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psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
September 23, 2024 - (RIC) 1 was designed at the University of Michigan to address failure to rescue with a particular focus … RICs invite all types of hospital staff to attend one-hour case review sessions, which focus on breakdowns … Innovation Patient Safety Focus
A study was conducted on 84,730 patients from 2005 to 2007 using data … . 1 Unlike traditional M&M conferences, which have historically focused on individual errors, RICs focus … complications that may arise from major surgery. 1 Furthermore, traditional M&M conferences often focus
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psnet.ahrq.gov/node/852446/psn-pdf
August 16, 2023 - the message were about equal no matter the way the concern was expressed, suggesting trainings that
focus … on speaking up should also focus on receiving those messages.
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psnet.ahrq.gov/issue/customer-focused-incident-monitoring-anaesthesia
April 24, 2018 - Study
Customer focused incident monitoring in anaesthesia.
Citation Text:
Khan FA, Khimani S. Customer focused incident monitoring in anaesthesia. Anaesthesia. 2007;62(6):586-90.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…
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psnet.ahrq.gov/node/60865/psn-pdf
August 31, 2020 - I use this board to emphasize our commitment
and focus on the idea that these patients are all people … Is it patients and families getting the institution to think
about and focus on its culture, or does … The focus of a culture of
safety is an ever-evolving, ever-improving process. … We have to have
difficult conversations when we need to, demonstrate the focus when that focus is needed … We have been able to focus on some things.
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psnet.ahrq.gov/issue/health-care-worker-fatigue
July 08, 2020 - The authors introduce guidelines that focus on shared accountability to mitigate health care worker … July 21, 2010
Implementing a fatigue countermeasures program for nurses: a focus group
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psnet.ahrq.gov/node/33689/psn-pdf
October 01, 2009 - The problem of patient safety needed to be brought into sharper focus if
it was going to receive the … This focus was provided in large
measure by the media. … Betsy Lehman at Dana-Farber
Cancer Institute in 1995.(2,3) Both these cases created short spasms of focus … And the focus
on teaching hospitals creates disproportionate public anxiety about being cared for by … in
research studies
University of
Pennsylvania (JG);
Johns Hopkins
(ER)
1999
and
2001
New focus
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psnet.ahrq.gov/issue/experience-learning-everyday-work-daily-safety-huddles-multi-method-study
June 23, 2021 - This mixed-methods study found that patient safety huddles including a focus on learning from what works … well ( Safety-II ) may be beneficial to healthcare organizations, particularly if they can purposely focus
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psnet.ahrq.gov/issue/talking-about-falls-qualitative-exploration-spoken-communication-patients-fall-risks
July 20, 2022 - Reducing or preventing inpatient falls is a common focus of patient safety improvement efforts in hospitals … assessments and categorization (e.g., high- or low-risk) were discussed in conjunction with strategies to focus
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psnet.ahrq.gov/issue/identification-barriers-and-enablers-receiving-speaking-message-content-analysis-approach
March 29, 2023 - the message were about equal no matter the way the concern was expressed, suggesting trainings that focus … on speaking up should also focus on receiving those messages.
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psnet.ahrq.gov/issue/when-disasters-strike-emergency-department-case-series-and-narrative-review
September 30, 2020 - External disaster training and preparedness has been the focus of previous research. … This case series and review focus on internal disasters in emergency departments (e.g., structural
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psnet.ahrq.gov/curated-library/medicationdrug-errors
March 12, 2021 - A mixed-methods study with a focus on user experience. … Reports discussing the results are segmented into specific areas of focus such as health care-associated … The Institute for Safe Medication Practices (ISMP) is a nonprofit organization whose focus is to help … In order to ensure health care facilities focus on preventing major sources of patient harm, The Joint … Strategies to prevent medication errors are a continuing focus of ongoing safety initiatives.
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psnet.ahrq.gov/issue/pathologists-patients-and-diagnostic-errors-part-1-and-part-2
August 08, 2012 - In light of the growing focus on diagnostic errors , this magazine series reports on unique challenges … The second article expands the discussion to focus on how industry support of open transparency can enable
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psnet.ahrq.gov/issue/risk-prevention-and-surgical-checklists
November 16, 2015 - Neurosurg Focus. 2012;33(5):E1-E16. … Facebook
Twitter
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November 14, 2012
Neurosurg Focus … Neurosurg Focus. 2012;33(5):E1-E16.
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psnet.ahrq.gov/issue/how-talk-about-patient-safety
June 24, 2019 - The authors urge patient involvement with a focus on concrete activities, but they recommend avoiding … February 4, 2015
Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation
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psnet.ahrq.gov/node/73515/psn-pdf
August 01, 2022 - The role of the APRN is to focus on fundamental components of resident care delivery, with
a specific … focus on early illness detection, acute illness management, reduction of polypharmacy through
medication … The enhanced billing component of
the innovation sponsored by CMS included a focus on six conditions … The patient safety focus of this innovation is to prevent avoidable hospitalizations among nursing … Ongoing engagement and commitment of leadership to ensuring an organization-wide focus are
crucial.
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psnet.ahrq.gov/issue/transformation-through-collaboration-2018-2019-mha-keystone-center-annual-report
September 26, 2016 - Areas of focus for improvement work reported on include health equity , workforce wellbeing, and maternal … December 9, 2014
Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation
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psnet.ahrq.gov/node/846975/psn-pdf
March 28, 2023 - These
bundles tended to focus on the birth setting. … Because of that, the focus of the clinical conditions
bundles has expanded. … Unique resources are being developed with a focus around perinatal mental health conditions. … screenings, or focus on pregnancies. … We all have to do it and focus on perinatal mental health.
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psnet.ahrq.gov/issue/hospital-rns-experiences-disruptive-behavior-qualitative-study
September 09, 2015 - This focus group study also explores personal and organizational factors contributing to such incidents … September 29, 2017
Focus on Patient Safety.
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psnet.ahrq.gov/issue/strategies-used-nurses-recover-medical-errors-academic-emergency-department-setting
September 26, 2016 - The investigators held focus groups to assess how emergency room nurses identify, recover, and correct … The impact of sensory stimuli on healthcare workers and outcomes in trauma rooms: a focus
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psnet.ahrq.gov/issue/losing-moment-understanding-interruptions-nurses-work
September 19, 2012 - Focus groups with nurses revealed a wide array of interruptions that inhibited their ability to provide … May 11, 2016
A systems approach to evaluating ionizing radiation: six focus areas to