-
psnet.ahrq.gov/node/42083/psn-pdf
March 13, 2013 - inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
https://psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero
-
psnet.ahrq.gov/node/45222/psn-pdf
June 08, 2016 - the Comprehensive Unit-based Safety
Program was implemented at 603 hospitals in 32 states, with the goal
-
psnet.ahrq.gov/node/38558/psn-pdf
February 18, 2011 - medication
reconciliation for long-term care facilities as part of the 2009 National Patient Safety Goals … psnet.ahrq.gov/primer/medication-reconciliation
https://psnet.ahrq.gov/issue/national-patient-safety-goals
-
psnet.ahrq.gov/node/39002/psn-pdf
January 03, 2017 - importance of patient engagement was elevated
by its introduction into the National Patient Safety Goals … health-care-consumers-inclination-engage-selected-patient-safety-practices-survey-adults
https://psnet.ahrq.gov/issue/national-patient-safety-goals
-
psnet.ahrq.gov/node/44847/psn-pdf
May 09, 2017 - hospital discharge, insufficient
communication with outpatient providers, failure to discuss care goals … deficits-communication-and-information-transfer-between-hospital-based-and-primary-care
https://psnet.ahrq.gov/issue/avoiding-iatrogenic-harm-patient-and-family-while-discussing-goals-care-near-end-life
-
psnet.ahrq.gov/issue/improving-discharge-process-embedding-discharge-facilitator-resident-team
January 23, 2019 - Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals … June 12, 2013
Meeting the Joint Commission's 2013 National Patient Safety Goals. … March 30, 2011
2009 National Patient Safety Goals.
-
psnet.ahrq.gov/node/39176/psn-pdf
December 16, 2009 - maintain a
system for rapid evaluation of unstable patients as one of the National Patient Safety Goals … relationship-between-early-emergency-team-calls-and-serious-adverse-events
https://psnet.ahrq.gov/issue/national-patient-safety-goals
-
psnet.ahrq.gov/node/33692/psn-pdf
February 01, 2010 - Our goal then is to provide education that occurs in the context of delivery of safe patient care, which … My goal is to
evolve the ACGME's accreditation process. … My ultimate goal is to be able to look at the value
added of the educational program. … That's obviously the
long-term goal, and the only way that we will be sure that what we do in education … After all, that is the goal for all of us.
-
psnet.ahrq.gov/node/43224/psn-pdf
June 11, 2014 - mandates that hospitals
have systems for preventing these errors as part of its National Patient Safety Goals … psnet.ahrq.gov/issue/ismps-list-confused-drug-names
https://psnet.ahrq.gov/issue/national-patient-safety-goals
-
psnet.ahrq.gov/perspective/conversation-withdean-schillinger-md
March 01, 2009 - that have been shown to be beneficial and efficient are the so-called "teach-back" method or "teach-to-goal … to expand this concept, particularly for health education efforts, into what's called the teach-to-goal … method: one goes through these teach-back loops until the patient has actually mastered the learning goal … Whatever the goal is, the idea is to determine that goal a priori and use the teach-back until the … It's not dissimilar to the goals of education in general.
-
psnet.ahrq.gov/issue/disclosing-medical-errors-guide-effective-explanation-and-apology
October 26, 2007 - Same Author(s)
Patients as Partners: Toolkit for Implementing National Patient Safety Goal
-
psnet.ahrq.gov/issue/medication-use-systems-approach-reducing-errors-second-edition
December 17, 2008 - May 24, 2015
Patients as Partners: Toolkit for Implementing National Patient Safety Goal
-
psnet.ahrq.gov/issue/strategies-addressing-health-care-worker-fatigue
March 28, 2012 - May 24, 2015
Patients as Partners: Toolkit for Implementing National Patient Safety Goal
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.37_slideshow.ppt
November 01, 2003 - System Failures Leading to Communication Breakdown
Differences between team members’ goals
Differences … for health care providers
Focusing on information sharing, inquiry, and assertion
Outline of daily goals … All providers on the team agree on the goals for the patient each day
Collaborative rounds
Pronovost … Improving communication in the ICU using daily goals.
-
psnet.ahrq.gov/node/39566/psn-pdf
January 03, 2017 - conducted in a surgical inpatient unit at an academic hospital,
included implementation of a daily goals … reporting-patient-safety-events
https://psnet.ahrq.gov/issue/improving-communication-icu-using-daily-goals
-
psnet.ahrq.gov/web-mm/dangerous-shift
July 24, 2013 - hospital's performance improvement committee to implement improved shift change policies is a laudable goal … To my knowledge, few existing hospital policies fully accomplish this goal. … Joint Commission on Accreditation of Healthcare Organizations. 2007 National Patient Safety Goals. … All decisions require making trade-offs on competing goals. … Sacrifices to safety goals to meet economic and production goals are common occurrences that are not
-
psnet.ahrq.gov/issue/five-hospitals-release-data-inspections
August 24, 2016 - January 27, 2015
Meeting the Joint Commission's 2013 National Patient Safety Goals. … June 3, 2009
2009 National Patient Safety Goals.
-
psnet.ahrq.gov/node/49415/psn-pdf
September 01, 2003 - We will review this case using a human factors approach (1,2), the
overall goal of which is to identify … Designing Effective Interventions to Address Deficiencies of Teamwork and Communication The
goal of … The Five "C´s" of Effective Teamwork in Health Care*
Common goal
Every team member shares and understands … the short- and long-term goals of the team
and the organization. … Commitment Every team member is committed to attaining the goals.
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.194_slideshow.ppt
March 01, 2009 - guidelines described by the Joint Commission
See Notes for references.
2008 National Patient Safety Goals … The Joint Commission Accreditation Program: Ambulatory Health Care National Patient Safety Goals. … information fails to be conveyed or is forgotten
See Notes for references.
2008 National Patient Safety Goals … The Joint Commission Accreditation Program: Ambulatory Health Care National Patient Safety Goals. … include the following items (see next slide)
See Notes for reference.
2008 National Patient Safety Goals
-
psnet.ahrq.gov/sites/default/files/2019-12/spotlight_code_status_dec_2019_powerpoint.pdf
January 01, 2019 - )
16
Systems Approach to Improving Safety
• Appropriate training and supervision around ACP or goals-of-care … new code status could prevent an adverse event
20
Take-Home Points
• Code status discussions, “goals-of-care … to obtain a code status for
patients that includes their individual preferences, surrogates, and
goals … Vital Talk: Address Goals of Care. … Accessed Nov 2019 via the Web at https://www.vitaltalk.org/topics/reset-
goals-of-care/
13.