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Total Results: 3,566 records

Showing results for "the change teams".

2941. Wrong-side thoracentesis: lessons learned from root cause analysis. | PSNet
      psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis
      July 16, 2015 - View more articles from the same authors. … The majority of errors resulted in serious patient injury. … wrong surgery events in the Veterans Health Administration. … Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: a model to spread change … January 17, 2019 Reducing the Risks of Wrong-Site Surgery: Safety Practices from The

2942. From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect? | PSNet
      psnet.ahrq.gov/issue/covid-19-pandemic-patient-safety-new-spring-telemedicine-or-boomerang-effect
      April 13, 2022 - The COVID-19 pandemic led to a significant increase in the use of telehealth . … February 15, 2023 Crisis management for surgical teams and their leaders, lessons from … : the experience of the onco-haematology center of Tor Vergata Hospital in Rome. … December 16, 2020 Response of practicing chiropractors during the early phase of the … July 8, 2020 Safety at the time of the COVID-19 pandemic: how to keep our oncology patients

2943. Using a network organisational architecture to support the development of Learning Healthcare Systems. | PSNet
      psnet.ahrq.gov/issue/using-network-organisational-architecture-support-development-learning-healthcare-systems
      December 02, 2014 - Study Using a network organisational architecture to support the development of Learning … View more articles from the same authors. … The authors note that several organizations following such a model (e.g., the Solutions for Patient … While the networks described focus on pediatric care, they suggest that the same principles and processes … August 8, 2018 Agent of change.

2944. Patient safety culture in assisted living: staff perceptions and association with state regulations. | PSNet
      psnet.ahrq.gov/issue/patient-safety-culture-assisted-living-staff-perceptions-and-association-state-regulations
      June 30, 2021 - View more articles from the same authors. … Researchers in this study adapted the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Nursing Home … A PSNet perspective discusses how to change safety culture. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … the re-opening of Canadian nursing homes to family caregivers and visitors during the coronavirus disease

2945. The effect of providing staff training and enhanced support to care homes on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement programme in England. | PSNet
      psnet.ahrq.gov/issue/effect-providing-staff-training-and-enhanced-support-care-homes-care-processes-safety-climate
      September 15, 2021 - Study The effect of providing staff training and enhanced support to care homes on … The effect of providing staff training and enhanced support to care homes on care processes, safety climate … View more articles from the same authors. … practice during COVID-19: the results of the multi-country European PRICOV-19 Study. … September 14, 2022 Organizational readiness to change as a leverage point for improving

2946. Coping and recovery in surgical residents after adverse events: the second victim phenomenon. | PSNet
      psnet.ahrq.gov/issue/coping-and-recovery-surgical-residents-after-adverse-events-second-victim-phenomenon
      July 11, 2012 - Study Coping and recovery in surgical residents after adverse events: the second … View more articles from the same authors. … in the neonatal intensive care unit. … October 13, 2021 Suicide risk, changing jobs, or leaving the nursing profession in the … July 21, 2021 Promoting the psychological well-being of healthcare providers facing the

2947. Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder consultation. | PSNet
      psnet.ahrq.gov/issue/seven-features-safety-maternity-units-framework-based-multisite-ethnography-and-stakeholder
      February 20, 2019 - View more articles from the same authors. … The researchers used qualitative methods to generate a new plain language framework identifying safe … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … October 27, 2021 The role of the informal and formal organisation in voice about concerns … May 19, 2021 Development and usability testing of the Agency for Healthcare Research

2948. Hospital staff reports of coworker positive and unprofessional behaviours across eight hospitals: who reports what about whom? | PSNet
      psnet.ahrq.gov/issue/hospital-staff-reports-coworker-positive-and-unprofessional-behaviours-across-eight-hospitals
      May 01, 2024 - View more articles from the same authors. … The most commonly reported positive behaviors included non-technical skills, values-driven behavior, … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … Changes in unprofessional behaviour, teamwork, and co-operation among hospital staff during the … May 15, 2024 Medication errors 2023: the year in review: January through December.

2949. Understanding factors that could influence patient acceptability of the use of the PINCER intervention in primary care: a qualitative exploration using the Theoretical Framework of Acceptability. | PSNet
      psnet.ahrq.gov/issue/understanding-factors-could-influence-patient-acceptability-use-pincer-intervention-primary
      May 24, 2023 - of the PINCER intervention in primary care: a qualitative exploration using the Theoretical Framework … Understanding factors that could influence patient acceptability of the use of the PINCER intervention … View more articles from the same authors. … Understanding factors that could influence patient acceptability of the use of the PINCER intervention … May 11, 2022 Understanding teamwork in rapidly deployed interprofessional teams in intensive

2950. Promoting the psychological well-being of healthcare providers facing the burden of adverse events: a systematic review of second victim support resources. | PSNet
      psnet.ahrq.gov/issue/promoting-psychological-well-being-healthcare-providers-facing-burden-adverse-events
      February 15, 2023 - Review Promoting the psychological well-being of healthcare providers facing the … Promoting the psychological well-being of healthcare providers facing the burden of adverse events: a … Affected staff and peer supporters reported the benefits of the programs. … Promoting the psychological well-being of healthcare providers facing the burden of adverse events: a … Workforce Safety Culture in Healthcare March 27, 2024 Toward constructive change

2951. Psychological safety and infection prevention practices: results from a national survey. | PSNet
      psnet.ahrq.gov/issue/psychological-safety-and-infection-prevention-practices-results-national-survey
      September 27, 2023 - View more articles from the same authors. … Same Author(s) The influence of hospital leadership support on burnout, psychological … safety, and safety climate for US infection preventionists during the coronavirus disease 2019 (COVID … November 18, 2016 Culture change in infection control: applying psychological principles … October 8, 2013 Getting doctors to clean their hands: lead the followers.

