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Showing results for "focusing".

4181. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45793/psn-pdf
      July 19, 2024 - SHOT Annual Report. July 19, 2024 S Narayan, ed. Manchester, UK: Serious Hazards of Transfusion (SHOT) Steering Group; 2023. ISBN: 9781999596859. https://psnet.ahrq.gov/issue/shot-annual-report-2019 Although errors in the blood transfusion process are rare, they can be harmful. This annual report provides an anal…

4182. Guide for Developing a Community-Based Patient Safety Advisory Council | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/advisorycouncil/adcouncilape.html
      April 01, 2018 - Guide for Developing a Community-Based Patient Safety Advisory Council Appendix E. Meeting Ground Rules To set the tone for the meetings and ensure all participants are comfortable, the meeting planner creates ground rules for patient advisory council meetings. Sample ground rules for patient advisory counc…

4183. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34627/psn-pdf
      December 08, 2015 - Patient & Worker Safety. December 8, 2015 Association of periOperative Registered Nurses. https://psnet.ahrq.gov/issue/patient-worker-safety This site hosts a guideline collection as a part of the Association of PeriOperative Registered Nurses' (AORN) patient safety initiative targeting the needs of perioperative …

4184. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50680/psn-pdf
      November 20, 2019 - The health care industry needs to be more honest about medical errors. November 20, 2019 Sutcliffe K. Time Magazine. November 5, 2019. https://psnet.ahrq.gov/issue/health-care-industry-needs-be-more-honest-about-medical-errors Experts agree that while some progress has been made since To Err is Human was published…

4185. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61055/psn-pdf
      October 21, 2020 - How administrative burdens can harm health. October 21, 2020 Herd P, Moynihan D. Health Affairs Health Policy Brief. October 2, 2020. https://psnet.ahrq.gov/issue/how-administrative-burdens-can-harm-health The crossover of health equity concepts to patient safety has emerged as a consideration for improvement. Thi…

4186. Improving Care Transitions of Older Adults | PSNet
      psnet.ahrq.gov/training-catalog/improving-care-transitions-older-adults
      Improving Care Transitions of Older Adults Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization RCTCLEARN.NET Event Description: This program focu…

4187. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38084/psn-pdf
      September 24, 2008 - How patients perceive a doctor's caring attitude. September 24, 2008 Quirk M, Mazor KM, Haley H-L, et al. How patients perceive a doctor's caring attitude. Patient Educ Couns. 2008;72(3):359-366. doi:10.1016/j.pec.2008.05.022. https://psnet.ahrq.gov/issue/how-patients-perceive-doctors-caring-attitude This study co…

4188. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39421/psn-pdf
      July 19, 2010 - Hospital RNs' experiences with disruptive behavior: a qualitative study. July 19, 2010 Walrath JM, Dang D, Nyberg D. Hospital RNs' experiences with disruptive behavior: a qualitative study. J Nurs Care Qual. 2010;25(2):105-116. doi:10.1097/NCQ.0b013e3181c7b58e. https://psnet.ahrq.gov/issue/hospital-rns-experiences…

4189. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73897/psn-pdf
      September 29, 2021 - Peer Support Toolkit. September 29, 2021 Betsy Lehman Center for Patient Safety. September 2021. https://psnet.ahrq.gov/issue/peer-support-toolkit Clinicians involved in adverse events that harm patients can struggle to come to terms with error. This toolkit is designed to assist organizations in the development o…

4190. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45134/psn-pdf
      August 10, 2016 - Patient Safety: Exploring Quality of Care in the US. August 10, 2016 ProPublica, Inc. New York, NY. 2012-2016. https://psnet.ahrq.gov/issue/patient-safety-exploring-quality-care-us This website provides resources exploring patient safety challenges from various perspectives, including feature length articles and m…

4191. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44526/psn-pdf
      October 07, 2015 - The evolution of a safety culture. October 7, 2015 Patton BS, Donovan KJ. The Evolution of a Safety Culture. Air Med J. 2015;34(5):264-8. doi:10.1016/j.amj.2015.05.012. https://psnet.ahrq.gov/issue/evolution-safety-culture This commentary describes how an air transport unit at one hospital developed a safety cultu…

4192. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853075/psn-pdf
      August 30, 2023 - Striving for diagnostic excellence. August 30, 2023 Centor RM, Dhaliwal G. Annals On Call. July 2023. https://psnet.ahrq.gov/issue/striving-diagnostic-excellence Diagnostic accuracy requires both cognitive and team-focused skill development. This podcast interview shares problem-solving tactics that support diagno…

4193. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841789/psn-pdf
      July 01, 2022 - The REPAIR Project. July 1, 2022 University of California San Francisco, San Francisco, CA. https://psnet.ahrq.gov/issue/repair-project Systemic racism reduces the effectiveness and safety of the care people of color receive. The REPAIR ( REParations and Anti-Institutional Racism) Project is examining the impact o…

4194. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36183/psn-pdf
      March 28, 2011 - A cross-cultural survey of residents' perceived barriers in questioning/challenging authority. March 28, 2011 Kobayashi H, Pian-Smith M, Sato M, et al. A cross-cultural survey of residents' perceived barriers in questioning/challenging authority. Qual Saf Health Care. 2006;15(4):277-83. https://psnet.ahrq.gov/issu…

4195. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45580/psn-pdf
      July 24, 2019 - Overview of Patient Safety Learning Laboratory Projects. July 24, 2019 Rockville, MD: Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/overview-patient-safety-learning-laboratory-projects Collaborative strategies can enable individuals and organizations to learn from each other to support p…

4196. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41164/psn-pdf
      June 10, 2018 - Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspectives. June 10, 2018 ISMP Medication Safety Alert! Acute Care Edition. February 9, 2012;17:1-4. https://psnet.ahrq.gov/issue/results-ismp-survey-high-alert-medications-differences-between-nursing…

4197. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39257/psn-pdf
      January 27, 2010 - Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety. January 27, 2010 Buxbaum J. Portland, ME: National Academy for State Health Policy; January 2010. https://psnet.ahrq.gov/issue/opportunities-and-recommendations-state-federal-coordinati…

4198. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38329/psn-pdf
      January 22, 2017 - Disclosing errors to patients: perspectives of registered nurses. January 22, 2017 Shannon SE, Foglia MB, Hardy M, et al. Disclosing errors to patients: perspectives of registered nurses. Jt Comm J Qual Patient Saf. 2009;35(1):5-12. https://psnet.ahrq.gov/issue/disclosing-errors-patients-perspectives-registered-nu…

4199. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34751/psn-pdf
      March 07, 2005 - Merry and McCall Smith's Errors, Medicine, and the Law. 2nd ed. March 7, 2005 Merry A, Brookbanks W. Cambridge, UK: Cambridge University Press; 2017. ISBN: 9781107180499 https://psnet.ahrq.gov/issue/errors-medicine-and-law Merry, a New Zealand anesthesiologist, and Smith, a legal educator and a popular writer, exp…

4200. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73078/psn-pdf
      September 19, 2024 - Risky Business: Creating Connections. July 17, 2024 Joseph B. Martin Conference Center, Boston, MA; September 19, 2024. https://psnet.ahrq.gov/issue/risky-business-creating-connections A core tenant of the patient safety improvement drawing from the experiences of various high-risk industries to address system saf…