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Total Results: 9,165 records

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121. A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery program. | PSNet
     psnet.ahrq.gov/issue/checklist-based-intervention-improve-surgical-outcomes-michigan-evaluation-keystone-surgery
     May 01, 2015 - Surgery hospitals to those that did not implement the intervention found no differences in outcomes (including … April 6, 2022 A retrospective audit of postoperative days alive and out of hospital, including

122. Time to listen: a review of methods to solicit patient reports of adverse events. | PSNet
     psnet.ahrq.gov/issue/time-listen-review-methods-solicit-patient-reports-adverse-events
     November 23, 2016 - review of 17 published studies identified various methods of eliciting safety information from patients, including … December 8, 2011 Patient-assisted incident reporting: including the patient in patient

123. Two-state collaborative study of a multifaceted intervention to decrease ventilator-associated events. | PSNet
     psnet.ahrq.gov/issue/two-state-collaborative-study-multifaceted-intervention-decrease-ventilator-associated-events
     January 15, 2014 - Patients requiring intensive care are particularly vulnerable to preventable adverse events, including … Participating hospitals were able to significantly reduce the rate of ventilator-associated adverse events (including

124. 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

125. 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

126. 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

127. 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

128. 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

129. 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

130. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866320/psn-pdf
     January 01, 2025 - In this systematic review including 159 studies, the authors explored factors influencing successful … The researchers identified several common factors supporting effective implementation, including clinical

131. 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

132. 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

133. Failure to Rescue | PSNet
     psnet.ahrq.gov/primer/failure-rescue
     September 15, 2024 - As with many key concepts in patient safety, this one began with work outside of health care, including … In the late 1980s, early leaders in patient safety in anesthesiology, including Gaba and Runciman, adapted … Surveillance, communication, and electronic monitoring, including patient-centric communication styles … Medical emergency and rapid response teams (RRTs), including nurse-led teams with intensivist physician … React Timely reaction and response to deteriorating patients, including implementing agreed response

134. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/861290/psn-pdf
     January 24, 2024 - probable-delirium Potentially inappropriate prescribing (PIP) is common and can contribute to patient harm, including … This population-based study including over 171,000 long-term care residents in Ontario, Canada, examined

135. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/863212/psn-pdf
     February 28, 2024 - - mental-illness Medication errors and adverse drug events (ADE) are common in community settings including … other patient populations (e.g., workforce shortages) but some were also unique to this patient group, including

136. Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children | PSNet
     psnet.ahrq.gov/innovation/implementing-watcher-program-improve-timeliness-recognition-deterioration-hospitalized
     June 30, 2021 - Standardized response to watcher patients, including licensed independent practitioner (LIP) assessment … , collaborative communication between the care team, and development of a tailored plan including interventions … Centralized watcher huddles providing twice-daily reports on watcher patients, including watcher criteria … These huddles are led by the house supervisor and including nursing representatives, on-call hospitalist

137. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72590/psn-pdf
     December 23, 2020 - This retrospective cohort study including over 350,000 adult patients undergoing non- cardiac surgery … The effect was mediated by potentially preventable factors, including higher blood transfusion rates

138. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73312/psn-pdf
     May 26, 2021 - influencing psychological safety and individual- and team-level inhibiting and motivating dynamics, including … Several intervention components to encourage psychological safety are reviewed, including inclusive

139. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74004/psn-pdf
     October 27, 2021 - Quality standards for safe medication in nursing homes: development through a multistep approach including … Quality standards for safe medication in nursing homes: development through a multistep approach including

140. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866579/psn-pdf
     August 28, 2024 - Szabo, MD, MPH, FAOA Background  Carpal tunnel syndrome is a constellation of signs and symptoms including … Intraoperative Measures Maintain strict aseptic techniques including surgeon and patient hand cleaning … Instruct the patient on proper wound care, including keeping the bandage and wound clean and dry. … Staff Training and Education: Provide ongoing education and training for healthcare providers including … Employ careful sterile practices including patient and surgeon hand cleansing and attend to meticulous