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Showing results for "the change teams".

1941. Predicting avoidable hospital events in Maryland. | PSNet
      psnet.ahrq.gov/issue/predicting-avoidable-hospital-events-maryland
      April 06, 2022 - View more articles from the same authors. … With the goal of improving allocation of scarce care coordination resources in primary care, this study … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … April 6, 2022 The critical role of health information technology in the safe integration … November 10, 2021 Incorporating harms into the weighting of the Revised AHRQ Patient

1942. The effects of a mid-day nap on the neurocognitive performance of first-year medical residents: a controlled interventional pilot study. | PSNet
      psnet.ahrq.gov/issue/effects-mid-day-nap-neurocognitive-performance-first-year-medical-residents-controlled
      November 16, 2022 - Study The effects of a mid-day nap on the neurocognitive performance of first-year … The effects of a mid-day nap on the neurocognitive performance of first-year medical residents: a controlled … The effects of a mid-day nap on the neurocognitive performance of first-year medical residents: a controlled … November 21, 2018 Guidance for health care leaders during the recovery stage of the COVID … July 3, 2014 Change in intern calls at night after a work hour restriction process change

1943. An in situ simulation program: a quantitative and qualitative prospective study identifying latent safety threats and examining participant experiences. | PSNet
      psnet.ahrq.gov/issue/situ-simulation-program-quantitative-and-qualitative-prospective-study-identifying-latent
      March 25, 2021 - View more articles from the same authors. … This study describes the experience of one Danish hospital shifting from simulation training at external … The shift to in situ training identified several latent safety threats (e.g., equipment access, lack … discrepancies between the shared medication record and patients' actual use of medication. … August 25, 2011 The role of error in organizing behaviour.

1944. Crying wolf, alarm safety and management in paediatrics: a scoping review. | PSNet
      psnet.ahrq.gov/issue/crying-wolf-alarm-safety-and-management-paediatrics-scoping-review
      April 24, 2018 - View more articles from the same authors. … Given the large number of devices, one patient may generate dozens of alerts per day, which contributes … Only half of the studies included an intervention, the majority of which focused on changes to alarm … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … June 28, 2017 The impact of post-fall huddles on repeat fall rates and perceptions of

1945. Effectiveness of patient safety training in equipping medical students to recognise safety hazards and propose robust interventions. | PSNet
      psnet.ahrq.gov/issue/effectiveness-patient-safety-training-equipping-medical-students-recognise-safety-hazards-and
      March 23, 2011 - View more articles from the same authors. … March 23, 2011 The natural history of recovery for the healthcare provider "second victim … September 23, 2020 Response of practicing chiropractors during the early phase of the … May 4, 2022 The role of education in developing a culture of safety through the perceptions … August 25, 2011 Can teaching medical students to investigate medication errors change

1946. Medication regimen complexity and hospital readmission for an adverse drug event. | PSNet
      psnet.ahrq.gov/issue/medication-regimen-complexity-and-hospital-readmission-adverse-drug-event
      December 03, 2014 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … October 13, 2010 In-situ interprofessional perinatal drills: the impact of a structured … Interpretive diagnostic error reduction in surgical pathology and cytology: guideline from the … December 6, 2010 View More See More About The Topic Hospitals Health

1947. Perceptions of quality and safety and experience of adverse events in 27 European Union healthcare systems, 2009–2013. | PSNet
      psnet.ahrq.gov/issue/perceptions-quality-and-safety-and-experience-adverse-events-27-european-union-healthcare
      March 21, 2012 - View more articles from the same authors. … Patient perceptions may provide insight into the quality and safety of care provided as well as identify … The authors suggest that these results may have important policy implications. … November 16, 2022 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … April 7, 2021 A mixed-methods study of challenges experienced by clinical teams in measuring

1948. Considering chance in quality and safety performance measures: an analysis of performance reports by boards in English NHS trusts. | PSNet
      psnet.ahrq.gov/issue/considering-chance-quality-and-safety-performance-measures-analysis-performance-reports
      October 27, 2021 - The problem with red, amber, green: the need to avoid distraction by random variation in organisational … View more articles from the same authors. … The authors advocate for use of control charts by hospital boards in quality and safety assessment and … The problem with red, amber, green: the need to avoid distraction by random variation in organisational … December 11, 2024 View More Related Resources Understanding the

1949. SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study. | PSNet
      psnet.ahrq.gov/issue/sbar-improves-nurse-physician-communication-and-reduces-unexpected-death-pre-and-post
      November 21, 2018 - View more articles from the same authors. … that unplanned intensive care unit admission increased, unexpected deaths decreased, and there was no change … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … October 18, 2023 Effects of the introduction of the WHO "Surgical Safety Checklist" on … December 30, 2014 Improving the quality of the surgical morbidity and mortality conference

1950. Healthcare professionals' perception of safety culture and the Operating Room (OR) Black Box technology before clinical implementation: a cross-sectional survey. | PSNet
      psnet.ahrq.gov/issue/healthcare-professionals-perception-safety-culture-and-operating-room-or-black-box-technology
      March 02, 2022 - View more articles from the same authors. … Measuring psychological safety and local learning to enable high reliability organisational change … Improving the implementation and adherence of the surgical safety checklist: a quality improvement project … in the operating room. … October 6, 2016 Reliability of a revised NOTECHS scale for use in surgical teams.

