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Implementation of a "second victim" program in a pediatric hospital. | PSNet

psnet.ahrq.gov/issue/implementation-second-victim-program-pediatric-hospital

December 18, 2013 - Study Implementation of a "second victim" program in a pediatric hospital. … Implementation of a "second victim" program in a pediatric hospital. … A structured program to provide immediate support to clinicians affected by medical errors was well … Implementation of a "second victim" program in a pediatric hospital. … during COVID-19: a second victim peer support program for healthcare professionals.

ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. | PSNet

psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-2017-analysis-part-1-and-part-2

December 27, 2018 - Newspaper/Magazine Article ISMP National Vaccine Errors Reporting Program 2017 analysis—part … Citation Text: ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. … reviews the results from an analysis of reports submitted to the National Vaccine Errors Reporting Program … The second article offers recommendations to help immunization and vaccination programs address product … August 2, 2016 Analysis of ISMP National Vaccine Errors Reporting Program—part 1 and

U.S. Food and Drug Administration Precertification pilot program for digital health software: weighing the benefits and risks. | PSNet

psnet.ahrq.gov/issue/us-food-and-drug-administration-precertification-pilot-program-digital-health-software

September 25, 2008 - Food and Drug Administration Precertification pilot program for digital health software: weighing the … Food and Drug Administration Precertification Pilot Program for Digital Health Software: Weighing the … This commentary describes a new program to expedite the review of digital health software and summarizes … the benefits and potential harms that could result from the program. … Food and Drug Administration Precertification Pilot Program for Digital Health Software: Weighing the

A coaching program to improve employee engagement, culture of safety, and patient experience. | PSNet

psnet.ahrq.gov/issue/coaching-program-improve-employee-engagement-culture-safety-and-patient-experience

April 05, 2013 - Study A coaching program to improve employee engagement, culture of safety, and patient … A coaching program to improve employee engagement, culture of safety, and patient experience. … This article describes development of a system-wide coaching program for department leaders to improve … Organization-wide survey scores improved 12 months after the coaching program was launched. … A coaching program to improve employee engagement, culture of safety, and patient experience.

Collaboration with regulators to support quality and accountability following medical errors: the communication and resolution program certification pilot. | PSNet

psnet.ahrq.gov/issue/collaboration-regulators-support-quality-and-accountability-following-medical-errors

September 29, 2017 - Communication and resolution programs emphasize transparency through early disclosure of adverse events … Same Author(s) How policy makers can smooth the way for communication-and-resolution programs … March 19, 2019 Can communication-and-resolution programs achieve their potential? … October 19, 2022 Communication-and-resolution programs: the challenges and lessons learned … October 31, 2014 Disclosure-and-resolution programs that include generous compensation

Statewide collaborative to reduce surgical site infections: results of the Hawaii Surgical Unit-Based Safety Program. | PSNet

psnet.ahrq.gov/issue/statewide-collaborative-reduce-surgical-site-infections-results-hawaii-surgical-unit-based

March 21, 2012 - collaborative to reduce surgical site infections: results of the Hawaii Surgical Unit-Based Safety Program … Collaborative to Reduce Surgical Site Infections: Results of the Hawaii Surgical Unit-Based Safety Program … This pre–post study applied an evidence-based approach—the AHRQ Safety Program for Surgery— to colorectal … The program was associated with a significant reduction in surgical site infections and an improvement … April 20, 2022 Implementation of a comprehensive unit-based safety program to reduce

Association of hospital participation in a quality reporting program with surgical outcomes and expenditures for Medicare beneficiaries. | PSNet

psnet.ahrq.gov/issue/association-hospital-participation-quality-reporting-program-surgical-outcomes-and

January 13, 2016 - Classic Association of hospital participation in a quality reporting program … Association of hospital participation in a quality reporting program with surgical outcomes and expenditures … in surgical outcomes between hospitals participating in the National Surgical Quality Improvement Program … August 16, 2017 The Safer Delivery of Surgical Services Program (S3): explaining its … October 13, 2015 Safety culture and care: a program to prevent surgical errors.

ONC Health IT Certification Program: Enhanced Oversight and Accountability. | PSNet

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June 29, 2016 - Government Resource ONC Health IT Certification Program: Enhanced Oversight and Accountability … Citation Text: ONC Health IT Certification Program: Enhanced Oversight and Accountability. … October 23, 2019 Training Program for Nurses on Shift Work and Long Work Hours. … October 21, 2016 Medicare and Medicaid Programs; Hospital and Critical Access Hospital … April 3, 2012 Medicaid program; payment adjustment for provider-preventable conditions

Unintended harm associated with the Hospital Readmissions Reduction Program. | PSNet

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August 20, 2018 - Commentary Unintended harm associated with the Hospital Readmissions Reduction Program … Unintended Harm Associated With the Hospital Readmissions Reduction Program. … Unintended Harm Associated With the Hospital Readmissions Reduction Program. … Related Resources Combined impact of Medicare's hospital pay for performance programs … Achieving meaningful use of health information technology: a guide for physicians to the EHR Incentive Programs

FDA to end program that hid millions of reports on faulty medical devices. | PSNet

psnet.ahrq.gov/issue/fda-end-program-hid-millions-reports-faulty-medical-devices

May 17, 2017 - Newspaper/Magazine Article FDA to end program that hid millions of reports on faulty … Citation Text: FDA to end program that hid millions of reports on faulty medical devices. … This news article reports on a government alternative summary reporting program that allowed medical … A new program that expands access to information about device-related failures will be put in place … February 6, 2019 Heart Failure: The Decline of a Historic Transplant Program.

