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Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies. | PSNet

psnet.ahrq.gov/issue/determining-skills-needed-frontline-nhs-staff-deliver-quality-improvement-findings-six-case

March 30, 2022 - Study Determining the skills needed by frontline NHS staff to deliver quality improvement … View more articles from the same authors. … , and the ability to consider local context. … July 20, 2022 Quality improvement as a primary approach to change in healthcare: a precarious … : experience in the UK Safer Patients Initiative.

Multifaceted interventions improve adherence to the surgical checklist. | PSNet

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November 07, 2012 - Multifaceted interventions improve adherence to the surgical checklist. … View more articles from the same authors. … outcomes in clinical trials and are widely recommended, but a recent observational study showed no change … The authors report only 30% adherence to the WHO surgical checklist 1 year after adoption. … January 4, 2011 Are we missing the near misses in the OR?

Improving health care quality and patient safety through peer-to-peer assessment: demonstration project in two academic medical centers. | PSNet

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March 14, 2018 - View more articles from the same authors. … The process was widely accepted by leaders and frontline staff at both sites. … Same Author(s) Pediatric medication safety in the emergency department. … July 21, 2017 View More Related Resources Prompting rounding teams … ICU: the Spanish experience.

Determinants of adverse events in vascular surgery. | PSNet

psnet.ahrq.gov/issue/determinants-adverse-events-vascular-surgery

March 21, 2012 - View more articles from the same authors. … the time of COVID-19. … June 3, 2020 Advancing the science of patient safety. … October 27, 2010 A multicenter trial of aviation-style training for surgical teams. … Surgical Quality Improvement Program in the private sector: the Patient Safety in Surgery study.

Detach yourself: the positive effect of psychological detachment on patient safety in long-term care. | PSNet

psnet.ahrq.gov/issue/detach-yourself-positive-effect-psychological-detachment-patient-safety-long-term-care

March 02, 2022 - Study Detach yourself: the positive effect of psychological detachment on patient … View more articles from the same authors. … Attitudes Questionnaire in nursing and residential homes in the Netherlands. … May 20, 2016 Implementation of participatory organizational change in long term care … for the Long Haul.

Effects of nursing rounds on patients' call light use, satisfaction, and safety. | PSNet

psnet.ahrq.gov/issue/effects-nursing-rounds-patients-call-light-use-satisfaction-and-safety

September 01, 2021 - The authors discuss the implications of these findings and call for greater understanding of the relationship … The article also shares a nurse manager's story of how she encouraged the staff to conduct the new rounds … and includes an embedded commentary on the sustainability of the efforts one year later. … September 1, 2021 A systematic review of the effect of telepharmacy services in the community … August 26, 2011 Patient self-medication--a change in hospital practice.

Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals. | PSNet

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October 27, 2021 - Study Putting out fires: a qualitative study exploring the use of patient complaints … Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at … View more articles from the same authors. … interviewed in this qualitative study revealed that patient complaints rarely lead to organization-wide change … preventable adverse events or the end of adverse events as a useful metric?

Relationship between occurrence of surgical complications and hospital finances. | PSNet

psnet.ahrq.gov/issue/relationship-between-occurrence-surgical-complications-and-hospital-finances

April 21, 2015 - The business case for patient safety relies on the assumption that adverse events are financially harmful … As the noted health economist Dr. … a payment system that rewards providers for the volume rather than the quality of service provided. … testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams … March 9, 2022 "Some version, most of the time": the surgical safety checklist, patient

Patient voices in hospital safety during the COVID-19 pandemic. | PSNet

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March 17, 2021 - Patient voices in hospital safety during the COVID-19 pandemic. … View more articles from the same authors. … patient safety during the Covid-19 pandemic. … patient safety during the Covid-19 pandemic. … September 30, 2020 Attending to the emotional well-being of the health care workforce

Medication-related problems in critical care survivors: a systematic review. | PSNet

psnet.ahrq.gov/issue/medication-related-problems-critical-care-survivors-systematic-review

August 20, 2018 - View more articles from the same authors. … Critical care patients may be vulnerable to medication errors due to the complex nature of the intensive … of patients on critical care services experienced medication-related problems after discharge from the … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … November 21, 2021 Complexity and challenges of the clinical diagnosis and management

Association between handover of anesthesiology care and 1-year mortality among adults undergoing cardiac surgery. | PSNet

psnet.ahrq.gov/issue/association-between-handover-anesthesiology-care-and-1-year-mortality-among-adults-undergoing

June 08, 2022 - View more articles from the same authors. … anesthesia handoffs and rates of major complications and mortality compared to patients who had the … Agency for Healthcare Research and Quality Safety Program for Improving Antibiotic Use and the COVID … June 22, 2022 Emotional exhaustion among US health care workers before and during the … Crisis scenarios for simulation-based nontechnical skills training for cardiac surgery teams

Emergency physician perceptions of patient safety risks. | PSNet

psnet.ahrq.gov/issue/emergency-physician-perceptions-patient-safety-risks

September 15, 2011 - View more articles from the same authors. … A past Institute of Medicine report highlighted the unique challenges in providing high-quality and … Joint Commission's National Patient Safety Goals in the ED. … This study surveyed ED providers from diverse practice settings to illustrate the disconnect between … January 9, 2013 Teams under pressure in the emergency department: an interview study.

