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Showing results for "culture of safety".

9961. In Conversation With... Anna Legreid Dopp, Pharm. D | PSNet
      psnet.ahrq.gov/perspective/conversation-anna-legreid-dopp-pharm-d
      June 29, 2020 - I credit the culture shift over the last 20 years to make sure that patient safety remains front and … Then the safe use of those medications, as we were just talking about – ensuring safety of those medications … and the prevention of medication errors is always one of several priority safety concerns for pharmacists … Lastly, redeployment of healthcare personnel to new areas and specialty of care may introduce safety … ensure the safety of all staff and the patients they are interacting with. 

9962. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33732/psn-pdf
      July 01, 2012 - Without that, I'm quite confident that the rate of increase of the use of electronic health records would … So there will be a new set of safety problems introduced by the widespread use of electronic health … There will be variability in the functionality, usability, and ultimately safety of different products … It was not possible given our size, political culture, and political institutions. … of that.

9963. When Patients and Providers Speak Different Languages | PSNet
      psnet.ahrq.gov/web-mm/when-patients-and-providers-speak-different-languages
      December 08, 2021 - Title VI of the US Civil Rights Act states that people cannot be discriminated against as a result of … In fact, professional interpreters report better understanding of patients' social and cultural backgrounds … of the particular health care environment as well as the type of clinical encounter. … Evaluation of a quality improvement intervention to increase use of telephonic interpretation. … May 1, 2013 Family involvement, patient safety and suicide prevention in mental healthcare

9964. In Conversation With… Charles Vincent, MPhil, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
      July 10, 2024 - He is Director of the Imperial Centre for Patient Safety and Service Quality and the Clinical Safety … He is the editor of Clinical Risk Management and author of the book Patient Safety . … Robert Wachter, Editor, AHRQ WebM&M : As you entered the field of patient safety a couple of decades … It's one of the areas of safety where a big national system has had a major impact because there has … contribution of people like you—from nonproviders looking at safety.

9965. In Conversation With… Edward Kelley, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-edward-kelley-phd
      December 01, 2014 - You have that times 200 given all the countries and variations in resources and culture and history. … focused on improving patient safety in Africa through the use of hospital partnerships. … 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

9966. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73906/psn-pdf
      October 06, 2021 - Then for the safety of the baby, the mother and her partner need to know what’s an emergency for the … 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 … those safety methods?

9967. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49492/psn-pdf
      November 01, 2005 - reconciliation as one of its 2005 National Patient Safety Goals.(5) An important step in the process … National Patient Safety Goals for 2006 and 2005. … Available at: http://www.jcaho.org/accredited+organizations/patient+safety/npsg.htm. … OSF Healthcare’s journey in patient safety. … Effectiveness of a pharmacist-acquired medication history in promoting patient safety.

9968. Anemia and Delayed Colon Cancer Diagnosis | PSNet
      psnet.ahrq.gov/web-mm/anemia-and-delayed-colon-cancer-diagnosis
      July 21, 2020 - TeamSTEPPS February 1, 2017 Patient Safety Primers … Telehealth and Patient Safety. … October 1, 2008 A new approach of assessing patient safety aspects in routine practice … culture and team efficacy. … August 4, 2021 Optimizing Pediatric Patient Safety in the Emergency Care Setting.

9969. “Copy and Paste” Notes and Autopopulated Text in the Electronic Health Records | PSNet
      psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record
      May 26, 2021 - Inaccurate documentation impairs the investigation of patient safety incidents and the identification … However, it will take time for the culture to change, as many younger providers were trained in the milieu … safety events if it is done without mindfulness, or without proper review of the resulting notes. … June 23, 2021 Medication dosing safety for pediatric patients: recognizing gaps, safety … June 24, 2020 Electronic medical record: a balancing act of patient safety, privacy and

9970. Mistaken Identity | PSNet
      psnet.ahrq.gov/web-mm/mistaken-identity
      December 18, 2014 - areas to improve safety and ensure correct patient identification. … identification, but such use is not yet widespread.( 15 ) As with other aspects of patient safety, technology … Patient Safety Solutions. 2007;1(Solution 2):1-4. … National Patient Safety Agency. Wristbands for hospital patients improves patient safety. … Barcode identification for transfusion safety. Cur Opin Hematol. 2004;11:334-338.

