Results

Total Results: 287 records

Showing results for "the comprehensive unit-based safety program".

161. Interruptions and Distractions in Health Care: Improved Safety With Mindfulness | PSNet
     psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulness
     February 01, 2014 - The Comprehensive Unit-based Safety Program , or CUSP, toolkit includes training tools to make care … strong supporter for these programs and implement them more widely. … For example, efforts such as the Partnership for Patients Program are dependent on the evidence that … October 7, 2013 Enhancing safety of a system-wide in situ simulation program using no-go … Implementing a Patient Safety Program at a Large National Health System January 1, 2008

162. 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 - August 20, 2018 Association between implementing comprehensive learning collaborative … December 21, 2014 Implementation of the I-PASS handoff program in diverse clinical environments … March 29, 2023 From box ticking to the black box: the evolution of operating room … safety. … November 8, 2013 National Surgical Quality Improvement Program.

163. Ensuring effective care transition communication: implementation of an electronic medical record-based tool for improved cancer treatment handoffs between clinic and infusion nurses. | PSNet
     psnet.ahrq.gov/issue/ensuring-effective-care-transition-communication-implementation-electronic-medical-record
     July 12, 2023 - Enhancing resident education by embedding improvement specialists into a quality and safety … July 12, 2023 Implementation of the I-PASS handoff program in diverse clinical environments … September 23, 2020 Implementing a watcher program to improve timeliness of recognition … I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. … April 24, 2024 Patient Safety Innovations Remote Response

164. Experiences of physicians investigated for professionalism concerns: a narrative review. | PSNet
     psnet.ahrq.gov/issue/experiences-physicians-investigated-professionalism-concerns-narrative-review
     August 04, 2021 - View more articles from the same authors. … While the investigations are critical for ensuring patient safety, physicians experience negative emotional … September 23, 2020 Implementation of the I-PASS handoff program in diverse clinical environments … November 27, 2012 The safety of outpatient health care: review of electronic health records … a new ACGME requirement: a comprehensive all-in-one guide to radiology residency programs.

165. Exploring situational awareness in diagnostic errors in primary care. | PSNet
     psnet.ahrq.gov/issue/exploring-situational-awareness-diagnostic-errors-primary-care
     September 20, 2011 - Diagnostic errors are a known threat to patient safety, and measuring their prevalence is challenging … The authors found that applying the SA framework to analyze such errors provided deeper insight into … the provider–work system interaction, which included important interface with the electronic health record … February 15, 2011 Implementation of the I-PASS handoff program in diverse clinical environments … the United States.

166. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33586/psn-pdf
     December 15, 2024 - safety field. … computerized-provider-order-entry https://psnet.ahrq.gov/issue/insights-problem-alarm-fatigue-physiologic-monitor-devices-comprehensive-observational-study … Effect of alert fatigue on patient safety Much of the literature on alert fatigue derives from studies … the culture of safety by creating a shared sense of responsibility between users and developers, paying … A quality improvement program in the Veterans Affairs system that incorporated the above principles and

167. 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 - This study updates the previously described progress of patient safety efforts at Johns Hopkins Hospital … The program included creating a robust quality management infrastructure through the Armstrong Institute … April 29, 2015 The Armstrong Institute: an academic institute for patient safety and … July 1, 2016 From board to bedside: how the application of financial structures to safety … December 4, 2016 A comprehensive obstetric patient safety program reduces liability claims

168. Contaminated or Not? Guidelines for Interpretation of Positive Blood Cultures | PSNet
     psnet.ahrq.gov/web-mm/contaminated-or-not-guidelines-interpretation-positive-blood-cultures
     November 16, 2022 - The clinical significance of positive blood cultures in the 1990s: a prospective comprehensive evaluation … The clinical significance of positive blood cultures: a comprehensive analysis of 500 episodes of bacteremia … The clinical significance of positive blood cultures in the 1990s: a prospective comprehensive evaluation … The clinical significance of positive blood cultures: a comprehensive analysis of 500 episodes of bacteremia … Author(s) Implementation of the I-PASS handoff program in diverse clinical environments

169. Shaping systems for better behavioral choices: lessons learned from a fatal medication error. | PSNet
     psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error
     February 12, 2020 - (the nurse had worked a double shift the day before), failed safety systems (the hospital had recently … A range of safety interventions were implemented as a result. … However, the related editorials by leaders in the safety field (Drs. … mortality and costs after design and implementation of a nurse-based early recognition and response program … December 2, 2020 A comprehensive estimation of the costs of 30-day postoperative complications

170. Health Plan Patient Safety Initiatives | PSNet
     psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
     July 10, 2024 - CMS uses the CMS PSI 90 in several federal programs, including the Value-Based Purchasing Program. 10 … to develop and implement a comprehensive opioid utilization policy that led to a significant decline … remain in care quality and patient safety across health insurance programs. … public reporting program with about 30 to 50 measures that change every year, including the weights and … Sarah Mossburg: Earlier, you mentioned the CMS Star Ratings program and publicly reported data.

