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psnet.ahrq.gov/node/867042/psn-pdf
October 30, 2024 - for funding agencies to support LHS to align research with
healthcare organization and Quintuple Aim goals
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psnet.ahrq.gov/issue/ten-years-after-iom-report-engaging-residents-quality-and-patient-safety-creating-house-staff
December 27, 2014 - Related Resources
Meeting the Joint Commission's 2013 National Patient Safety Goals … October 28, 2009
2009 National Patient Safety Goals.
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psnet.ahrq.gov/issue/creating-oversight-infrastructure-electronic-health-record-related-patient-safety-hazards
May 22, 2015 - Download Citation
Related Resources From the Same Author(s)
Patient safety goals … Application of electronic health records to The Joint Commission's 2011 National Patient Safety Goals
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psnet.ahrq.gov/issue/association-between-electronic-health-record-implementations-and-hospital-acquired-conditions
September 01, 2016 - September 3, 2014
2009 National Patient Safety Goals. … April 15, 2009
National Priorities and Goals: Aligning Our Efforts to Transform America's
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psnet.ahrq.gov/issue/safety-academic-medical-center-transforming-challenges-ingredients-improvement
February 17, 2011 - February 17, 2011
Overarching goals: a strategy for improving healthcare quality and … to optimise morbidity and mortality rounds to serve contemporary quality improvement and educational goals
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psnet.ahrq.gov/issue/patient-misidentification-papanicolaou-tests-systems-based-approach-reducing-errors
December 26, 2014 - Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals … preventing patient specimen identification errors: a technique to address Joint Commission patient safety goals
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psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-health-care-coordination-and-support
March 27, 2024 - health assessment, creates an individualized care plan based on each participant’s self-identified goals … the care coordinator helps the resident refine the plan by identifying specific health-improvement goals … the program, the team provides guidance, opportunities and coaching to help the resident meet those goals … stays, emergency room visits, and specialist physicians, which is consistent with the SASH program goal … Establishing goals for measuring success: As part of the planning process, program leaders identified
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psnet.ahrq.gov/node/867650/psn-pdf
January 01, 2022 - pathways to increase access to non-pharmacological interventions and aligning patient-
prescriber goals
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psnet.ahrq.gov/node/60163/psn-pdf
March 25, 2020 - never-events
https://psnet.ahrq.gov/issue/suicide-attempts-after-emergency-room-visits-effect-patient-safety-goals
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psnet.ahrq.gov/node/866242/psn-pdf
July 10, 2024 - ideation or are identified at risk of suicide during
care is a Joint Commission National Patient Safety Goal … implementing-universal-suicide-risk-screening-pediatric-hospital
https://psnet.ahrq.gov/primer/national-patient-safety-goals
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psnet.ahrq.gov/primer/leadership-role-improving-safety
September 15, 2024 - whose responsibilities include (but are not limited to) formulating the organizational mission and key goals … These practices include structured use of data to enhance care by setting specific quality goals and … quality activities across the system and tied executive compensation to specific quality and safety goals
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psnet.ahrq.gov/node/49573/psn-pdf
January 01, 2009 - 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. … Sacrifices to safety goals to meet economic and
production goals are common occurrences that are
not … Policies heavily slanted toward safety goals will
likely change over time in response to feedback to
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psnet.ahrq.gov/node/60745/psn-pdf
October 01, 2020 - continues to include perioperative medication safety practices as part of its
National Patient Safety Goals … Controlled Substance Accountability
The goal of controlled substance drug diversion programs is to prevent … National Patient Safety Goals Effective January 1, 2020: Hospital Accreditation Program. … Available at: https://www.jointcommission.org/-
/media/tjc/documents/standards/national-patient-safety-goals … .pdf
https://www.jointcommission.org/-/media/tjc/documents/standards/national-patient-safety-goals/2020
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psnet.ahrq.gov/node/44014/psn-pdf
March 20, 2019 - principles in PCMHs and engage primary
care clinicians, practices, and patients in achieving safety goals
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psnet.ahrq.gov/node/50758/psn-pdf
December 18, 2019 - still-not-safe-patient-safety-and-middle-managing-american-medicine
The modern patient safety movement has struggled to achieve the goals
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psnet.ahrq.gov/node/74015/psn-pdf
October 27, 2021 - understanding-swiss-cheese-model-and-its-application-patient-safety
https://psnet.ahrq.gov/issue/suicide-attempts-after-emergency-room-visits-effect-patient-safety-goals
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psnet.ahrq.gov/sites/default/files/2020-03/final_spotlight_case_delays_in_the_ed_powerpoint_for_cme_review_03.09.2020.pdf
January 01, 2020 - barriers
31
Teamwork
• Teamwork requires:
– Communication
– Cooperation
– Coordination
– Shared goals … communication can improve patient care through:
– Role clarity
– Strong leadership
– Verbalization of goals … received as intended
– Mitigates the risk of miscommunication and misunderstanding
– Promotes shared goals … Simulation-based training:
– An artificial representation of a real world process to achieve
educational goals … Take-Home Points (4)
41
• Closed loop communication, developing shared goals, and
situational awareness
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psnet.ahrq.gov/node/865810/psn-pdf
May 08, 2024 - have a robust case selection process with a
focus on system errors, a clear structure, and defined goals
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psnet.ahrq.gov/issue/multidisciplinary-multifaceted-improvement-initiative-eliminate-mislabelled-laboratory
December 24, 2008 - Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals … preventing patient specimen identification errors: a technique to address Joint Commission patient safety goals
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psnet.ahrq.gov/issue/effect-electronic-checklist-critical-care-provider-workload-errors-and-performance
January 22, 2016 - Related Resources
Structuring feedback and debriefing to achieve mastery learning goals … August 20, 2014
Use of a daily goals checklist for morning ICU rounds: a mixed-methods