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Showing results for "culture of safety".

9901. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49807/psn-pdf
      October 01, 2017 - resource for improving communications for LEP individuals in hospital settings is Improving Patient Safety … of Biomedical Informatics and Medical Education, School of Medicine, University of Washington, Seattle … Rockville, MD: US Department of Health and Human Services, Office of Minority Health. … Use of Google Translate in medical communication: evaluation of accuracy. BMJ. 2014;349:g7392. … Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide for Hospitals

9902. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33745/psn-pdf
      February 01, 2013 - Patient Engagement and Patient Safety February 1, 2013 Weingart SN. … Patient Engagement and Patient Safety. PSNet [internet]. 2013. … Effectiveness of interventions designed to promote patient involvement to enhance safety: a systematic … Scoping review and approach to appraisal of interventions intended to involve patients in patient safety … Hospitalized patients' participation and its impact on quality of care and patient safety.

9903. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865570/psn-pdf
      April 10, 2024 - .2 Although many anesthesia providers are pioneers in the field of patient safety, errors and adverse … , the NAPA Anesthesia Patient Safety Institute (NAPSI). … Anesthesia risk alert program: a proactive safety initiative. … The critical care safety study: the incidence and nature of adverse events and serious medical errors … /news/articles/2023/01/safety-ii-a-proactive-approach-to-positive-outcomes#:~:text=Safety%2DI%20is%20an

9904. What Do We Know About Emergency Department Safety? | PSNet
      psnet.ahrq.gov/perspective/what-do-we-know-about-emergency-department-safety
      June 01, 2010 - Unfortunately, despite growing evidence of the risks of ED boarding, patient safety regulatory organizations … Model of Patient Safety. … reflect your interest in safety and that you're particularly proud of? … It's been helped by the patient safety movement of course. … How did you get the culture to accept that? PC: It wasn't easy.

9905. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49771/psn-pdf
      July 01, 2016 - The cultures from her peritoneal fluid grew multiple bacterial species, raising concerns for bowel perforation … of recommendations in 1999 (1), even before patient safety catapulted into the spotlight following … Patient Safety Primer: Computerized Provider Order Entry. AHRQ Patient Safety Network. … Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. 2nd ed. … Safety-I and Safety-II: The Past and Future of Safety Management. Farnham, UK: Ashgate; 2014.

9906. Patient Safety: A Perspective from Office Practice | PSNet
      psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice
      May 01, 2009 - The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. … or patient safety projects. … I also think that patient safety is kind of a moral imperative. … At Alcoa, the issue was around making safety one of the key aspects of the CEO's job. … Without leadership involvement at the very highest level, patient safety will just be some kind of a

9907. African Partnerships for Patient Safety: Lessons Learned | PSNet
      psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned
      December 01, 2014 - shaping and leading the implementation of a WHO program focused on improving patient safety in Africa … a series of hand hygiene interventions.( 11 ) Third, facilitate spread of the patient safety efforts … to the flattening of the global health architecture by emphasizing the unifying concept of patient safety … Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients … You have that times 200 given all the countries and variations in resources and culture and history.

9908. Amended Lab Results: Communication Slip | PSNet
      psnet.ahrq.gov/web-mm/amended-lab-results-communication-slip
      September 26, 2012 - of medical error. … processes of communication of amended values. … Errors in laboratory medicine: practical lessons to improve patient safety. … Classifying laboratory incident reports to identify problems that jeopardize patient safety. … a Positive Blood Culture July 1, 2017 WebM&M Cases

9909. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865540/psn-pdf
      April 11, 2024 - Depending on the culture and practices in the hospital, nursing staff should expect either a brief physician … Incorporating Alternative Techniques to Verify Placement One final option to improve patient safety … Enhancing patient safety during feeding-tube insertion: a review of more than 2,000 insertions. … Patient Safety Alert NPSA/2011/PSA002:Reducing the harm caused by misplaced nasogastric feeding tubes … NHS National Patient Safety Agency. London, UK: National Health Service; 2011.

9910. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865373/psn-pdf
      March 27, 2024 - I’m currently the Executive Director of the Quality and Patient Safety Initiative in the College of … safety? … First, we have a patient who is hypotensive, tachycardic with fever, and positive blood cultures immediately … You can see how that can lead to safety. These cameras can do this all of the time. … What are some risks of AI implementation to patient safety that we should be cognizant of?