1951. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72624/psn-pdf
      January 05, 2021 - internal capacity necessary to continue to drive change. … Hospital and system-level teams should review the data regularly to allow for modification and refinement … to each hospital’s culture of safety, organization, and readiness to change. … At the initiation of the HEN 2.0 contract, LifePoint established the NQP as the framework to not only … use of interdisciplinary care teams, bedside shift reports, prioritizing patient engagement) and providing

1952. In Conversation with…Barbara A. Blakeney, MS, RN | PSNet
      psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
      August 01, 2005 - rapid response teams? … Nurses who have actually participated in urgent response teams tell me that the outcomes for the patients … only 16% of hospital CEOs listed patient safety among their top three concerns in 2004—no significant change … response teams and the use of evidence-based strategies to prevent ventilator-associated pneumonia. … blueprint to guide culture change in the nurse practice environment.

1953. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851389/psn-pdf
      July 31, 2023 - Safety, Radiology Quality and Safety, and the Center for Evidence-Based Imaging (CEBI) teams, identified … The focus of working group meetings is subject to change, and it may be expanded or altered based on … input from data and information technology teams to identify target patient populations. … For instance, duties conducted by grant staff were transitioned to operational teams. … Identify drivers of change to ensure patient safety and to minimize patient harm.

1954. Spotlight Case (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.206_slideshow.ppt
      October 01, 2009 - The resident came to the floor, told the nurse she was “stupid” and confidently explained that the case … The attending then called the operating room to cancel the case. … Case: Difficult Encounters (5) The following day, the CMO reviewed the nurse's intervention with the … today than in past A few senior physicians have lost privileges Safety innovations (rapid response teams … , time outs, etc.) have helped Teamwork training has helped change culture But more change is needed

1955. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication | PSNet
      psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
      August 01, 2012 - , so the two teams opted to keep the gastrostomy tube for gastric venting and to place a nasojejunal … The patient’s spouse then called the surgery clinic to change the follow-up visit; he revealed that his … transhepatic PEG tube, which contributed to the change in the original management plan. … A third systems solution might be to minimize the number of teams that offer percutaneous enteral tube … risk of adverse events, care teams should implement tactics to minimize the risk of adverse events.

1956. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33786/psn-pdf
      May 01, 2015 - Trauma teams have benefited from review of previous cases by identifying defects in teamwork (7), just … like professional sport teams that routinely use video to review their past performance. … illustrating technical procedures, video is used for dissemination of best practices, such as bedside shift change … Structured, routine post-action reviews, either by individuals or by teams, are also becoming more prevalent … appd001 https://psnet.ahrq.gov//#ref15 https://psnet.ahrq.gov//#ref3 become available, individuals and teams

1957. Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety | PSNet
      psnet.ahrq.gov/perspective/count-and-be-counted-preparing-future-pharmacists-promote-culture-safety
      April 01, 2006 - Teach students that the improved communication and teamwork skills that will support cultural change … RW: A lot of discussion in the patient safety world is about how to change the culture of physicians … I have personally seen a change, just in working with the committees that I'm on. … The technology will change the role of the pharmacist, to a greater focus on drug information provision … I was in New Zealand to give a talk, and because of the time change I couldn't sleep.

1958. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.116_slideshow.ppt
      February 01, 2006 - Transitions in Care Shift change over Two or more workers exchange mission-specific information, responsibility … Practices of high reliability teams: observations in trauma resuscitation. … stage Clinicians content with diagnosis of urinary tract infection for explanation of mental status change … change was due to urinary tract infection. … for this patient Post-turnover Clinicians did not reconsider diagnosis of UTI with mental status change

1959. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49698/psn-pdf
      December 01, 2013 - reduced hospital admissions is the use of teams of nurse practitioners (NPs) (or physician assistants … [PAs]) and physicians in managing SNF patients.(13) Such teams often have more time dedicated to the … These fundamental staffing principles are necessary but not sufficient to change behavior and improve … Teams of physicians and nurse practitioners (or physician assistants) can be highly effective in managing … Early learnings have led to adoption of cross-continuum teams in other states and regions as well

1960. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33828/psn-pdf
      March 01, 2017 - RW: How does the digitization of a health care work environment change the kinds of issues that we've … Change the ability to improve care, improve safety, and improve quality? … The effect of that system change is to reimagine even what the work is. … , between teams and teams. … change.