Results

Total Results: 3,566 records

Showing results for "the change teams".

2281. Failure mode and effects analysis: a useful tool for risk identification and injury prevention. | PSNet
      psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-useful-tool-risk-identification-and-injury-prevention
      September 24, 2010 - Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association … Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association … View more articles from the same authors. … The author discusses the importance of proactive risk assessment and provides insights on the successful … August 31, 2011 Rolling out the rapid response team.

2282. Is your hospital hospitable?: how physical environment influences patient safety. | PSNet
      psnet.ahrq.gov/issue/your-hospital-hospitable-how-physical-environment-influences-patient-safety
      July 31, 2024 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … April 21, 2021 Dedicated teams to optimize quality and safety of surgery: a systematic … January 23, 2019 Designing for Safety in the ICU. … September 26, 2016 Sounding the alarm.

2283. The spectrum of medical errors: when patients sue. | PSNet
      psnet.ahrq.gov/issue/spectrum-medical-errors-when-patients-sue
      October 28, 2020 - Review The spectrum of medical errors: when patients sue. … The spectrum of medical errors: when patients sue. Int J Gen Med. 2012. doi:10.2147/ijgm.s24257. … View more articles from the same authors. … The spectrum of medical errors: when patients sue. … March 30, 2022 Teamwork in the time of COVID-19.

2284. Toolkit for Preventing CLABSI and CAUTI in ICUs. | PSNet
      psnet.ahrq.gov/issue/toolkit-preventing-clabsi-and-cauti-icus
      December 24, 2008 - Developed by AHRQ, this customizable, educational toolkit uses the Comprehensive Unit-based Safety Program … Sections of the kit include items such an action plan template, implementation playbook, and team interaction … December 24, 2008 2022 Updated Results for the AHRQ Surveys on Patient Safety Culture … coronavirus disease 2019 (COVID-19) pandemic: results from a national survey in the United States. … May 25, 2011 View More See More About The Topic Intensive Care Units

2285. Preventable errors in the operating room: retained foreign bodies after surgery--part I. | PSNet
      psnet.ahrq.gov/issue/preventable-errors-operating-room-retained-foreign-bodies-after-surgery-part-i
      April 28, 2021 - Preventable errors in the operating room: retained foreign bodies after surgery--Part I. … View more articles from the same authors. … The authors discuss the history and evidence on errors involving retained foreign objects. … January 18, 2013 The lost sponge: patient safety in the operating room. … September 9, 2011 Managing the prevention of retained surgical instruments: what is the

2286. In treating sepsis, questions about timing and mandates. | PSNet
      psnet.ahrq.gov/issue/treating-sepsis-questions-about-timing-and-mandates
      September 04, 2016 - View more articles from the same authors. … This article discusses care mandates and protocols as approaches for improving the early recognition … and management of sepsis and highlights the unintended consequences of the strategies. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … February 27, 2019 The opioid crisis: can improving diagnosis help solve the problem?

2287. Medical and surgical comanagement after elective hip and knee arthroplasty: a randomized, controlled trial. | PSNet
      psnet.ahrq.gov/issue/medical-and-surgical-comanagement-after-elective-hip-and-knee-arthroplasty-randomized
      January 22, 2014 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … s) Public reporting of health care–associated surveillance data: recommendations from the … November 20, 2019 Predictive power of the "trigger tool" for the detection of adverse … October 18, 2016 Liability impact of the hospitalist model of care.

2288. Looking beyond LinkedIn: the case for excellence and academic rigor in quality and safety programs. | PSNet
      psnet.ahrq.gov/issue/looking-beyond-linkedin-case-excellence-and-academic-rigor-quality-and-safety-programs
      January 04, 2019 - Commentary Looking beyond LinkedIn: the case for excellence and academic rigor in … Looking beyond LinkedIn: the case for excellence and academic rigor in quality and safety programs. … View more articles from the same authors. … Looking beyond LinkedIn: the case for excellence and academic rigor in quality and safety programs. … Hospital-acquired infections under pay-for-performance systems: an administrative perspective on management and change

2289. A culture of civility: positively impacting practice and patient safety. | PSNet
      psnet.ahrq.gov/issue/culture-civility-positively-impacting-practice-and-patient-safety
      July 13, 2022 - View more articles from the same authors. … The author discusses TeamSTEPPS and other communication interventions as strategies for improvement … March 15, 2017 Promoting civility in the OR: an ethical imperative. … March 8, 2017 Transforming the health care environment collaborative. … the mediating role of burnout engagement.

