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High performance teamwork training and systems redesign in outpatient oncology. | PSNet

psnet.ahrq.gov/issue/high-performance-teamwork-training-and-systems-redesign-outpatient-oncology

November 16, 2022 - Study High performance teamwork training and systems redesign in outpatient oncology … High performance teamwork training and systems redesign in outpatient oncology. … Multidisciplinary teamwork training improved providers' perception of efficiency and communication in … High performance teamwork training and systems redesign in outpatient oncology. … September 24, 2017 Families as partners in hospital error and adverse event surveillance

Implementation of a mock root cause analysis to provide simulated patient safety training. | PSNet

psnet.ahrq.gov/issue/implementation-mock-root-cause-analysis-provide-simulated-patient-safety-training

January 12, 2022 - The students involved in the program gained confidence in their ability to recognize, identify, and report … September 13, 2017 Patient complaints about hospital services: applying a complaint taxonomy … July 24, 2019 Challenges in health care simulation: are we learning anything new? … November 18, 2016 Innovative teaching in situational awareness. … October 1, 2013 View More See More About The Topic Hospitals Educators

When a vital sign leads a country astray—the opioid epidemic. | PSNet

psnet.ahrq.gov/issue/when-vital-sign-leads-country-astray-opioid-epidemic

May 27, 2020 - address the problem, including a comprehensive approach to promote the use of nonopioid analgesics in … May 27, 2020 Families as partners in hospital error and adverse event surveillance. … December 11, 2024 Adverse drug events after hospital discharge in older adults: types … July 29, 2020 Observing sources of system resilience using in situ alarm simulations. … October 30, 2019 Unintentional therapeutic errors involving insulin in the ambulatory

What 'just culture' doesn't understand about just punishment. | PSNet

psnet.ahrq.gov/issue/what-just-culture-doesnt-understand-about-just-punishment

December 30, 2014 - in health care. … April 14, 2021 Do professionalism lapses in medical school predict problems in residency … US hospitals. … April 18, 2018 Balancing "no blame" with accountability in patient safety. … April 4, 2011 View More See More About The Topic Hospitals Facility

Impact of morbidity and mortality conferences on analysis of mortality and critical events in intensive care practice. | PSNet

psnet.ahrq.gov/issue/impact-morbidity-and-mortality-conferences-analysis-mortality-and-critical-events-intensive

December 02, 2020 - Impact of morbidity and mortality conferences on analysis of mortality and critical events in … critical care units and hospital emergency services. … Developing a programme for medication reconciliation at the time of admission into hospital … October 20, 2014 The morbidity and mortality conference in PICUs in the United States … April 12, 2011 Errors in administration of parenteral drugs in intensive care units:

Identifying modifiable barriers to medication error reporting in the nursing home setting. | PSNet

psnet.ahrq.gov/issue/identifying-modifiable-barriers-medication-error-reporting-nursing-home-setting

March 10, 2011 - Study Identifying modifiable barriers to medication error reporting in the nursing … Identifying modifiable barriers to medication error reporting in the nursing home setting. … the hospital setting. … June 2, 2010 Year in review: medication mishaps in the elderly. … January 12, 2022 Families as partners in hospital error and adverse event surveillance

Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors. | PSNet

psnet.ahrq.gov/issue/improving-transfusion-safety-implementation-comprehensive-computerized-bar-code-based

October 19, 2022 - In this study, implementation of a bar code system reduced preventable transfusion errors. … Related Resources From the Same Author(s) Optimizing Pediatric Patient Safety in … June 22, 2022 Families as partners in hospital error and adverse event surveillance. … March 17, 2021 Association of diagnostic stewardship for blood cultures in critically … July 17, 2019 Hospital-based transfusion error tracking from 2005 to 2010: identifying

Work-arounds and artifacts during transition to a computer physician order entry: what they are and what they mean. | PSNet

psnet.ahrq.gov/issue/work-arounds-and-artifacts-during-transition-computer-physician-order-entry-what-they-are-and

January 12, 2022 - a paediatric hospital. … admission order sets promote ordering of unnecessary investigations: a quasi-randomised evaluation in … August 27, 2012 Nurses relate the contributing factors involved in medication errors. … pharmacy in HCIT era. … February 23, 2009 View More See More About The Topic Hospitals Nurse

EHR safety: the way forward to safe and effective systems. | PSNet

psnet.ahrq.gov/issue/ehr-safety-way-forward-safe-and-effective-systems

December 12, 2012 - 2014 Physician and nurse well-being and preferred interventions to address burnout in … hospital practice: factors associated with turnover, outcomes, and patient safety. … July 19, 2023 Medication safety in two intensive care units of a community teaching hospital … over time among nurses and providers in intensive care units. … April 17, 2018 Challenges in patient safety improvement research in the era of electronic

Controlled substance drug diversion by healthcare workers as a threat to patient safety. | PSNet

psnet.ahrq.gov/issue/controlled-substance-drug-diversion-healthcare-workers-threat-patient-safety

April 05, 2023 - Part I of this two-part series examines ways in which drug diversion can affect care teams, and outlines … February 22, 2023 Selected medication safety risks to manage in 2016 that might otherwise … February 24, 2016 Survey suggests disrespectful behaviors persist in healthcare: practitioners … March 16, 2022 COVID Risk In Hospitals. … December 2, 2020 View More See More About The Topic Hospitals Health