2952. A patient feedback reporting tool for OpenNotes: implications for patient–clinician safety and quality partnerships. | PSNet
      psnet.ahrq.gov/issue/patient-feedback-reporting-tool-opennotes-implications-patient-clinician-safety-and-quality
      June 06, 2018 - View more articles from the same authors. … issues with the clinicians who wrote the notes. … clinician making a change to the health record. … October 25, 2018 A road map for advancing the practice of respect in health care: the … A: Being the patient.

2953. Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: the Promoting Respect and Ongoing Safety through Patient Engagement Communication and Technology study. | PSNet
      psnet.ahrq.gov/issue/prospective-evaluation-multifaceted-intervention-improve-outcomes-intensive-care-promoting
      August 03, 2022 - Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: the … View more articles from the same authors. … They included 1030 admissions in the baseline period and 1075 in the intervention period. … The rate of adverse events decreased by almost 30%, from 59.0 per 1000 patient days in the baseline period … to 41.9 per 1000 patient days during the intervention period.

2954. A family-centered rounds checklist, family engagement, and patient safety: a randomized trial. | PSNet
      psnet.ahrq.gov/issue/family-centered-rounds-checklist-family-engagement-and-patient-safety-randomized-trial
      December 22, 2018 - View more articles from the same authors. … Through observation of video-recordings, investigators determined that teams who were given a checklist … of safety climate improved with checklist implementation, overall quality and safety ratings between the … This trial provides evidence that performing certain elements of the checklist, such as read back, can … Same Author(s) Are parents who feel the need to watch over their children's care better

2955. Patient safety culture and the second victim phenomenon: connecting culture to staff distress in nurses. | PSNet
      psnet.ahrq.gov/issue/patient-safety-culture-and-second-victim-phenomenon-connecting-culture-staff-distress-nurses
      December 21, 2016 - The second victim phenomenon describes the distress health care providers can experience after adverse … Same Author(s) The effects of the second victim phenomenon on work-related outcomes: connecting … in the neonatal intensive care unit. … September 16, 2020 Development of the just culture assessment tool: measuring the perceptions … October 13, 2021 Suicide risk, changing jobs, or leaving the nursing profession in the

2956. Impact of pharmacist-led multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing home: a before-after study. | PSNet
      psnet.ahrq.gov/issue/impact-pharmacist-led-multidisciplinary-medication-review-safety-and-medication-cost-elderly
      May 25, 2022 - Study Impact of pharmacist-led multidisciplinary medication review on the safety … Impact of pharmacist-led multidisciplinary medication review on the safety and medication cost of the … View more articles from the same authors. … Impact of pharmacist-led multidisciplinary medication review on the safety and medication cost of the … February 12, 2020 Organizational readiness to change as a leverage point for improving

2957. Using radiofrequency technology to prevent retained sponges and improve patient outcomes. | PSNet
      psnet.ahrq.gov/issue/using-radiofrequency-technology-prevent-retained-sponges-and-improve-patient-outcomes
      November 25, 2020 - View more articles from the same authors. … Same Author(s) Patient safety in primary care: conceptual meanings to the health care … August 17, 2022 The critical role of health information technology in the safe integration … support the re-opening of Canadian nursing homes to family caregivers and visitors during the coronavirus … prevention of retained surgical instruments: what is the value of counting?

2958. The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. | PSNet
      psnet.ahrq.gov/issue/impact-surgical-count-technology-retained-surgical-items-rates-veterans-health-administration
      January 17, 2019 - the Veterans Health Administration. … The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration … The RSI rate was significantly higher in for the programs with surgical count technology compared to … the programs without (1/18,221 vs. 1/30,593). … The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration

2959. Association between sleep health and rates of self-reported medical errors in intern physicians: an ancillary analysis of the Intern Health Study. | PSNet
      psnet.ahrq.gov/issue/association-between-sleep-health-and-rates-self-reported-medical-errors-intern-physicians
      February 07, 2024 - sleep health and rates of self-reported medical errors in intern physicians: an ancillary analysis of the … sleep health and rates of self-reported medical errors in intern physicians: an ancillary analysis of the … View more articles from the same authors. … The link between hours worked , hours slept, and medical errors has been the topic of much research … Interns with the worst sleep health did have higher rates of burnout, compared to those with the best

2960. Work patterns and fatigue-related risk among junior doctors. | PSNet
      psnet.ahrq.gov/issue/work-patterns-and-fatigue-related-risk-among-junior-doctors
      July 29, 2020 - The impact of this policy change on patient outcomes and errors remains controversial despite at least … The authors used the Australian Medical Association's fatigue risk assessment model and advocate its … that error reduction strategies should consider the nature of residents' work rather than simply the … in the UK. … November 1, 2017 The impact of the 2011 Accreditation Council for Graduate Medical Education