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Total Results: 7,249 records

Showing results for "organizations".

6741. Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality | PSNet
      psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
      October 01, 2004 - There are many organizations currently involved in the design and implementation of public reporting … data sources can be valuable tools for case identification and the monitoring of rates at a single organization

6742. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33671/psn-pdf
      July 01, 2008 - Health care organizations are implementing numerous safety improvement techniques, many borrowed from … Health care organizations were introduced to this accident investigation technique in the mid-1990s. … which has a greater influence on outcomes, the seed (a safety intervention) or the soil (the host organization … Organizations are often unprepared to respond to medical tragedies. … Although caregiver collaboration is improving and organizations are focusing less on individual blame

6743. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49715/psn-pdf
      August 21, 2014 - Liver Biopsy: Proceed With Caution August 21, 2014 Rockey DC. Liver Biopsy: Proceed With Caution. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/liver-biopsy-proceed-caution The Case A 42-year-old woman with a history of multiple malignancies, including osteosarcoma and recurrent breast cancer, presented t…

6744. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33742/psn-pdf
      December 01, 2012 - SI: We were working on coding at last year's American Delirium Society meeting (it's a brand new organization … I said if there is one thing your organization can do is please create a single code for delirium: have

6745. 40 of K | PSNet
      psnet.ahrq.gov/web-mm/40-k
      January 12, 2011 - The contribution of abbreviations to medication error is well documented, and several organizations recommend … establish a list of prohibited abbreviations ( 1 ) and that such organizations implement policies to … Hesitancy to challenge or question prescribers may be a cultural norm within the organization. … High reliability organizations such as the airline industry and military have striven to decrease risk … Related Resources Perspective High Reliability Organization

6746. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33574/psn-pdf
      March 15, 2025 - A 2016 systematic review commissioned by the World Health Organization identified missed and delayed

6747. Clinical efficacy of combined surgical patient safety system and the World Health Organization's checklists in surgery: a nonrandomized clinical trial. | PSNet
      psnet.ahrq.gov/issue/clinical-efficacy-combined-surgical-patient-safety-system-and-world-health-organizations
      November 03, 2015 - Safety System (SURPASS) is used to address preoperative and postoperative care, and the World Health Organization … Citation Related Resources From the Same Author(s) Effect of the World Health Organization … September 5, 2013 Impact of the World Health Organization surgical safety checklist on … May 24, 2023 Factors causing variation in World Health Organization surgical safety checklist

6748. A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/system-factors-analysis-line-tube-and-drain-incidents-intensive-care-unit
      December 15, 2011 - An organization-wide approach to measuring and improving safety. … September 17, 2010 Creating high reliability in health care organizations. … November 17, 2010 Creating high reliability in health care organizations.

6749. 20 years later: to err is a leadership failure. | PSNet
      psnet.ahrq.gov/issue/20-years-later-err-leadership-failure
      November 30, 2016 - 2014 Developing the Safer Dx Checklist of Ten Safety Recommendations for Health Care Organizations … June 13, 2011 An asset-based quality improvement tool for health care organizations: … cultivating organization wide quality improvement and health care professional engagement.

6750. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861760/psn-pdf
      January 31, 2024 - Safety Adopt and maintain a safety culture Medication safety involves both the individual and the organization … improve high-quality, safe patient care, integrating human factor methodologies in its design.17 Organizations

6751. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49591/psn-pdf
      October 01, 2009 - Organizations that aspire to create cultures of safety must address the pervasive behavioral patterns … collegial relationship and culture that set the tone for the other health care professionals within the organization

6752. Delayed Breast Cancer Diagnosis: A False Sense of Security. | PSNet
      psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
      May 01, 2005 - Did the culture in the organization encourage consultation and provide support for new clinicians? … records (EHRs), 26 closed-loop referral management is a less mature intervention. 27-29 Few healthcare organizations

6753. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression | PSNet
      psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
      May 26, 2021 - respiratory depression, recommendations for the timing and duration of monitoring can differ among organizations

6754. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33636/psn-pdf
      July 01, 2006 - Strategically, what should an organization try to improve when it comes to safety? … As organizations move toward electronic medical records and computerized provider order entry, the safety … Feedback loops are essential to move the organization toward a just culture. … Organizations need to develop appropriate safety indicators to gauge their progress. … As recently as 5 years ago, few organizations had patient safety officers and safety teams.

6755. Pharmacist-led mobile health intervention and transplant medication safety: a randomized controlled clinical trial. | PSNet
      psnet.ahrq.gov/innovation/pharmacist-led-mobile-health-intervention-and-transplant-medication-safety-randomized
      April 07, 2021 - EMERGING INNOVATIONS Pharmacist-led mobile health intervention and transplant medication safety: a randomized controlled clinical trial. Citation Text: Gonzales HM, Fleming JN, Gebregziabher M, et al. Pharmacist-led mobile health intervention and transplant medication safety: a randomized controll…

6756. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33863/psn-pdf
      August 01, 2018 - MW: In an optimal world of value-based care, you would see at least some organizations decide that simulation … It's a cost center, and one that health care can ill afford in the current organization structure.

6757. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38577/psn-pdf
      April 22, 2009 - Leading your organization to high reliability. April 22, 2009 Kemper C, Boyle DK. … Leading your organization to high reliability. Nurs Manag. 2009;40(4):14-18. … https://psnet.ahrq.gov/issue/leading-your-organization-high-reliability This commentary describes high … reliability organization theory and offers tools to apply these concepts in work units and organizations … https://psnet.ahrq.gov/issue/leading-your-organization-high-reliability https://psnet.ahrq.gov//#highreliabilityorganizations

6758. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49535/psn-pdf
      May 01, 2007 - conceptualized as having five elements—person, tasks, tools/technologies, physical environment, and the organization … Safe organizations put effort into analyzing the work system and attempting to predict and plan for … This is precisely what the High Reliability Organization approach (14,15), along with other organizations … However, health care organizations should be strongly encouraged to design and implement systematic … Work organization and ergonomics. Appl Ergon. 2000;31:649-662. [go to PubMed] 7.

6759. Impact of the World Health Organization's Surgical Safety Checklist on safety culture in the operating theatre: a controlled intervention study. | PSNet
      psnet.ahrq.gov/issue/impact-world-health-organizations-surgical-safety-checklist-safety-culture-operating-theatre
      November 03, 2015 - Citation Related Resources From the Same Author(s) Effect of the World Health Organization … March 18, 2020 Impact of the World Health Organization surgical safety checklist on patient

6760. Double Dosing, by the Rules | PSNet
      psnet.ahrq.gov/web-mm/double-dosing-rules
      February 03, 2010 - However, some health care organizations still fail to recognize that, within each system, multiple interlinked … After analyzing serious errors, organizations try to "fix" the cause of the error by concentrating their … Organizations often develop error prevention strategies following a serious event that focus solely on … The Fifth Discipline: The Art and Practice of the Learning Organization. … Key Elements That Organizations Should Consider When Developing System Strategies to Reduce or Eliminate