9911. Delayed Diagnosis in the Setting of Virtual Care: Remembering the Physical Examination | PSNet
      psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
      April 29, 2020 - She was admitted for work-up including a COVID-19 test, viral panel, urinalysis, and blood cultures – … September 27, 2023 How valid is the ICD-9-CM based AHRQ Patient Safety Indicator … January 13, 2010 Incorporating harms into the weighting of the Revised AHRQ Patient Safety … patient safety indicator. … Agency for Healthcare Research and Quality's Patient Safety Indicator?

9912. Unseen Perils of Urinary Catheters | PSNet
      psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
      January 31, 2024 - 47%).(10) These significant knowledge and practice gaps must be addressed to improve the quality and safety … collection, and urine culture indications. … Senior University of Pennsylvania, Division of Urology, University of Pennsylvania Medical Center … As a means of obtaining urine for culture or other diagnostic tests when the patient can voluntarily … May 1, 2019 Improving nurse-to-patient staffing ratios as a cost-effective safety intervention

9913. Missed Opportunities for Suicide Risk Assessment | PSNet
      psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
      September 27, 2023 - Patient Safety Goal (NPSG) 15.01.01 for medical hospitals and behavioral health care organizations. … To ensure patient safety, protocols for further assessment and referral to treatment must be linked to … 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 … Safety planning intervention: A brief intervention to mitigate suicide risk.

9914. Meaningful Measurement in Patient and Family Engagement | PSNet
      psnet.ahrq.gov/perspective/meaningful-measurement-patient-and-family-engagement
      March 10, 2021 - Safety Culture in EMS May 26, 2021 Perspectives … on Safety Patient Safety in Home Dialysis April 28, 2021 … Perspectives on Safety EMS Patient Safety in the Field July 28, 2021 … Patient Safety Events and the Role of Patient Safety Organizations During the COVID … Plan Patient Safety Initiatives July 10, 2024 Patient Safety Innovations

9915. Doctor, Don't Treat Thyself | PSNet
      psnet.ahrq.gov/web-mm/doctor-dont-treat-thyself
      August 21, 2024 - The admitting physician ordered blood cultures and prescribed intravenous ceftriaxone as well as oral … the treating physician might offer less information than explained to 'ordinary' patients, due to a belief … August 16, 2017 Learning from patient safety incidents involving acutely sick adults … novel pharmacy-based intervention to improve patient safety. … Related Resources Annual Perspective Improving Diagnostic Safety

9916. Right Electrocardiogram, Wrong Patient | PSNet
      psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
      April 24, 2024 - private health analytics firm, which has logged over 15,000 electronic health record (EHR) related safety … Effect of Bar-Code Technology on the Safety of Medication Administration. … January 1, 2018 Perspective Overuse as a Patient Safety … September 27, 2023 Patient Safety Innovations Remote … More About The Topic Emergency Departments Facility and Group Administrators Quality and Safety

9917. In Conversation With... Heidi Wald, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-heidi-wald-md
      November 26, 2019 - The mission of safety is one of our six core values for the health system. … In addition to patient safety programs and the development of patient safety culture, we also tie in … We are very proud of our associate safety record. … Studies in the inpatient setting that have assessed the effect of age on the rate of safety events have … The geometry of patient safety: Horizontal and vertical approaches to the hazards of hospitalization.

9918. Transitions in Adolescent Medicine | PSNet
      psnet.ahrq.gov/web-mm/transitions-adolescent-medicine
      August 04, 2021 - January 25, 2017 Pragmatic insights on patient safety priorities and intervention strategies … interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient safety … July 19, 2023 Description and evaluation of an interprofessional patient safety course … patient safety. … subspecialization in pediatric cardiac intensive care unit: quality and patient safety implications.

9919. Liver Failure After Chemotherapy: Did We Forget Something? | PSNet
      psnet.ahrq.gov/web-mm/liver-failure-after-chemotherapy-did-we-forget-something
      May 01, 2019 - Cultures of blood and urine were negative, and her symptoms were attributed to pegfilgrastim (fever, … Lamivudine has proven efficacy and safety in preventing HBV reactivation following chemotherapy for both … 1, 2015 View More Related Resources Patient Safety … Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer … 31, 2023 Annual Perspective Improving Diagnostic Safety

9920. E-prescribing: E for error? | PSNet
      psnet.ahrq.gov/web-mm/e-prescribing-e-error
      February 03, 2021 - Health IT, including e-prescribing, creates opportunities to improve patient safety that do not exist … safety reports at a tertiary medical center. … November 1, 2023 What can safety cases offer for patient safety? … September 13, 2023 Seven features of safety in maternity units: a framework based on … October 21, 2020 An intervention to increase situational awareness and the Culture of