Results

Total Results: 3,566 records

Showing results for "the change teams".

2341. Annotated bibliography: an update to: "Understanding ambulatory care practices in the context of patient safety and quality improvement." | PSNet
      psnet.ahrq.gov/issue/annotated-bibliography-understanding-ambulatory-care-practices-context-patient-safety-and
      March 02, 2010 - Annotated bibliography: an update to: "Understanding ambulatory care practices in the … View more articles from the same authors. … The outpatient setting is receiving increased attention as a research focus in patient safety. … May 28, 2015 Training in quality and safety: the current landscape. … July 3, 2016 Culture change at the source: a medical school tackles patient safety.

2342. Nurse reports of adverse events during sedation procedures at a pediatric hospital. | PSNet
      psnet.ahrq.gov/issue/nurse-reports-adverse-events-during-sedation-procedures-pediatric-hospital
      November 02, 2016 - View more articles from the same authors. … testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams … the operating room setting in a tertiary academic center. … October 6, 2016 The normalization of deviance: a threat to patient safety. … July 20, 2011 Safety huddles in the PACU: when a patient self-medicates.

2343. Exploring barriers and facilitators to the use of computerized clinical reminders. | PSNet
      psnet.ahrq.gov/issue/exploring-barriers-and-facilitators-use-computerized-clinical-reminders
      November 05, 2015 - Exploring barriers and facilitators to the use of computerized clinical reminders. … View more articles from the same authors. … Exploring barriers and facilitators to the use of computerized clinical reminders. … March 23, 2012 Improving handoffs in the emergency department. … September 29, 2017 Evaluation of the implementation of the alert issued by the UK National

2344. Ambulance personnel perceptions of near misses and adverse events in pediatric patients. | PSNet
      psnet.ahrq.gov/issue/ambulance-personnel-perceptions-near-misses-and-adverse-events-pediatric-patients
      July 16, 2008 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … Same Author(s) Emergency medical services provider perceptions of the nature of adverse … Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the … January 27, 2019 Out-of-hospital pediatric patient safety events: results of the CSI

2345. Reality check for checklists. | PSNet
      psnet.ahrq.gov/issue/reality-check-checklists
      April 21, 2015 - View more articles from the same authors. … Discussing the impact of checklists in the broader context of frontline care, the authors emphasize … January 3, 2017 The role of the informal and formal organisation in voice about concerns … June 16, 2021 Patient safety and the problem of many hands. … June 17, 2016 Changing the narratives for patient safety.

2346. Conducting root cause analysis with nursing students: best practice in nursing education. | PSNet
      psnet.ahrq.gov/issue/conducting-root-cause-analysis-nursing-students-best-practice-nursing-education
      September 09, 2015 - View more articles from the same authors. … This commentary describes the use of root cause analysis to engage nursing students in identifying, … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … to improving the delivery of safe and effective patient care: a scoping review. … May 19, 2021 The delivery of safe and effective test result communication, management

2347. A comprehensive collaborative patient safety residency curriculum to address the ACGME core competencies. | PSNet
      psnet.ahrq.gov/issue/comprehensive-collaborative-patient-safety-residency-curriculum-address-acgme-core
      October 06, 2011 - View more articles from the same authors. … that was successfully integrated into the residents' daily work. … reduce hazards in the testing process in primary care. … : a scientific statement from the American Heart Association. … August 26, 2011 An anesthesiology department leads culture change at a hospital system

2348. Improved obstetric safety through programmatic collaboration. | PSNet
      psnet.ahrq.gov/issue/improved-obstetric-safety-through-programmatic-collaboration
      September 23, 2020 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … July 28, 2021 Risk of wrong-patient orders among multiple vs singleton births in the … May 18, 2022 Is communication improved with the implementation of an obstetrical version … of the World Health Organization safe surgery checklist?

2349. Improving patient care by linking evidence-based medicine and evidence-based management. | PSNet
      psnet.ahrq.gov/issue/improving-patient-care-linking-evidence-based-medicine-and-evidence-based-management
      October 06, 2011 - View more articles from the same authors. … This article discusses the importance of integrating clinical evidence into routine practice and how … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … March 10, 2011 Advancing the science of patient safety. … NHS: learning lessons from other parts of the public sector?

2350. Navigating care transitions: a process model of how doctors overcome organizational barriers and create awareness. | PSNet
      psnet.ahrq.gov/issue/navigating-care-transitions-process-model-how-doctors-overcome-organizational-barriers-and
      February 20, 2016 - View more articles from the same authors. … This ethnographic study explored the underlying reasons for safety and communication problems at the … transition of care between the emergency department and hospital wards . … Implementation of an emergency department sign-out checklist improves transfer of information at shift change … July 3, 2013 'The ABC of Handover': impact on shift handover in the emergency department

2351. Any new process poses a risk for errors: learning from 4 months of Coronavirus disease 2019 (COVID-19) vaccinations. | PSNet
      psnet.ahrq.gov/issue/any-new-process-poses-risk-errors-learning-4-months-coronavirus-disease-2019-covid-19
      June 10, 2018 - Process change can introduce opportunities for error into established practice. … This article builds on results of an earlier survey to expand the record on the types of COVID vaccine … performance of community pharmacy to maintain patient safety during the Covid-19 pandemic. … in the United States. … May 13, 2020 Ensuring access to medications in the US during the COVID-19 pandemic.

