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Total Results: 287 records

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

181. In Conversation With...Amy Helwig about Health Plan Patient Safety Initiatives | PSNet
     psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
     July 10, 2024 - 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. … 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.

182. When the Meds Don’t Reach the Bed | PSNet
     psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
     May 16, 2022 - Based on this premise, the Hospital Readmissions Reduction Program, which was authorized by the Affordable … program, there have been several criticisms of the policy. … comprehensive and therefore “bundled” with M2B as an adjunct to other interventions designed to improve … Readmissions, Observation, and the Hospital Readmissions Reduction Program. … The effect of a collaborative pharmacist-hospital care transition program on the likelihood of 30-day

183. Crossed Coverage | PSNet
     psnet.ahrq.gov/web-mm/crossed-coverage
     September 01, 2015 - Efforts to improve the quality and safety of warfarin administration include publishing standardized … other hand, a program of direct anticoagulation management by the pharmacist upon the request of a physician … Most of these programs are voluntary, so the availability of this service also might not have prevented … A more comprehensive program would establish a pharmacy-directed anticoagulation dosing service on a … The Evidence-Based Physical Examination as a Patient Safety Practice November 1, 2012

184. Medication Administration Errors | PSNet
     psnet.ahrq.gov/primer/medication-administration-errors
     December 15, 2024 - patient safety field. … role in medication safety , the medication-use process is highly complex with many steps and risk points … safety rounds. … A study of non-timing medication errors in a system with comprehensive barcoding/electronic medical … Safety advancements require a comprehensive, systems-oriented approach that considers all aspects of

185. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867985/psn-pdf
     January 01, 2025 - The Joint Commission included suicide prevention in its list of National Patient Safety Goals in 2018 … In primary care and outpatient clinics, where appointments may allow for a more comprehensive evaluation … efforts and/or more comprehensive mental health assessments are warranted.13,14 In outpatient settings … improve their ability to identify and manage suicide risk, healthcare organizations can invest in comprehensive … training programs that equip staff with the skills to identify warning signs, confidently use validated

186. Discharge Planning and Transitions of Care | PSNet
     psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
     June 15, 2024 - Components of comprehensive and effective transitional care. … Patient Engagement and Safety. … The Pharmacist’s Role in Medication Safety. … October 7, 2015 The effect of a transitional pharmaceutical care program on the occurrence of ADEs … Safety Primers Post-Acute Transitional Services: Safety in Home-Based Care Programs

187. Improving the specificity of drug-drug interaction alerts: can it be done? | PSNet
     psnet.ahrq.gov/issue/improving-specificity-drug-drug-interaction-alerts-can-it-be-done
     September 07, 2022 - September 7, 2022 National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive … August 24, 2022 Alternatives to opioid education and a prescription drug monitoring program … May 20, 2020 Improving patient safety and efficiency of medication reconciliation through … May 22, 2024 Patient Safety Innovations Remote Response … the analysis of patient safety event reports.

188. ABCDEF Bundle Data Literacy Training, Performance Measurement Tracking, and Performance Feedback | PSNet
     psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
     September 23, 2024 - compliance with the A-F bundle implementation, and positively impact patient safety outcomes. … This can be part of building and delivering a structured data literacy training program to engage bedside … The Critical Care Safety Study: The incidence and nature of adverse events and serious medical errors … Innovations Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive … Innovations Patient and Family Centered I-PASS (Family-Centered Communication Program

189. Syringe Swap During Regional Block: A Case of Medication Error and Recovery | PSNet
     psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
     July 22, 2020 - In a strong safety culture, error prevention and recovery programs are well developed, updated regularly … medication safety program, which can benefit all providers who are involved in conscious sedation, chronic … programs A robust safety culture requires active participation by key stakeholders, continual assessment … Safety programs should integrate pharmacy, perioperative nursing units, and all anesthesia providers … A comprehensive medication safety program should encompass various healthcare disciplines responsible

190. Burnout | PSNet
     psnet.ahrq.gov/primer/burnout
     November 20, 2024 - personal and system level with the goal of impacting patient safety. … National Academies Collaborative on Clinician Well-Being has published a comprehensive report detailing … to intervene. 15-18  For example, there has been increased interest in implementing peer support programs … Peer support programs for physicians: mitigate the effects of emotional stressors through peer support … January 27, 2021 Perspective Building a Safety Program

