Results

Total Results: over 10,000 records

Showing results for "culture of safety".

9981. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33878/psn-pdf
      April 01, 2019 - Schulz Moore is the Director of Learning and Teaching at the University of New South Wales Faculty of … 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 … another family who lost their child, it wasn't so much all about the apology, it was more about patient safety

9982. Patient Identification Errors: A Systems Challenge | PSNet
      psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
      February 23, 2011 - identification in a large tertiary care hospital; all cases were reported to the hospital’s patient safety … One report states that 11% of preventable adverse patient safety outcomes are a result of ineffective … A joint ED/Radiology workgroup to explore ways to improve the safety and efficiency of transport between … A joint Radiology/ED workgroup, established to improve coordination, communication, and safety of transport … Interruptions of nurses' activities and patient safety: an integrative literature review.

9983. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50391/psn-pdf
      September 25, 2019 - However, results of blood and urine cultures were negative, and no clear source of infection was found … of overall illness severity. … Because of the absence of stones on the CT, a HIDA was a reasonable next step to rule out acalculous … approaches to reporting diagnostic errors can provide an important feedback loop to improve patient safety … Systematic approaches for error reporting and reducing miscalibration errors can improve patient safety

9984. Post-Acute Transitional Services: Safety in Home-Based Care Programs | PSNet
      psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
      April 24, 2024 - prolonged post-hospitalization care. 12 There have been reports of a number of patient safety challenges … care and patient safety, HHAs are nationally accredited by one of three accrediting bodies (The Joint … Employees’ perceptions of patient safety culture in Norwegian nursing homes and home care services.  … (COVID-19) and Safety of Older Adults Residing in Nursing Homes February 24, 2022 … 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes February 24, 2022

9985. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838221/psn-pdf
      September 28, 2022 - FS: I think about patient safety very broadly. … A narrow view of patient safety is if you, for example, give the wrong medicines to someone and they … However, it'll take a change in the culture because we’re so used to the idea that care is provided … And what does patient safety mean, in that context? … FS: If you think about it, preventable hospitalization is a patient safety issue.

9986. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49624/psn-pdf
      May 01, 2011 - A repeat CT scan of the brain revealed severe cerebral edema (swelling of the brain) with evidence of … herniation of the brain through the base of the skull. … The challenges presented in this case reflect an outdated culture surrounding disclosure. … Several ongoing projects, funded by the Agency for Healthcare Research and Quality (AHRQ) Patient Safety … In such a situation, should the accepting physicians share their beliefs directly with the family about

9987. Physical Diagnosis: A Lost Art? | PSNet
      psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
      January 17, 2018 - England and Canada, although they can be quite subjective, nevertheless create a housestaff training culture … 2022 Eliminating central line-associated bloodstream infections: a national patient safety … November 15, 2023 In the eye of the storm: the role of the pharmacist in medication safety … Related Resources Annual Perspective Equity in Patient Safety … April 13, 2011 Graduate medical education and patient safety: a busy--and occasionally

9988. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72737/psn-pdf
      February 09, 2021 - Unfortunately, prior to implementation, the treatment culture in PA focused on an inpatient abstinence-only … Innovation Patient Safety Focus The program has succeeded in reducing mortality among individuals suffering … Ensure consideration of system-specific intricacies and nature of the local community. … Identification of ROI. … Centers of Excellence. Pennsylvania Department of Human Services.

9989. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49776/psn-pdf
      November 01, 2016 - 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 … needs of the patients. … The Story of Philosophy: The Lives and Opinions of the Greater Philosophers. … Separating residents' inpatient and outpatient responsibilities: improving patient safety, learning

9990. In Conversation With… John D. Birkmeyer, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
      January 31, 2024 - 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 … 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

9991. Creation of a Medical Procedure Service to Improve Patient Safety | PSNet
      psnet.ahrq.gov/perspective/creation-medical-procedure-service-improve-patient-safety
      March 01, 2008 - Creation of a Medical Procedure Service to Improve Patient Safety C. … Creation of a Medical Procedure Service to Improve Patient Safety. PSNet [internet]. … Creation of a Medical Procedure Service to Improve Patient Safety. PSNet [internet]. … four blood cultures is positive at 48 hours. … May 8, 2017 Effect of a systems intervention on the quality and safety of patient handoffs

