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Showing results for "surveys on patient safety culture".
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4081. Patient Safety and Health Information Technology: Learning from Our Mistakes | PSNet
      psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes
      July 01, 2012 - In this commentary, I reflect on the interface between patient safety and health information technology … On some level, the defensiveness is understandable.( 8 ) Problems of patient safety are so devastating … I enumerate only four: Health IT was promoted on the basis of a survey of hospital IT needs that … There were no questions or answer options on the survey that focused on what appear to be the real … Committee on Patient Safety and Health Information Technology; Institute of Medicine.

4082. In Conversation with…Carolyn Clancy, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
      September 01, 2005 - A third area would be AHRQ's Hospital Survey on Patient Safety Culture —more and more organizations … We don't just struggle with this in patient safety, we struggle with it on the U.S. … As the detrimental impact of poorly functioning teams on patient safety has been recognized, it has been … Why does health care depend so much on the experiences of others to improve safety? … In: Making Health Care Safer: A Critical Analysis of Patient Safety Practices.

4083. Lost in Sign Out and Documentation | PSNet
      psnet.ahrq.gov/web-mm/lost-sign-out-and-documentation
      January 31, 2011 - The patient was transferred to the ward on hospital day 20. … In this case, the patient developed clinical signs and symptoms of an intra-abdominal process on the … Effect of a comprehensive surgical safety system on patient outcomes. … A two-site survey of clinicians to identify practices and preferences of intensive care unit transfers … Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey

4084. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49435/psn-pdf
      February 01, 2004 - On the radiograph, however, the pneumothorax appeared to be on the patient's right (Figure). … The patient remained stable. … Incidence of adverse events and negligence in hospitalized patients. … The nature of adverse events in hospitalized patients. … An analysis of critical incidents in a teaching department for quality assurance: a survey of mishaps

4085. Poor Prognosis | PSNet
      psnet.ahrq.gov/web-mm/poor-prognosis
      March 15, 2016 - Data on physicians' prognostic accuracy primarily comes from studies of physicians caring for patients … Results of the above-noted survey suggest that physicians believe an optimal length of stay in hospice … If on the other hand, the patient had a severely life-limiting illness already (eg, stage IV lung cancer … 2003 Second victims need emotional support after adverse events: even in a just safety … culture.

4086. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837324/psn-pdf
      July 08, 2022 - www.CalHospitalCompare.org https://www.cmqcc.org/my-birth-matters https://psnet.ahrq.gov//#34 Conducting a survey … A 2014 study of women who gave birth found that 14.8% of respondents perceived pressure from a clinician … multiple stakeholders, including policymakers, payers, healthcare administrators, clinicians, and patients … Part of determining interventions is to survey hospitals and help them to determine which approaches … survey of U.S. women.

4087. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49497/psn-pdf
      December 01, 2005 - During that time window, the patient adjusted her positioning while on the birthing bed (creating an … Does it make sense to “practice” patient care in the real environment where real consequences (to patients … Or should practice occur in a medical simulator on simulated patients with the threat of only simulated … As an example, there is currently no true neonatal human patient simulator available on the market; … Results of a national survey.

4088. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853772/psn-pdf
      September 27, 2023 - Neither the patient nor the parents had received education on how to draw up and administer insulin … Drug shortages in the United States have reached a 10-year high according to a survey published by the … As of July 2023, there were 309 active, ongoing drug shortages reported, and 99% of respondents reported … critically impactful, defined as rationing, delaying, or canceling treatments or procedures.8 Pharmacy respondents … of its role as a microsystem.12 By focusing on microsystems, healthcare organizations can address patient

4089. The PeaceHealth Governance Journey in Support of Quality and Safety | PSNet
      psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
      August 01, 2007 - market share, increased liability, a demoralized workforce, and a sharp rise in fear and distrust among patients … administration and the board look at finances and facilities, and the doctors and nurses take care of the patients … Surveys have consistently shown that when you ask the board chair, "What do you think of quality in … where the biggest trauma surgeon in the region had his privileges to do surgery and to take care of patients … useful for the care of the patients.

