-
psnet.ahrq.gov/issue/achieving-exceptional-patient-and-family-experience-inpatient-hospital-care
August 09, 2017 - Book/Report
Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care.
Citation Text:
Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care. Balik B, Conway J, Zipperer L, Watson J. Cambridge, MA: Institute for Healthcare Improvement; 2…
-
psnet.ahrq.gov/issue/unintended-exposure-patient-lisa-norris-during-radiotherapy-treatment-beatson-oncology-centre
March 06, 2005 - Book/Report
Unintended Exposure of Patient Lisa Norris During Radiotherapy Treatment at the Beatson Oncology Centre, Glasgow in January 2006.
Citation Text:
Unintended Exposure of Patient Lisa Norris During Radiotherapy Treatment at the Beatson Oncology Centre, Glasgow in January 2006.…
-
psnet.ahrq.gov/issue/patient-safety-improvement-corps-ahrqva-partnership
December 24, 2008 - Government Resource
Patient Safety Improvement Corps: An AHRQ/VA partnership.
Citation Text:
Patient Safety Improvement Corps: An AHRQ/VA partnership. AHRQ; Agency for Healthcare Research and Quality.
Copy Citation
Save
Save to your library
Print
Downloa…
-
psnet.ahrq.gov/issue/measuring-shared-mental-models-healthcare
June 30, 2019 - Commentary
Measuring shared mental models in healthcare.
Citation Text:
Measuring shared mental models in healthcare. Gisick LM, Webster KL, Keebler JR, et al. J Patient Saf Risk Manag. 2018;23:207–219.
Copy Citation
Save
Save to your library
Print
Downl…
-
psnet.ahrq.gov/issue/communicating-clearly-about-medicines-proceedings-workshop
September 12, 2018 - Meeting/Conference Proceedings
Communicating Clearly About Medicines: Proceedings of a Workshop.
Citation Text:
Communicating Clearly About Medicines: Proceedings of a Workshop. National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press: 2017.…
-
psnet.ahrq.gov/issue/core-entrustable-professional-activities-entering-residency
June 01, 2022 - Book/Report
Core Entrustable Professional Activities for Entering Residency.
Citation Text:
Core Entrustable Professional Activities for Entering Residency. Washington, DC: Association of American Medical Colleges; 2014.
Copy Citation
Save
Save to your library
…
-
psnet.ahrq.gov/issue/kaiser-permanentes-innovation-front-lines
January 20, 2021 - Commentary
Kaiser Permanente's innovation on the front lines.
Citation Text:
McCreary L. Kaiser Permanente's innovation on the front lines. Harv Bus Rev. 2010;88(9):92, 94-7, 126.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…
-
psnet.ahrq.gov/issue/does-malpractice-liability-make-healthcare-safer-aligning-law-and-policy-evidence
August 26, 2020 - Commentary
Does malpractice liability make healthcare safer? Aligning law and policy with evidence.
Citation Text:
Does malpractice liability make healthcare safer? Aligning law and policy with evidence. Saks MJ, Landsman S. Wake Forest J Law Policy. 2022;12:205-257.
Copy C…
-
psnet.ahrq.gov/issue/sociology-healthcare-safety-and-quality
March 02, 2016 - Special or Theme Issue
The Sociology of Healthcare Safety and Quality.
Citation Text:
The Sociology of Healthcare Safety and Quality. Allen D, Braithwaite J, Sandall J, Waring J, eds. Sociol Health Illn. 2016;38(2):179-339.
Copy Citation
Save
Save to your librar…
-
psnet.ahrq.gov/issue/surgeons-opioid-prescribing-habits-are-hard-kick
August 28, 2019 - Newspaper/Magazine Article
Surgeons' opioid-prescribing habits are hard to kick.
Citation Text:
Surgeons' opioid-prescribing habits are hard to kick. Appleby J; Lucas E.
Copy Citation
Save
Save to your library
Print
Download PDF
Share
Faceboo…
-
psnet.ahrq.gov/issue/doctors-can-change-opioid-prescribing-habits-progress-comes-small-doses
July 10, 2019 - Newspaper/Magazine Article
Doctors can change opioid prescribing habits, but progress comes in small doses.
Citation Text:
Doctors can change opioid prescribing habits, but progress comes in small doses. Appleby J; Lucas E.
Copy Citation
Save
Save to your library …
-
psnet.ahrq.gov/issue/patient-engagement-patient-safety-barriers-and-facilitators
May 09, 2015 - Newspaper/Magazine Article
Patient engagement in patient safety: barriers and facilitators.
Citation Text:
Patient engagement in patient safety: barriers and facilitators. Scobie AC, Persaud DD. Patient Saf Qual Healthc. March/April 2010;7:42-47.
Copy Citation
Save
…
-
psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
December 22, 2018 - November 23, 2016
The relationship between organizational culture and family satisfaction … November 21, 2016
Organizational and safety culture in Canadian intensive care units:
-
psnet.ahrq.gov/web-mm/empty-bag
June 01, 2018 - multiple groups and professions to collaborate, facilitated by a transparent, proactive, and nonpunitive culture … August 5, 2020
Perspectives on Safety
Safety Culture in … December 14, 2022
Smart pump custom concentrations without hard "low concentration
-
psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
December 23, 2020 - The custom intravenous fluid was verified and administered by the baby’s PICU nurse. … Second, clinical decision support was not built-in for the ordering of custom intravenous fluids. … Best practice dictates that, when a new order for custom intravenous fluid is received, the pharmacy … Such measures are critical to promoting a culture of safety, both within the care team and at the organizational … patient safety, including daily huddles and leadership walk rounds, are critical for establishing a culture
-
psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
August 21, 2024 - learning actions, including huddles, debriefs, and monitoring outcomes, are the glue that creates the culture … They also serve as a valuable rallying point to create a culture of safety on maternity units by implementing … significant hemorrhages
Reporting and Systems Learning (Every Unit)
Establish a culture
-
psnet.ahrq.gov/node/33718/psn-pdf
October 01, 2011 - important domain of context would be this collection of teamwork and leadership and
patient safety culture … article that it's much more than that: leadership
had to be involved; there were efforts to influence culture
-
psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
October 02, 2024 - and on Normal Accidents and HROs 1990s and on Swiss Cheese and Safety Management 2000s and on Safety Culture … viewed, as well as the utility of the concept of human error. 1 , 13-15 This questioning of long held beliefs … Hollnagel terms this the causality credo , which he defines as “the belief that adverse outcomes happen … Impact of short-notice accreditation assessments on hospitals' patient safety and quality culture
-
psnet.ahrq.gov/node/72613/psn-pdf
December 22, 2020 - MW: I'm sure that's part of it, I think one of the main drivers is culture awareness. … KH: In dental schools, are you doing patient safety education in terms of like talking about culture … One of the things we learned from a culture survey we did
was that the two areas that we were particularly
-
psnet.ahrq.gov/node/33716/psn-pdf
September 01, 2011 - KS: Well, the received view is that they're getting safer, or the culture is improving. … incident reporting rate is probably a good thing, at least as a surrogate marker for engagement and
culture … The problem with that is that then it really does depend on the institutional culture, because
then