Supporting carers to improve patient safety and maintain their well-being in transitions from mental health hospitals to the community: a prioritisation nominal group technique. | PSNet

psnet.ahrq.gov/issue/supporting-carers-improve-patient-safety-and-maintain-their-well-being-transitions-mental

May 31, 2023 - improve patient safety and maintain their well-being in transitions from mental health hospitals to the … improve patient safety and maintain their well‐being in transitions from mental health hospitals to the … View more articles from the same authors. … from mental health services and the well-being of caregivers as well as potential solutions. … July 5, 2023 Care Delivery within Community Mental Health Teams.

Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis. | PSNet

psnet.ahrq.gov/issue/predictors-response-rates-safety-culture-questionnaires-healthcare-systematic-review-and

September 01, 2021 - View more articles from the same authors. … The authors identify several factors that influence response rate: remote distribution (i.e., electronic … December 8, 2021 Role of the regulator in enabling a just culture: a qualitative study … A qualitative study exploring the perspective of patients and family. … September 14, 2022 Toward constructive change after making a medical error: recovery

Hospital acquired infections in surgical patients: impact of COVID-19-related infection prevention measures. | PSNet

psnet.ahrq.gov/issue/hospital-acquired-infections-surgical-patients-impact-covid-19-related-infection-prevention

March 17, 2021 - View more articles from the same authors. … Same Author(s) We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 … infections in 2020: a summary of data reported to the National Healthcare Safety Network. … September 22, 2021 Crisis management for surgical teams and their leaders, lessons from … surgery during the first wave of the novel coronavirus pandemic in the United Kingdom: a survey of 158

Error reduction in trauma care: lessons from an anonymized, national, multicenter mortality reporting system. | PSNet

psnet.ahrq.gov/issue/error-reduction-trauma-care-lessons-anonymized-national-multicenter-mortality-reporting

March 24, 2021 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … Results of the Harvard Medical Practice Study I. … October 14, 2020 Fractures of the fingers missed or misdiagnosed on poorly positioned … July 14, 2010 View More See More About The Topic Hospitals Intensive

Improving critical incident reporting in primary care through education and involvement. | PSNet

psnet.ahrq.gov/issue/improving-critical-incident-reporting-primary-care-through-education-and-involvement

September 07, 2022 - View more articles from the same authors. … practices; both qualitative and quantitative assessments of reported incidents and changes in practice teams … Based on study findings, the authors concluded that before practices can profit from web-based CIRS, … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … spread of COVID-19 in nursing facilities for the elderly.

Systematic review: association of shift length, protected sleep time, and night float with patient care, residents' health, and education. | PSNet

psnet.ahrq.gov/issue/systematic-review-association-shift-length-protected-sleep-time-and-night-float-patient-care

November 26, 2014 - View more articles from the same authors. … while reducing shift length has some effect on patient safety, existing literature does not indicate the … optimal shift length or the magnitude of benefit for patients or physicians. … A past AHRQ WebM&M perspective and interview discussed the role of medical education in improving … September 4, 2013 Restricting resident work hours: the good, the bad, and the ugly.

Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations. | PSNet

psnet.ahrq.gov/issue/barcode-medication-administration-technology-use-hospital-practice-mixed-methods

December 07, 2022 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … March 3, 2021 Evaluating the safety of mental health-related prescribing in UK primary … care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD). … June 27, 2018 Epidural-IV route mix-ups: reducing the risk of deadly errors.

Improving resident and fellow engagement in patient safety through a graduate medical education incentive program. | PSNet

psnet.ahrq.gov/issue/improving-resident-and-fellow-engagement-patient-safety-through-graduate-medical-education

June 02, 2021 - View more articles from the same authors. … More than half of eligible trainee physicians received the incentive, and the resultant increase in safety … One related commentary suggests providing team-based incentives instead of the individual payments, and … A past PSNet perspective discussed the effect of financial incentives on patient safety. … June 5, 2013 The 2017 ACGME common work hour standards: promoting physician learning

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