Results

Total Results: 3,213 records

Showing results for "just culture".
Users also searched for: just culture

2601. The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Karsh.pdf
      April 08, 2004 - error causation; human error; tools to assess safety and risk; systems design principles; safety culture … have included system redesign, error reporting systems, information technology, and improved safety culture … In addition, just like physicians, their work in health care has a direct impact on patient safety, … theories, and methods • Medical error causation • Safety tools to assess safety and risk • Culture

2602. Value of Imaging-Related Information Technology (VIRIT) (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r01hs014891-gazelle-final-report-2008.pdf
      January 01, 2008 - Wide scale MII deployment at New York University (NYU) Medical Center began just prior to the start … considered "early adopters" of MII; MGH was one of the first to embrace the technology, and NYU has just … the net profitability of the MII volume, considered alone, yields a 16% internal rate of return in just

2603. The Other Side | PSNet
      psnet.ahrq.gov/web-mm/other-side
      May 01, 2007 - The trainee informed the attending that he had just reviewed the chart and learned that the positive

2604. Final Progress Report: How Do Consumers View the Risks of Medical Errors? (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/peters-report.pdf
      January 01, 2024 - instrument in the patient; operating on the wrong patient or wrong limb, or unnecessarily on the heart; or just

2605. Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
      January 01, 2024 - problems, or problems related to components of healthcare delivery systems, such as technology, workflow, culture … anywhere in a healthcare delivery system; they represent interactions between clinicians, patients, culture … Similarly, on PCP severity, 4 was permanent/stress whereas 3 was temporary discomfort or just annoyed … The FMEA of just the step “obtain information from an external provider” required eight meetings, each … preliminary meetings, that means each physician contributed at least 30 hours to the completion of just

2606. Disposition of Comments: Technical Brief 34, Impact of Community Health Worker Certification on Workforce and Service Delivery for Asthma and Other Selected Chronic Diseases (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/technical-brief-34-health-worker-certification-comments.pdf
      March 27, 2020 - learned from CHW programs g, there are also important differences such as in health care systems and culture … from CHW programs globally, there are also important differences such as in health care systems and culture … The other two studies seem again to just assess CHW deployment.

2607. Multifactorial Medication Mishap | PSNet
      psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
      September 01, 2016 - identifying, reporting, and analyzing medication errors, all organizations should actively cultivate a culture … identifying, reporting, analyzing, and reducing the risk of medication errors • Cultivation of a just … culture of safety Table 2.

2608. Abdominal Pain in Early Pregnancy | PSNet
      psnet.ahrq.gov/web-mm/abdominal-pain-early-pregnancy
      November 13, 2024 - Appendicitis in pregnancy: new information that contradicts long-held clinical beliefs. … March 30, 2022 System planning for modern-day Just Culture to mitigate worker distress

2609. EMR Entry Error: Not So Benign | PSNet
      psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
      July 01, 2012 - could also create a river of information that would flood clinicians with massive amounts of data, not just … Ross Koppel, PhD Principal Investigator Study of Hospital Workplace Culture and Medication Errors

2610. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
      January 01, 2024 - Just over 10% (exactly 10.2%) of reports were associated with known clinical harm to the patient. … suggest that perceived clinician indifference to a bad outcome led to patients’ loss of trust and a belief … The powerful effect of a safety culture, and the lack of understanding of high-performance systems, … and qualitative approaches to determine the useful level of detail based on empirical data, not just … a culture of safety in primary care.

2611. In Conversation with...Richard Ricciardi about Office-Based Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-withrichard-ricciardi-about-office-based-patient-safety
      January 31, 2024 - Sarah Mossburg: Could we step back from there just to touch on context? … one, and you go to an emergency room and they say, “We don’t have time to find the old CT scan, we’ll just … harm. 5,6 Violence in healthcare settings impacts patient safety, and guidance is emerging that a culture … tools designed to increase the effectiveness of communication to improve patient safety, especially the culture

2612. Medical Team Training Programs in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Baker.pdf
      February 01, 2005 - shown to believe that ACRM contributes significantly to the safe practice of anesthesiology, and these beliefs … In contrast, MTM specifically fosters a culture that values team performance and encourages effective … communication.22 Its theoretical position is that this new culture will facilitate teamwork, thereby … Culture at work in aviation and medicine: national, organizational, and professional influences. … Just what is a competency (And why should we care?). Training 1998;35:58. 37.

2613. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.194_slideshow.ppt
      March 01, 2009 - The paramedics had just arrived in the ED with a critically ill patient.

2614. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60168/psn-pdf
      March 25, 2020 - : A Patient Verification Process is Needed Everywhere, Not Just at the Bedside.

2615. The Hidden Harms of Hand Sanitizer | PSNet
      psnet.ahrq.gov/web-mm/hidden-harms-hand-sanitizer
      March 04, 2020 - The history should focus not just on alcohol consumption, but also on features of dependence.

2616. Provider CHCANYS Qualitative Interview Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/interview-protocol-qi-ny.pdf
      June 02, 2025 - What has been the biggest challenge in making the changes we just discussed?

2617. Track Patients and Monitor Their Outcomes | The Academy
      integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/track-patients-and-monitor-their-outcomes
      January 01, 2025 - This measurement-based care approach is just as important for substance use disorders and common mental

2618. HCUP Statistical Brief #126: Circumcisions Performed in U.S. Community Hospitals, 2009 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb126.pdf
      February 01, 2012 - The average length of a hospital stay during which circumcision was performed was just over three days … Medicaid covered just about one third of all male newborn circumcisions in the hospital. … V39.2 – liveborn not otherwise specified non-hospital The estimates of circumcision rates are based just

2619. Implementation of Health IT in Long-Term Care Settings (pdf file)
      digital.ahrq.gov/sites/default/files/docs/lesson/08-0087-ef-lt-care.pdf
      October 01, 2009 - As the authors stated, “Long-term care is just like the rest of health care, only more so. 19 While … She noted “in long-term care, the key people are not just the clinical staff and the administrators … providers, local resistance to “outsiders, ” limited access to technology and the Internet, and local beliefs …  Home remedies for wounds seemed to be deeply meshed in the local culture and were sometimes hard … LLESSONS LEARNED:NS L  When responsibilities are delegated to an entire team as opposed to just the

2620. Implementation Outcomes of a Health IT Program for Vulnerable Diabetes Patients - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r03hs020684-handley-final-report-2012.pdf
      January 01, 2012 - For reference, the bottom bar is for all triggers combined, not just first urgent triggers. … Build the WACAY management database screens in a way that facilitates the call, not just the data collection … One might consider adding phrases in all languages so that it doesn’t just facilitate the English coaching