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Total Results: 2,105 records

Showing results for "include".

21. Never Events | PSNet
    psnet.ahrq.gov/primer/never-events
    June 15, 2024 - serious reportable adverse events is widely accepted, there is variation in the types of events to include … Commonly accepted criteria include being usually preventable, causing serious harm or death, easily identifiable

22. Adverse Event During Intrahospital Transport | PSNet
    psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
    June 16, 2021 - These include communication breakdowns, lack of assessment of patient pre- and post-intrahospital transfer … Possible safety solutions include the use of checklists, specific training programs, and technical interventions … During the intrahospital transfer, the checklist may include checking and recording the patient's vital … After the intrahospital transfer, the checklist may include reassessment of patient condition, a reminder … it occurs across professions and support staff within a setting.( 10 ) Barriers to speaking up might include

23. Safer Together: A National Action Plan to Advance Patient Safety. | PSNet
    psnet.ahrq.gov/issue/national-action-plan-advance-patient-safety
    October 16, 2024 - Its areas of focus include culture, leadership, and governance,  patient and family engagement , workforce

24. Nudge Unit Supports Physician, Patient Behavioral Changes Towards Medical Decisions that Improve Care Value and Quality of Care | PSNet
    psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
    July 23, 2024 - However, all projects seek to include a multidisciplinary team wherever possible. … However, all projects seek to include a multidisciplinary team wherever possible. … Include a social incentive. … Social incentives include collaboration, competition, and support and help to reinforce behavioral change … Examples of Nudge Unit projects with a patient safety component include: Using default options to

25. Institute for Healthcare Improvement. | PSNet
    psnet.ahrq.gov/issue/institute-healthcare-improvement
    June 24, 2019 - Current IHI initiatives include a white paper collection, an international conference series, and an

26. Patient Safety Authority Annual Reports. | PSNet
    psnet.ahrq.gov/issue/patient-safety-authority-annual-reports
    December 09, 2020 - Additional topics covered include patient communication, publication , and learning management system

27. The Leapfrog Hospital Survey. | PSNet
    psnet.ahrq.gov/issue/leapfrog-hospital-survey
    June 21, 2023 - Updates to the survey include increased time allotted to complete computerized provider order entry

28. Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk | PSNet
    psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
    January 31, 2024 - Several other aspects of this case include the potential to give an exclusively breastfeeding mother … Recommended best practices include electronic scanning to validate and decrease errors. 14 When performing … staff or nurses are recommended to be included in training on standardized processes for tasks that include … Best practices for communicating after patient safety errors have occurred may include the following: … 21 Preparing for the discussion, including considering where to have the conversation and who to include

29. How implicit bias harms patient care. | PSNet
    psnet.ahrq.gov/issue/how-implicit-bias-harm-patient-care
    December 04, 2019 - This article shares reasons for these biases and shares tactics to minimize their impacts which include

30. Guidance for the Safe Use of Automated Dispensing Cabinets. | PSNet
    psnet.ahrq.gov/issue/guidance-safe-use-automated-dispensing-cabinets
    February 06, 2019 - Recommendations include improvement in areas such as stocking, labeling, and removal of expired medications

31. World Patient Safety Day. | PSNet
    psnet.ahrq.gov/issue/world-patient-safety-day
    September 30, 2020 - Explicit objectives of the event include increasing awareness worldwide of maternal and neonatal care

32. Center for Innovations in Quality, Effectiveness and Safety. IQuESt! | PSNet
    psnet.ahrq.gov/issue/center-innovations-quality-effectiveness-and-safety-iquest
    April 06, 2022 - The goals of the program include a focus on behavioral health interventions and measurement .

33. Impact of Medical Errors and Malpractice on Health Economics, Quality, and Patient Safety. | PSNet
    psnet.ahrq.gov/issue/impact-medical-errors-and-malpractice-health-economics-quality-and-patient-safety
    November 28, 2018 - Chapters will include discussions about second victims , improvements in medication safety , and the

34. Patient Safety Essentials Toolkit. | PSNet
    psnet.ahrq.gov/issue/patient-safety-essentials-toolkit
    January 08, 2020 - Featured tools include the Situation-Background-Assessment-Recommendation approach, huddle agendas,

35. The Case for Medication Safety Officers (MSO). | PSNet
    psnet.ahrq.gov/issue/case-medication-safety-officers-mso
    April 30, 2019 - Responsibilities of a medication officer include serving as a champion, advocating for safety interventions

36. Targeted Medication Safety Best Practices for Hospitals. | PSNet
    psnet.ahrq.gov/issue/targeted-medication-safety-best-practices-hospitals
    January 26, 2023 - recommended practices has been reviewed and updated every two years since it was first developed in 2014 to include

37. CHPSO Annual Reports. | PSNet
    psnet.ahrq.gov/issue/chpso-2019-annual-report
    March 20, 2024 - Sections of the report include high-level review of falls and inequities, medication safety issues,

38. Teamwork Toolkit. | PSNet
    psnet.ahrq.gov/issue/teamwork-toolkit
    July 21, 2021 - Topics covered include team leadership , learning and continuous improvement, clarifying roles , structured

39. ISMP Guidelines for Safe Electronic Communication of Medication Information. | PSNet
    psnet.ahrq.gov/issue/ismp-guidelines-safe-electronic-communication-medication-information
    May 07, 2019 - Recommended approaches include avoidance of error-prone abbreviations, use of Tall Man lettering , and

40. Patients with low health literacy make more errors interpreting instructions and warnings. | PSNet
    psnet.ahrq.gov/issue/patients-low-health-literacy-make-more-errors-interpreting-instructions-and-warnings
    May 03, 2023 - Improvement strategies discussed include patient education, practitioner coaching and interpreter services