Improving perceptions of teamwork climate with the Veterans Health Administration medical team training program. | PSNet

psnet.ahrq.gov/issue/improving-perceptions-teamwork-climate-veterans-health-administration-medical-team-training

December 21, 2014 - Improving perceptions of teamwork climate with the Veterans Health Administration medical team training program … Improving perceptions of teamwork climate with the Veterans Health Administration medical team training program … December 21, 2014 Association between implementation of a medical team training program … November 21, 2011 Surgical programs in the Veterans Health Administration maintain briefing … March 21, 2017 Association between implementation of a medical team training program

From Science to Implementation: AHRQ's Program to Prevent HAIs—Results and Lessons. | PSNet

psnet.ahrq.gov/issue/science-implementation-ahrqs-program-prevent-hais-results-and-lessons

May 06, 2015 - Special or Theme Issue From Science to Implementation: AHRQ's Program to Prevent … Citation Text: From Science to Implementation: AHRQ's Program to Prevent HAIs—Results and Lessons. … This companion issue covers research findings by an AHRQ program to reduce health care–associated infections … Articles discuss antimicrobial stewardship programs , quality improvement assessment strategies, work-system … Preventing Healthcare-Associated Infections: Results and Lessons Learned from AHRQ's HAI Program

Risk managers' descriptions of programs to support second victims after adverse events. | PSNet

psnet.ahrq.gov/issue/risk-managers-descriptions-programs-support-second-victims-after-adverse-events

May 11, 2016 - Study Risk managers' descriptions of programs to support second victims after adverse … Risk managers' descriptions of programs to support second victims after adverse events. … Many of the programs lacked elements recommended by national standards, suggesting significant room for … Risk managers' descriptions of programs to support second victims after adverse events. … Assessing the need for organizational second victim support programs.

Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program. | PSNet

psnet.ahrq.gov/issue/mentoring-staff-members-patient-safety-leaders-clarian-safe-passage-program

January 10, 2011 - Commentary Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program … Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program. … The author describes a unit-based patient safety leadership program in an Indiana hospital. … Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program. … Related Resources From the Same Author(s) The power of collaboration with patient safety programs

A web-based tool for the Comprehensive Unit-based Safety Program (CUSP). | PSNet

psnet.ahrq.gov/issue/web-based-tool-comprehensive-unit-based-safety-program-cusp

January 02, 2017 - Commentary A web-based tool for the Comprehensive Unit-based Safety Program (CUSP … A web-based tool for the Comprehensive Unit-based Safety Program (CUSP). … The authors discuss a project management tracking program to help promote a safety culture through … A web-based tool for the Comprehensive Unit-based Safety Program (CUSP). … December 22, 2010 Impact of the Comprehensive Unit-Based Safety Program (CUSP) on safety

Teaching teamwork during the Neonatal Resuscitation Program: a randomized trial. | PSNet

psnet.ahrq.gov/issue/teaching-teamwork-during-neonatal-resuscitation-program-randomized-trial

April 08, 2011 - Study Teaching teamwork during the Neonatal Resuscitation Program: a randomized trial … Teaching teamwork during the Neonatal Resuscitation Program: a randomized trial. … found that interns who received teamwork and human error curriculum as part of a resuscitation training program … Teaching teamwork during the Neonatal Resuscitation Program: a randomized trial. … Related Resources From the Same Author(s) Team training in the neonatal resuscitation program

Improving surgical complications and patient safety at the nation's largest military hospital: an analysis of National Surgical Quality Improvement Program data. | PSNet

psnet.ahrq.gov/issue/improving-surgical-complications-and-patient-safety-nations-largest-military-hospital

November 09, 2022 - safety at the nation's largest military hospital: an analysis of National Surgical Quality Improvement Program … Safety at the Nation's Largest Military Hospital: An Analysis of National Surgical Quality Improvement Program … surgical complication rates at a military medical center to National Surgical Quality Improvement Program … Safety at the Nation's Largest Military Hospital: An Analysis of National Surgical Quality Improvement Program … April 27, 2015 Association between implementation of a medical team training program

Implementing a fatigue countermeasures program for nurses: a focus group analysis. | PSNet

psnet.ahrq.gov/issue/implementing-fatigue-countermeasures-program-nurses-focus-group-analysis

February 19, 2010 - Study Implementing a fatigue countermeasures program for nurses: a focus group analysis … Implementing a fatigue countermeasures program for nurses: a focus group analysis. … This study describes the successes and challenges associated with implementing a formal program to combat … Although the program was well received, organizational culture and lack of resources were perceived as … Implementing a fatigue countermeasures program for nurses: a focus group analysis.

Development and implementation of a patient safety program in an academic, urban emergency department. | PSNet

psnet.ahrq.gov/issue/development-and-implementation-patient-safety-program-academic-urban-emergency-department

December 12, 2012 - Study Development and implementation of a patient safety program in an academic, … Development and implementation of a patient safety program in an academic, urban emergency department … The authors describe the implementation of a reporting program in an urban tertiary care facility, data … Development and implementation of a patient safety program in an academic, urban emergency department … June 20, 2011 Implementation of the I-PASS handoff program in diverse clinical environments

MGH halts a pediatric program: Heart surgeries on hold after errors. | PSNet

psnet.ahrq.gov/issue/mgh-halts-pediatric-program-heart-surgeries-hold-after-errors

August 24, 2016 - Newspaper/Magazine Article MGH halts a pediatric program: Heart surgeries on hold … Citation Text: MGH halts a pediatric program: Heart surgeries on hold after errors. … newspaper article discusses one hospital's decision to temporarily close its pediatric cardiac surgery program … URL Cite Citation Citation Text: MGH halts a pediatric program … More Related Resources Heart Failure: The Decline of a Historic Transplant Program

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