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Total Results: 87 records

Showing results for "patient contextual".

41. Why is learning from patient safety incidents (still) so hard? A sociocultural perspective on learning from incidents in healthcare organizations. | PSNet
    psnet.ahrq.gov/issue/why-learning-patient-safety-incidents-still-so-hard-sociocultural-perspective-learning
    June 29, 2011 - Why is learning from patient safety incidents (still) so hard? … Why is learning from patient safety incidents (still) so hard? … Association of opioid-related adverse drug events with clinical and cost outcomes among surgical patients … May 13, 2020 The effects of harm events on 30-day readmission in surgical patients. … November 8, 2023 Contextual factors influencing the implementation of a multifaceted

42. Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved outcomes. | PSNet
    psnet.ahrq.gov/issue/prospective-study-multisite-spread-medication-safety-intervention-factors-common-hospitals
    April 24, 2018 - Organizational context can serve as a driver or barrier to the implementation of patient safety interventions … This qualitative study identified several contextual factors impacting the implementation of the pharmacist-driven … July 29, 2020 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … adverse events, adverse drug events, and quality of life in older patients: an observational study. … March 30, 2022 Antibiotic prescribing errors in patients discharged from the pediatric

43. Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in the diagnostic process. | PSNet
    psnet.ahrq.gov/issue/towards-diagnostic-excellence-academic-ward-teams-building-conceptual-model-team-dynamics
    August 20, 2018 - medical ward, researchers identified three areas requiring additional research- (1) team structure, (2) contextual … August 20, 2018 Prevalence and causes of diagnostic errors in hospitalized patients under … February 12, 2020 Effects of resident duty hour reform on surgical and procedural patient … safety indicators among hospitalized Veterans Health Administration and Medicare patients. … February 7, 2024 Reimagining Healthcare Teams: Leveraging the Patient-Clinician-AI Triad

44. Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service. | PSNet
    psnet.ahrq.gov/issue/explaining-organisational-responses-board-level-quality-improvement-intervention-findings
    November 21, 2017 - The authors highlight the importance of focusing on these contextual factors when seeking improvement … February 7, 2018 Codifying knowledge to improve patient safety: a qualitative study of … patient safety in the NHS: learning lessons from other parts of the public sector? … November 10, 2021 Management and patient safety of complex elderly patients in primary … surgery during the first wave of the novel coronavirus pandemic in the United Kingdom: a survey of 158 patients

45. Complications: A Surgeon's Notes on an Imperfect Science. | PSNet
    psnet.ahrq.gov/issue/complications-surgeons-notes-imperfect-science
    January 13, 2010 - Part I, Fallibility, explores several patient safety issues. … March 20, 2019 Every Patient Tells A Story: Medical Mysteries and the Art of Diagnosis … October 18, 2023 Listening for What Matters: Avoiding Contextual Errors in Health Care … February 6, 2019 Overkill: An avalanche of unnecessary medical care is harming patients … February 5, 2020 Surgical Patient Safety: A Case-Based Approach.

46. Use of a novel, modified fishbone diagram to analyze diagnostic errors. | PSNet
    psnet.ahrq.gov/issue/use-novel-modified-fishbone-diagram-analyze-diagnostic-errors
    February 13, 2019 - November 18, 2013 Seen through their eyes: residents' reflections on the cognitive and contextual … July 2, 2014 Implementation of bar-code medication administration to reduce patient harm … July 14, 2021 Surgeon and surgical trainee experiences after adverse patient events. … 19, 2024 What every graduating resident needs to know about quality improvement and patient … September 18, 2013 Patient safety strategies targeted at diagnostic errors: a systematic

47. Judgment under Uncertainty: Heuristics and Biases. | PSNet
    psnet.ahrq.gov/issue/judgment-under-uncertainty-heuristics-and-biases
    June 02, 2010 - March 6, 2005 Oxford Professional Practice: Handbook of Patient Safety. … July 27, 2022 Around the Patient Bed: Human Factors and Safety in Health Care. … January 27, 2021 Listening for What Matters: Avoiding Contextual Errors in Health Care … July 13, 2016 Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us … September 30, 2015 View More Related Resources Patient