2290. A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays. | PSNet
      psnet.ahrq.gov/issue/25-year-old-teacher-died-after-waiting-hours-er-shes-not-only-one-who-saw-delays
      September 09, 2020 - She's not the only one who saw delays. … Citation Text: A 25-year-old teacher died after waiting hours at the ER. … the ER with symptoms of heart attack. … story: the potentially dangerous overuse of antibiotics and 'the road to medical hell'. … September 2, 2009 Toward constructive change after making a medical error: recovery from

2291. An evolving hospital quality star rating system from CMS: aligning the stars. | PSNet
      psnet.ahrq.gov/issue/evolving-hospital-quality-star-rating-system-cms-aligning-stars
      December 13, 2017 - View more articles from the same authors. … This commentary highlights changes in the latest reiteration of the program and discusses challenges … December 13, 2017 Rapid response teams as a patient safety practice for failure to rescue … October 14, 2020 View More Related Resources The good, the bad … and the ugly: what do we really do when we identify the best and the worst organisations?.

2292. Racial, Ethnic, and Payer Disparities in Adverse Safety Events: Are there Differences across Leapfrog Hospital Safety Grades? | PSNet
      psnet.ahrq.gov/issue/racial-ethnic-and-payer-disparities-adverse-safety-events-are-there-differences-across
      December 01, 2019 - View more articles from the same authors. … in Health Care: The Hope, the Hype, the Promise, the Peril. … October 12, 2022 The Health Literacy of America's Adults: Results from the 2003 National … March 10, 2021 Development of the Leapfrog Group's bar code medication administration … May 17, 2023 Events that inspired change: the importance of sharing what happened to

2293. The vanishing nonforensic autopsy. | PSNet
      psnet.ahrq.gov/issue/vanishing-nonforensic-autopsy
      February 09, 2011 - Commentary The vanishing nonforensic autopsy. … The vanishing nonforensic autopsy. N Engl J Med. 2008;358(9):873-5. doi:10.1056/NEJMp0707996. … View more articles from the same authors. … The authors discuss the implications of this problem and potential solutions, including the establishment … June 22, 2022 Expanding the scope of Critical Care Rapid Response Teams: a feasible approach

2294. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
      January 01, 2022 - morning shift started, the new nursing assistant called the team to bedside as the patient was lethargic … reassessment of a patient after opioid administration include the timing of the assessment, the pharmacokinetics … • In the event an opioid overdose is suspected, addressing the airway and ventilation is of the highest … • A patient whose pain is not responding to repeated dosing of opioids may need a change in strategy … can help address its multifactorial nature and provide personalized pain management. – Treatment teams

2295. Misidentifying the Unidentified – John Doe and the EHR | PSNet
      psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
      September 27, 2017 - The Case   Two male patients of similar age arrived at the same time to the emergency department … blood bank, the surgeons and, ultimately the OR nurse was able to  confirm the correct identity and … In the era of physical charts, John Doe-related confusion would end at the level of the chart. … using the phonetic alphabet according to the stage of the current name cycle and a date. … identities in the EHR and effectively became “new” patients in the eyes of the EHR and the staff.

2296. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49575/psn-pdf
      November 01, 2008 - The ED physician contacted the on-call internist to admit the patient for continued therapy. … The internist agreed to admit the patient, but he was not told that the patient was pregnant. … The admitting nurse received a report from the ED nurse, but again, the patient's pregnancy status was … In the morning, the internist saw the patient. She informed him that she was pregnant. … the patient or reviewing the chart.

2297. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74691/psn-pdf
      January 01, 2021 - ).3 The project team made minor revisions to the original tool to address feedback from the pilot studies … Since the release of the revised iteration of the tool (i.e., the Revised Safer Dx Instrument), use … episode, reviewers have the option to conduct a process evaluation to determine the root cause of the … To effectively use the tool, the implementing teams need logistical support and resources, such as available … The plan should include reviewing materials and selecting ways in which the tool will be used.19 The

2298. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49765/psn-pdf
      August 21, 2016 - Simulation has long been used to train teams to work more effectively together, and those methods are … Take-Home Points In the complex ICU environment, teams must recognize that their work is cognitively … With effective approaches to balancing and sharing tasks, well-functioning teams can help to reduce … Effective teams are built through effective training, including the use of simulation methods. … Teams should learn how to distribute cognitive loads so as to complement each other, offload tasks when

2299. CVC Placement: Speak Now or Do Not Use the Line | PSNet
      psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
      November 01, 2003 - of the subclavian line was actually within the lung. … different treatment teams. … opportunities for clinicians, perceived lack of time for use in emergent situations, and cultural resistance to change … The optimal position for the catheter tip placed in the subclavian or internal jugular vein is at the … , the ICU team, and the cardiologists.

2300. Preventing PICC Complications: Whose Line Is It? | PSNet
      psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it
      October 01, 2017 - Hospital-based PICC teams and individual PICC specialty services can increase the appropriate use of … According to the Centers for Disease Control and Prevention (CDC), "specialized 'IV teams' have shown … of PICC-specific complications, especially where PICC teams may not exist. … The primary responsibility for the PICC lies with the hospital/facility providing the regular treatment … Take-Home Points PICC placement and utilization continue to grow in hospital settings; specialized PICC teams