-
psnet.ahrq.gov/perspective/conversation-withdavid-marx-jd
October 01, 2007 - Establishing a just culture within an organization requires action on three fronts: building awareness, implementing … Implementing Policies that Support Just Culture
This might better be termed, "eliminate the policies
-
psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
August 01, 2010 - One significant barrier to patient safety is the need for cultural and organizational change.( 10 ) Implementing … Process flow diagram for implementing change in an academic medical center.
-
psnet.ahrq.gov/perspective/conversation-withjanet-corrigan-phd-mba
April 01, 2010 - Protection and Quality in the Health Care Industry envisioned an entity that would be responsible for (i) implementing … hospitals.( 13 ) Lower Safe Practice adoption rates are seen for resource-intensive practices such as implementing
-
psnet.ahrq.gov/node/855058/psn-pdf
October 31, 2023 - are several opportunities to improve current approaches to addressing
workplace violence, such as implementing … We should examine the effectiveness as well as the cost and return
on investment of implementing these
-
psnet.ahrq.gov/perspective/conversation-withrichard-p-shannon-md
August 01, 2010 - One significant barrier to patient safety is the need for cultural and organizational change.( 10 ) Implementing … Process flow diagram for implementing change in an academic medical center.
-
psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
January 23, 2017 - Specifically, it a highlights the value of implementing system-wide safety protocols and practices to
-
psnet.ahrq.gov/innovation/statewide-telehealth-program-enhances-access-care-improves-outcomes-high-risk
November 13, 2024 - of 39 delivering hospitals in Arkansas collaborating to reduce maternal mortality and morbidity by implementing
-
psnet.ahrq.gov/node/33984/psn-pdf
April 17, 2024 - ISMP List of Error-Prone Abbreviations, Symbols, and
Dose Designations.
April 17, 2024
Horsham, PA; Institute for Safe Medication Practices; April 17, 2024.
https://psnet.ahrq.gov/issue/ismp-list-error-prone-abbreviations-symbols-and-dose-designations
A handy list for medical personnel to ensure and implement safe…
-
psnet.ahrq.gov/node/42035/psn-pdf
February 13, 2013 - Using Safety Cases in Industry and Healthcare.
February 13, 2013
London, UK: Health Foundation; December 2012. ISBN: 9781906461430.
https://psnet.ahrq.gov/issue/using-safety-cases-industry-and-healthcare
This report details how high-risk industries use safety cases to identify, evaluate, address, and monitor
…
-
psnet.ahrq.gov/node/41825/psn-pdf
November 21, 2012 - Supporting a psychiatric hospital culture of safety.
November 21, 2012
Mahoney JS, Ellis TE, Garland G, et al. Supporting a psychiatric hospital culture of safety. J Am Psychiatr
Nurses Assoc. 2012;18(5):299-306. doi:10.1177/1078390312460577.
https://psnet.ahrq.gov/issue/supporting-psychiatric-hospital-culture-safe…
-
psnet.ahrq.gov/node/36010/psn-pdf
January 02, 2017 - Operating room briefings: working on the same page.
January 2, 2017
Makary MA, Holzmueller CG, Thompson DA, et al. Operating room briefings: working on the same page. Jt
Comm J Qual Patient Saf. 2006;32(6):351-5.
https://psnet.ahrq.gov/issue/operating-room-briefings-working-same-page
The authors describe a tool fo…
-
psnet.ahrq.gov/node/34135/psn-pdf
February 28, 2024 - Hand Hygiene in Healthcare Settings.
February 28, 2024
Centers for Disease Control and Prevention
https://psnet.ahrq.gov/issue/hand-hygiene-healthcare-settings
The hand hygiene guidelines represent part of a U.S. Centers for Disease Control and Prevention (CDC)
strategy to promote patient safety by reducing infect…
-
psnet.ahrq.gov/node/36897/psn-pdf
August 31, 2011 - Characterization of prescribing errors in an internal
medicine clinic.
August 31, 2011
Devine EB, Wilson-Norton JL, Lawless NM, et al. Characterization of prescribing errors in an internal
medicine clinic. Am J Health Syst Pharm. 2007;64(10):1062-70.
https://psnet.ahrq.gov/issue/characterization-prescribing-errors…
-
psnet.ahrq.gov/node/35425/psn-pdf
June 17, 2014 - Have you M.E.T. the future of better patient safety?
June 17, 2014
Larson L. Have you M.E.T. the future of better patient safety? Trustee : the journal for hospital governing
boards. 2005;58(8):6-10, 1.
https://psnet.ahrq.gov/issue/have-you-met-future-better-patient-safety
This article recaps the origins of the me…
-
psnet.ahrq.gov/node/35257/psn-pdf
June 25, 2009 - JCAHO's safety goals—the clock is ticking, will your ED
be compliant?
June 25, 2009
JCAHO's safety goals--the clock is ticking, will your ED be compliant? ED Manag. 2005;17(7):73-5.
https://psnet.ahrq.gov/issue/jcahos-safety-goals-clock-ticking-will-your-ed-be-compliant
This article provides practical advise for e…
-
psnet.ahrq.gov/node/35864/psn-pdf
June 17, 2014 - Exploring strategies for reducing hospital errors.
June 17, 2014
McFadden KL, Stock GN, Gowen CR. Exploring strategies for reducing hospital errors. J Healthc Manag.
2006;51(2):123-136.
https://psnet.ahrq.gov/issue/exploring-strategies-reducing-hospital-errors
The authors surveyed health care quality directors on …
-
psnet.ahrq.gov/node/35653/psn-pdf
June 25, 2010 - Effective strategies to increase reporting of medication
errors in hospitals.
June 25, 2010
Force MVO, Deering L, Hubbe J, et al. Effective strategies to increase reporting of medication errors in
hospitals. J Nurs Adm. 2006;36(1):34-41.
https://psnet.ahrq.gov/issue/effective-strategies-increase-reporting-medicati…
-
psnet.ahrq.gov/node/36365/psn-pdf
February 08, 2011 - Designing Safer Rotas for Junior Doctors in the 48-Hour
Week.
February 8, 2011
Horrocks N, Pounder R. London, UK: Royal College of Physicians of London; 2006.
https://psnet.ahrq.gov/issue/designing-safer-rotas-junior-doctors-48-hour-week
This report discusses risks associated with junior doctor night shift work an…
-
psnet.ahrq.gov/node/39939/psn-pdf
June 27, 2018 - Hospitals collaborate to prevent wrong-site surgery.
June 27, 2018
Pelczarski KM, Braun PA, Young E. Patient Saf Qual Healthc. Sept/Oct 2010;7:20-22,25-26.
https://psnet.ahrq.gov/issue/hospitals-collaborate-prevent-wrong-site-surgery
This article describes a wrong-site surgery prevention program and how it was succ…
-
psnet.ahrq.gov/node/40330/psn-pdf
March 30, 2011 - Smart pumps: implications for nurse leaders.
March 30, 2011
Kirkbride G, Vermace B. Smart pumps: implications for nurse leaders. Nurs Adm Q. 2011;35(2):110-118.
doi:10.1097/NAQ.0b013e31820fbdc0.
https://psnet.ahrq.gov/issue/smart-pumps-implications-nurse-leaders
This commentary discusses the benefits and limitatio…