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Showing results for "framework".
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121. Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations. | PSNet
     psnet.ahrq.gov/issue/achieving-national-quality-forums-never-events-prevention-wrong-site-wrong-procedure-and
     September 28, 2010 - reviewed existing prevention strategies, such as the Joint Commission's Universal Protocol , to develop a framework … The proposed framework asks whether a behaviorally specific policy has been enacted and whether staff

122. Creating high reliability in health care organizations. | PSNet
     psnet.ahrq.gov/issue/creating-high-reliability-health-care-organizations
     September 20, 2011 - This study describes the development of a framework to achieve high reliability in the intensive care … The framework is based on a previously published method for evaluating safety interventions; the key

123. Exploring situational awareness in diagnostic errors in primary care. | PSNet
     psnet.ahrq.gov/issue/exploring-situational-awareness-diagnostic-errors-primary-care
     September 20, 2011 - This study explored the use of a situational awareness (SA) framework to understand diagnostic errors … The authors found that applying the SA framework to analyze such errors provided deeper insight into

124. Review into the Quality of Care and Treatment Provided by 14 Hospital Trusts in England: Overview Report. | PSNet
     psnet.ahrq.gov/issue/review-quality-care-and-treatment-provided-14-hospital-trusts-england-overview-report
     August 02, 2023 - January 31, 2018 Just a Cup of Tea – an Introduction to the SEIPS Framework. … August 31, 2016 Never Events--Framework 2010-11.

125. Emotional influences in patient safety. | PSNet
     psnet.ahrq.gov/issue/emotional-influences-patient-safety
     July 02, 2014 - This commentary uses a framework derived from cognitive psychology to demonstrate the impact of physicians … October 3, 2018 Competencies for improving diagnosis: an interprofessional framework

126. Systematic review: the evidence that publishing patient care performance data improves quality of care. | PSNet
     psnet.ahrq.gov/issue/systematic-review-evidence-publishing-patient-care-performance-data-improves-quality-care
     September 06, 2017 - June 9, 2021 Framework for patient safety research and improvement. … October 10, 2012 A framework for health care organizations to develop and evaluate a … The Role of the Patient in Improving Patient Safety March 1, 2007 Framework

127. Building a Safety Program Using Principles of Resilience Engineering | PSNet
     psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
     October 23, 2013 - PubMedId RIS Download Citation Perspective Background The traditional framework … This requires a framework that involves learning from the workforce about how they deal with everyday … From an incident analysis standpoint, this framework implies shifting away from finding errors (especially … The framework should include a multipronged approach to elicit information that is meaningful from a … First, to implement a resilience engineering approach, leadership must be committed to the framework

128. What medications does your patient take? Enhancing medication safety in the outpatient setting. | PSNet
     psnet.ahrq.gov/issue/what-medications-does-your-patient-take-enhancing-medication-safety-outpatient-setting
     January 08, 2020 - January 8, 2020 Framework for Effective Board Governance of Health System Quality. … June 28, 2018 A Framework for Safe, Reliable, and Effective Care.

129. From board to bedside: how the application of financial structures to safety and quality can drive accountability in a large health care system. | PSNet
     psnet.ahrq.gov/issue/board-bedside-how-application-financial-structures-safety-and-quality-can-drive
     January 29, 2015 - The organization developed a reporting and oversight framework using four key principles: governance … The authors provide examples of how this framework was used to address safety issues such as health care–associated

130. Patient Safety Essentials Toolkit. | PSNet
     psnet.ahrq.gov/issue/patient-safety-essentials-toolkit
     January 08, 2020 - December 14, 2022 Framework for Effective Board Governance of Health System Quality. … August 16, 2017 A practical framework for patient care teams to prospectively identify

131. Patient participation: current knowledge and applicability to patient safety. | PSNet
     psnet.ahrq.gov/issue/patient-participation-current-knowledge-and-applicability-patient-safety
     February 01, 2011 - of patient involvement in reducing medication errors and encouraging hand hygiene, and proposes a framework … Implementation of hand hygiene in health-care facilities: results from the WHO Hand Hygiene Self-Assessment Framework

132. The value from investments in health information technology at the U.S. Department of Veterans Affairs. | PSNet
     psnet.ahrq.gov/issue/value-investments-health-information-technology-us-department-veterans-affairs
     February 10, 2015 - value (benefits net of investment costs) of these investments at more than $3 billion and provide a framework … June 30, 2021 Filling a gap in safety metrics: development of a patient-centred framework

133. An assessment of the impact of just culture on quality and safety in US hospitals. | PSNet
     psnet.ahrq.gov/issue/assessment-impact-just-culture-quality-and-safety-us-hospitals
     April 13, 2017 - An Annual Perspective reviewed the context of the no-blame movement and the recent shift toward a framework … Citation Related Resources From the Same Author(s) An organizational learning framework

134. Exploring the Costs of Unsafe Care in the NHS: A Report Prepared for the Department of Health. | PSNet
     psnet.ahrq.gov/issue/exploring-costs-unsafe-care-nhs-report-prepared-department-health
     July 10, 2019 - Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework … February 9, 2011 Never Events--Framework 2010-11.

135. Health Literacy Toolkit. | PSNet
     psnet.ahrq.gov/issue/health-literacy-toolkit
     February 22, 2023 - February 22, 2023 Just a Cup of Tea – an Introduction to the SEIPS Framework. … February 2, 2022 Never Events--Framework 2010-11.

136. IHI Global Trigger Tool for Measuring Adverse Events. 2nd Edition. | PSNet
     psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition
     January 09, 2019 - Copy Citation Related Resources From the Same Author(s) Framework for Effective … January 8, 2020 A Framework for Safe, Reliable, and Effective Care.

137. Patient falls in the operating room: why is this still a problem in 2024? | PSNet
     psnet.ahrq.gov/issue/patient-falls-operating-room-why-still-problem-2024
     May 08, 2024 - October 29, 2008 Quality framework for remote antenatal care: qualitative study with … May 8, 2024 Seven features of safety in maternity units: a framework based on multisite

138. Beyond FMEA: the structured what-if technique (SWIFT). | PSNet
     psnet.ahrq.gov/issue/swift-new-tool-identifying-prospective-hazards
     February 03, 2021 - February 3, 2021 Design for patient safety: a systems-based risk identification framework … October 10, 2018 A framework for operationalizing risk: a practical approach to patient

139. How experiencing preventable medical problems changed patients' interactions with primary health care. | PSNet
     psnet.ahrq.gov/issue/how-experiencing-preventable-medical-problems-changed-patients-interactions-primary-health
     December 13, 2023 - September 15, 2010 Why a sociotechnical framework is necessary to address diagnostic … March 21, 2017 A framework for encouraging patient engagement in medical decision making

140. Homecare safety virtual quality improvement collaboratives | PSNet
     psnet.ahrq.gov/issue/homecare-safety-virtual-quality-improvement-collaboratives
     January 24, 2024 - January 24, 2024 Measurement and Monitoring of Safety Framework: a qualitative study … July 1, 2020 Oral chemotherapy: a home safety educational framework for healthcare providers