-
psnet.ahrq.gov/node/44246/psn-pdf
November 15, 2016 - The document
provides strategies for applying efficient and effective RCAs, and it includes tools for
-
psnet.ahrq.gov/node/34802/psn-pdf
January 01, 2016 - Discussion includes background into VA patient safety programs and the role NCPS plays in providing the
-
psnet.ahrq.gov/node/34698/psn-pdf
January 04, 2017 - The system includes tools to prospectively identify process risks in an organization, analyze the
ways
-
psnet.ahrq.gov/node/38033/psn-pdf
September 24, 2010 - This description of the process
of implementing medication reconciliation at an urban public hospital includes
-
psnet.ahrq.gov/node/40116/psn-pdf
January 05, 2011 - While safety
culture includes domains relating to communication and teamwork between providers, organizational
-
psnet.ahrq.gov/node/35840/psn-pdf
May 27, 2011 - development of the
methodology and the establishment and refinement of the evaluation tool, which includes
-
psnet.ahrq.gov/node/35392/psn-pdf
June 16, 2011 - The paper
usefully includes a detailed table that highlights characteristics and limitations of each
-
psnet.ahrq.gov/innovation/university-michigan-emergency-critical-care-center-ec3-provides-timely-intensive-care
October 30, 2024 - and skills needed for the intervention, according to EC3 leaders, include: A steering committee that includes … Staffing of the EC3 includes one EM attending physician and one or two residents, fellows, or physician … The attending physician supervises a team that includes critical care fellows, a special cohort of ED … problem that they are trying to solve and collecting baseline data Establishing a steering committee that includes … and skills needed for the intervention, according to EC3 leaders, include: A steering committee that includes
-
psnet.ahrq.gov/node/49607/psn-pdf
August 01, 2010 - adequate data for
further improvement—for instance, a daily monitoring report to the charge nurse that includes … Joint Commission recommends that each organization's:
"process for effective hand off communication includes … Clinical content
Includes everything on the data-information-knowledge continuum stored
in the system … Human–computer interface
Enables unrelated entities to interact with the system and includes aspects
-
psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
January 31, 2024 - This perspective includes the contribution of Dr. … Graber’s pioneering work on diagnostic error in 2005, which includes an identification of systemic problems … Clinical decision making is a complex process that includes a variety of factors. … Clinician-centered misdiagnosis is only a part of overall diagnostic safety; the NASEM definition also includes … guidance that scales to particular needs at the level of individual practitioner whose scope of work includes
-
psnet.ahrq.gov/primer/disclosure-errors
September 15, 2024 - This model includes full disclosure of adverse events, appropriate investigations, implementation of … Safe Practice 7: Disclosure includes standards for practitioners regarding the key components of disclosure
-
psnet.ahrq.gov/node/44951/psn-pdf
March 02, 2016 - Commission's Targeted Solutions Tool, an online application to improve handoff communication,
which includes
-
psnet.ahrq.gov/node/44857/psn-pdf
March 23, 2016 - The report includes tools to related to the
recommendations.
-
psnet.ahrq.gov/node/35448/psn-pdf
September 18, 2009 - Discussion includes detailed
analyses illustrating the relationships, or lack thereof, between the different
-
psnet.ahrq.gov/node/39543/psn-pdf
May 19, 2010 - presents data from more than 300,000 respondents and greater than 800 hospitals nationwide, and
also includes
-
psnet.ahrq.gov/node/42149/psn-pdf
December 23, 2016 - The sentinel event database includes 98 alarm-related events (80 of which
resulted in death) between
-
psnet.ahrq.gov/node/35906/psn-pdf
May 27, 2011 - Discussion includes
specific recommendations that resulted from the FMEA and presentation of the error
-
psnet.ahrq.gov/innovation/critical-care-resource-nurse-team-patient-safety-and-quality-outcomes-model
July 23, 2024 - with the American Association of Critical Care Nursing (AACN) Synergy Model for Patient Care, which includes
-
psnet.ahrq.gov/node/845360/psn-pdf
March 29, 2023 - The Cognitive Pyramid includes six levels of varying cognitive function and environmental considerations
-
psnet.ahrq.gov/node/60548/psn-pdf
May 28, 2020 - ’ve expanded the scope of what we view as “critical” for assuring the safety of products, and that
includes … This includes our Breakthrough Devices Program, which covers
devices intended to treat or diagnose life … This includes our work establishing
medical device registries, our increasing work with industry, and