Results

Total Results: 3,566 records

Showing results for "the change teams".

2761. Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture. | PSNet
      psnet.ahrq.gov/issue/enculturation-unsafe-attitudes-and-behaviors-student-perceptions-safety-culture
      October 31, 2012 - View more articles from the same authors. … This survey of senior medical students used a modified version of the AHRQ Hospital Survey on Patient … The results of this study mirror prior research that consistently finds lower perceptions of safety … February 6, 2014 The medical student as a patient: attitudes towards involvement in the … October 30, 2013 Can teaching medical students to investigate medication errors change

2762. Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. | PSNet
      psnet.ahrq.gov/issue/verifying-patient-identity-and-site-surgery-improving-compliance-protocol-audit-and-feedback
      October 26, 2010 - View more articles from the same authors. … protocols with periodic audits and feedback to increase compliance with patient identification in the … While the process did improve, the authors advocate for technological solutions to address the limitations … Related Resources Closed-loop communication in interprofessional emergency teams … October 3, 2011 The wrong foot, and other tales of surgical error.

2763. A prospective study to evaluate awareness about medication errors amongst health-care personnel representing North, East, West Regions of India. | PSNet
      psnet.ahrq.gov/issue/prospective-study-evaluate-awareness-about-medication-errors-amongst-health-care-personnel
      May 17, 2018 - The authors hope that insights from this study may support the establishment of a reporting system … May 17, 2018 We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 … February 7, 2024 The prescription opioid crisis: role of the anaesthesiologist in reducing … July 24, 2019 Surgical teams' attitudes about surgical safety and the surgical safety … December 18, 2013 Medication errors and response bias: the tip of the iceberg.

2764. The accuracy of the Global Trigger Tool is higher for the identification of adverse events of greater harm: a diagnostic test study. | PSNet
      psnet.ahrq.gov/issue/accuracy-global-trigger-tool-higher-identification-adverse-events-greater-harm-diagnostic
      November 17, 2021 - Study The accuracy of the Global Trigger Tool is higher for the identification of … The accuracy of the Global Trigger Tool is higher for the identification of adverse events of greater … In this study, researchers aimed to determine the accuracy of the GTT through a diagnostic test study … The accuracy of the Global Trigger Tool is higher for the identification of adverse events of greater … August 26, 2020 How real-time data can change the patient safety game.

2765. Review of patient safety incidents submitted from critical care units in England & Wales to the UK National Patient Safety Agency. | PSNet
      psnet.ahrq.gov/issue/review-patient-safety-incidents-submitted-critical-care-units-england-wales-uk-national
      July 16, 2008 - Review of patient safety incidents submitted from critical care units in England & Wales to the … Review of patient safety incidents submitted from Critical Care Units in England & Wales to the UK National … View more articles from the same authors. … This review of incident reports submitted to the United Kingdom's National Patient Safety Agency … revealed that medication errors were the most common type of safety problem reported in critical care

2766. Improving organizational climate for quality and quality of care: does membership in a collaborative help? | PSNet
      psnet.ahrq.gov/issue/improving-organizational-climate-quality-and-quality-care-does-membership-collaborative-help
      December 14, 2016 - View more articles from the same authors. … This controlled study, conducted in primary care clinics, examined the effect of a quality improvement … Clinics that participated in the collaborative did not achieve greater improvements in the targeted measures … The authors speculate that the collaborative approach may be useful for more specific, targeted safety … Perspective What We've Learned About Leveraging Leadership and Culture to Affect Change

2767. Exploring organizational context and structure as predictors of medication errors and patient falls. | PSNet
      psnet.ahrq.gov/issue/exploring-organizational-context-and-structure-predictors-medication-errors-and-patient-falls
      January 22, 2020 - View more articles from the same authors. … Detailed description of the theoretical research model employed for this analysis is provided. … The authors conclude that achieving optimal safety outcomes may depend on a strong safety climate but … January 22, 2020 Organizational safety climate and job enjoyment in hospital surgical teams … with patient safety in the context of rehabilitation.

2768. Do calculation errors by nurses cause medication errors in clinical practice? A literature review. | PSNet
      psnet.ahrq.gov/issue/do-calculation-errors-nurses-cause-medication-errors-clinical-practice-literature-review
      December 14, 2016 - View more articles from the same authors. … A 2008 Joint Commission Sentinel Event Alert highlighted the increased risk of medication errors in … This review sought to evaluate the connection between calculation errors and actual medication errors … preventing these errors, few studies have specifically measured the effect of calculation errors on … February 12, 2014 The introduction of computerized physician order entry and change management

2769. Risk and pharmacoeconomic analyses of the injectable medication process in the paediatric and neonatal intensive care units. | PSNet
      psnet.ahrq.gov/issue/risk-and-pharmacoeconomic-analyses-injectable-medication-process-paediatric-and-neonatal
      December 17, 2014 - Risk and pharmacoeconomic analyses of the injectable medication process in the paediatric and neonatal … View more articles from the same authors. … Risk and pharmacoeconomic analyses of the injectable medication process in the paediatric and neonatal … the cancer chemotherapy process. … December 22, 2021 Don't underestimate the impact of change on risk potential.

2770. Implantable infusion pumps in the magnetic resonance (MR) environment: FDA safety communication—important safety precautions. | PSNet
      psnet.ahrq.gov/issue/implantable-infusion-pumps-magnetic-resonance-mr-environment-fda-safety-communication
      February 07, 2018 - Press Release/Announcement Implantable infusion pumps in the magnetic resonance ( … Hazards in the magnetic resonance imaging environment can result in patient harm . … This announcement raises awareness of inaccuracies and disruptions that may affect the safety of patients … The statement recommends that patients inform their care team and carry an implant card with information … about the implanted device to prevent these problems.

