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psnet.ahrq.gov/issue/imitating-incidents-how-simulation-can-improve-safety-investigation-and-learning-adverse
February 28, 2024 - Same Author(s)
Managing patient safety and staff safety in nursing homes: exploring how leaders … February 28, 2024
Leading quality and safety on the frontline - a case study of department leaders … April 14, 2021
Healthcare leaders' and elected politicians' approach to support-systems
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psnet.ahrq.gov/issue/investigating-improvement-five-strategies-ensure-national-patient-safety-investigations
February 28, 2024 - Same Author(s)
Managing patient safety and staff safety in nursing homes: exploring how leaders … February 28, 2024
Leading quality and safety on the frontline - a case study of department leaders … April 14, 2021
Healthcare leaders' and elected politicians' approach to support-systems
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psnet.ahrq.gov/issue/problem-incident-reporting
February 28, 2024 - Same Author(s)
Managing patient safety and staff safety in nursing homes: exploring how leaders … February 28, 2024
Leading quality and safety on the frontline - a case study of department leaders … April 14, 2021
Healthcare leaders' and elected politicians' approach to support-systems
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psnet.ahrq.gov/issue/governing-safety-artificial-intelligence-healthcare
February 28, 2024 - Same Author(s)
Managing patient safety and staff safety in nursing homes: exploring how leaders … February 28, 2024
Leading quality and safety on the frontline - a case study of department leaders … April 14, 2021
Healthcare leaders' and elected politicians' approach to support-systems
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Browne_5.pdf
January 20, 2008 - of Philadelphia has created a mechanism for sharing root cause analysis
(RCA) findings with senior leaders … As each RCA
is completed, reports are shared with senior leaders and discussed each month at the Patient … Findings presented to senior leaders and other appropriate
groups provide objective data for departments … Senior leaders at our institution convene annually to create an organizational operating plan,
which … CCA findings can help department leaders align their efforts with organizational priorities.
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/calman.html
October 01, 2015 - Network leaders championed the transformation by providing oversight and leadership, supporting networkwide … Lessons Learned and Implications for Others
Leadership and support by network leaders was crucial … In addition to helping with process redesign and facilitating IT changes, network leaders created a culture … Leaders also secured new financial resources to support additional services through grants and reimbursement
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-calman.pdf
April 01, 2015 - Network leaders championed the transformation by
providing oversight and leadership, supporting networkwide … Lessons Learned and Implications for Others
• Leadership and support by network leaders was crucial … In addition to
helping with process redesign and facilitating IT changes, network leaders created a … Leaders also secured new financial resources to support additional services through
grants and reimbursement
-
psnet.ahrq.gov/node/865972/psn-pdf
May 29, 2024 - Development and evaluation of patient safety
interventions: perspectives of operational safety leaders … Development and evaluation of patient safety interventions:
perspectives of operational safety leaders
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psnet.ahrq.gov/node/35865/psn-pdf
July 22, 2010 - ://psnet.ahrq.gov/issue/when-should-leader-apologize-and-when-not
The author provides guidance for leaders
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www.ahrq.gov/hai/cusp/toolkit/content-calls/phys-engagement/slides.html
June 01, 2013 - problems
Evidence
Measurement
Adaptive problems
Engagement of nurses, physicians, leaders … hospital support for their time
Feature in newsletters
Provide opportunities to present to senior leaders … members of medical staff in quality
Report CLABSI rates and learning from defects results to senior leaders
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/twomorees-slides/Two-More-Es-and-How-to-Spread-Dec-13-2011-508.ppt
January 01, 2011 - safety in their care
Implementation Framework
Alt Text
Chart column headers Frontline Staff, Team Leaders … *
Implementation Framework
Alt Text
Chart column headers Frontline Staff, Team Leaders, Senior Executives … project
Unremitting belief in the preventability of blood stream infections
Involvement of senior leaders
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psnet.ahrq.gov/issue/impact-team-and-leaders-directed-strategy-improve-nurses-adherence-hand-hygiene-guidelines
November 19, 2009 - Study
Impact of a team and leaders-directed strategy to improve nurses' adherence … Impact of a team and leaders-directed strategy to improve nurses' adherence to hand hygiene guidelines … Impact of a team and leaders-directed strategy to improve nurses' adherence to hand hygiene guidelines
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psnet.ahrq.gov/issue/design-and-evaluation-simulation-scenarios-program-introducing-patient-safety-teamwork-safety
February 08, 2017 - for a program introducing patient safety, teamwork, safety leadership, and simulation to healthcare leaders … for a program introducing patient safety, teamwork, safety leadership, and simulation to healthcare leaders … for a program introducing patient safety, teamwork, safety leadership, and simulation to healthcare leaders
-
psnet.ahrq.gov/node/74235/psn-pdf
January 12, 2022 - emphasizing quality, communication and information, cohesiveness, and value
alignment between clinicians and leaders … impact-patient-physician-alliance-trust-following-adverse-event
https://psnet.ahrq.gov/issue/how-hospital-leaders-contribute-patient-safety-through-development-trust
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
July 12, 2017 - The Team Leaders completed these readiness assessment tools in concert with hospital leadership. … Instructor’s Note: Suggest the Team Leaders and potentially the whole Team watch the Sustainment Webinar … One of the best ways to engage leaders is to tell patient stories of harm and to discuss what drives … Leaders ask, “Why should I worry about this? What’s in it for me?”
Talk to them in their language. … Three months later, the Executive Team and division leaders were scheduled to round on the units to check
-
www.ahrq.gov/sites/default/files/publications/files/ptflowguide.pdf
January 01, 2014 - Although you, the hospital or ED leaders, are responsible for overseeing hospital performance across … Senior hospital leaders are those with sufficient authority within the organization who will be able … Teams are likely to require multiple
technical leaders, for example, a technical leader for processes … After reviewing its data, ED leaders found that 87 percent of
LWBS patients were triaged as Emergency … These two leaders eventually succeeded in lobbying
for the purchase of two WOWs.
-
psnet.ahrq.gov/node/865660/psn-pdf
April 24, 2024 - comparing-hospital-leadership-and-front-line-workers-perceptions-patient-
safety-culture
Front-line workers (e.g., nurses and physicians) and leaders … With responses from 1,810 hospitals and more than 800,000 individuals identified as leaders
or front-line
-
psnet.ahrq.gov/issue/patient-safety-risks-associated-telecare-systematic-review-and-narrative-synthesis-literature
October 09, 2024 - August 28, 2024
Managing patient safety and staff safety in nursing homes: exploring how leaders … June 12, 2024
Leading quality and safety on the frontline - a case study of department leaders … April 14, 2021
Healthcare leaders' and elected politicians' approach to support-systems
-
psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
December 23, 2020 - The events devastated these patients' families, the clinicians who cared for them, and leaders of the … our system of care rather than an empty mantra–is the responsibility of clinical and administrative leaders … Rather than creating a patient safety office, we gave senior clinical leaders responsibility for critical … Indeed, leaders who fail to examine the ugly mistakes that occur in their hospitals every day allow these … Sustaining our commitment over time required tenacity among our leaders and the courage to face our own
-
digital.ahrq.gov/ahrq-funded-projects/chronic-care-technology-project/annual-summary/2010
January 01, 2010 - care and patient health outcomes are not documented quantitatively, interviews and surveys of team leaders … By the end of the project, team leaders generally reported substantial changes. … A substantial portion of team leaders also reported improvements in completeness of received and transmitted … For recruitment to proceed smoothly, senior system level leaders must promote the value of The Collaborative … and engage leaders at the organizational and practice level early in the process.