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Total Results: 3,566 records

Showing results for "the change teams".

2781. BONE break: a hot debrief tool to reduce second victim syndrome for nurses. | PSNet
      psnet.ahrq.gov/issue/bone-break-hot-debrief-tool-reduce-second-victim-syndrome-nurses
      August 02, 2015 - View more articles from the same authors. … after the event to provide peer support to the impacted nurse . … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … July 24, 2024 Rapid expansion of the Healing Emotional Lives of Peers program during … October 13, 2021 Suicide risk, changing jobs, or leaving the nursing profession in the

2782. Defining a high-quality and effective morbidity and mortality conference: a systematic review. | PSNet
      psnet.ahrq.gov/issue/defining-high-quality-and-effective-morbidity-and-mortality-conference-systematic-review
      September 30, 2012 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams … June 12, 2009 Perspective Rediscovering the Power of the … Surgical M&M Conference: The M+M Matrix September 1, 2007 View More

2783. Clinical and financial effects of smart pump-electronic medical record interoperability at a hospital in a regional health system. | PSNet
      psnet.ahrq.gov/issue/clinical-and-financial-effects-smart-pump-electronic-medical-record-interoperability-hospital
      November 16, 2022 - View more articles from the same authors. … This case study describes the implementation of a smart pump–electronic medical record interoperability … The authors report a positive impact on both revenue and patient safety . … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … December 21, 2018 Selected medication safety risks that can easily fall off the radar

2784. Patient safety and image transfer between referring hospitals and neuroscience centres: could we do better? | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-image-transfer-between-referring-hospitals-and-neuroscience-centres-could
      July 19, 2023 - View more articles from the same authors. … This British study contends that the inability to reliably transmit CT and MRI images between hospitals … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … December 14, 2022 Fall prevention with the Smart Socks System reduces hospital … December 29, 2014 A multicenter trial of aviation-style training for surgical teams.

2785. Novel telephone-based interactive voice response system for incident reporting. | PSNet
      psnet.ahrq.gov/issue/novel-telephone-based-interactive-voice-response-system-incident-reporting
      September 08, 2021 - View more articles from the same authors. … In this comparison study of web-based and interactive voice response systems (IVRS), the mean number … of reports was higher for IVRS and length of time to complete the report was lower. … May 12, 2021 Using participatory design to engage physicians in the development of a … February 22, 2019 Electronic approaches to making sense of the text in the adverse event

2786. Ten years later, alarm fatigue is still a safety concern. | PSNet
      psnet.ahrq.gov/issue/ten-years-later-alarm-fatigue-still-safety-concern
      October 25, 2023 - View more articles from the same authors. … The article describes the progress made in reducing nonactionable alarms and making actionable alarms … of alert parameters to reduce nonactionable alarms, while engineering solutions include reducing the … volume or adjusting the tone of auditory alerts. … November 15, 2023 Battling alarm fatigue in the pediatric intensive care unit.

2787. Safety for home care: the use of internet video calls to double-check interventions. | PSNet
      psnet.ahrq.gov/issue/safety-home-care-use-internet-video-calls-double-check-interventions
      August 04, 2021 - Study Safety for home care: the use of internet video calls to double-check interventions … Safety for home care: the use of internet video calls to double-check interventions. … View more articles from the same authors. … Safety for home care: the use of internet video calls to double-check interventions. … October 20, 2021 Geriatric medication reconciliation in the home setting.

2788. Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to action. | PSNet
      psnet.ahrq.gov/issue/defining-critical-role-nurses-diagnostic-error-prevention-conceptual-framework-and-call
      October 28, 2020 - Review Defining the critical role of nurses in diagnostic error prevention: a conceptual … Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call … View more articles from the same authors. … The authors suggest improvements in health care culture is required to implement the recommended changes … April 21, 2016 COVID-19: the dark side and the sunny side for patient safety.

2789. Healthcare in a land called PeoplePower: nothing about me without me. | PSNet
      psnet.ahrq.gov/issue/healthcare-land-called-peoplepower-nothing-about-me-without-me
      March 18, 2019 - View more articles from the same authors. … the Patient’s Eyes.” … The premise builds on a principle of “nothing about me without me,” as teams of health professionals, … The authors share the participants’ visions of an ideal clinician-patient relationship and the role hospitals … October 1, 2013 Patient safety beyond the hospital.

