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Total Results: 9,169 records

Showing results for "including".

101. Identifying and categorising patient safety hazards in cardiovascular operating rooms using an interdisciplinary approach: a multisite study. | PSNet
     psnet.ahrq.gov/issue/identifying-and-categorising-patient-safety-hazards-cardiovascular-operating-rooms-using
     August 25, 2015 - This study used detailed observation of cardiac surgical procedures by a multidisciplinary team, including … Many types of hazards were identified, including problems with communication and teamwork , poor interoperability

102. Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/identification-and-characterization-failures-infectious-agent-transmission-precaution
     October 13, 2018 - Infection control precautions including use of personal protective equipment (PPE) are critical for … This direct observation study observed frequent failures in use of PPE, including entering rooms without

103. Interventions to improve team effectiveness within health care: a systematic review of the past decade. | PSNet
     psnet.ahrq.gov/issue/interventions-improve-team-effectiveness-within-health-care-systematic-review-past-decade
     March 05, 2010 - The review analyzed 297 publications focused on three types of interventions: (1) training, including … crew resource management , TeamSTEPPS  and simulations , (2) tools, including SBARs and checklists

104. A systematic review of simulation for multidisciplinary team training in operating rooms. | PSNet
     psnet.ahrq.gov/issue/systematic-review-simulation-multidisciplinary-team-training-operating-rooms
     November 17, 2014 - training programs generally felt that they were realistic and useful, significant barriers were noted, including … February 18, 2017 A retrospective audit of postoperative days alive and out of hospital, including

105. Factors that drive team participation in surgical safety checks: a prospective study. | PSNet
     psnet.ahrq.gov/issue/factors-drive-team-participation-surgical-safety-checks-prospective-study
     August 15, 2018 - approximately 35 hours of field observations, these researchers identified various interlinked factors, including … Related Resources A retrospective audit of postoperative days alive and out of hospital, including

106. Epidemiology of adverse events and medical errors in the care of cardiology patients. | PSNet
     psnet.ahrq.gov/issue/epidemiology-adverse-events-and-medical-errors-care-cardiology-patients
     November 26, 2014 - of adverse events and medical errors has been broadly characterized among different patient groups including … July 1, 2017 Bundle interventions including nontechnical skills for surgeons can reduce

107. Expressing concern and writing it down: an experimental study investigating transfer of information at nursing handover. | PSNet
     psnet.ahrq.gov/issue/expressing-concern-and-writing-it-down-experimental-study-investigating-transfer-information
     November 17, 2014 - referring to a written summary) did not affect information retention, suggesting that other approaches, including … June 3, 2013 A retrospective audit of postoperative days alive and out of hospital, including

108. Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review. | PSNet
     psnet.ahrq.gov/issue/comparative-economic-analyses-patient-safety-improvement-strategies-acute-care-systematic
     November 07, 2012 - systematic review evaluated the cost-effectiveness of interventions to address 15 key safety targets (including … Based on this limited dataset, the authors identified 4 cost-effective safety interventions, including

109. Verification Screen That Includes Prominent Patient Photograph Significantly Reduces Errors Caused by Orders Placed in Wrong Chart | PSNet
     psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-reduces-errors
     October 30, 2024 - AHRQ in 2008, was retired in March 2021; AHRQ now offers select content from the Innovations Exchange, including … staff participated in the core patient identification team over a period of approximately 18 months, including … project team formed to take charge of efforts to reduce errors caused by patient misidentification, including … safety staff, and representatives from clinical and ancillary departments across the organization, including … and oversee implementation of various initiatives designed to reduce identification-related errors, including

110. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/864374/psn-pdf
     March 13, 2024 - power-saying-i-dont-know-psychological-safety-and-participatory-strategies- healthcare-leaders Psychological safety is critical for all staff in health systems, including … leaders to acknowledge their limitations, as this creates a culture of trust and enables innovation by including

111. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865930/psn-pdf
     May 22, 2024 - This study, including general practitioners and patients in the UK National Health Service (NHS), used … Participants identified several areas for improvement, including missing test results and inaccuracies

112. Interdisciplinary teamwork | PSNet
     psnet.ahrq.gov/curated-library/interdisciplinary-teamwork
     July 20, 2025 - This book explores teamwork, including barriers to effective teamwork and tactics to enhance professional … at Brigham and Women’s Hospital in Boston, the authors discuss development of a patient safety team, including … Efforts to improve the care of complex patients in intensive care units (ICUs) focus on many factors, including … This review summarizes the evidence regarding teamwork, including strategies to measure team performance … This book explores teamwork, including barriers to effective teamwork and tactics to enhance professional

113. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/855431/psn-pdf
     January 01, 2024 - This article highlights the advantages of including patients in patient safety event reporting, including

114. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849333/psn-pdf
     May 24, 2023 - This qualitative study including home care clinicians, inspectors, and family caregivers in Iran highlights … that the healthcare team plays an important role in creating and promoting safe home care, including

115. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867017/psn-pdf
     October 23, 2024 - The 63 participating clinicians shared facilitators encouraging HIE use, including familiarity with … They also identified several barriers to HIE use, including information overload and lack of integration

116. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/860393/psn-pdf
     January 10, 2024 - This scoping review including 27 articles found wide variation in how medication safety is evaluated … authors propose a sociotechnical-based conceptual model to evaluate medication safety in future studies, including

117. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73853/psn-pdf
     September 22, 2021 - incidence-prescription-errors-patients-discharged-emergency-department Medication safety continues to be a challenge in most healthcare settings, including … In this academic emergency department, an overall error rate of 16.5% was observed, including errors

118. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33597/psn-pdf
     April 10, 2024 - These facilities provide services very similar to acute care hospitals, including the ability to care … Subsequent OIG reports have also found many patient safety problems and adverse events including well … pandemic, despite several safeguards and prevention programs put in place by the federal government including … AHRQ has also developed a number of resources to examine and address safety in long-term care, including … Subsequent studies have identified a multitude of longstanding and ongoing challenges including poor

119. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837974/psn-pdf
     August 31, 2022 - This qualitative study including five healthcare organizations in the Netherlands concluded that open … Researchers also identified several challenges in fostering a just culture, including how individual

120. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838927/psn-pdf
     October 26, 2022 - Pharmacists involved in codes reported concerns including errors with high-alert medications and communication … preparation for, actions during and post code phrases which included standardizing the practice of including