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Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals. | PSNet

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October 26, 2022 - were identified, with leadership being the most common; none of the methods or tools appeared to measure … August 10, 2022 Changes in weekend and weekday care quality of emergency medical admissions … August 15, 2018 Assessment of programs aimed to decrease or prevent mistreatment of medical

Navigating Complications: The Unintended Journey of a Guidewire During Dialysis Catheter Placement | PSNet

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February 23, 2022 - providers to remove guidewires. 16 The project also implemented a structured CVC insertion training program … improvement measures, there were no guidewire retention incidents, trainees felt more confident with … were helpful. 16 This study and others suggest that implementing a structured educational training program … Rockville, MD: Agency for Healthcare Research and Quality. … Eliminating guidewire retention during ultrasound guided central venous catheter insertion via an educational program

Dying in the Hospital With Advanced Dementia | PSNet

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November 01, 2016 - provide such education, which may be required for state licensure or by the ACGME for residency training programs … Fourth, the NAM recommends that government and commercial payers cover comprehensive care programs for … Physician orders for life-sustaining treatment (POLST): outcomes in a PACE program. … Program of All-Inclusive Care for the Elderly. J Am Geriatr Soc. 2000;48:1219-1225. … Modified Stage 2: Objectives and Measures for 2017, Objective 3 of 7.

The foundational science of learning health systems. | PSNet

psnet.ahrq.gov/issue/foundational-science-learning-health-systems

June 26, 2019 - September 23, 2020 Implementation of the I-PASS handoff program in diverse clinical environments … November 16, 2022 Developing a process to measure actual harm from medication errors … July 22, 2024 Systematic review on the frequency and quality of reporting patient and … April 26, 2023 Quality and safety: learning from the past and (re)imagining … January 22, 2022 Transformational improvement in quality care and health systems: the

Annual Perspective: Psychological Safety of Healthcare Staff | PSNet

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November 16, 2022 - Creating psychological safety 3 is one component of the Comprehensive Unit-based Safety Program (CUSP … Adaptation of existing measures for assessing psychological safety has been described, and one study … reported development of an observational measure 8 to complement the more typical survey-based assessment … Second, there is a need to establish standardized measures of psychological safety that can be applied … Measuring psychological safety in healthcare teams: developing an observational measure to complement

Nursing 2006 Patient-safety survey report. | PSNet

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March 01, 2023 - March 1, 2023 The power of collaboration with patient safety programs: building safe … Resources Annual Perspective Improving Diagnostic Safety and Quality … May 4, 2015 The Safety Organizing Scale: development and validation of a behavioral measure … January 12, 2011 A nurse-driven system for improving patient quality outcomes. … July 21, 2010 An examination of technical efficiency, quality, and patient safety in

Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscious bias within health systems. | PSNet

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July 29, 2020 - The authors suggest a focus on engaging ethnic minority consumers as partners to design improvement programs … December 29, 2014 COVID-19: patient safety and quality improvement skills to deploy during … August 26, 2020 Patient safety and quality improvement: ethical principles for a regulatory … July 22, 2020 A quality improvement initiative using peer audit and feedback to improve … July 27, 2022 Measure Dx: implementing pathways to discover and learn from diagnostic

Saved by ECMO | PSNet

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May 05, 2017 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Both of these measures have been shown to increase the chance of restoring spontaneous circulation during … December 31, 2014 A clinical pharmacist-led transitions of care program for veterans … Rescue the Mother July 2, 2019 A comprehensive obstetrics patient safety program

Failure to rescue female patients undergoing high-risk surgery. | PSNet

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October 25, 2017 - Citation Related Resources From the Same Author(s) Effect of a hospital-wide measure … on the readmissions reduction program. … February 17, 2011 Changes in medical errors after implementation of a handoff program … 2022 Reducing failure to rescue rates in a paediatric in-patient setting: a 9-year quality

Improving safety for hospitalized patients: much progress but many challenges remain. | PSNet

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September 24, 2017 - However, subsequent public reporting programs and the trend toward nonpayment for preventable harm … Same Author(s) Challenges and opportunities from the Agency for Healthcare Research and Quality … 23, 2020 Development and usability testing of the Agency for Healthcare Research and Quality … May 25, 2016 The creation and impact of a dedicated section on quality and patient safety … collection activities: Assessing the Impact of the National Implementation of TeamSTEPPS Master Training Program

Renal Failure Due to Benign Prostatic Hyperplasia | PSNet

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February 01, 2004 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … infection or hematuria.( 1,4 ) As this patient was seen in a urology office, a bladder scanner to measure … Barry, MD Director and Professor of Medicine Informed Medical Decisions Program Division of General … In on Surgical Safety August 1, 2010 Implementation of the I-PASS handoff program

