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Total Results: 3,566 records

Showing results for "the change teams".

2961. AHRQ patient safety project reduces bloodstream infections by 40 percent. | PSNet
      psnet.ahrq.gov/issue/ahrq-patient-safety-project-reduces-bloodstream-infections-40-percent
      January 22, 2020 - units (ICUs) in Michigan stands as one of the landmark accomplishments of the patient safety field. … of the intervention included the comprehensive unit-based safety program (CUSP) and interventions … The Agency for Healthcare Research and Quality subsequently sponsored an effort to extend the success … of the Michigan initiative nationwide, centered around implementation of the CUSP. … August 20, 2014 The business case for quality: economic analysis of the Michigan Keystone

2962. Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study. | PSNet
      psnet.ahrq.gov/issue/evaluating-alert-fatigue-over-time-ehr-based-clinical-trial-alerts-findings-randomized
      April 29, 2018 - View more articles from the same authors. … The utility of such warnings is limited by alert fatigue —clinicians' tendency to ignore repeated alerts … The study found that response rates to the alert declined consistently over time in response to increased … exposure to the alert. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the

2963. RN assessments of excellent quality of care and patient safety are associated with significantly lower odds of 30-day inpatient mortality: a national cross-sectional study of acute-care hospitals. | PSNet
      psnet.ahrq.gov/issue/rn-assessments-excellent-quality-care-and-patient-safety-are-associated-significantly-lower
      August 20, 2018 - View more articles from the same authors. … The authors suggest that nursing perceptions of safety can inform targeting of improvement interventions … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … May 20, 2020 Nurses' shift length and overtime working in 12 European countries: the … July 26, 2010 Nursing handoffs: a systematic review of the literature.

2964. Evaluating shared decision making for lung cancer screening. | PSNet
      psnet.ahrq.gov/issue/evaluating-shared-decision-making-lung-cancer-screening
      May 25, 2016 - View more articles from the same authors. … important in making decisions where the risks and benefits to an individual patient are nuanced. … Although limited by a small sample size, this study raises the concern that structural barriers (such … A related commentary discusses the potential for overdiagnosis of lung cancer if LDCT is used without … September 11, 2024 What's the harm?

2965. Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events in surgical patients. | PSNet
      psnet.ahrq.gov/issue/development-online-morbidity-mortality-and-near-miss-reporting-system-identify-patterns
      August 20, 2018 - View more articles from the same authors. … Investigators used the new tool to better categorize complications, identify patterns or trends, and … An accompanying invited critique [see link below] lauds the study's efforts and points out that surgical … cases that don't make it into an operating room must also be included in M&M conferences for the same … March 29, 2023 From box ticking to the black box: the evolution of operating room

2966. Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about safety concerns. | PSNet
      psnet.ahrq.gov/issue/making-soft-intelligence-hard-multi-site-qualitative-study-challenges-relating-voice-about
      June 16, 2021 - View more articles from the same authors. … be wrong rather than hard evidence—what the authors refer to as "soft" intelligence. … A PSNet perspective discussed how to change safety culture. … Same Author(s) The role of the informal and formal organisation in voice about concerns … October 11, 2023 What is the role of individual accountability in patient safety?

2967. Incident reporting system does not detect adverse drug events: a problem for quality improvement. | PSNet
      psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem-quality-improvement
      February 10, 2011 - The incident reporting system does not detect adverse drug events: a problem for quality improvement. … View more articles from the same authors. … This study determined the rate with which adverse drug events (ADE) resulted in an incident report … The incident reporting system does not detect adverse drug events: a problem for quality improvement. … Same Author(s) The costs of adverse drug events in hospitalized patients.

2968. Universal and serial laboratory testing for SARS-CoV-2 at a long-term care skilled nursing facility for veterans — Los Angeles, California, 2020. | PSNet
      psnet.ahrq.gov/issue/universal-and-serial-laboratory-testing-sars-cov-2-long-term-care-skilled-nursing-facility
      November 16, 2022 - View more articles from the same authors. … at one skilled nursing facility   in Los Angeles between March 28 and April 23, 2020 and highlights the … that universal and serial RT-PCR testing, rapid isolation, and cohorting can disrupt transmission of the … October 11, 2023 View More Related Resources Finding the right … family caregivers and visitors during the coronavirus disease 2019 pandemic.

2969. Patient safety in inpatient mental health settings: a systematic review. | PSNet
      psnet.ahrq.gov/issue/patient-safety-inpatient-mental-health-settings-systematic-review
      November 13, 2019 - View more articles from the same authors. … This exploratory systematic review aimed to describe the state of the research on patient safety in … The existing research base was categorized into ten broad safety categories – interpersonal violence, … , such as suicide, as the review only yielded one study meeting inclusion criteria. … View More Related Resources Care Delivery within Community Mental Health Teams

2970. Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/medication-related-interventions-improve-medication-safety-and-patient-outcomes-transition
      October 27, 2021 - View more articles from the same authors. … Patients transferring from the intensive care unit (ICU) to the hospital ward may experience medication … This systematic review examined medication-related interventions on the impact of medication errors in … ICU patients transferring to the hospital ward. … care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD).