9971. Resuscitation Errors: A Shocking Problem | PSNet
      psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
      October 19, 2022 - educated as to the crucial need to strictly follow checklist procedures and must be motivated to embrace a culture … of safety that incorporates such tools. … September 22, 2021 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient safety … More See More About The Topic Hospitals Health Care Providers Quality and Safety

9972. Silent Pain in the Neck | PSNet
      psnet.ahrq.gov/web-mm/silent-pain-neck
      August 19, 2020 - of cases. … Rapid Mis-St(r)ep February 1, 2007 Patient Safety … March 21, 2018 A safety evaluation of the impact of maternity-orientated human factors … training on safety culture in a tertiary maternity unit. … novel pharmacy-based intervention to improve patient safety.

9973. In Conversation With… … Jennifer Schulz Moore, LLB, MA, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-jennifer-schulz-moore-llb-ma-phd
      February 26, 2025 - interviewed the institutions, they would say they told the patients and families about what patient safety … patient safety improvements. … literature is very consistent and says that patients and families need to know about these patient safety … Interview In Conversation With...Amy Helwig about Health Plan Patient Safety … December 19, 2018 Improving patient safety through transparency.

9974. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838220/psn-pdf
      September 27, 2019 - AHRQ’s broad definition of patient safety includes “prevention of diagnostic errors, medical errors, … care and patient safety as a component of quality care and at AHRQ’s approach to addressing both. … A patient safety event can be the furthest downstream outcome of a series of events that starts with … Medicine—and all of the models have distinct implications for patient safety. … safety Editor’s note: This table is adapted from the “Six Aims of Quality Healthcare” framework, as

9975. Refused Medication Error | PSNet
      psnet.ahrq.gov/web-mm/refused-medication-error
      November 01, 2005 - First, patient and family engagement is an important component in all health care safety programs.( 12 … Good team communication is a critical element of patient safety and should be an ongoing priority for … might facilitate or create barriers for good communication and safety. … Patient Safety and Quality: An Evidence-Based Handbook for Nurses. … The role of consumers, families and the community in patient safety: learning from experience.

9976. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854849/psn-pdf
      October 31, 2023 - EHRs are useful tools that often support efforts to improve safety. … Inaccurate documentation impairs the investigation of patient safety incidents and the identification … However, it will take time for the culture to change, as many younger providers were trained in the … safety events if it is done without mindfulness, or without proper review of the resulting notes. … Patient safety issues from information overload in electronic medical records.

9977. In Conversation with…William B. Weeks, MD, MBA | PSNet
      psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba
      May 01, 2009 - 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 … The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA.

9978. Hold That Order | PSNet
      psnet.ahrq.gov/web-mm/hold-order
      December 19, 2018 - According to the Pennsylvania Patient Safety Reporting System (PA-PSRS), the most common classes of medications … PA-PSRS Patient Safety Advisory. March 2006;3:33-34. … Cultural diversity and medication safety. ISMP Medication Safety Alert! Acute Care Edition. … ISMP Medication Safety Alert! Acute Care Edition. November 1, 2000. … National Patient Safety Goals. Joint Commission Web site.

9979. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33785/psn-pdf
      May 01, 2015 - We studied measurable aspects of safety culture and communication and teamwork in the operating room … From a public health and a hospital safety point of view, our first priority is to deal with the small … subset of surgeons that are on the wrong side of the distribution and really pose legitimate safety … the standpoint of The Joint Commission that's assessing the quality of a hospital and its safety systems … RW: You mentioned part of what got you stimulated to do this is a bias in the field of safety and quality

9980. In Conversation With… Richard Kronick, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-richard-kronick-phd
      February 01, 2014 - 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.