48. Ethical duty of health care systems to address interfacility medical error discovery. | PSNet
    psnet.ahrq.gov/issue/ethical-duty-health-care-systems-address-interfacility-medical-error-discovery
    September 11, 2019 - RIS Download Citation Related Resources From the Same Author(s) Patient … The Accreditation Council for Graduate Medical Education's limits on residents' work hours and patient … June 7, 2017 Understanding context specificity: the effect of contextual factors on clinical … July 25, 2018 Medical Office Survey on Patient Safety Culture: 2018 User Database Report … May 2, 2018 Leadership oversight for patient safety programs: an essential element.

49. Prescription Drug Monitoring Programs: Evolution and Evidence. | PSNet
    psnet.ahrq.gov/issue/prescription-drug-monitoring-programs-evolution-and-evidence
    November 23, 2005 - March 29, 2010 Care management implementation and patient safety. … May 11, 2011 Listening for What Matters: Avoiding Contextual Errors in Health Care. … factors and severity of medication errors associated with direct-acting oral anticoagulants in adult patients … January 12, 2022 Rude providers jeopardize patient safety. So stop it. … medical record alert associated with reduced opioid and benzodiazepine coprescribing in high-risk Veteran patients

50. A qualitative evaluation of the barriers and facilitators toward implementation of the WHO surgical safety checklist across hospitals in England: lessons from the "Surgical Checklist Implementation Project." | PSNet
    psnet.ahrq.gov/issue/qualitative-evaluation-barriers-and-facilitators-toward-implementation-who-surgical-safety
    January 19, 2016 - June 22, 2016 The WHO surgical safety checklist: survey of patients' views. … February 14, 2018 Patients' and health care professionals' attitudes towards the PINK … patient safety video. … February 1, 2017 Patients' attitudes towards patient involvement in safety interventions … April 11, 2018 Relationship between operating room teamwork, contextual factors, and

51. Explaining Michigan: developing an ex post theory of a quality improvement program. | PSNet
    psnet.ahrq.gov/issue/explaining-michigan-developing-ex-post-theory-quality-improvement-program
    April 04, 2011 - processes, and the reframing of catheter-related blood stream infections as a social problem as important contextual … September 4, 2013 What is the role of individual accountability in patient safety? … February 7, 2022 AHRQ patient safety project reduces bloodstream infections by 40 percent … June 8, 2016 Using a logic model to design and evaluate quality and patient safety improvement

52. A scoping review of distributed cognition in acute care clinical decision-making. | PSNet
    psnet.ahrq.gov/issue/scoping-review-distributed-cognition-acute-care-clinical-decision-making
    April 08, 2020 - June 26, 2019 Understanding context specificity: the effect of contextual factors on … August 7, 2024 Patient Safety Innovations Remote Response … January 20, 2021 Patient monitoring alarms in the ICU and in the operating room. … April 17, 2013 The effect of medical emergency teams on patient outcome: a review of … January 5, 2011 Teamwork and patient safety in dynamic domains of healthcare: a review

53. The Girl Who Died Twice: Every Patient's Nightmare: the Libby Zion Case and the Hidden Hazards of Hospitals. | PSNet
    psnet.ahrq.gov/issue/girl-who-died-twice-every-patients-nightmare-libby-zion-case-and-hidden-hazards-hospitals
    May 09, 2018 - for Quality and Safety (FIQS): using mobile technology for in-hospital reporting from families and patients … December 18, 2019 Listening for What Matters: Avoiding Contextual Errors in Health Care … May 25, 2016 Sleep deprivation, physician performance, and patient safety. … May 4, 2014 HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals … More About The Topic Hospitals Health Care Providers Non-Health Care Professionals Patients

