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Showing results for "the change teams".

  1. The culture of safety: results of an organization-wide survey in 15 California hospitals. | PSNet

    psnet.ahrq.gov/issue/culture-safety-results-organization-wide-survey-15-california-hospitals
    November 18, 2009 - The culture of safety: results of an organization-wide survey in 15 California hospitals. … View more articles from the same authors. … The culture of safety: results of an organization-wide survey in 15 California hospitals. … September 28, 2022 The Psychological Safety Scale of the Safety, Communication, Operational … August 31, 2022 Teamwork before and during COVID-19: the good, the same, and the ugly

  2. An institution-wide handoff task force to standardise and improve physician handoffs. | PSNet

    psnet.ahrq.gov/issue/institution-wide-handoff-task-force-standardise-and-improve-physician-handoffs
    January 07, 2015 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … January 7, 2015 Dropping the baton: a qualitative analysis of failures during the transition … April 24, 2018 Improving handoffs in the emergency department. … August 2, 2015 Effect of a systems intervention on the quality and safety of patient

  3. Identifying quality markers of a safe surgical ward: an interview study of patients, clinical staff, and administrators. | PSNet

    psnet.ahrq.gov/issue/identifying-quality-markers-safe-surgical-ward-interview-study-patients-clinical-staff-and
    June 17, 2015 - View more articles from the same authors. … Safe surgical care requires attention to risks in the operating room and in the postoperative surgical … June 28, 2013 Raising the alarm: a cross-sectional study exploring the factors affecting … Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams … April 6, 2011 Attitudes to teamwork and safety in the operating theatre.

  4. Safe medication management at ambulatory surgery centers. | PSNet

    psnet.ahrq.gov/issue/safe-medication-management-ambulatory-surgery-centers
    December 14, 2016 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … March 28, 2018 Is hand hygiene before putting on nonsterile gloves in the intensive care … February 12, 2014 The introduction of computerized physician order entry and change management … March 15, 2023 Preventing patient positioning injuries in the nonoperating room

  5. Characteristics of medical professional liability claims in patients with cardiovascular diseases. | PSNet

    psnet.ahrq.gov/issue/characteristics-medical-professional-liability-claims-patients-cardiovascular-diseases
    August 02, 2015 - View more articles from the same authors. … claims found that diagnostic error —particularly for missed diagnoses of coronary artery disease—was the … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … August 2, 2015 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … loop on quality improvement efforts in the cardiac catheterization lab.

  6. Close calls in patient safety: should we be paying closer attention? | PSNet

    psnet.ahrq.gov/issue/close-calls-patient-safety-should-we-be-paying-closer-attention
    November 08, 2013 - View more articles from the same authors. … This commentary highlights the value of analyzing near misses in preventing errors and includes several … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … September 17, 2010 Reducing health care hazards: lessons from the Commercial Aviation … errors: the Harm Associated with Medication Error Classification (HAMEC).

  7. High-reliability and the I-PASS communication tool. | PSNet

    psnet.ahrq.gov/issue/high-reliability-and-i-pass-communication-tool
    June 02, 2021 - High-reliability and the I-PASS communication tool. … View more articles from the same authors. … High-reliability and the I-PASS communication tool. … of care from the hospital to the primary care clinic. … March 30, 2016 The most crucial half-hour at a hospital: the shift change.

  8. Distractions and surgical proficiency: an educational perspective. | PSNet

    psnet.ahrq.gov/issue/distractions-and-surgical-proficiency-educational-perspective
    February 18, 2009 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … short-term pretrial practice on surgical proficiency in simulated environments: a randomized trial of the … June 14, 2023 Diagnostic uncertainty among critically ill children admitted to the PICU … December 21, 2014 Handing over patient care: is it just the old broken telephone game

  9. Identification of root causes for emergency diagnostic imaging delays at three Canadian hospitals. | PSNet

    psnet.ahrq.gov/issue/identification-root-causes-emergency-diagnostic-imaging-delays-three-canadian-hospitals
    July 02, 2014 - View more articles from the same authors. … The investigators conducted a root cause analysis of diagnostic imaging delays and found that current … practices were responsible for two of the three root causes identified. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … September 19, 2016 When bad things happen: training medical students to anticipate the

  10. The Canadian interprofessional patient safety competencies: their role in health-care professionals' education. | PSNet

    psnet.ahrq.gov/issue/canadian-interprofessional-patient-safety-competencies-their-role-health-care-professionals
    March 02, 2022 - Commentary The Canadian interprofessional patient safety competencies: their role … View more articles from the same authors. … March 9, 2016 A systematic review of the effect of telepharmacy services in the community … December 30, 2016 Changing the "working while sick" culture. … The Society of Obstetricians and Gynaecologists of Canada MORE(OB) program.

