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Total Results: 4,165 records

Showing results for "structures".

101. Identifying health information technology related safety event reports from patient safety event report databases. | PSNet
     psnet.ahrq.gov/issue/identifying-health-information-technology-related-safety-event-reports-patient-safety-event
     July 07, 2021 - They conclude that their approach is broadly applicable across systems with different reporting structures

102. Defining avoidable healthcare-associated harm in prisons: a mixed-method development study. | PSNet
     psnet.ahrq.gov/issue/defining-avoidable-healthcare-associated-harm-prisons-mixed-method-development-study
     August 04, 2021 - This article describes structures and processes within prison systems that may contribute to avoidable

103. Experiences of nurses speaking up in healthcare settings: a qualitative metasynthesis. | PSNet
     psnet.ahrq.gov/issue/experiences-nurses-speaking-healthcare-settings-qualitative-metasynthesis
     September 23, 2020 - The analysis identified barriers to speaking up, such as hierarchical structures and poor work environment

104. The collapse of sensemaking in organizations: the Mann Gulch disaster. | PSNet
     psnet.ahrq.gov/issue/collapse-sensemaking-organizations-mann-gulch-disaster
     May 21, 2019 - The organizational literature is reviewed to demonstrate a need for reexamination of successful group structures

105. Structural empowerment, Magnet hospital characteristics, and patient safety culture: making the link. | PSNet
     psnet.ahrq.gov/issue/structural-empowerment-magnet-hospital-characteristics-and-patient-safety-culture-making-link
     May 28, 2014 - The authors surveyed nurses in one rural Canadian hospital to examine how organizational structures and

106. Teamwork errors in trauma resuscitation. | PSNet
     psnet.ahrq.gov/issue/teamwork-errors-trauma-resuscitation
     December 22, 2018 - This study examines the nature of trauma teamwork errors and suggests structures to better support

107. Patient Safety and Quality. | PSNet
     psnet.ahrq.gov/issue/patient-safety-and-quality
     January 19, 2022 - November 25, 2009 Supporting structures for team situation awareness and decision making

108. Deep Dive: Safe Ambulatory Care, Strategies for Patient Safety & Risk Reduction. | PSNet
     psnet.ahrq.gov/issue/deep-dive-safe-ambulatory-care-strategies-patient-safety-risk-reduction
     August 07, 2019 - Freya Spielberg, MD, MPH September 28, 2022 Implementation of patient safety structures

109. Patient safety threats in information management using health information technology in ambulatory cancer care: an exploratory, prospective study. | PSNet
     psnet.ahrq.gov/issue/patient-safety-threats-information-management-using-health-information-technology-ambulatory
     April 01, 2020 - physicians have separate information sets despite the same HIT system), and inadequate information structures

110. Leadership committed to safety. | PSNet
     psnet.ahrq.gov/issue/leadership-committed-safety
     December 23, 2016 - establish transparent and fair policies for addressing errors at the sharp end, and maintain robust structures

111. Health care workers as second victims of medical errors. | PSNet
     psnet.ahrq.gov/issue/health-care-workers-second-victims-medical-errors
     April 07, 2021 - things to say (and not to say) in providing such support, and emphasize the importance of necessary structures

112. A safety culture transformation: its effects at a children's hospital. | PSNet
     psnet.ahrq.gov/issue/safety-culture-transformation-its-effects-childrens-hospital
     November 04, 2014 - comprehensive approach to improving patient safety at a children's hospital, which included new leadership structures

113. A Department of Medicine infrastructure for patient safety and clinical quality improvement. | PSNet
     psnet.ahrq.gov/issue/department-medicine-infrastructure-patient-safety-and-clinical-quality-improvement
     July 01, 2017 - This commentary describes how one academic medical center integrated structures, processes, and frameworks

114. Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. | PSNet
     psnet.ahrq.gov/issue/reducing-hospital-cardiac-arrests-and-hospital-mortality-introducing-medical-emergency-team
     March 11, 2013 - Rapid response systems function within a variety of structures, but they ultimately remain a mechanism

115. Learning in Action: A Guide to Putting the Learning Organization to Work. | PSNet
     psnet.ahrq.gov/issue/learning-action-guide-putting-learning-organization-work
     July 24, 2018 - March 2, 2010 Organizational learning: health care leaders need to design structures

116. Improving Patient Safety. | PSNet
     psnet.ahrq.gov/issue/improving-patient-safety
     January 18, 2011 - June 23, 2009 Implementation of patient safety structures and processes in the patient-centered

117. Submit Your Toolkit | PSNet
     psnet.ahrq.gov/submit-your-toolkit-landing
     Toolkit to support the implementation of products, services, processes, systems, policies, organizational structures

118. Medication safety: look-alike/sound-alike drugs in home care. | PSNet
     psnet.ahrq.gov/issue/medication-safety-look-alikesound-alike-drugs-home-care
     February 03, 2021 - February 3, 2010 Implementation of patient safety structures and processes in the patient-centered

119. When systems fail. | PSNet
     psnet.ahrq.gov/issue/when-systems-fail
     February 10, 2011 - They offer a series of recommendations to enhance reliability and minimize risk within organizational structures

120. Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. | PSNet
     psnet.ahrq.gov/issue/adverse-events-skilled-nursing-facilities-national-incidence-among-medicare-beneficiaries
     February 15, 2017 - to advance patient safety by improving systems of care and by aligning accreditation and payment structures