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Showing results for "the change teams".

  1. Traditions of research into interruptions in healthcare: a conceptual review. | PSNet

    psnet.ahrq.gov/issue/traditions-research-interruptions-healthcare-conceptual-review
    April 19, 2017 - View more articles from the same authors. … April 19, 2017 Obstacles to research on the effects of interruptions in healthcare. … adverse events and activation of the medical emergency team. … adverse events in the deteriorating ward patient? … prescribing alerts in hospital CPOE systems to change prescriber behavior and improve patient safety

  2. Potentially inappropriate prescribing for elderly patients in 2 outpatient settings. | PSNet

    psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-elderly-patients-2-outpatient-settings
    November 18, 2009 - View more articles from the same authors. … The research team comparatively examined incidents of potentially inappropriate prescribing for elderly … October 14, 2009 An overview of patient safety climate in the VA. … February 15, 2023 Organizational readiness to change as a leverage point for improving … care unit compare to the rest of the hospital?

  3. Has the Leapfrog Group had an impact on the health care market? | PSNet

    psnet.ahrq.gov/issue/has-leapfrog-group-had-impact-health-care-market
    November 13, 2024 - Commentary Has the Leapfrog Group had an impact on the health care market? … Has the leapfrog group had an impact on the health care market? … The authors conclude that the impact of Leapfrog’s efforts is difficult to assess, but their role as … Has the leapfrog group had an impact on the health care market? … June 7, 2017 Bringing change-of-shift report to the bedside: a patient- and family-centered

  4. Morbidity and mortality: delays in my patient’s cancer care. | PSNet

    psnet.ahrq.gov/issue/morbidity-and-mortality-delays-my-patients-cancer-care
    July 15, 2020 - of the health care team - it is the way the system works": a mixed-methods quality improvement study … October 30, 2024 Undiagnosed cancer cases in the US during the first 10 months of the … May 22, 2024 The woman who cried pain: do sex-based disparities still exist in the experience … February 8, 2023 The Lancet Commission on lessons for the future from the COVID-19 pandemic … August 17, 2022 The Life and Death of Elizabeth Dixon: A Catalyst for Change.

  5. Integrating patient safety and clinical pharmacy services into the care of a high-risk, ambulatory population: a collaborative approach. | PSNet

    psnet.ahrq.gov/issue/integrating-patient-safety-and-clinical-pharmacy-services-care-high-risk-ambulatory
    April 08, 2020 - Study Integrating patient safety and clinical pharmacy services into the care of … View more articles from the same authors. … The Patient Safety and Clinical Pharmacy Services Collaborative aims to improve the care delivered to … This article reports the program's impact over the course of 54 Plan-Do-Study-Act cycles at Lincoln Community … July 5, 2017 Rolling out the rapid response team.

  6. Taking a detour: positive and negative effects of supervisors' interruptions during admission case review discussions. | PSNet

    psnet.ahrq.gov/issue/taking-detour-positive-and-negative-effects-supervisors-interruptions-during-admission-case
    November 21, 2018 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … July 24, 2019 'It depends': The complexity of allowing residents to fail from the perspective … Patient safety, resident well-being and continuity of care with different resident duty schedules in the … September 27, 2016 Shift change handovers and subsequent interruptions: potential impacts

  7. Development and testing of tools to detect ambulatory surgical adverse events. | PSNet

    psnet.ahrq.gov/issue/development-and-testing-tools-detect-ambulatory-surgical-adverse-events
    June 04, 2014 - View more articles from the same authors. … Using estimated true safety event rates versus flagged safety event rates: does it change … May 19, 2014 Validating the Patient Safety Indicators in the Veterans Health Administration … September 14, 2022 "Some version, most of the time": the surgical safety checklist, patient … safety, and the everyday experience of practice variation.

  8. Decoding laboratory test names: a major challenge to appropriate patient care. | PSNet

    psnet.ahrq.gov/issue/decoding-laboratory-test-names-major-challenge-appropriate-patient-care
    April 24, 2018 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … April 24, 2018 Opportunities to enhance laboratory professionals' role on the diagnostic … April 21, 2010 The challenges and opportunities for shared decision making highlighted … March 6, 2019 Changes in medication safety indicators in England throughout the covid

  9. Two sides to every story: the Dual Perspectives Method for examining interruptions in healthcare. | PSNet

    psnet.ahrq.gov/issue/two-sides-every-story-dual-perspectives-method-examining-interruptions-healthcare
    September 29, 2017 - Two sides to every story: The Dual Perspectives Method for examining interruptions in healthcare. … View more articles from the same authors. … adverse events and activation of the medical emergency team. … adverse events in the deteriorating ward patient? … prescribing alerts in hospital CPOE systems to change prescriber behavior and improve patient safety

  10. Twitter as a tool to enhance student engagement during an interprofessional patient safety course. | PSNet

    psnet.ahrq.gov/issue/twitter-tool-enhance-student-engagement-during-interprofessional-patient-safety-course
    July 08, 2020 - View more articles from the same authors. … January 30, 2013 Debriefing medical teams: 12 evidence-based best practices and tips. … dispenser on the frequency of hand hygiene among anesthesiology staff in the operating room. … in maternal morbidity and mortality in the United States. … improvement education during the morbidity and mortality conference.