54. Understanding psychological safety in health care and education organizations: a comparative perspective. | PSNet
    psnet.ahrq.gov/issue/understanding-psychological-safety-health-care-and-education-organizations-comparative
    July 30, 2014 - February 7, 2018 Relationship between operating room teamwork, contextual factors, and … May 25, 2011 Identifying organizational cultures that promote patient safety. … Related Resources Annual Perspective Equity in Patient … Addressing the paradox plaguing patient-centered care. … August 12, 2015 Mandatory reporting of impaired medical practitioners: protecting patients

55. Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature. | PSNet
    psnet.ahrq.gov/issue/do-professional-interpreters-improve-clinical-care-patients-limited-english-proficiency
    November 30, 2016 - Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported … July 1, 2017 Family involvement, patient safety and suicide prevention in mental healthcare … Related Resources Annual Perspective Equity in Patient … Check Twice, Transport Once May 16, 2022 Patient … December 21, 2018 'You have to face your mistakes in the street': the contextual keys

56. Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned? | PSNet
    psnet.ahrq.gov/issue/interprofessional-collaboration-among-care-professionals-obstetrical-care-are-perceptions
    May 28, 2014 - November 24, 2021 Understanding context specificity: the effect of contextual factors … March 18, 2013 Is culture associated with patient safety in the emergency department? … safety in hospitals: a retrospective patient record review study. … September 16, 2015 How effective are patient safety initiatives? … A retrospective patient record review study of changes to patient safety over time.

57. Trainees' perceptions of being allowed to fail in clinical training: a sense-making model. | PSNet
    psnet.ahrq.gov/issue/trainees-perceptions-being-allowed-fail-clinical-training-sense-making-model
    November 24, 2021 - I can fix it': clinical supervisors' interview accounts of allowing trainee failure while guarding patient … November 16, 2022 Understanding context specificity: the effect of contextual factors … June 28, 2023 Bad things can happen: are medical students aware of patient centered care … June 13, 2018 Self-reported patient safety competence among Canadian medical students

58. The impact of organisational and individual factors on team communication in surgery: a qualitative study. | PSNet
    psnet.ahrq.gov/issue/impact-organisational-and-individual-factors-team-communication-surgery-qualitative-study
    March 23, 2011 - : a systematic review and meta-analysis of 488,594 patients. … December 8, 2021 Effect of using a safety checklist on patient complications after surgery … October 27, 2010 Clinical handover of patients arriving by ambulance to the emergency … View More Related Resources Relationship between operating room teamwork, contextual … 2011 Governing the surgical count through communication interactions: implications for patient

59. Comparison of traditional trigger tool to data warehouse based screening for identifying hospital adverse events. | PSNet
    psnet.ahrq.gov/issue/comparison-traditional-trigger-tool-data-warehouse-based-screening-identifying-hospital
    June 11, 2010 - June 11, 2010 Hospitalized patients' understanding of their plan of care. … 14, 2020 Structured interdisciplinary rounds in a medical teaching unit: improving patient … November 25, 2020 Contextual factors influencing the implementation of a multifaceted … intervention to improve teamwork and quality for hospitalized patients: a multi-site qualitative comparative … systems: monitoring CPOE order check override rates in the Department of Veterans Affairs' computerized patient

60. Crossing the Global Quality Chasm: Improving Health Care Worldwide. | PSNet
    psnet.ahrq.gov/issue/crossing-global-quality-chasm-improving-health-care-worldwide
    June 15, 2011 - quality of health care in the United States across six key dimensions of care: safety, effectiveness, patient-centeredness … July 23, 2018 Achieving Safe Health Care: Delivery of Safe Patient Care at Baylor Scott … 18, 2017 Call to Action: Preventable Health Care Harm Is a Public Health Crisis and Patient … November 23, 2016 Partnership for Patients (PfP) Hospital Engagement Network (HEN) 2.0 … May 4, 2016 Listening for What Matters: Avoiding Contextual Errors in Health Care.