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psnet.ahrq.gov/web-mm/dangerous-dialysis
June 12, 2024 - Standards for dialyzer reuse programs were developed by the Association for the Advancement of Medical … Although there is no comprehensive published study on the prevalence of errors in dialysis centers, one … assurance program.( 5,6 ) The 2008 Medicare revisions effectively shifted the medical director's responsibilities … [Available at]
12. 5-Diamond Patient Safety Program. … [Available at]
13. 5-Diamond Patient Safety Program. Woodbridge, CT: Network of New England.
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psnet.ahrq.gov/node/33567/psn-pdf
June 15, 2024 - in Home-Based
Care Programs. … readmissions-and-adverse-events-after-discharge
https://psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs … https://psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
https … Current Context
https://psnet.ahrq.gov/issue/changes-medical-errors-after-implementation-handoff-program … psnet.ahrq.gov/issue/enhancing-implementation-i-pass-handoff-tool-using-provider-handoff-task-force-comprehensive
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psnet.ahrq.gov/issue/probabilistic-risk-assessment-accidental-abo-incompatible-thoracic-organ-transplantation-and
June 24, 2020 - June 24, 2020
The Critical Care Safety Study: the incidence and nature of adverse events … August 26, 2020
Impact of pharmacist-led multidisciplinary medication review on the safety … August 10, 2022
A comprehensive quality assurance program for personnel and procedures … June 24, 2020
Identifying and categorising patient safety hazards in cardiovascular operating … July 5, 2013
Quality, patient safety, and the cardiac surgical team.
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psnet.ahrq.gov/issue/medication-errors-pediatric-liquid-acetaminophen-after-standardization-concentration-and
May 19, 2021 - View more articles from the same authors. … Using data from the National Poison Data System, researchers found that a 2011 change to the packaging … May 6, 2020
Implementation of the I-PASS handoff program in diverse clinical environments … November 16, 2022
Determination of unnecessary blood transfusion by comprehensive 15- … June 16, 2019
Strategies for optimizing OR drug safety.
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psnet.ahrq.gov/perspective/key-issues-developing-successful-hospital-safety-program
July 01, 2006 - Key Issues in Developing a Successful Hospital Safety Program. PSNet [internet]. … key success factors in developing a hospital safety program? … The leaders ensure that an integrated patient safety program is implemented throughout the hospital. … In: 2006 Comprehensive Accreditation Manual for Hospitals: The Official Handbook. … AF: Over the past decade, we have started to develop a picture of what comprehensive patient safety
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psnet.ahrq.gov/issue/effect-organizational-network-patient-safety-safety-event-reporting
October 16, 2013 - Study
The effect of an organizational network for patient safety on safety event … The effect of an organizational network for patient safety on safety event reporting. … An organization-wide patient safety program consisting of open access online educational modules, an … November 8, 2013
A comprehensive quality assurance program for personnel and procedures … May 1, 2013
Washington Hospital Center safety program seeks to catch 'near-misses.'
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psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
October 23, 2013 - Building a Safety Program Using Principles of Resilience Engineering
Sudeep Hegde, PhD; Ann M. … Building a Safety Program Using Principles of Resilience Engineering. PSNet [internet]. … Building a Safety Program Using Principles of Resilience Engineering. PSNet [internet]. … Resilience Engineering—Implications for Safety Programs
A key area of emphasis in resilience engineering … safety program.
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psnet.ahrq.gov/perspective/what-does-simulation-add-teamwork-training
October 01, 2004 - well designed team training programs, but cannot compensate for poorly designed ones." … of the strategy of comprehensive long-term training and reinforcement, not about any single technique … A comprehensive anesthesia simulation environment: re-creating the operating room for research and training … the effect of a realistic simulation-based training program. … February 10, 2015
Design and evaluation of simulation scenarios for a program introducing
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psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
February 26, 2025 - patient safety and availability of programs designed to implement HRO principles in health care, questions … programs, resulted in deprescribing over 128,000 potentially inappropriate medications, with over $4 … Based on interviews with hospital executives, program leaders, staff, and physicians, the study found … Implementation of a patient safety program at a tertiary health system: A longitudinal analysis of interventions … A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and
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psnet.ahrq.gov/primer/maternal-safety
January 10, 2024 - AHRQ’s Safety Program for Perinatal Care (SPPC) takes an overarching approach to improving safety culture … Program in Perinatal Care - Toolkit for Improving Perinatal Care (SPPC-I) AHRQ Safety Program in Perinatal … period have been the focus of most maternal safety initiatives to date. … the SPPC toolkit with two maternal safety bundles ( SPPC and SPPC-II ). … May 29, 2019
A comprehensive obstetrics patient safety program improves safety climate
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psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-facilities-fiscal-2021
October 12, 2022 - Administration care facilities that focused on assessing oversight , system redesign and surgical programs … Copy Citation
Related Resources From the Same Author(s)
Comprehensive Healthcare … December 21, 2022
Comprehensive Healthcare Inspection Summary Report: Evaluation of Care … The Report of the Independent Medicines and Medical Devices Safety Review. … May 27, 2020
Patient Safety Improvement Act of 2020.