2771. Automation of the I-PASS tool to improve transitions of care. | PSNet
      psnet.ahrq.gov/issue/automation-i-pass-tool-improve-transitions-care
      August 04, 2021 - Study Automation of the I-PASS tool to improve transitions of care. … Automation of the I-PASS Tool to Improve Transitions of Care. … View more articles from the same authors. … Automation of the I-PASS Tool to Improve Transitions of Care. … September 23, 2020 Improving handoffs in the emergency department.

2772. Implementation of simulation training during the COVID-19 pandemic: a New York hospital experience. | PSNet
      psnet.ahrq.gov/issue/implementation-simulation-training-during-covid-19-pandemic-new-york-hospital-experience
      February 15, 2023 - Commentary Implementation of simulation training during the COVID-19 pandemic: a … Implementation of simulation training during the COVID-19 pandemic: a New York hospital experience. … View more articles from the same authors. … This article describes one hospital’s experience implementing simulation training during the COVID-19 … November 10, 2021 The calm before the storm: utilizing in situ simulation to evaluate

2773. Relationship of staff information sharing and advice networks to patient safety outcomes. | PSNet
      psnet.ahrq.gov/issue/relationship-staff-information-sharing-and-advice-networks-patient-safety-outcomes
      June 22, 2011 - View more articles from the same authors. … Researchers describe the use of a social network analysis tool to examine the impact of nursing staff … They conclude that such an approach may provide supervisors with useful information for system-level change … September 20, 2016 Is technology the best medicine? … November 4, 2015 Workarounds in the workplace: a second look.

2774. Analysing potential harm in Australian general practice: an incident-monitoring study. | PSNet
      psnet.ahrq.gov/issue/analysing-potential-harm-australian-general-practice-incident-monitoring-study
      July 29, 2020 - View more articles from the same authors. … Of the 805 incidents reported, 76% were qualitatively judged to be preventable and 27% to have the potential … The authors provide a detailed breakdown of the types of incidents, factors that mitigated the harm caused … by the incidents, and demographics of the affected patients. … The authors classify the underlying causes of the events in four categories—communications problems,

2775. The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events. | PSNet
      psnet.ahrq.gov/issue/design-safe-or-sorry-study-cluster-randomised-trial-development-and-testing-evidence-based
      May 22, 2013 - Study The design of the SAFE or SORRY? … The design of the SAFE or SORRY? … The authors discuss the challenges of their program development and implementation, including the need … The design of the SAFE or SORRY? … November 12, 2014 Effects of the introduction of the WHO "Surgical Safety Checklist"

2776. Pediatric medication safety considerations for pharmacists in an adult hospital setting. | PSNet
      psnet.ahrq.gov/issue/pediatric-medication-safety-considerations-pharmacists-adult-hospital-setting
      January 29, 2020 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … January 29, 2020 Confronting safety gaps across labor and delivery teams. … May 21, 2019 Nurses' perspectives on the intersection of safety and informed decision … the Preparation of Parenteral Nutrition Admixtures.

2777. Impact of out-of-hours admission on patient mortality: longitudinal analysis in a tertiary acute hospital. | PSNet
      psnet.ahrq.gov/issue/impact-out-hours-admission-patient-mortality-longitudinal-analysis-tertiary-acute-hospital
      July 21, 2017 - View more articles from the same authors. … The weekend effect is a term used to describe the finding that patient outcomes are worse during … patients admitted as emergencies on nights and weekends were at increased risk of mortality and that the … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … from the emergency department to the intensive care unit.

2778. ASPEN survey of parenteral nutrition access issues: how the system fails the patients. | PSNet
      psnet.ahrq.gov/issue/aspen-survey-parenteral-nutrition-access-issues-how-system-fails-patients
      October 02, 2013 - Study ASPEN survey of parenteral nutrition access issues: how the system fails the … ASPEN survey of parenteral nutrition access issues: how the system fails the patient. … ASPEN survey of parenteral nutrition access issues: how the system fails the patient. … December 22, 2021 The Psychological Safety Scale of the Safety, Communication, Operational … January 24, 2024 Using stakeholder intervention refinement teams to develop approaches

2779. Handoff tool improves transitions from the operating room to the neonatal intensive care unit. | PSNet
      psnet.ahrq.gov/issue/handoff-tool-improves-transitions-operating-room-neonatal-intensive-care-unit
      November 16, 2022 - Study Handoff tool improves transitions from the operating room to the neonatal intensive … Handoff tool improves transitions from the operating room to the neonatal intensive care unit. … This study describes the development and implementation of a bespoke tool for handoffs from the operating … While use remained inconsistent during the study period, the goal of 80% compliance was achieved and … Handoff tool improves transitions from the operating room to the neonatal intensive care unit.

2780. Blood and blood products transfusion errors: what can we do to improve patient safety. | PSNet
      psnet.ahrq.gov/issue/blood-and-blood-products-transfusion-errors-what-can-we-do-improve-patient-safety
      September 23, 2020 - View more articles from the same authors. … Incorrect patient registration , application of the wrong label , and blood draw from the wrong patient … Initial and continuing education for all members of the team, including registration staff, should be … September 23, 2020 Response of practicing chiropractors during the early phase of the … : The influence of race and gender on evaluations of medical errors.