Resolving the productivity paradox of health information technology: a time for optimism. | PSNet

psnet.ahrq.gov/issue/resolving-productivity-paradox-health-information-technology-time-optimism

November 16, 2022 - The authors highlight recent advancements in health care information technology that hold promise to … a multistate hospital network--13 academic medical centers, April-June 2020. … care in a pediatric emergency department. … January 8, 2018 The practice of respect in the ICU. … September 28, 2017 View More See More About The Topic Hospitals Physicians

Survey suggests disrespectful behaviors persist in healthcare: practitioners speak up (yet again) – Parts I and II. | PSNet

psnet.ahrq.gov/issue/survey-suggests-disrespectful-behaviors-persist-healthcare-practitioners-speak-yet-again

February 23, 2022 - Newspaper/Magazine Article Survey suggests disrespectful behaviors persist in healthcare … Disrespect for co-workers, peers, and patients degrades safety in the care environment. … the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. … March 15, 2023 NHS staff cried in safety interviews, says watchdog. … reporting, September 16, 2020 View More See More About The Topic Hospitals

Quantitative assessment of workload and stressors in clinical radiation oncology. | PSNet

psnet.ahrq.gov/issue/quantitative-assessment-workload-and-stressors-clinical-radiation-oncology

October 21, 2015 - Study Quantitative assessment of workload and stressors in clinical radiation oncology … Quantitative assessment of workload and stressors in clinical radiation oncology. … Quantitative assessment of workload and stressors in clinical radiation oncology. … a multistate hospital network--13 academic medical centers, April-June 2020. … January 30, 2008 View More See More About The Topic Hospitals Clinical

Journey toward high reliability: a comprehensive safety program to improve quality of care and safety culture in a large, multisite radiation oncology department. | PSNet

psnet.ahrq.gov/issue/journey-toward-high-reliability-comprehensive-safety-program-improve-quality-care-and-safety

September 19, 2017 - toward high reliability: a comprehensive safety program to improve quality of care and safety culture in … Toward High Reliability: A Comprehensive Safety Program to Improve Quality of Care and Safety Culture in … errors in the department of radiation oncology at a single academic medical center. … a multistate hospital network--13 academic medical centers, April-June 2020. … November 30, 2016 View More See More About The Topic Hospitals Facility

Facing ambiguous threats. | PSNet

psnet.ahrq.gov/issue/facing-ambiguous-threats

December 24, 2008 - The authors examine the space shuttle Columbia disaster in depth, with particular attention to the group … January 12, 2022 Transforming concepts in patient safety: a progress report. … November 16, 2022 Families as partners in hospital error and adverse event surveillance … February 7, 2018 Missing the near miss: recognizing valuable learning opportunities in … November 24, 2010 Improving hospital performance: culture change is not the answer.

Identifying contributing factors associated with dental adverse events through a pragmatic electronic health record-based root cause analysis. | PSNet

psnet.ahrq.gov/issue/identifying-contributing-factors-associated-dental-adverse-events-through-pragmatic

May 23, 2018 - May 23, 2018 Classifying adverse events in the dental office. … February 19, 2020 The nature of adverse events in dentistry. … critical care units and hospital emergency services. … Developing a programme for medication reconciliation at the time of admission into hospital … dentistry: a new methodology for measuring harm in the dental office.

Bleeding Risk | PSNet

psnet.ahrq.gov/web-mm/bleeding-risk

November 01, 2003 - heparin, with a plan to initiate warfarin once it became clear that that she was not at high risk for falls … most hospital and outpatient laboratories. … the hospital setting, where supervision of warfarin therapy is likely to be required regularly, development … after orthopedic surgery when used after hospital discharge. … Anesthesia February 1, 2003 View More See More About The Topic Hospitals

AHRQ PSNet Annual Perspective: Impact of the COVID-19 Pandemic on Patient Safety | PSNet

psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety

August 31, 2020 - Healthcare providers and hospitals have observed a decline in patients seeking emergency care for serious … COVID-19 in a hospital setting, it is very rare for patients to develop hospital-acquired COVID-19 when … Surge planning has become even more important for hospital operations in an effort to take into consideration … Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in … January 1, 2016 Applying root cause analysis to improve patient safety: decreasing falls

Feasibility and added value of Executive WalkRounds in long term care organizations in the Netherlands. | PSNet

psnet.ahrq.gov/issue/feasibility-and-added-value-executive-walkrounds-long-term-care-organizations-netherlands

January 07, 2015 - hospital setting, less is known about their value in other types of care settings. … April 5, 2023 Organizational culture: an important context for addressing and improving hospital … February 9, 2022 Improving patient handovers from hospital to primary care: a systematic … November 19, 2009 Patients' and providers' perceptions of the preventability of hospital … January 20, 2021 Adverse events in long-term care residents transitioning from hospital

Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility. | PSNet

psnet.ahrq.gov/issue/disparate-perspectives-exploring-healthcare-professionals-misaligned-mental-models-older

May 11, 2022 - February 16, 2022 Racism in pain medicine: we can and should do more. … July 14, 2021 Individualized medication review in older people with multimorbidity: a … comparative analysis between patients living at home and in a nursing home. … 2022 Facilitators and barriers of care transitions - comparing the perspectives of hospital … May 18, 2022 High delayed and missed injury rate after inter-hospital transfer of severely

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