2352. Surgeon's vigilance in the operating room. | PSNet
      psnet.ahrq.gov/issue/surgeons-vigilance-operating-room
      November 12, 2014 - Study Surgeon's vigilance in the operating room. … Surgeon's vigilance in the operating room. … View more articles from the same authors. … Surgeon's vigilance in the operating room. … May 25, 2011 The impact of the 80-hour work week on appropriate resident case coverage

2353. Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. | PSNet
      psnet.ahrq.gov/issue/introducing-new-technology-operating-room-measuring-impact-job-performance-and-satisfaction
      May 18, 2022 - Study Introducing new technology into the operating room: measuring the impact on … Introducing new technology into the operating room: measuring the impact on job performance and satisfaction … This article highlights the importance of assessing the impact of new technologies and changed work environments … Introducing new technology into the operating room: measuring the impact on job performance and satisfaction … operating room of the future.

2354. Emergency department image interpretation accuracy: the influence of immediate reporting by radiology. | PSNet
      psnet.ahrq.gov/issue/emergency-department-image-interpretation-accuracy-influence-immediate-reporting-radiology
      November 09, 2022 - Study Emergency department image interpretation accuracy: the influence of immediate … Emergency department image interpretation accuracy: The influence of immediate reporting by radiology … View more articles from the same authors. … September 7, 2016 Preventing medication errors in the information age. … November 17, 2021 Medication room madness: calming the chaos.

2355. The association between organizational culture and the ability to benefit from "just culture" training. | PSNet
      psnet.ahrq.gov/issue/association-between-organizational-culture-and-ability-benefit-just-culture-training
      August 04, 2021 - Study The association between organizational culture and the ability to benefit from … The Association Between Organizational Culture and the Ability to Benefit From "Just Culture" Training … important in health care, but existing organizational culture may be a barrier to successful culture change … They found that the hospital with a less hierarchical culture seemed to benefit more from the training … The Association Between Organizational Culture and the Ability to Benefit From "Just Culture" Training

2356. An evaluation of information transfer through the continuum of surgical care: a feasibility study. | PSNet
      psnet.ahrq.gov/issue/evaluation-information-transfer-through-continuum-surgical-care-feasibility-study
      December 21, 2014 - Study An evaluation of information transfer through the continuum of surgical care … An evaluation of information transfer through the continuum of surgical care: a feasibility study. … View more articles from the same authors. … July 1, 2016 Measuring variation in use of the WHO surgical safety checklist in the operating … December 21, 2014 Handoff checklists improve the reliability of patient handoffs in the

2357. Patient handoffs: is cross cover or night shift better? | PSNet
      psnet.ahrq.gov/issue/patient-handoffs-cross-cover-or-night-shift-better
      December 07, 2009 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … September 23, 2020 Impact of patient safety mandates on medical education in the United … May 24, 2017 High-reliability and the I-PASS communication tool. … January 18, 2017 The most crucial half-hour at a hospital: the shift change.

2358. Preventable mortality after common urological surgery: failing to rescue? | PSNet
      psnet.ahrq.gov/issue/preventable-mortality-after-common-urological-surgery-failing-rescue
      July 17, 2013 - View more articles from the same authors. … This work emphasizes the need to examine disparities in patient safety outcomes. … September 12, 2016 Human cognition and the dynamics of failure to rescue: the Lewis Blackman … August 2, 2015 Patient characteristics and the occurrence of never events. … of the morbidity and mortality conference.

2359. A patient safety checklist for the cardiac catheterisation laboratory. | PSNet
      psnet.ahrq.gov/issue/patient-safety-checklist-cardiac-catheterisation-laboratory
      October 19, 2022 - Drawing from the success of the WHO surgical safety checklist initiative, this commentary describes … the development of a checklist created to improve the reliability of core invasive cardiac procedures … The authors discuss the role of nurses in introducing the checklist and the use of team briefings to … reduce the risk of communication errors. … December 27, 2014 Application of the WHO surgical safety checklist outside the operating

2360. Reduction in warfarin adverse events requiring patient hospitalization after implementation of a pharmacist-managed anticoagulation service. | PSNet
      psnet.ahrq.gov/issue/reduction-warfarin-adverse-events-requiring-patient-hospitalization-after-implementation
      October 23, 2024 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … Clinicians' use of health information exchange technologies for medication reconciliation in the … November 12, 2014 We asked the experts: the WHO Surgical Safety Checklist and the COVID … June 10, 2013 Optimizing Pediatric Patient Safety in the Emergency Care Setting.