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psnet.ahrq.gov/node/836839/psn-pdf
March 31, 2022 - Creating psychological safety3 is one component of the Comprehensive Unit-
based Safety Program (CUSP … to promote
psychological safety is to design the intervention based on the experience of the individual … Further, in the
second study, the intervention components were mapped to the psychological safety categories … The overall
objective is to instill psychological safety at the individual, team, and organizational … The Fearless Organization: Creating Psychological Safety in the Workplace for
Learning, Innovation,
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psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
April 24, 2018 - treatment. 7
Approach to Improving Safety & Patient Safety Target
As noted here, breast surgeons … Association between implementation of a medical team training program and surgical mortality. … Effect of a comprehensive surgical safety system on patient outcomes. … April 6, 2022
Drug-related-problem outcomes and program satisfaction from a comprehensive … adherence to surgical safety checklists in the operating room.
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psnet.ahrq.gov/innovation/team-developed-care-plan-and-ongoing-care-management-social-workers-and-nurse
July 23, 2024 - Innovation Patient Safety Focus
The GRACE program provides services to low-income seniors to help ensure … for “ADRC Evidence-Based Care Transition Programs.” … the patient's home to conduct an initial, comprehensive assessment, including a medical and psychosocial … In addition, the team performs a home safety evaluation. … Annual reassessment and follow-up visit: Each year, the support team repeats the comprehensive assessment
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psnet.ahrq.gov/issue/do-hospitals-support-second-victims-collective-insights-patient-safety-leaders-maryland
May 11, 2016 - May 11, 2016
Risk managers' descriptions of programs to support second victims after … Assessing the need for organizational second victim support programs. … October 26, 2016
Case: a second victim support program in pediatrics: successes and challenges … January 12, 2011
Integrating the intensive care unit safety reporting system with existing … 2022
RISE: exploring volunteer retention and sustainability of a second victim support program
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psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
February 26, 2025 - patient safety and availability of programs designed to implement HRO principles in health care, questions … programs, resulted in deprescribing over 128,000 potentially inappropriate medications, with over $4 … Based on interviews with hospital executives, program leaders, staff, and physicians, the study found … Implementation of a patient safety program at a tertiary health system: A longitudinal analysis of interventions … A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and
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psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
November 16, 2022 - Creating psychological safety 3 is one component of the Comprehensive Unit-based Safety Program (CUSP … Recent findings and key themes for psychological safety and the relationship between psychological safety … In turn, safety motivation had a positive effect on safety voice, which is the act of speaking up about … to promote psychological safety is to design the intervention based on the experience of the individual … Further, in the second study, the intervention components were mapped to the psychological safety categories
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psnet.ahrq.gov/perspective/comprehensivist-model-care-hospitalists-view
November 01, 2018 - to invest in their new hospitalist programs. … In order to make the Comprehensive Care Program work, office visits need to be far more generous in length … Comprehensive Care Physician Model . … Comprehensive Care Programs promote continuity in two ways. … handoffs and patient safety.
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psnet.ahrq.gov/issue/integrating-cusp-and-trip-improve-patient-safety
June 16, 2011 - View more articles from the same authors. … This commentary discusses the Comprehensive Unit-Based Safety (CUSP) and Translating Evidence Into … Safety Team. … eye of the beholder. … May 11, 2011
The power of collaboration with patient safety programs: building safe passage
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psnet.ahrq.gov/web-mm/miscommunication-during-interhospital-transport-critically-ill-child
March 27, 2024 - Most ED providers cannot admit children to their local hospital facility due to lack of comprehensive … and safety risks to patients and their families. … safety and family experience. … Changes in medical errors after implementation of a handoff program. … I-PASS program.