9992. Dying in the Hospital With Advanced Dementia | PSNet
      psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
      November 01, 2016 - Umscheid, MD, MSCE Associate Professor of Medicine and Epidemiology Vice Chair for Quality and Safety … Finding John Doe: Patient matching and the need for a national patient safety identifier. … 29, 2020 View More Related Resources Patient Safety … 31, 2023 Annual Perspective Improving Diagnostic Safety … March 31, 2022 WebM&M Cases Culture Clash No More

9993. Reconciling Doses | PSNet
      psnet.ahrq.gov/web-mm/reconciling-doses
      August 14, 2017 - 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. … OSF Healthcare’s journey in patient safety. … Effectiveness of a pharmacist-acquired medication history in promoting patient safety. … reducing ambulatory malpractice and safety risk: results of the Massachusetts PROMISES Project.

9994. Inpatient Stroke Management in an Adolescent with Type 1 Diabetes and Home Insulin Pump | PSNet
      psnet.ahrq.gov/web-mm/inpatient-stroke-management-adolescent-type-1-diabetes-and-home-insulin-pump
      February 01, 2023 - can be safely utilized in an inpatient setting  Discuss recommended practices to optimize patient safety … of incorrect management related to use of her home CGM for calculation of insulin doses.  … providers, and the need for standardized hospital protocols. 4,6   Approach to Optimizing Patient Safety … on clinical outcomes and safety to recommend widespread CGM use in hospitalized patients. 22,23  Even … An Overview of Safety Issues on Use of Insulin Pumps and Continuous Glucose Monitoring Systems in the

9995. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations | PSNet
      psnet.ahrq.gov/web-mm/errors-managing-open-wound-elbow-leading-multiple-complications-and-operations
      September 27, 2023 - Barnes, MD, FACEP and Garth Utter, MD, MSc, FACS Background This case illustrates the patient safety … opposed to penetrating injuries—frequently involve tissue damage and devitalization, which is simply culture … Safety for Selected Indicators Composite (PSI 90). … patient safety indicator. … Agency for Healthcare Research and Quality's Patient Safety Indicator?

9996. In Conversation with...Patrick Tighe about Artificial Intelligence | PSNet
      psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
      March 27, 2024 - I’m currently the Executive Director of the Quality and Patient Safety Initiative in the College of Medicine … First, we have a patient who is hypotensive, tachycardic with fever, and positive blood cultures immediately … What are some risks of AI implementation to patient safety that we should be cognizant of? … Current Applications for Patient Safety Most uses of AI to increase patient safety are still in the research … One of the most common potential applications of AI for patient safety is risk prediction—for example

9997. Editorial Team | PSNet
      psnet.ahrq.gov/Information/Editor
      May 23, 2025 - health care, and studying the role of physicians and nurses in optimizing quality and safety across … He has published over 220 peer-reviewed papers on a variety of topics related to health care safety and … Some of her areas of interest include healthcare quality and payment reform, patient safety, provider … in the areas of patient safety, quality measurement, and evidence-based practice. … Zipperer was a founding staff member of the National Patient Safety Foundation (NPSF). 

9998. The Wet Read | PSNet
      psnet.ahrq.gov/web-mm/wet-read
      October 01, 2017 - To provide the safety net for these resident preliminary readings while protecting the residents' training … be made to change the culture to increase resident willingness to involve the attending. … of a novel pharmacy-based intervention to improve patient safety. … August 21, 2024 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

9999. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72589/psn-pdf
      December 23, 2020 - Did the culture in the organization encourage consultation and provide support for new clinicians? … Research and Practice, and the State of Massachusetts Betsy Lehman Center for Patient Safety, contributes … Patient Safety and Quality Healthcare; 2015. … Ambulatory safety nets to reduce missed and delayed diagnoses of cancer. … Institute for Healthcare Improvement / National Patient Safety Foundation.

10000. Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation | PSNet
       psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
       November 25, 2020 - counts and either high or moderate bandemia, respectively, bandemia was associated with positive blood cultures … Barnes, MD, FACEP Consulting Editor, AHRQ, Patient Safety Network (PSNet) Health Science Clinical Professor … Use of accurate diagnostic criteria may increase incidence of stercoral perforation of the colon. … delayed colorectal cancer diagnoses through an ambulatory safety net collaborative. … June 12, 2024 Patient Safety Innovations Journal