191. Patient Safety and Opioid Medications | PSNet
     psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
     January 01, 2015 - for opioid safety, including a program announcement for safe medication use research ( PA-16-421 ) and … The first examined state-level prescription drug monitoring programs and found that states with more … complete and timely opioid monitoring achieved greater overdose reductions than those with less comprehensive … programs. … April 25, 2016 Use of an interactive, telephone-based self-management support program

192. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33605/psn-pdf
     March 12, 2021 - patient safety field. … role in medication safety, the medication-use process is highly complex with many steps and risk points … safety rounds. … A study of non-timing medication errors in a system with comprehensive barcoding/electronic medical … Safety advancements require a comprehensive, systems-oriented approach that considers all aspects of

193. Primary Care and Patient Safety: Opportunities at the Interface | PSNet
     psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
     September 28, 2022 - to the patient and providing comprehensive services in the context of the community and family. 20 … new programs. … program, but then understanding the community-level readiness for the intervention that has come from … to assess an integrative pain treatment program. … a rigorous population health program.

194. Measuring Patient Safety | PSNet
     psnet.ahrq.gov/perspective/measuring-patient-safety
     December 14, 2022 - need to develop comprehensive patient safety measurement systems that cut across the entire continuum … programs. 14 Conclusions After the onset of the COVID-19 pandemic, patient safety experienced setbacks … home health, and hospice; many hospital programs (such as the Hospital Readmission Reduction Program, … the Hospital-Acquired Condition Reduction Program, the Hospital Value-Based Purchasing program, the … dialysis programs, the inpatient psychiatric facility programs, the cancer programs); and clinician programs

195. Suicidal Ideation in the Family Medicine Clinic | PSNet
     psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic
     October 01, 2007 - There is no empirical evidence to support this practice of "contracting for safety." … A framework called Zero Suicide is one example of a comprehensive systems approach to mitigating suicide … Western Interstate Commission for Higher Education Mental Health Program and Suicide Prevention Resource … Safety planning intervention: a brief intervention to mitigate suicide risk. … January 15, 2014 Implementing a national program to reduce catheter-associated urinary

196. Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. | PSNet
     psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
     August 14, 2024 - External factors include the culture of safety —described as the positive and negative ways safety is … Whether team discussions were held to consider a more comprehensive personalized approach, involving … Medicare and Medicaid programs. … The effect of group-based Otago exercise program on fear of falling and physical function among older … quality reporting program and value-based purchasing program for federal fiscal year 2023.

197. Classics and Emerging Classics | PSNet
     psnet.ahrq.gov/classics
     August 01, 2023 - Drawing on information gathered from the ISMP Medication Errors Reporting Program, this fact sheet provides … The Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) program was developed … The 3.0 version of the widely implemented program is organized around 5 key strategies: patient focus … Assessing the need for organizational second victim support programs. … culture, to the use of organization support programs.

198. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport | PSNet
     psnet.ahrq.gov/web-mm/misplaced-vial-medication-kit-variability-contributes-medication-error-during-patient
     March 12, 2021 - Comprehensive resuscitation efforts were carried out during and after transport to the closest emergency … Approaches to Improving Safety The use of RFID technology may help to ensure that all the intended medications … Placement of items should be based on the frequency of use and safety principles. … Program in a Vast Health Care Network March 1, 2019 Perspective … Emergence of the Trigger Tool as the Premier Measurement Strategy for Patient Safety May 1, 2012

199. The Role of Community Pharmacists in Patient Safety | PSNet
     psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
     October 24, 2021 - likelihood to seek counseling, address concerns regarding their medication therapy, and provide a more comprehensive … residency program. … There are first- and second-year residency training programs. … records, which allows you to do a more comprehensive review. … A really strong, ongoing safety program is documenting errors or near-misses.

200. The Perils of Cross Coverage | PSNet
     psnet.ahrq.gov/web-mm/perils-cross-coverage
     September 22, 2010 - As a result, programs are currently developing new handoff curricula.( 4 ) Because programs must also … Finally, educational programs to date do not stress the fundamental aim of the handoff: to create a shared … Common program requirements. … The patient handoff: a comprehensive curricular blueprint for resident education to improve continuity … A structured handoff program for interns. Acad Med. 2009;84:347-352. [go to PubMed] 18.