171. Antibiotic and Opioid Stewardship in Dentistry | PSNet
     psnet.ahrq.gov/perspective/antibiotic-and-opioid-stewardship-dentistry
     December 07, 2020 - at the right dose and for the right duration. 1 Antibiotic and opioid stewardship programs are the most … common types of stewardship programs. … The lack of comprehensive patient-level health and treatment data limits a practice’s ability to collect … the dental antimicrobial stewardship program in their strategic plan. … antimicrobial stewardship program at the health system.

172. In Conversation With...Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0 | PSNet
     psnet.ahrq.gov/perspective/conversation-withstephen-hines-phd-and-monika-haugstetter-mha-msn-rn-cphq-about
     February 28, 2024 - I have managed a variety of domestic and global health programs and overseen a range of patient safety … At AHRQ, I serve as a program officer in the General Patient Safety Division. … Therefore, when I joined AHRQ, the TeamSTEPPS program was a natural fit. … to the program, as well as requests for permission to adapt the new tools and practices to their specific … Finally, the TeamSTEPPS curriculum closes with a comprehensive guide for successfully implementing

173. Toolkits | PSNet
     psnet.ahrq.gov/toolkits
     March 01, 2025 - This toolkit was developed to help staff in intensive care units use AHRQ’s Comprehensive... … This set of quality indicators supports the epidemiological or research program use of billing or claims … As one element of a national program to improve care quality, the Centers for Medicare and Medicaid Services … This website hosts the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Nursing Home Survey along with … Organizations can also use the AHRQ database to compare their Surveys on Patient Safety Culture™ (SOPS

174. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49687/psn-pdf
     August 21, 2013 - The case raised many questions about the safety of and errors associated with emergency surgery. … National Surgical Quality Improvement Program (NSQIP) database (including more than 470,000 procedures … Analysis of the American College of Surgeons National Surgical Quality Improvement Program database. … Effect of a comprehensive surgical safety system on patient outcomes. … Safe Surgery Saves Lives: The Second Global Patient Safety Challenge. September 2009.

175. In Conversation With... Katie J. Suda, PharmD, MS | PSNet
     psnet.ahrq.gov/perspective/conversation-katie-j-suda-pharmd-ms
     December 07, 2020 - the dental antimicrobial stewardship program in their strategic plan. … antimicrobial stewardship program at the health system. … at the right dose and for the right duration. 1 Antibiotic and opioid stewardship programs are the most … common types of stewardship programs. … The lack of comprehensive patient-level health and treatment data limits a practice’s ability to collect

176. Updates in the Role of Health IT in Patient Safety | PSNet
     psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
     January 31, 2020 - CPOE and continued pharmacist review are both essential for more comprehensive error prevention. … safety across the board. [15] However, a report from the Trusted Network Accreditation Program (TNAP … Evaluating the impact of health IT on medication safety. … [16] The Trusted Network Accreditation Program (TNAP) Collaborative Survey Finds Concern Over … press-release=the-trusted-network-accreditation-program-tnap-collaborative-survey-finds-concern-over-privacy-and-security-key-barrier-to-interoperability

177. Racism in pain medicine: we can and should do more. | PSNet
     psnet.ahrq.gov/issue/racism-pain-medicine-we-can-and-should-do-more
     December 15, 2008 - Systemic racism in healthcare can threaten patient safety and contribute to heath disparities . … to fostering antiracism in pain medicine and suggests approaches to stem systemic racism in training programs … May 4, 2022 Impact of pharmacist-led multidisciplinary medication review on the safety … February 12, 2020 Improving medication reconciliation with comprehensive evaluation at … standards for hospitals: a major step forward toward improved quality and safety.

178. Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care | PSNet
     psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
     December 23, 2020 - and comprehensive palliative care, was a standard of care. … Many other insurance companies and programs adopted the regulations of the Medicare hospice benefit for … This language is now the culture for hospice programs. … The consequences of delayed referral include financial instability for hospice programs and the self-fulfilling … communication and conflict resolution process: Medical Orders for Life-Sustaining Treatment (MOLST) Program

179. Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities | PSNet
     psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
     November 27, 2019 - Review and Update Infusion Pump Safety Guardrails The numeric value of the intended starting rate of … The nurse incorrectly programmed the infusion as 0.5 mcg/kg/min instead of 0.5 mcg/min, and the program … Reduce Distractions and Utilize Comprehensive Closed-loop Communication Finally, there was a breakdown … Evaluating the impact of obesity on safety and efficacy of weight-based norepinephrine dosing in septic … Case The Commentary   Approach to Improving Patient Safety Take-Home Points References

180. Aiming higher to enhance professionalism: beyond accreditation and certification. | PSNet
     psnet.ahrq.gov/issue/aiming-higher-enhance-professionalism-beyond-accreditation-and-certification
     February 03, 2011 - View more articles from the same authors. … April 16, 2010 Identifying organizational cultures that promote patient safety. … January 23, 2019 The wrong patient. … and Quality April 26, 2023 Creating a framework to integrate residency program … November 9, 2017 Remembering to learn: the overlooked role of remembrance in safety improvement