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Showing results for "focus".

221. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43917/psn-pdf
     November 03, 2015 - underlying-reasons-associated-hospital-readmission-following-surgery-united- states Hospital readmissions have received intensive focus … national-surgical-quality-improvement-program https://psnet.ahrq.gov/issue/readmission-after-delayed-diagnosis-surgical-site-infection-focus-prevention-using-american

222. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867652/psn-pdf
     February 26, 2025 - methodology aimed to address the most persistent ineffectual issues with traditional RCA, especially the focus … By shifting focus to systems, RCA2 aims to foster an environment where healthcare professionals can … This prioritization ensures that resources are used effectively and that investigations focus on incidents … This focus on sustainable change moves RCA beyond a reactive approach, aiming to create proactive systems … For example, Success Cause Analysis (SCA) shifts the focus from studying adverse events to examining

223. Special Issue on Falls. | PSNet
     psnet.ahrq.gov/issue/special-issue-falls
     May 05, 2021 - May 5, 2021 Focus on Computerized Provider Order Entry. … November 6, 2015 Focus on Patient Safety.

224. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47104/psn-pdf
     December 04, 2018 - technicians, and security officers participated in a simulated encounter with an agitated patient and in focus … They also completed surveys prior to the simulation and focus groups, which researchers analyzed to

225. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49560/psn-pdf
     April 01, 2008 - of older, dying persons having life prolonged against their wishes has in part driven the current focus … This focus may be somewhat surprising, because the published evidence indicates that patients being … Smith, your goal is to focus on your comfort, not interventions that would prolong your life." … However, if that is not possible, care should focus on comfort even if it shortens life. … Such a focus on comfort may lead to a decision to forego further hospitalizations.

226. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33764/psn-pdf
     April 01, 2014 - When the organization started, the focus was very much on raising awareness of patient safety because … Now the focus is more on creation and spread of best practices but also creating a workforce that is … TG: The Affordable Care Act has drawn this focus on value and population health, especially with newer … And for NPSF, as I mentioned, the ACA has created a focus on value and cost reduction. … So taken in a vacuum with just the focus on cost, not thinking about quality and safety, could be a

227. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865570/psn-pdf
     April 10, 2024 - The resulting five high-risk clinical scenarios focus on patients with (1) known or suspected difficult … The NAPSI team constructed this innovation by looking to other fields in which safety is also the focus … Innovation Patient Safety Focus The innovation was developed from an initial quality improvement project … This proactive approach permits clinicians to focus on specific patient risk factors and respond with … follows: Establish and continue to emphasize that risk mitigation requires teamwork, and as such, focus

228. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45293/psn-pdf
     February 01, 2017 - Although the focus on ambulatory safety has grown in recent years, little is known about adverse events … Based on their analysis, the authors conclude that efforts should focus on building safer systems for

229. Maternal Safety and Perinatal Mental Health | PSNet
     psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
     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.

230. In Conversation with... Christie Allen about Maternal Safety and Perinatal Mental Health | PSNet
     psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
     March 29, 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.

231. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866216/psn-pdf
     July 10, 2024 - consumers typically include a combination of clinical quality data and member experience data, and focus … Purchasing Program.10 Improving Patient Safety: The Health Plan’s Role In addition to health plans’ focus … QHP issuers confirm that the hospitals they contract with have patient safety programs in place that focus … safety through reimbursement and payment policies that incentivize healthcare professionals’ continued focus … further research is needed to determine whether these types of programs can be leveraged to specifically focus

232. Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. | PSNet
     psnet.ahrq.gov/issue/two-effective-initiatives-c-suite-leaders-improve-medication-safety-and-reliability-outcomes
     March 14, 2023 - May 31, 2017 Death due to pharmacy compounding error reinforces need for safety focus … Counterpoint, and Areas of Agreement September 24, 2024 Actions to renew focus

233. Preventing home medication errors. | PSNet
     psnet.ahrq.gov/issue/preventing-home-medication-errors
     September 15, 2021 - Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus … December 23, 2020 Health literacy and quality: focus on chronic illness care and patient

234. Mistakes and disclosure. | PSNet
     psnet.ahrq.gov/issue/mistakes-and-disclosure
     October 19, 2022 - August 31, 2016 Deprescribing as a clinical improvement focus. … August 16, 2017 Graduate medical education's new focus on resident engagement in quality

235. Effectiveness of random and focused review in detecting surgical pathology error. | PSNet
     psnet.ahrq.gov/issue/effectiveness-random-and-focused-review-detecting-surgical-pathology-error
     August 04, 2021 - Study Effectiveness of random and focused review in detecting surgical pathology error. Citation Text: Raab SS, Grzybicki DM, Mahood LK, et al. Effectiveness of random and focused review in detecting surgical pathology error. Am J Clin Pathol. 2008;130(6):905-12. doi:10.1309/AJCPPIA5…

236. Interdisciplinary teamwork | PSNet
     psnet.ahrq.gov/curated-library/interdisciplinary-teamwork
     September 15, 2025 - Improving teamwork and communication is a continued focus in the hospital setting. … Efforts to improve the care of complex patients in intensive care units (ICUs) focus on many factors, … diagnosis is anchored in patient-centered care and suggests that the diagnostic team must expand beyond the focus … Improving teamwork and communication is a continued focus in the hospital setting. … Efforts to improve the care of complex patients in intensive care units (ICUs) focus on many factors,

237. Can your nurses stop a surgeon? | PSNet
     psnet.ahrq.gov/issue/can-your-nurses-stop-surgeon
     September 02, 2020 - A mixed-methods study with a focus on user experience. … 2011 Nurses' perceptions and experiences of communication in the operating theatre: a focus

238. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33728/psn-pdf
     May 01, 2012 - RW: The increasing popularity of triggers seems to be part of a broader trend in moving from our focus … The initial focus of patient safety on errors attracted a lot of interest, and led to the idea that … The easiest thing to do is to only focus on those more serious events and not focus on all-cause harm … Certainly we've seen that in the focus on reporting of never events and hospital-acquired conditions … DC: That is where future research is probably going to focus.

239. Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner | PSNet
     psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive-approach-data
     February 26, 2025 - Innovation Patient Safety Focus The innovation was developed from an initial quality improvement project … This proactive approach permits clinicians to focus on specific patient risk factors and respond with … The resulting five high-risk clinical scenarios focus on patients with (1) known or suspected difficult … The NAPSI team constructed this innovation by looking to other fields in which safety is also the focus … follows: Establish and continue to emphasize that risk mitigation requires teamwork, and as such, focus

240. Post-traumatic stress disorder amongst surgical trainees: an unrecognised risk? | PSNet
     psnet.ahrq.gov/issue/post-traumatic-stress-disorder-amongst-surgical-trainees-unrecognised-risk
     August 04, 2021 - April 20, 2016 Robotic-assisted surgery: focus on training and credentialing. … 2011 Nurses' perceptions and experiences of communication in the operating theatre: a focus