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Showing results for "describes".

1. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/838022/psn-pdf
   September 07, 2022 - issue/organisational-failure-rethinking-whistleblowing-tomorrows-doctors Normalization of deviance describes … This article describes five serious medical errors in obstetrics and highlights how normalization of

2. Assessing the impact of hospital mergers and acquisitions on safety culture with proactive risk assessments | PSNet
   psnet.ahrq.gov/issue/assessing-impact-hospital-mergers-and-acquisitions-safety-culture-proactive-risk-assessments
   June 12, 2024 - This commentary describes how a third-party proactive risk assessment, ideally prior to the merger, can … The article describes an insurer-directed assessment, but other resources are also available, such

3. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/60803/psn-pdf
   August 12, 2020 - interprofessionalinterdisciplinary-teamwork-during-early-covid-19-pandemic- experience This article describes … The article describes interdisciplinary and interprofessional teamwork to identify innovative approaches

4. Weekly Resource | PSNet
   psnet.ahrq.gov/periodic-issue/weekly-resource
   March 25, 2025 - This article describes the development of a framework to classify communication errors that contributed … This article describes the development of an audit plan using Tracer methodologies to audit six oncology … This article describes the development of a framework to classify communication errors that contributed … This article describes the use of a risk management approach to improve handoffs from the operating room … The commentary describes the appropriate evaluation for acute abdominal pain, the importance of imaging

5. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/74182/psn-pdf
   December 15, 2021 - Part 2, Communication and Transparency, describes the commitment to honesty and transparency across … Part 3, Health Professional Wellness, describes the impact of harm on providers and offers recommendations

6. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/865806/psn-pdf
   May 08, 2024 - Utilizing document review, observations, and interviews, this study describes how inconsistencies in … A safe care transition pathway describes critical steps to ensure safe transitions.

7. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/849328/psn-pdf
   May 24, 2023 - This commentary describes how a third-party proactive risk assessment, ideally prior to the merger, … The article describes an insurer-directed assessment, but other resources are also available, such as

8. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/60179/psn-pdf
   April 01, 2020 - culture’ leaves error control up to individuals and groups of healthcare practitioners; the author describes … The author describes the competing priorities of these cultures, and suggests that error control efforts

9. Organisational failure: rethinking whistleblowing for tomorrow's doctors. | PSNet
   psnet.ahrq.gov/issue/organisational-failure-rethinking-whistleblowing-tomorrows-doctors
   May 18, 2022 - Normalization of deviance describes a situation where individuals, teams or organizations accept a lower … This article describes five serious medical errors in obstetrics and highlights how normalization of

10. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/861772/psn-pdf
    January 31, 2024 - This article describes the Healing Emotional Lives of Peers (HELP) peer support program, which includes … The article also describes its implementation at one academic medical center.

11. Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change Health Care from the Inside Out. | PSNet
    psnet.ahrq.gov/issue/safe-patients-smart-hospitals-how-one-doctors-checklist-can-help-us-change-health-care-inside
    January 27, 2021 - In this book, written with Eric Vohr, Pronovost describes how his work was inspired by two deaths from … In earnest and plainspoken prose, he describes the inside story of interventions and studies that have

12. Honesty and transparency, indispensable to the clinical mission--Parts I-III. | PSNet
    psnet.ahrq.gov/issue/honesty-and-transparency-indispensable-clinical-mission-parts-i-iii
    November 11, 2020 - Part 2, Communication and Transparency, describes the commitment to honesty and transparency across … Part 3, Health Professional Wellness, describes the impact of harm on providers and offers recommendations

13. PSNet Curated Library (pdf file)
    psnet.ahrq.gov/print/pdf/node/867658
    January 26, 2022 - Pharmacist Role in Patient Safety February 21, 2020 This perspective describes key themes reflected in … This study describes the development, implementation, and effect of a safe prescribing strategy... … Pharmacist Role in Patient Safety February 21, 2020 This perspective describes key themes reflected in

14. Entangled in complexity: an ethnographic study of organizational adaptability and safe care transitions for patients with complex care needs. | PSNet
    psnet.ahrq.gov/issue/entangled-complexity-ethnographic-study-organizational-adaptability-and-safe-care-transitions
    August 21, 2024 - Utilizing document review, observations, and interviews, this study describes how inconsistencies in … A safe care transition pathway describes critical steps to ensure safe transitions.

15. PSNet Curated Library (pdf file)
    psnet.ahrq.gov/print/pdf/node/845971
    January 01, 2024 - Examining the literature on costs of unsafe care delivery, this report describes the financial impacts … This study describes the organizational... … This study describes the concept of “safety clutter” and understanding which PSP are... … This study describes the concept of “safety clutter” and understanding which PSP are... … This study describes the organizational...

16. Periodic Issue | PSNet
    psnet.ahrq.gov/periodic-issue/periodic-issue-471
    December 31, 2024 - This article describes the efforts of 11 healthcare organizations' implementation and six-month sustainment … This article describes development of a system-wide coaching program for department leaders to improve … This study describes a quality improvement project to increase hand hygiene among patients, families, … This article describes the efforts of 11 healthcare organizations' implementation and six-month sustainment … This article describes the PFPS-US Artificial Intelligence Working Group's priority areas of concern:

17. Two cultures in modern science and technology: for safety and validity does medicine have to update? | PSNet
    psnet.ahrq.gov/issue/two-cultures-modern-science-and-technology-safety-and-validity-does-medicine-have-update
    January 12, 2022 - culture’ leaves error control up to individuals and groups of healthcare practitioners; the author describes … The author describes the competing priorities of these cultures, and suggests that error control efforts

18. Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children's hospital within an academic health center. | PSNet
    psnet.ahrq.gov/issue/interprofessionalinterdisciplinary-teamwork-during-early-covid-19-pandemic-experience
    September 23, 2020 - This article describes COVID-19-related surge planning in an academic medical center encompassing a children … The article describes interdisciplinary and interprofessional teamwork to identify innovative approaches

19. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/34697/psn-pdf
    December 08, 2010 - Without focusing on the details of the error, the author describes the investigative process that uncovered … The author describes a collaborative, mutually supportive, systems-oriented approach to safety in place

20. Rapid expansion of the Healing Emotional Lives of Peers program during COVID-19: a second victim peer support program for healthcare professionals. | PSNet
    psnet.ahrq.gov/issue/rapid-expansion-healing-emotional-lives-peers-program-during-covid-19-second-victim-peer
    June 05, 2024 - This article describes the Healing Emotional Lives of Peers (HELP) peer support program, which includes … The article also describes its implementation at one academic medical center.