  11. Discussing harm-causing errors with patients: an ethics primer for plastic surgeons. | PSNet

    psnet.ahrq.gov/issue/discussing-harm-causing-errors-patients-ethics-primer-plastic-surgeons
    February 28, 2018 - View more articles from the same authors. … February 28, 2018 Checklists change communication about key elements of patient care. … May 27, 2020 Patient safety in the office-based setting. … April 9, 2013 Patient safety in the operating room—part 1 and part 2. … data: what we have learned in 6 years and the need for continued patient education.

  12. The Medication Manager: results of a medication at the bedside pilot in a pediatric teaching institution. | PSNet

    psnet.ahrq.gov/issue/medication-manager-results-medication-bedside-pilot-pediatric-teaching-institution
    December 20, 2023 - Study The Medication Manager: results of a medication at the bedside pilot in a pediatric … The Medication Manager. J Patient Saf. 2010;6(2). doi:10.1097/pts.0b013e3181cb43b4. … View more articles from the same authors. … May 3, 2017 Guidance for health care leaders during the recovery stage of the COVID-19 … March 17, 2010 The impact of dedicated medication nurses on the medication administration

  13. Anesthesia medication handling needs a new vision. | PSNet

    psnet.ahrq.gov/issue/anesthesia-medication-handling-needs-new-vision
    July 10, 2017 - View more articles from the same authors. … The authors argue that the current focus on individual practice vigilance be expanded to include an … Same Author(s) Assessing the impact of the anesthesia medication template on medication … July 29, 2009 The CARE approach to reducing diagnostic errors. … culture change at a hospital system level to improve quality and patient safety.

  14. Patient safety: it's not just carefulness, it's a culture. | PSNet

    psnet.ahrq.gov/issue/patient-safety-its-not-just-carefulness-its-culture
    December 24, 2008 - View more articles from the same authors. … August 17, 2022 What has been the impact of Covid-19 on safety culture? … March 30, 2022 The business case for patient safety. … November 2, 2018 The practice of respect in the ICU. … July 31, 2017 Changing the "working while sick" culture.

  15. Supervision, autonomy, and medical error in the teaching clinic. | PSNet

    psnet.ahrq.gov/issue/supervision-autonomy-and-medical-error-teaching-clinic
    November 26, 2014 - Supervision, autonomy, and medical error in the teaching clinic. … View more articles from the same authors. … Supervision, autonomy, and medical error in the teaching clinic. … November 2, 2018 Rapid response teams as a patient safety practice for failure to rescue … first 2 years of the COVID-19 pandemic.

  16. Attitudes and practices related to clinical alarms. | PSNet

    psnet.ahrq.gov/issue/attitudes-and-practices-related-clinical-alarms
    April 18, 2018 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … April 1, 2019 Improving handoffs in the emergency department. … September 1, 2016 Insights into the problem of alarm fatigue with physiologic monitor … February 17, 2016 Defining the incidence of cardiorespiratory instability in patients

  17. Infection control hazards and near misses reported by nursing students. | PSNet

    psnet.ahrq.gov/issue/infection-control-hazards-and-near-misses-reported-nursing-students
    February 11, 2009 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … March 2, 2012 Reporting of hazards and near-misses in the ambulatory care setting. … : the case of hand hygiene in health care. … May 28, 2015 Reporting of hazards and near-misses in the ambulatory care setting.

  18. New solutions to reduce wrong route medication errors. | PSNet

    psnet.ahrq.gov/issue/new-solutions-reduce-wrong-route-medication-errors
    March 20, 2019 - View more articles from the same authors. … Tubing misconnections have the potential to result in serious patient harm . … and drug concentration consistencies in children's hospitals in the United States. … November 16, 2022 The computerized ECG: friend and foe. … November 30, 2016 Application of the IV Medication Harm Index to assess the nature of

  19. Serious hazards of transfusion (SHOT) haemovigilance and progress is improving transfusion safety. | PSNet

    psnet.ahrq.gov/issue/serious-hazards-transfusion-shot-haemovigilance-and-progress-improving-transfusion-safety
    April 27, 2019 - View more articles from the same authors. … This review summarizes results from a longstanding transfusion safety program in the United Kingdom … July 12, 2017 What are the critical success factors for team training in health care? … A systematic review of the literature. … December 29, 2014 Systematic review of the application of the plan-do-study-act method

  20. The power of regret. | PSNet

    psnet.ahrq.gov/issue/power-regret
    February 17, 2011 - View more articles from the same authors. … Same Author(s) Off the record — avoiding the pitfalls of going electronic. … reflect upon the initial diagnosis. … September 23, 2020 Bracing for the storm: one health care system's planning for the COVID … November 19, 2014 The role of patient involvement in the diagnostic process in internal
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