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Total Results: 3,566 records

Showing results for "the change teams".

2481. COVID-19 and the Built Environment | PSNet
      psnet.ahrq.gov/perspective/covid-19-and-built-environment
      June 30, 2021 - KH: So, Molly, is the COVID-19 pandemic going to fundamentally change how we think about design for … If the whole unit is then designated as a COVID-19 unit, do we change the ventilation to make it a negative … One big change that is happening is the role of the waiting areas in these clinics and outpatient areas … What would you change to protect patients? … Hopefully post-COVID-19 we will not only be thinking about what needs to change in our infectious disease

2482. Suicide Risk in the Hospital | PSNet
      psnet.ahrq.gov/web-mm/suicide-risk-hospital
      November 01, 2011 - On arriving to the unit, the patient asked to use the bathroom. … Mills, PhD, MS Suicide is the 10th leading cause of death in the United States, resulting in the deaths … The next breakdown in the case was allowing the patient to be on her own without a clinical evaluation … on the unit. … change the members on the review team in order to have fresh input on what constitutes a hazard.

2483. Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation | PSNet
      psnet.ahrq.gov/web-mm/cardiac-arrest-woman-uti-case-qt-prolongation
      March 27, 2024 - interactions between the various medications that the patient was receiving.  … The error in this case was only recognized after the patient suffered a cardiac arrest. … The optimal time to re-check the electrocardiogram is at peak concentrations of the QTc prolonging agents … If multiple agents are used, consider checking the electrocardiogram at the peak concentration of the … good, the bad, and the improvements.

2484. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33572/psn-pdf
      December 15, 2024 - By standardizing the list of steps to be followed and formalizing the expectation that every step will … patient out of the operating room. … from the strong evidence base supporting each of the individual items in the checklist, and therefore … implementing a checklist is a complex sociotechnical endeavor, requiring frontline providers to not only change … of the checklist, and rigorously analyze data to assess use of the checklist and associated clinical

2485. Implementing standardized reporting and safety checklists. | PSNet
      psnet.ahrq.gov/issue/implementing-standardized-reporting-and-safety-checklists
      September 29, 2017 - View more articles from the same authors. … An educational intervention increased nurses' knowledge of the SBAR communication tool. … December 23, 2020 The evolution of the Anesthesia Patient Safety Movement in America: … October 20, 2010 The Psychological Safety Scale of the Safety, Communication, Operational … November 2, 2010 Implementing bedside handover: strategies for change management.

2486. Preventing harm in the ICU—building a culture of safety and engaging patients and families. | PSNet
      psnet.ahrq.gov/issue/preventing-harm-icu-building-culture-safety-and-engaging-patients-and-families
      March 14, 2022 - Review Preventing harm in the ICU—building a culture of safety and engaging patients … Preventing Harm in the ICU-Building a Culture of Safety and Engaging Patients and Families. … View more articles from the same authors. … May 22, 2013 Maintaining and sustaining the On the CUSP: Stop BSI model in Hawaii. … January 5, 2012 What is the value and impact of quality and safety teams?

2487. Proactive patient safety: focusing on what goes right in the perioperative environment. | PSNet
      psnet.ahrq.gov/issue/proactive-patient-safety-focusing-what-goes-right-perioperative-environment
      April 26, 2023 - Study Proactive patient safety: focusing on what goes right in the perioperative … Proactive patient safety: focusing on what goes right in the perioperative environment. … View more articles from the same authors. … Most participants reported the OSA activity would change their work practices, improve their work unit's … January 12, 2022 The RCA ReCAst: a root cause analysis simulation for the interprofessional

2488. Incorrect surgical counts: a qualitative analysis. | PSNet
      psnet.ahrq.gov/issue/incorrect-surgical-counts-qualitative-analysis
      September 12, 2012 - View more articles from the same authors. … Not surprisingly, the issues identified are known contributors to safety issues in the operating room … In light of these findings, the authors argue that addressing the persistent problem of retained surgical … July 1, 2016 Routine failures in the process for blood testing and the communication … in the Veterans Health Administration.

2489. The diagnostic moment: a study in US primary care. | PSNet
      psnet.ahrq.gov/issue/diagnostic-moment-study-us-primary-care
      June 16, 2021 - The diagnostic moment: a study in US primary care. … View more articles from the same authors. … This article discusses the concept of the “diagnostic moment” during doctor-patient communication in … Same Author(s) The role of the informal and formal organisation in voice about concerns … February 15, 2023 The effect of a transitional pharmaceutical care program on the occurrence

2490. Approaches to reducing the most important patient errors in primary health-care: patient and professional perspectives. | PSNet
      psnet.ahrq.gov/issue/approaches-reducing-most-important-patient-errors-primary-health-care-patient-and
      April 12, 2011 - Study Approaches to reducing the most important patient errors in primary health-care … View more articles from the same authors. … November 4, 2015 Bridging the gap: a framework and strategies for integrating the quality … April 14, 2011 Readiness for organisational change among general practice staff. … the physicians and nurses.