2790. COVID-19: the dark side and the sunny side for patient safety. | PSNet
      psnet.ahrq.gov/issue/covid-19-dark-side-and-sunny-side-patient-safety
      August 05, 2020 - Commentary COVID-19: the dark side and the sunny side for patient safety. … COVID-19: the dark side and the sunny side for patient safety. … View more articles from the same authors. … COVID-19: the dark side and the sunny side for patient safety. … Same Author(s) Supporting the emotional well-being of health care workers during the COVID

2791. Key factors for effective implementation of healthcare workers support interventions after patient safety incidents in health organisations: a scoping review. | PSNet
      psnet.ahrq.gov/issue/key-factors-effective-implementation-healthcare-workers-support-interventions-after-patient
      September 27, 2023 - View more articles from the same authors. … The review also highlights the importance of peer support training and resource allocation (e.g., funding … September 19, 2016 Lessons learned for reducing the negative impact of adverse events … August 11, 2021 The second victim phenomenon after a clinical error: the design and evaluation … October 13, 2021 Suicide risk, changing jobs, or leaving the nursing profession in the

2792. Hastened death due to disease burden and distress that has not received timely, quality palliative care is a medical error. | PSNet
      psnet.ahrq.gov/issue/hastened-death-due-disease-burden-and-distress-has-not-received-timely-quality-palliative
      October 31, 2023 - View more articles from the same authors. … The patients in two of the cases were never offered palliative care services, and this could be considered … patient in the third case study. … October 28, 2020 COVID-19: to be or not to be; that is the diagnostic question. … April 19, 2023 Care Delivery within Community Mental Health Teams.

2793. A systematic review of the prevalence and types of adverse events in interfacility critical care transfers by paramedics. | PSNet
      psnet.ahrq.gov/issue/systematic-review-prevalence-and-types-adverse-events-interfacility-critical-care-transfers
      November 25, 2020 - View more articles from the same authors. … Interfacility transport of critically ill patients may be performed by physician-led teams or by paramedics … August 20, 2018 Routine failures in the process for blood testing and the communication … and emergency department staff in the deteriorating patient. … from the emergency department to the intensive care unit.

2794. Improving departmental psychological safety through a medical school-wide initiative | PSNet
      psnet.ahrq.gov/issue/improving-departmental-psychological-safety-through-medical-school-wide-initiative
      July 19, 2023 - View more articles from the same authors. … ethical and legal consequences of medical errors: insights from the RaDonda Vaught case using the jigsaw … irregular incidents in the medical clinic. … June 5, 2019 The association between organizational culture and the ability to benefit … events: the "When Things Go Wrong" curriculum.

2795. Pediatric obesity and safety in inpatient settings: a systematic literature review. | PSNet
      psnet.ahrq.gov/issue/pediatric-obesity-and-safety-inpatient-settings-systematic-literature-review
      November 12, 2014 - View more articles from the same authors. … This systematic review sought to determine how obesity affects the risk of adverse events in hospitalized … Based on these findings, the authors conclude that increased hospital awareness and new safety strategies … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … January 12, 2022 Optimizing Pediatric Patient Safety in the Emergency Care Setting.

2796. Opioid dependence and overdose after surgery: rate, risk factors, and reasons. | PSNet
      psnet.ahrq.gov/issue/opioid-dependence-and-overdose-after-surgery-rate-risk-factors-and-reasons
      August 05, 2020 - View more articles from the same authors. … August 5, 2020 Opioid prescribing in the United States before and after the Centers for … misuse among the surgical patients with persistent opioid use. … December 19, 2017 The $17.1 billion problem: the annual cost of measurable medical errors … February 3, 2015 Patient characteristics and the occurrence of never events.

2797. Components of hospital perioperative infrastructure can overcome the weekend effect in urgent general surgery procedures. | PSNet
      psnet.ahrq.gov/issue/components-hospital-perioperative-infrastructure-can-overcome-weekend-effect-urgent-general
      July 05, 2017 - Study Components of hospital perioperative infrastructure can overcome the weekend … View more articles from the same authors. … The weekend effect is a well-documented phenomenon where patients admitted over the weekend have inferior … findings for the quality of care of patients with acute myocardial infarction: results of the Emergency … View More Related Resources Transparency, public reporting, and a culture of change

2798. Making communication and resolution programmes mission critical in healthcare organisations. | PSNet
      psnet.ahrq.gov/issue/making-communication-and-resolution-programmes-mission-critical-healthcare-organisations
      September 09, 2020 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … October 27, 2021 Association of open communication and the emotional and behavioural … Interview In Conversation with Jessica Behrhorst about The … September 8, 2021 Targeting zero harm: a stretch goal that risks breaking the spring.

2799. Understanding the clinical implications of resident involvement in uncommon operations. | PSNet
      psnet.ahrq.gov/issue/understanding-clinical-implications-resident-involvement-uncommon-operations
      October 26, 2022 - Study Understanding the clinical implications of resident involvement in uncommon … Understanding the Clinical Implications of Resident Involvement in Uncommon Operations. … View more articles from the same authors. … Understanding the Clinical Implications of Resident Involvement in Uncommon Operations. … improvement education during the morbidity and mortality conference.

2800. How can regulatory authorities improve safety in organizations by influencing safety culture? A conceptual model of the relationships and a discussion of implications. | PSNet
      psnet.ahrq.gov/issue/how-can-regulatory-authorities-improve-safety-organizations-influencing-safety-culture
      July 07, 2021 - A conceptual model of the relationships and a discussion of implications. … View more articles from the same authors. … the "beast"? … July 23, 2010 Shepherding change: how the market, healthcare providers, and public policy … can deliver quality care for the 21st century.