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Showing results for "the change teams".

2421. Organisational learning in hospitals: a concept analysis. | PSNet
      psnet.ahrq.gov/issue/organisational-learning-hospitals-concept-analysis
      August 21, 2019 - View more articles from the same authors. … This review defines the concept of organizational learning, characteristics of the activity, and the … The authors summarize the role that nursing and organizational leaders play in creating an environment … November 16, 2022 The natural history of recovery for the healthcare provider "second … December 18, 2017 Using Kotter's change model for implementing bedside handoff: a quality

2422. The effect of collaboration on obstetric patient safety in three academic facilities. | PSNet
      psnet.ahrq.gov/issue/effect-collaboration-obstetric-patient-safety-three-academic-facilities
      October 19, 2022 - The Effect of Collaboration on Obstetric Patient Safety in Three Academic Facilities. … View more articles from the same authors. … October 20, 2014 Application of the IV Medication Harm Index to assess the nature of … March 23, 2011 The road to zero preventable birth injuries. … Development and usability of a behavioural marking system for performance assessment of obstetrical teams

2423. Hospitals often ignore policies on using qualified medical interpreters. | PSNet
      psnet.ahrq.gov/issue/hospitals-often-ignore-policies-using-qualified-medical-interpreters
      April 22, 2016 - View more articles from the same authors. … September 29, 2017 The human factor. … the time of COVID-19. … Barrier April 1, 2006 Perspective Organizational Change … in the Face of Highly Public Errors—I.

2424. The limits of checklists: handoff and narrative thinking. | PSNet
      psnet.ahrq.gov/issue/limits-checklists-handoff-and-narrative-thinking
      July 01, 2017 - Commentary The limits of checklists: handoff and narrative thinking. … The limits of checklists: handoff and narrative thinking. … View more articles from the same authors. … The limits of checklists: handoff and narrative thinking. … October 3, 2017 Natural history of retained surgical items supports the need for team

2425. Reasons for after-hours calls by hospital floor nurses to on-call physicians. | PSNet
      psnet.ahrq.gov/issue/reasons-after-hours-calls-hospital-floor-nurses-call-physicians
      March 21, 2017 - View more articles from the same authors. … The researchers identified reasons for after-hours calls to physicians and suggest interventions to help … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … May 29, 2014 The Safety Attitudes Questionnaire: psychometric properties, benchmarking … June 9, 2010 The content and context of change of shift report on medical and surgical

2426. Attitudes toward medical device use errors and the prevention of adverse events. | PSNet
      psnet.ahrq.gov/issue/attitudes-toward-medical-device-use-errors-and-prevention-adverse-events
      September 24, 2016 - Attitudes toward medical device use errors and the prevention of adverse events. … View more articles from the same authors. … This qualitative study reported the user, pump design problems, and lack of training as the most frequent … September 28, 2016 The nature and occurrence of registration errors in the emergency … June 16, 2019 Don't underestimate the impact of change on risk potential.

2427. A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and patient safety. | PSNet
      psnet.ahrq.gov/issue/systematic-review-human-factors-and-ergonomics-hfe-based-healthcare-system-redesign-quality
      February 13, 2014 - View more articles from the same authors. … This systematic review sought to determine the impact of human factors engineering principles on quality … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … September 11, 2019 Usability of a human factors-based clinical decision support in the … November 6, 2015 Hand hygiene and healthcare system change within multi-modal promotion

2428. Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives. | PSNet
      psnet.ahrq.gov/issue/chronicle-pandemic-foretold-learning-covid-19-failure-next-outbreak-arrives
      June 08, 2022 - Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives … to the spread of COVID-19 and recommend learning  from this experience to enhance the safety of the … November 16, 2022 Crisis management for surgical teams and their leaders, lessons from … The reality was worse. … October 21, 2020 The slow, troubling death of the autopsy.

2429. The role of information technology in healthcare communications, efficiency, and patient safety: application and results. | PSNet
      psnet.ahrq.gov/issue/role-information-technology-healthcare-communications-efficiency-and-patient-safety
      October 19, 2022 - Commentary The role of information technology in healthcare communications, efficiency … The role of information technology in healthcare communications, efficiency, and patient safety: application … View more articles from the same authors. … The authors describe a patient care communication program that uses radio frequency identification to … What the research reveals.

2430. Implementing smart infusion pumps with dose-error reduction software: real-world experiences. | PSNet
      psnet.ahrq.gov/issue/implementing-smart-infusion-pumps-dose-error-reduction-software-real-world-experiences
      May 26, 2021 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … September 11, 2024 Did the organization of primary care practices during the COVID-19 … November 20, 2024 WHO research agenda on the role of the institutional safety climate … November 6, 2024 What does 'safe care' mean in the context of community-based mental

2431. The WakeWings journey: creating a patient safety program. | PSNet
      psnet.ahrq.gov/issue/wakewings-journey-creating-patient-safety-program
      September 23, 2020 - The WakeWings Journey: Creating a Patient Safety Program. … View more articles from the same authors. … September 23, 2020 Improving the bar-coded medication administration system at the Department … May 25, 2016 Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change … Health Care from the Inside Out.