4090. X-ray Flip | PSNet
      psnet.ahrq.gov/web-mm/x-ray-flip
      August 10, 2019 - On the radiograph, however, the pneumothorax appeared to be on the patient's right ( Figure ). … The patient remained stable. … Incidence of adverse events and negligence in hospitalized patients. … The nature of adverse events in hospitalized patients. … An analysis of critical incidents in a teaching department for quality assurance: a survey of mishaps

4091. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.194_slideshow.ppt
      March 01, 2009 - The physician began advanced life support—the patient was intubated and placed on mechanical ventilation … Emergency Department (ED) Referrals Some patients “referred” to EDs from other EDs, hospitals, nursing … Although not law, it is professional courtesy to contact EDs ahead of time about patients referred from … referring providers or primary physician, if available Errors during the ED-to-Inpatient Handoff In survey … radiology studies, and pending studies Signout checklists Different Approach to Diagnoses Recent survey

4092. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49471/psn-pdf
      December 01, 2004 - Two months prior to this presentation, the patient called the on-call physician worried that he had … patient myself. … (Information on specific states is available at: [ go to related site ]). … Risk factors for seizure-related motor vehicle crashes in patients with epilepsy. … Epilepsy and driving: a survey of Canadian neurologists.

4093. Wandering Off the Floors: Safety and Security Risks of Patient Wandering | PSNet
      psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering
      August 21, 2007 - After several days of aggressive treatment, the patient was improving and was being managed on the medical-surgical … On the morning of hospital day 6, the patient was feeling "cooped up" and "needed a change of scenery … Elopement, on the other hand, is defined as "a patient that is aware that he/she is not permitted to … Patients who are not on legal or medical holds generally have the right to leave their unit; hospitals … should be conducted on a regular basis to evaluate and monitor patients' cognitive status.

4094. Nothing Called Small Surgery | PSNet
      psnet.ahrq.gov/web-mm/nothing-called-small-surgery
      February 01, 2023 - National Patient Safety Agency rapid response report: reducing the risk of tourniquets left on after … - an international survey. … July 10, 2024 Family medicine presence on labor and delivery: effect on safety culture … Tunnel Surgery August 28, 2024 How does robotic-assisted surgery change OR safety … culture?

4095. In Conversation With… Lawrence Smith, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-lawrence-smith-md
      February 01, 2012 - You know, that delicate artistic balance between you really know what is going on with the patient, but … We've focused on knowledge in action and being able to take that knowledge to effectively care for patients … RW : We posted a recent article on AHRQ Patient Safety Network that suggested longer training might … How residents view their clinical supervision: a reanalysis of classic national survey data. … Supervision in the outpatient clinic: effects on teaching and patient care.

4096. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73104/psn-pdf
      January 04, 2021 - AHRQ PSNet Annual Perspective: Impact of the COVID-19 Pandemic on Patient Safety March 30, 2021 Stocking … AHRQ PSNet Annual Perspective: Impact of the COVID-19 Pandemic on Patient Safety. … culture all contribute to successful adherence. … and providers, and strengthening the safety culture and fostering characteristics of a high-reliability … The untold toll — the pandemic’s effects on patients without Covid-19.

4097. Health Plan Patient Safety Initiatives | PSNet
      psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
      July 10, 2024 - for Quality Assurance (NCQA); and the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey … programs in place that focus on reducing the risk of patient harm, engaging patients and families, improving … of the examined patient safety indicators than privately insured patients. … Linking Patient Safety Culture to Quality Ratings in the Nursing Home Setting. … and Quality Background on CMS Patient Safety Indicators 90.

4098. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866216/psn-pdf
      July 10, 2024 - Quality Assurance (NCQA); and the Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey … programs in place that focus on reducing the risk of patient harm, engaging patients and families, … majority of the examined patient safety indicators than privately insured patients. … Linking Patient Safety Culture to Quality Ratings in the Nursing Home Setting. … Domain: Patient Safety BPCI Advanced and Quality Background on CMS Patient Safety Indicators 90. https

4099. Missing Trauma | PSNet
      psnet.ahrq.gov/web-mm/missing-trauma
      March 03, 2011 - On arrival, paramedics found the patient unresponsive, with poor respiratory effort and a barely palpable … errors in the care of patients with trauma. … in a delayed evaluation after 24-48 hours in the hospital, during what has been called the "tertiary survey … American College of Surgeons Committee on Trauma. … May 18, 2022 Hospital ward adaptation during the COVID-19 pandemic: a national survey

4100. In Conversation with...James L. Reinertsen, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md
      August 01, 2007 - administration and the board look at finances and facilities, and the doctors and nurses take care of the patients … Surveys have consistently shown that when you ask the board chair, "What do you think of quality in … where the biggest trauma surgeon in the region had his privileges to do surgery and to take care of patients … useful for the care of the patients. … Mark Chassin, MD, MPP, MPH April 1, 2009 Measurement for improvement: a survey