Safety and Quality: An Evidence-Based Handbook for Nurses. … design strategies on patient safety, healing, and satisfaction in an adult inpatient environment. … September 28, 2010 Safety.

9864. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865656/psn-pdf
      April 24, 2024 - For the patient’s own safety and the safety of ED staff, physical and chemical restraint were deemed … high-stress situations coupled with the bypassing of available layers of safety including pharmacist … time period (e.g., 48 hours)2 In addition, healthcare organizations should promote a “stop-the-line” culture … risks to patient safety by increasing the chance of medication errors.7 Overrides should only be used … A comparison of the safety of olanzapine and haloperidol in combination with benzodiazepines in emergency

9865. In Conversation With… Amy J. Starmer, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-amy-j-starmer-md-mph
      May 31, 2023 - these changes on patient outcomes and safety. … This was one of the most important components of the intervention, but initially required a lot of effort … The infrastructure of this ongoing project has allowed us to take all of the components of the I-PASS … Download Citation Related Resources Patient Safety … 31, 2023 Annual Perspective Improving Diagnostic Safety

9866. In Conversation With….Alison Stuebe, MD, MSc and Kristin Tully, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
      October 06, 2021 - Our culture of health, I think, is the most powerful intervention that we have because everything flows … Many of our PSLL [Patient Safety Learning Lab] team members are now part of a UNC Health System-wide … KH: It reminds me of some of the work in patient safety around the use of Failure Mode and Effects Analysis … safety refers to the safety of a person during pregnancy, childbirth, and the postnatal period. … and Social Determinants of Maternal Safety 6 Given the importance of safety as a positive concept

9867. Coming up for Err: Missed Diagnosis in a Patient with Recurrent Pneumothorax | PSNet
      psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
      December 14, 2022 - An important dictum in diagnostic safety is to reconsider the initial diagnosis (and in this case the … than worsening can help operationalize such an open-minded culture and decrease the likelihood that unresolved … 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.

9868. Medication Mix-Up: From Bad to Worse | PSNet
      psnet.ahrq.gov/web-mm/medication-mix-bad-worse
      March 01, 2018 - These error reports are published in the ISMP Medication Safety Alert! newsletter. … Effect of bar-code technology on the safety of medication administration. … ISMP Medication Safety Alert! Acute Care Edition. A novel way to prevent medication errors. … April 24, 2018 Exploring safety culture within inpatient mental health units: the results … setting: implications for patient safety.

9869. Patient Safety in Home Dialysis | PSNet
      psnet.ahrq.gov/perspective/patient-safety-home-dialysis
      April 28, 2021 - Experiences of safety among patients receiving home dialysis therapies. … KH : In terms of patient safety, how would you describe your role in terms of making sure that patients … There are really good publications on safety and the risk of an outcome. … Safety Culture in EMS May 26, 2021 Perspectives … Patient Safety Events and the Role of Patient Safety Organizations During the COVID

9870. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49588/psn-pdf
      August 01, 2009 - leaders and their designees must develop strategies to deal with these absences to ensure patient safety … better able to problem-solve with physicians, patients, and other stakeholders in real time to maximize safety … The solutions are multifaceted, and all solutions begin with the nursing culture of the organization … Nurse Staffing and Patient Care Quality and Safety. In: Hughes RG, ed. … Patient Safety and Quality: An Evidence-Based Handbook for Nurses.

9871. Telehealth and Patient Safety During the COVID-19 Response | PSNet
      psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
      May 14, 2020 - However, the overall safety of telehealth is less well studied. … Its expanded use has served as a means of ensuring the safety of both patients and frontline providers … safety outcomes. … It is important for institutions to maintain good patient safety culture and ensure that providers have … safety.

9872. Amphotericin Toxicity | PSNet
      psnet.ahrq.gov/web-mm/amphotericin-toxicity
      April 01, 2014 - After surgical debridement, tissue cultures revealed Aspergillus fumigatus. … Quality Use of Medicines–medication safety issues in naming; look-alike, sound-alike medicine names. … Clinic November 1, 2016 Perspective Aviation Safety … Remain January 1, 2006 Perspective Patient Safety … View More Related Resources Perspectives on Safety

9873. Code Status vs. Care Status | PSNet
      psnet.ahrq.gov/web-mm/code-status-vs-care-status
      September 30, 2020 - a knowledge gap that we fill with our own explanation, informed by our own experiences, values, and beliefs … Journal of patient safety. 2016 Dec 1;12(4):190-6.  … Safety Outcomes. … Medication September 30, 2020 WebM&M Cases Culture … stories of harm to raise awareness of patient safety for doctors in training.

9874. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848107/psn-pdf
      April 26, 2023 - Recognition of the multifactorial contributors to diagnostic safety spans back almost 20 years with … diagnostic safety; the NASEM definition also includes failure to communicate an explanation of the patient … However, reducing misdiagnoses may require changing a healthcare organization’s institutional culture … A systematic review of diagnostic safety checklists exposed gaps in the way these checklists are used … Beyond this, a key step to strengthening diagnostic safety is the widespread use of a comprehensive

9875. In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring | PSNet
      psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
      April 26, 2023 - 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 … In recognition of the importance of this systems-based approach to safety initiatives, AHRQ created … safety, could help mitigate the complex problem of failure to rescue.

9876. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49828/psn-pdf
      May 01, 2018 - Such efforts at simultaneously promoting safety for patients and work–life balance for providers should … Although a variety of approaches might be effective depending on local practice culture and EHR capabilities … Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain … National Patient Safety Goals. Oakbrook Terrace, IL: The Joint Commission; 2018. … A Toolkit for Rapid-Cycle Patient Safety and Quality Improvement.

9877. In Conversation With… Abraham Verghese, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-abraham-verghese-md
      November 01, 2012 - Most important to me is the issue of safety and basically the disappointing thought that we might actually … evidence-based physical diagnosis improve patient safety and cut the costs of care? … The evidence also shows, in contrast to common belief, that physical diagnosis is as reliable or scientific … But, systemic changes are also required, because we now live in a medical culture that allows clinicians … Until this culture changes, constrictive pericarditis will continue to be misdiagnosed as liver disease

9878. Out of Sight, Out of Mind: Out-of-Office Test Result Management | PSNet
      psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management
      September 01, 2007 - Such efforts at simultaneously promoting safety for patients and work–life balance for providers should … Although a variety of approaches might be effective depending on local practice culture and EHR capabilities … Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain … National Patient Safety Goals. Oakbrook Terrace, IL: The Joint Commission; 2018. … A Toolkit for Rapid-Cycle Patient Safety and Quality Improvement.

9879. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49806/psn-pdf
      September 01, 2017 - respiratory rate of 16 breaths per minute, temperature of 36.3°C, and an oxygen saturation of 90% on … Later that day, his blood and sputum cultures https://psnet.ahrq.gov/web-mm/failed-interpretation-screening-tool-delayed-treatment … Two diagnostic tests were ordered: an echocardiogram for heart failure and both blood and sputum cultures … sense of security. … Murphy, MD, PhD Patient Safety Officer, Emory Healthcare Director of Quality, Emory Critical Care Center

9880. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49508/psn-pdf
      January 01, 2007 - Language barriers were first identified as a patient safety issue in 2003.(9) Very little research has … For optimal safety, especially when medication dosing is potentially confusing, LEP patients and/or … Such directly observed dosing has been shown to enhance safety and accuracy even when language barriers … As with patients who speak English, patient safety is greatest for LEP patients when provider-patient … The importance of language and culture in pediatric care: case studies from the Latino community.