2432. Frequency of pediatric medication administration errors and contributing factors. | PSNet
      psnet.ahrq.gov/issue/frequency-pediatric-medication-administration-errors-and-contributing-factors
      November 16, 2022 - View more articles from the same authors. … The authors argue that their findings reinforce the need to adopt a systems approach to prevention … Same Author(s) Scientific view of the global literature on medical error reporting and … December 21, 2022 Crowding in the Emergency Department: Challenges for the Care of Children … March 15, 2023 Pharmacists on rounding teams reduce preventable adverse drug events in

2433. How safe is my intensive care unit? An overview of error causation and prevention. | PSNet
      psnet.ahrq.gov/issue/how-safe-my-intensive-care-unit-overview-error-causation-and-prevention
      November 25, 2020 - View more articles from the same authors. … This article connects research in patient safety with the experiences of acutely ill patients in the … The authors stress teamwork and the standardization and improvement of care process reliability. … August 21, 2013 Findings of the first consensus conference on medical emergency teams … January 12, 2011 Infection Control in the Intensive Care Unit.

2434. The relationship between safety culture and patient outcomes: results from pilot meta-analyses. | PSNet
      psnet.ahrq.gov/issue/relationship-between-safety-culture-and-patient-outcomes-results-pilot-meta-analyses
      January 08, 2020 - Study The relationship between safety culture and patient outcomes: results from … View more articles from the same authors. … outcomes, although the number of eligible studies was very small. … s) A mixed methods study examining teamwork shared mental models of interprofessional teams … January 20, 2015 Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer

2435. Why diagnostic errors don't get any respect--and what can be done about them. | PSNet
      psnet.ahrq.gov/issue/why-diagnostic-errors-dont-get-any-respect-and-what-can-be-done-about-them
      February 10, 2015 - View more articles from the same authors. … This commentary discusses the challenges in measuring diagnostic errors and developing solutions for … The author discusses the potential roles of health information technology , improved training , and … July 29, 2009 The value from investments in health information technology at the U.S. … January 31, 2013 Still Crossing The Quality Chasm.

2436. Error in medicine. | PSNet
      psnet.ahrq.gov/issue/error-medicine
      November 02, 2014 - View more articles from the same authors. … With reference to Reason, he briefly reviews the cognitive psychology of human error, distinguishing … "), and at the rule-based or "knowledge" level, where an error is a " mistake ." … June 13, 2011 The nature of adverse events in hospitalized patients. … Results of the Harvard Medical Practice Study II.

2437. The ongoing quality improvement journey: next stop, high reliability. | PSNet
      psnet.ahrq.gov/issue/ongoing-quality-improvement-journey-next-stop-high-reliability
      January 23, 2012 - The ongoing quality improvement journey: next stop, high reliability. … View more articles from the same authors. … February 15, 2012 Leading clinical handover improvement: a change strategy to implement … best practices in the acute care setting. … March 2, 2011 The Preventable Harm Index: an effective motivator to facilitate the drive

2438. What is accountability in health care? | PSNet
      psnet.ahrq.gov/issue/what-accountability-health-care
      April 19, 2013 - The discussion begins with explanations of the loci, domains, and procedures of accountability. … into the current health care climate. … The authors comment on the challenges with existing models of accountability and provide a detailed understanding … of the interplay among them. … November 2, 2018 The practice of respect in the ICU.

2439. Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered Care. | PSNet
      psnet.ahrq.gov/issue/procuring-interoperability-achieving-high-quality-connected-and-person-centered-care
      September 19, 2018 - This publication explores the barriers to achieving the interoperability needed to build a robust … The report advocates for adjusting purchasing behaviors to focus less on the price and features of each … June 16, 2012 Artificial Intelligence in Health Care: The Hope, the Hype, the Promise … , the Peril. … the National Agenda for Systemic Change for Enhanced Clinician Well-Being.

2440. Prevent errors during emergency use of hypertonic sodium chloride solutions. | PSNet
      psnet.ahrq.gov/issue/prevent-errors-during-emergency-use-hypertonic-sodium-chloride-solutions
      March 10, 2021 - The piece shares recommendations touching on various elements of the medication delivery process to enhance … Copy Citation Related Resources From the Same Author(s) A recurring call … March 10, 2021 Mix-ups between the influenza (Flu) vaccine and COVID-19 vaccines. … March 3, 2021 Intravenous (IV) push medications – bridging the gap between education … 2023 ISMP Survey provides insights into preparation and admixture practices OUTSIDE the