The Patient Education Materials Assessment Tool (PEMAT) and User's Guide: An Instrument to Assess the Understandability and Actionability of Print and Audiovisual Patient Education Materials. | PSNet

psnet.ahrq.gov/issue/patient-education-materials-assessment-tool-pemat-and-users-guide-instrument-assess

December 24, 2008 - Rockville, MD: Agency for Healthcare Research and Quality; October 2013. … Rockville, MD: Agency for Healthcare Research and Quality; October 2013. … August 1, 2012 AHRQ's Safety Program for Ambulatory Surgery. … January 15, 2014 Findings and Lessons From the AHRQ Ambulatory Safety and Quality Program … January 4, 2017 AHRQ Safety Program for End-Stage Renal Disease Facilities—Toolkit.

Misplaced Nasogastric Tube Resulting in Aspiration | PSNet

psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration

August 01, 2009 - adverse events, when studied among resident physicians at 9 different hospitals. 20 I-PASS is a handoff program … Similarly, nurses could measure NG tube aspirate pH for newly placed NG tubes as an additional checkpoint … standard practice in the US, a low aspirate pH value (e.g., <5.5) could serve as another confirmatory measure … Changes in medical errors after implementation of a handoff program. … Perspective How Does Infection Prevention Fit Into a Safety Program

How PSOs Help Health Care Organizations Improve Patient Safety Culture. | PSNet

psnet.ahrq.gov/issue/how-psos-help-health-care-organizations-improve-patient-safety-culture

May 25, 2016 - Rockville, MD: Agency for Healthcare Research and Quality; April 2016. AHRQ Pub. No. 16-0026-EF. … This report discusses PSO-related programs that resulted in improvements, such as readmission reduction … Rockville, MD: Agency for Healthcare Research and Quality; April 2016. AHRQ Pub. … October 26, 2016 AHRQ's Safety Program for Ambulatory Surgery. … View More Related Resources AHRQ’s Surveys on Patient Safety Culture® Program

Overuse as a Patient Safety Problem | PSNet

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September 01, 2014 - , the Centers for Disease Control and Prevention has recommended mandated antimicrobial stewardship programs … indicators that measure overuse is a vital step toward improvements on a national scale. … Development of a hospital-based program focused on improving healthcare value. … Developing quality measures to address overuse. JAMA. 2013;309:1897-1898. … Rosemary Gibson : We don't measure the extent of overuse so we don't know its magnitude.

Validating the Patient Safety Indicators in the Veterans Health Administration: do they accurately identify true safety events? | PSNet

psnet.ahrq.gov/issue/validating-patient-safety-indicators-veterans-health-administration-do-they-accurately

January 18, 2013 - adverse events in surgery: comparing events detected by the Veterans Health Administration Surgical Quality … Improvement Program and the Patient Safety Indicators. … September 25, 2019 Using harm-based weights for the AHRQ Patient Safety for Selected … November 10, 2010 Quality improvement lessons learned from National Implementation of … July 1, 2009 View More See More About The Topic General Hospitals Quality

Studying patient safety in health care organizations: accentuate the qualitative. | PSNet

psnet.ahrq.gov/issue/studying-patient-safety-health-care-organizations-accentuate-qualitative

January 18, 2011 - Same Author(s) The Safety Organizing Scale: development and validation of a behavioral measure … December 18, 2008 Teaching but not learning: how medical residency programs handle errors … Annual Perspective Improving Diagnostic Safety and Quality … November 18, 2011 Quality of Anesthesia Care. … November 14, 2011 Embedding quality improvement and patient safety at Liverpool Women's

Standardization as a mechanism to improve safety in health care. | PSNet

psnet.ahrq.gov/issue/standardization-mechanism-improve-safety-health-care

January 05, 2017 - April 8, 2011 Implementation of the I-PASS handoff program in diverse clinical environments … April 23, 2014 A multifaceted program for improving quality of care in intensive care

Voluntarily reported emergency department errors. | PSNet

psnet.ahrq.gov/issue/voluntarily-reported-emergency-department-errors

June 20, 2011 - harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality … measure. … October 19, 2022 The impact of electronic health record interoperability on safety and quality … June 24, 2009 Evaluation of the quality of 'do not use' medication abbreviation audits … August 9, 2011 Development and implementation of a patient safety program in an academic

The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. | PSNet

psnet.ahrq.gov/issue/challenger-launch-decision-risky-technology-culture-and-deviance-nasa

November 18, 2015 - October 23, 2013 Graduate Programs in Healthcare Quality and Patient Safety. … Annual Perspective Improving Diagnostic Safety and Quality … August 8, 2010 Development of a measure of patient safety event learning responses. … View More See More About The Topic Health Care Executives and Administrators Quality

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