  11. Cognitive aids in the management of clinical emergencies: a systematic review. | PSNet

    psnet.ahrq.gov/issue/cognitive-aids-management-clinical-emergencies-systematic-review
    January 12, 2022 - View more articles from the same authors. … Difficult Airway Society and the Association of Anaesthetists. … March 30, 2022 "Some version, most of the time": the surgical safety checklist, patient … safety, and the everyday experience of practice variation. … January 19, 2022 Surgical teams' attitudes about surgical safety and the surgical safety

  12. Impact of computerized prescriber order entry (CPOE) on clinical pharmacy practice: a hypothesis-generating study. | PSNet

    psnet.ahrq.gov/issue/impact-computerized-prescriber-order-entry-cpoe-clinical-pharmacy-practice-hypothesis
    November 16, 2022 - View more articles from the same authors. … This qualitative study, drawing on the opinions of selected pharmacy leaders, describes how computerized … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … January 8, 2020 Patient safety in primary care: conceptual meanings to the health care … July 26, 2011 The impact of a pharmacist's participation on hospitalists' rounds.

  13. Assessment of a simulated case-based measurement of physician diagnostic performance. | PSNet

    psnet.ahrq.gov/issue/assessment-simulated-case-based-measurement-physician-diagnostic-performance
    May 20, 2019 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … Integrating principles of safety culture and just culture into nursing homes: lessons from the … November 1, 2017 Does increased schedule flexibility lead to change? … January 23, 2017 Assessing resident safety culture in nursing homes: using the nursing

  14. Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service. | PSNet

    psnet.ahrq.gov/issue/emergency-department-boarding-and-adverse-hospitalization-outcomes-among-patients-admitted
    July 13, 2016 - View more articles from the same authors. … Less is known about the relationship between extended boarding time in the ED and patient outcomes. … worse outcomes in the first 24 hours of admission compared to patients transferred out of the ED to … June 27, 2018 Emergency department monitor alarms rarely change clinical management: … canary in the health care system.

  15. Beyond the medical record: other modes of error acknowledgment. | PSNet

    psnet.ahrq.gov/issue/beyond-medical-record-other-modes-error-acknowledgment
    August 03, 2009 - Beyond the medical record: other modes of error acknowledgment. … View more articles from the same authors. … Results suggested that less than half of the errors were formally noted in the medical record, while … the systems that lead to errors. … August 3, 2009 Residents' responses to medical error: coping, learning, and change.

  16. The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning system (CRLS): a pilot study. | PSNet

    psnet.ahrq.gov/issue/reporting-patient-safety-incidents-first-experiences-chiropractic-reporting-and-learning
    September 11, 2024 - Study The reporting of patient safety incidents—first experiences with the chiropractic … The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning … The authors explored the usefulness of a reporting format to record in chiropractic practice and found … The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning … September 11, 2024 An improvement approach to integrate teaching teams in the reporting

  17. Role of parents in the promotion of hand hygiene in the paediatric setting: a systematic literature review. | PSNet

    psnet.ahrq.gov/issue/role-parents-promotion-hand-hygiene-paediatric-setting-systematic-literature-review
    January 27, 2021 - Review Role of parents in the promotion of hand hygiene in the paediatric setting … Role of parents in the promotion of hand hygiene in the paediatric setting: a systematic literature review … View more articles from the same authors. … Role of parents in the promotion of hand hygiene in the paediatric setting: a systematic literature review … August 4, 2021 Hand hygiene and healthcare system change within multi-modal promotion

  18. A national physician survey of diagnostic error in paediatrics. | PSNet

    psnet.ahrq.gov/issue/national-physician-survey-diagnostic-error-paediatrics
    August 04, 2021 - View more articles from the same authors. … This survey of physicians found that cognitive error was the most common contributor to missed and … The authors expressed concern about the low frequency of perceived diagnostic errors and recommend further … June 3, 2020 Findings of the first consensus conference on medical emergency teams. … February 2, 2022 Bringing the equity lens to patient safety event reporting.

  19. Reducing retained foreign objects in the operating room: a quality improvement initiative. | PSNet

    psnet.ahrq.gov/issue/reducing-retained-foreign-objects-operating-room-quality-improvement-initiative
    April 19, 2023 - Study Reducing retained foreign objects in the operating room: a quality improvement … Reducing retained foreign objects in the operating room: a quality improvement initiative. … View more articles from the same authors. … Reducing retained foreign objects in the operating room: a quality improvement initiative. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the

  20. The use of report cards and outcome measurements to improve the safety of surgical care: the American College of Surgeons National Surgical Quality Improvement Program. | PSNet

    psnet.ahrq.gov/issue/use-report-cards-and-outcome-measurements-improve-safety-surgical-care-american-college
    May 26, 2016 - Review The use of report cards and outcome measurements to improve the safety of … The use of report cards and outcome measurements to improve the safety of surgical care: the American … View more articles from the same authors. … The National Surgical Quality Improvement Program (NSQIP) was developed to monitor and enhance the … The use of report cards and outcome measurements to improve the safety of surgical care: the American
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