2491. Healthcare Inspection—Emergency Department Patient Deaths: Memphis VAMC, Memphis, Tennessee. | PSNet
      psnet.ahrq.gov/issue/healthcare-inspection-emergency-department-patient-deaths-memphis-vamc-memphis-tennessee
      November 29, 2023 - Management Processes and Delays in the Communication of Test Results and Follow-Up Care at the Phoenix … October 25, 2023 Deficiencies in the Community Care Network Credentialing Process of … John Cochran Division of the VA St. … Emergency at the VA Southern Nevada Health Care System in Las Vegas. … September 30, 2020 Emergency department monitor alarms rarely change clinical management

2492. Implementing patient safety practices in small ambulatory care settings. | PSNet
      psnet.ahrq.gov/issue/implementing-patient-safety-practices-small-ambulatory-care-settings
      April 19, 2013 - View more articles from the same authors. … The best practices (which overlapped significantly with the Joint Commission on Accreditation of Healthcare … The practices significantly improved the accuracy of patient medication and allergy lists during the … September 9, 2011 The state of health, burnout, healthy behaviors, workplace wellness … support, and concerns of medication errors in pharmacists during the COVID-19 pandemic.

2493. Systematic review of the application of the plan-do-study-act method to improve quality in healthcare. | PSNet
      psnet.ahrq.gov/issue/systematic-review-application-plan-do-study-act-method-improve-quality-healthcare
      May 01, 2019 - Review Systematic review of the application of the plan-do-study-act method to improve … Systematic review of the application of the plan-do-study-act method to improve quality in healthcare … View more articles from the same authors. … do not report on the key methodological features of iterative cycles, tests of change, and data use … Systematic review of the application of the plan-do-study-act method to improve quality in healthcare

2494. Risk of misdiagnosis and delayed diagnosis with COVID-19: a syndemic approach. | PSNet
      psnet.ahrq.gov/issue/risk-misdiagnosis-and-delayed-diagnosis-covid-19-syndemic-approach
      November 04, 2020 - View more articles from the same authors. … February 9, 2022 Has the COVID pandemic strengthened or weakened health care teams? … cognitive bias in the COVID-19 era. … August 12, 2020 COVID-19: making the right diagnosis. … August 5, 2020 Reducing the risk of diagnostic error in the COVID-19 era.

2495. The Human Factors Analysis Classification System (HFACS) applied to health care. | PSNet
      psnet.ahrq.gov/issue/human-factors-analysis-classification-system-hfacs-applied-health-care
      November 16, 2022 - The Human Factors Analysis Classification System (HFACS) applied to health care. … View more articles from the same authors. … The Human Factors Analysis Classification System (HFACS) applied to health care. … : a scientific statement from the American Heart Association. … September 27, 2016 Human cognition and the dynamics of failure to rescue: the Lewis Blackman

2496. Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. | PSNet
      psnet.ahrq.gov/issue/patients-do-not-always-complain-when-they-are-dissatisfied-implications-service-quality-and
      April 11, 2011 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … October 6, 2011 What is the role of individual accountability in patient safety? … January 5, 2017 Description of the development and validation of the Canadian Paediatric … March 21, 2017 The missing evidence: a systematic review of patients' experiences of

2497. Blink or think: can further reflection improve initial diagnostic impressions? | PSNet
      psnet.ahrq.gov/issue/blink-or-think-can-further-reflection-improve-initial-diagnostic-impressions
      November 28, 2012 - View more articles from the same authors. … This direct observation study examined cognition among experienced clinicians in the setting of their … August 15, 2018 How teams work—or don’t—in primary care: a field study on internal medicine … A study of the role of salient distracting clinical features. … March 12, 2014 The biggest mistake doctors make.

2498. Extended work shifts and neurobehavioral performance in resident-physicians. | PSNet
      psnet.ahrq.gov/issue/extended-work-shifts-and-neurobehavioral-performance-resident-physicians
      July 15, 2020 - View more articles from the same authors. … May 25, 2022 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … September 28, 2010 Crowding in the Emergency Department: Challenges for the Care of Children … March 15, 2023 The Critical Care Safety Study: the incidence and nature of adverse events … the past decade of duty hour changes.

2499. Assessment of the use of patient vital sign data for preventing misidentification and medical errors. | PSNet
      psnet.ahrq.gov/issue/assessment-use-patient-vital-sign-data-preventing-misidentification-and-medical-errors
      February 16, 2022 - September 21, 2022 The secondary use of data to support medication safety in the hospital … February 23, 2022 Quality and safety: learning from the past and (re)imagining the future … January 27, 2021 The effect of the fit between organizational culture and structure on … April 12, 2023 Quality and safety: learning from the past and (re)imagining the future … July 3, 2016 Patient identification errors: the detective in the laboratory.

2500. Microsystems in health care: Part 2. Creating a rich information environment. | PSNet
      psnet.ahrq.gov/issue/microsystems-health-care-part-2-creating-rich-information-environment
      July 19, 2023 - View more articles from the same authors. … The authors describe three information delivery systems highly tailored to specific needs (a specialty … efficiency within these settings, and between these settings and the larger organization. … October 19, 2022 Improving handoffs in the emergency department. … June 16, 2021 Dropping the baton during the handoff from emergency department to primary