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Total Results: 6,759 records

Showing results for "described".

401. Simulation for operational readiness in a new freestanding emergency department: strategy and tactics. | PSNet
     psnet.ahrq.gov/issue/simulation-operational-readiness-new-freestanding-emergency-department-strategy-and-tactics
     August 20, 2018 - This study described the use of a broad simulation curriculum to ensure clinicians had technical and

402. Just Culture: Restoring Trust and Accountability in Your Organization, Third Edition. | PSNet
     psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition
     November 10, 2017 - This tension was notably described early on in the context of resident training programs. Dr.

403. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49750/psn-pdf
     January 01, 2016 - Therefore, it is possible that the staff nurse assigned to perform admission activities in the case described … material resources (56%), and communication issues (38%).(5) Although the root cause of the errors described … Although the details around the communication in the case described are unknown, below is a suggested … Improving Processes to Reduce Risk of Error A previous AHRQ WebM&M commentary described best practices … a bed on the receiving unit based on information provided by the electronic bed board application (described

404. Triaging Interhospital Transfers | PSNet
     psnet.ahrq.gov/web-mm/triaging-interhospital-transfers
     April 12, 2023 - reasons, such as patient/family preference or expediting diagnostic evaluation ( 5 ), the most commonly described … systems, which may help mitigate discontinuity of care, remains inadequate.( 15 ) As we see in the case described … experience worse outcomes, which cannot be attributed to their illness severity alone.( 13,14,17 ) The described … transfers (by obviating unnecessary transfers) without impacting patient outcomes.( 25 ) In the case described

405. Beyond 'find and fix': improving quality and safety through resilient healthcare systems. | PSNet
     psnet.ahrq.gov/issue/beyond-find-and-fix-improving-quality-and-safety-through-resilient-healthcare-systems
     August 04, 2021 - Using ethnographic methods and resilient healthcare principles (described as systems that anticipate

406. Errare humanum est: frequency of laterality errors in radiology reports. | PSNet
     psnet.ahrq.gov/issue/errare-humanum-est-frequency-laterality-errors-radiology-reports
     September 13, 2023 - Errors that occur in clinical settings away from the bedside have been described in pathology , laboratory

407. Family participation during intensive care unit rounds: goals and expectations of parents and health care providers in a tertiary pediatric intensive care unit. | PSNet
     psnet.ahrq.gov/issue/family-participation-during-intensive-care-unit-rounds-goals-and-expectations-parents-and
     June 12, 2019 - In this study, health care providers and parents of children in a pediatric intensive care unit described

408. The patient's "story": an examination of patient-reported safety incidents in general practice. | PSNet
     psnet.ahrq.gov/issue/patients-story-examination-patient-reported-safety-incidents-general-practice
     November 03, 2021 - Patients’ accounts of incidents commonly described deficiencies related to communication, staff performance

409. Factors that affect opioid quality improvement initiatives in primary care: insights from ten health systems. | PSNet
     psnet.ahrq.gov/issue/factors-affect-opioid-quality-improvement-initiatives-primary-care-insights-ten-health
     November 03, 2021 - The challenges and strategies described in the publication can be used by health systems to accelerate

410. Identifying health information technology usability issues contributing to medication errors across medication process stages. | PSNet
     psnet.ahrq.gov/issue/identifying-health-information-technology-usability-issues-contributing-medication-errors
     November 03, 2021 - Most errors described usability issues which should be considered and addressed to improve medication

411. The relationship between nursing home staffing and resident safety outcomes: a systematic review of reviews. | PSNet
     psnet.ahrq.gov/issue/relationship-between-nursing-home-staffing-and-resident-safety-outcomes-systematic-review
     April 20, 2022 - The authors identified several methodological challenges and described how study design modifications

412. Medication errors in community pharmacies: evaluation of a standardized safety program. | PSNet
     psnet.ahrq.gov/issue/medication-errors-community-pharmacies-evaluation-standardized-safety-program
     June 29, 2022 - Event type, severity, medication class, and method of detection are described.

413. Factors differentiating nursing homes with strong resident safety climate: a qualitative study of leadership and staff perspectives. | PSNet
     psnet.ahrq.gov/issue/factors-differentiating-nursing-homes-strong-resident-safety-climate-qualitative-study
     August 26, 2020 - Staff at high safety climate facilities described open communication and leadership responsiveness

414. Deployment of a second victim peer support program: a replication study. | PSNet
     psnet.ahrq.gov/issue/deployment-second-victim-peer-support-program-replication-study
     January 12, 2022 - Building on a previously described model, the institution developed a system to provide support for staff

415. I like what you are saying, but only if I feel safe: psychological safety moderates the relationship between voice and perceived contribution to healthcare team effectiveness. | PSNet
     psnet.ahrq.gov/issue/i-what-you-are-saying-only-if-i-feel-safe-psychological-safety-moderates-relationship-between
     November 18, 2020 - Using four clinical vignettes that described the same case in the Emergency Department but differed with

416. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39329/psn-pdf
     September 30, 2015 - checklists to reduce central line infections in more than 100 Michigan ICUs, a story also recently described

417. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45533/psn-pdf
     November 02, 2016 - multimethod-study-large-scale-programme-improve-patient-safety-using-harm- free-care-approach This study described

418. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46068/psn-pdf
     July 09, 2018 - Nearly 200 health systems responded to the survey, and respondents described widely differing practices

419. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38706/psn-pdf
     June 17, 2009 - - ambulatory-primary Trigger tools are a useful method to screen for adverse events and have been described

420. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43418/psn-pdf
     April 24, 2017 - patients-teachers-randomised-controlled-trial-use-personal-stories-harm-raise- awareness In a 2010 report, patient safety was described