2971. Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge authority during a simulated airway emergency. | PSNet
      psnet.ahrq.gov/issue/power-and-conflict-effect-superiors-interpersonal-behaviour-trainees-ability-challenge
      December 13, 2017 - View more articles from the same authors. … The communication style of the attending was scripted to either be more hierarchical or more inclusive … in order to examine whether the leader's communication style contributed to the likelihood of residents … June 28, 2017 The impact of hindsight bias on the diagnosis of perioperative events by … Development and usability of a behavioural marking system for performance assessment of obstetrical teams

2972. The impact of a nursing-led intervention bundle with a bedside checklist to reduce mortality during the initial COVID-19 pandemic and implications for future emergencies. | PSNet
      psnet.ahrq.gov/issue/impact-nursing-led-intervention-bundle-bedside-checklist-reduce-mortality-during-initial
      May 05, 2010 - The impact of a nursing-led intervention bundle with a bedside checklist to reduce mortality during the … The COVID-19 pandemic dramatically impacted the delivery of nursing care . … September 23, 2020 Association of rapid response teams with hospital mortality in Medicare … February 15, 2023 The Lancet Commission on lessons for the future from the COVID-19 pandemic … : the experience of the onco-haematology center of Tor Vergata Hospital in Rome.

2973. Review of computerized physician handoff tools for improving the quality of patient care. | PSNet
      psnet.ahrq.gov/issue/review-computerized-physician-handoff-tools-improving-quality-patient-care
      September 07, 2011 - Review Review of computerized physician handoff tools for improving the quality of … Review of computerized physician handoff tools for improving the quality of patient care. … View more articles from the same authors. … Clinical care handoffs occur multiple times every day for each hospitalized patient, and the use of … Review of computerized physician handoff tools for improving the quality of patient care.

2974. Association of pediatric resident physician depression and burnout with harmful medical errors on inpatient services. | PSNet
      psnet.ahrq.gov/issue/association-pediatric-resident-physician-depression-and-burnout-harmful-medical-errors
      April 24, 2018 - View more articles from the same authors. … Physician burnout and depression are prevalent, costly, and likely to worsen the existing physician … A strength of this study is that the errors were assessed objectively rather than by self-report. … November 12, 2014 The Critical Care Safety Study: the incidence and nature of adverse … May 15, 2019 Closing the disclosure gap: medical errors in pediatrics.

2975. Adverse events and emergency department opioid prescriptions in adolescents. | PSNet
      psnet.ahrq.gov/issue/adverse-events-and-emergency-department-opioid-prescriptions-adolescents
      December 21, 2022 - View more articles from the same authors. … May 11, 2022 A systematic review of the effect of telepharmacy services in the community … June 30, 2021 The value from investments in health information technology at the U.S. … May 17, 2023 Crowding in the Emergency Department: Challenges for the Care of Children … "Do no harm": promoting anti-racist policing in pediatric emergency departments through 20 practice change

2976. Adverse patient safety events during the COVID epidemic. | PSNet
      psnet.ahrq.gov/issue/adverse-patient-safety-events-during-covid-epidemic
      May 03, 2023 - View more articles from the same authors. … Same Author(s) Delays in care during the COVID-19 pandemic in the Veterans Health Administration … June 2, 2021 In the eye of the storm: the role of the pharmacist in medication safety … June 24, 2020 Containing COVID-19 in the emergency department: the role of improved case … June 10, 2020 The application of strong matrix management and PDCA cycle in the management

2977. Sustaining reliability on accountability measures at the Johns Hopkins Hospital. | PSNet
      psnet.ahrq.gov/issue/sustaining-reliability-accountability-measures-johns-hopkins-hospital
      January 19, 2014 - Study Sustaining reliability on accountability measures at the Johns Hopkins Hospital … Demonstrating high reliability on accountability measures at the Johns Hopkins Hospital. … View more articles from the same authors. … The program included creating a robust quality management infrastructure through the Armstrong Institute … This study describes how the hospital was able to sustain performance on all of the accountability measures

2978. Improving emergency medicine clinician awareness of prehospital-administered medications. | PSNet
      psnet.ahrq.gov/issue/improving-emergency-medicine-clinician-awareness-prehospital-administered-medications
      October 19, 2022 - View more articles from the same authors. … errors due to the time-pressured environment. … Ten persistent hazards and inefficiencies with the use of medication administration technology from the … March 22, 2023 Call me Ishmael: addressing the white whale of team communication in the … May 24, 2023 WebM&M Cases The Dose Makes the Poison:

2979. A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs healthcare settings. | PSNet
      psnet.ahrq.gov/issue/virtual-breakthrough-series-collaborative-support-deprescribing-interventions-across-veterans
      April 24, 2018 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … July 19, 2023 Improving the approach to defining, classifying, reporting and monitoring … November 16, 2022 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … The impact of Potentially Inappropriate Medications Prescribing on residents' emergency care use.

2980. An intervention to decrease catheter-related bloodstream infections in the ICU. | PSNet
      psnet.ahrq.gov/issue/intervention-decrease-catheter-related-bloodstream-infections-icu
      June 16, 2011 - An intervention to decrease catheter-related bloodstream infections in the ICU. … View more articles from the same authors. … In the “Keystone ICU” project, funded by the Agency for Healthcare Research and Quality (AHRQ), 103 ICUs … A related editorial lauds the success of the intervention and calls for all U.S. hospitals to adopt similar … An intervention to decrease catheter-related bloodstream infections in the ICU.