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psnet.ahrq.gov/training-catalog/annual-health-care-quality-patient-safety-conference
Assurance and Utilization
Event Description: This two-day in person conference will focus
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psnet.ahrq.gov/issue/deriving-framework-systems-approach-agitated-patient-care-emergency-department
June 13, 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 form
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psnet.ahrq.gov/issue/identification-doctors-risk-recurrent-complaints-national-study-healthcare-complaints
September 07, 2011 - Although most patient safety efforts focus on identifying and addressing flawed systems, individual clinicians … Unprofessional behaviors among tomorrow's physicians: review of the literature with a focus
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psnet.ahrq.gov/issue/operating-room-icu-patient-handovers-multidisciplinary-human-centered-design-approach
June 27, 2012 - This study used human factors approaches to conduct observations, surveys, interviews, and focus groups … January 12, 2022
FOCUS: The Society of Cardiovascular Anesthesiologists' initiative to
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psnet.ahrq.gov/training-catalog/19th-northwest-patient-safety-conference
Focus areas will include:
Patient and Family Engagement
Culture, Leadership, Policy and Governance
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psnet.ahrq.gov/node/47450/psn-pdf
March 27, 2019 - In this qualitative study, researchers
conducted focus groups of multidisciplinary teams including obstetricians
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psnet.ahrq.gov/issue/discharge-missteps-can-send-seniors-back-hospital
March 28, 2012 - August 7, 2024
Handling polypharmacy--a qualitative study using focus group interviews … June 10, 2018
Reduce readmissions with pharmacy programs that focus on transitions from
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psnet.ahrq.gov/issue/national-patient-safety-goals
May 30, 2012 - In order to ensure health care facilities focus on preventing major sources of patient harm, The Joint … Major focus areas include promoting surgical safety, achieving health equity, and preventing hospital-acquired
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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.
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psnet.ahrq.gov/issue/enhancing-your-medication-error-reporting-program-improve-global-medication-safety
June 10, 2018 - June 28, 2023
Death due to pharmacy compounding error reinforces need for safety focus … June 10, 2018
Reduce readmissions with pharmacy programs that focus on transitions from
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.266_slideshow.ppt
May 01, 2012 - -132. http://www.ncbi.nlm.nih.gov/pubmed/15051706
*
Handoff Curricula (2)
Curricula must also focus … information they do
Importance of structured written sign-out to complement verbal; yet few curricula focus … ensure that the receiver has acquired a shared mental model of the patient
Future curricula need to focus … evaluation
Vulnerable to halo effect
Can differentiate exceptional and below average learners
Should focus … requires corresponding investments to improve clinical documentation of written signouts that not only focus
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psnet.ahrq.gov/node/858323/psn-pdf
December 13, 2023 - psnet.ahrq.gov/issue/some-doctors-are-ditching-scale-saying-focusing-weight-drives-misdiagnoses
Inordinate focus
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psnet.ahrq.gov/node/33798/psn-pdf
January 01, 2015 - James Reason's classic Swiss cheese model of organizational accidents
spurred an initial focus in the … safety problems, but it was
also a pragmatic solution to engage physicians, who otherwise equated a focus … With the
growing focus on patient-centered care, the concept of emotional harm is likely to garner more … 2016, including the American College of Healthcare Executives Congress
on Healthcare Leadership, will focus
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psnet.ahrq.gov/issue/mismatched-prescribing-and-pharmacy-templates-parenteral-nutrition-pn-lead-data-entry-errors
June 10, 2018 - June 10, 2018
Reduce readmissions with pharmacy programs that focus on transitions from … December 22, 2010
Assessing the value of electronic prescribing in ambulatory care: A focus
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psnet.ahrq.gov/issue/serious-reportable-events
March 21, 2018 - March 21, 2018
Focus on the Quadruple Aim: development of a resiliency center to promote … May 18, 2018
International Comparisons: A Focus on Quality of Care.
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psnet.ahrq.gov/issue/errors-originating-hospital-and-health-system-outpatient-pharmacies
December 19, 2016 - October 17, 2018
Reduce readmissions with pharmacy programs that focus on transitions … May 7, 2018
Death due to pharmacy compounding error reinforces need for safety focus.
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psnet.ahrq.gov/issue/taking-aim-infusion-confusion
June 06, 2018 - RIS
Download Citation
Related Resources From the Same Author(s)
Focus … December 31, 2018
Learning from morbidity and mortality conferences: focus and sustainability
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psnet.ahrq.gov/node/49409/psn-pdf
July 01, 2003 - The nurse’s focus
appears to be on the means of providing care, the PCA pump, and ensuring that the … If that focus were on the patient—with the PCA pump considered merely
as a means to an end—she would … That tends to minimize the vital focus on listening to the patient and following up on her
complaints … Factors identified as
contributing to error are the focus for such actions. … Keynote address to: The
conference on Minimizing the risk of medical errors: focus on the system; November
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psnet.ahrq.gov/web-mm/wrongful-resuscitation
October 12, 2012 - fear of older, dying persons having life prolonged against their wishes has in part driven the current focus … Smith, your goal is to focus on your comfort, not interventions that would prolong your life." … For the nursing home resident, typical goals could include treatment to focus on extending life regardless … 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.
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psnet.ahrq.gov/node/867089/psn-pdf
November 06, 2024 - Focused team engagements to enhance interprofessional
collaboration and safety behaviors among novice nurses
and medical residents.
November 6, 2024
Manuel R, Barber A, Kern J, et al. Focused team engagements to enhance interprofessional collaboration
and safety behaviors among novice nurses and medical residents.…