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Total Results: 287 records

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

201. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33581/psn-pdf
     December 15, 2024 - safety field. … The Joint Commission has named improving medication safety as a National Patient Safety Goal for both … prescribing, including enhanced prescription drug monitoring programs and updated prescribing guidelines … These programs are summarized in a 2016 Annual Perspective and a 2017 PSNet perspective. … And in 2017, the World Health Organization launched its Medication Without Harm program as part of its

202. Reducing Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle | PSNet
     psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
     July 23, 2024 - safety stories are shared, implementing safety coaching programs, leveraging patient safety expert communities … safety stories are shared, implementing safety coaching programs, leveraging patient safety expert communities … Funding Sources Ascension funded this innovation through its internal patient safety program. … This comprehensive approach ensures a methodical and effective integration of the innovation, ultimately … For example, Ascension implemented a Good Catch Award program to reinforce wins in patient safety, storytelling

203. In Conversation With… Alison Holmes, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
     March 01, 2014 - program or an infection prevention program. … infection prevention or your patient safety program depends on how your hospitals work. … RW : In the US, we've had an incentive program to computerize hospitals and doctors' offices. … How Does Infection Prevention Fit Into a Safety Program? … In many ways, infection prevention efforts have been a model for comprehensive safety programs that extend

204. In Conversation with...Dean Schillinger, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withdean-schillinger-md
     March 01, 2009 - Program. … In the context of ambulatory care, in which the patient is the primary driver of safety and 99% of the … Most of the initial work in patient safety was in hospitals. … Act It is essential for health systems, health care professionals, and policy makers to develop a comprehensive … Bailey, MPH Program Director, Health Literacy and Learning Program Institute for Healthcare StudiesNorthwestern

205. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867986/psn-pdf
     March 24, 2025 - of their ideation, the severity of any past behavior, all those things should be done during the comprehensive … , then you may send that person to an inpatient unit or an intensive outpatient program. … The clinician can also review the person's safety plan, which is a plan for what the patient might do … When you call the patient, you reinforce the use of the safety plan so that it's not just a piece of … If they do not have it with them, then the caller can build the safety plan with them over the phone

206. Huddles and debriefings: improving communication on labor and delivery. | PSNet
     psnet.ahrq.gov/issue/huddles-and-debriefings-improving-communication-labor-and-delivery
     February 13, 2013 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … 25, 2020 Second victims need emotional support after adverse events: even in a just safety … July 12, 2017 The second victim: a review. … June 28, 2017 The case for simulation as part of a comprehensive patient safety program

207. Medication use leading to emergency department visits for adverse drug events in older adults. | PSNet
     psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults
     March 05, 2008 - View more articles from the same authors. … The authors argue that focusing on improving prescribing safety for these necessary but higher-risk medications … may reduce the large burden of ADEs in the elderly to a greater extent than focusing on use of Beers … March 24, 2021 National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive … EQUIPPED medication safety program.

208. Hyperglycemia and Switching to Subcutaneous Insulin | PSNet
     psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
     May 19, 2021 - culture of safety. … An organizational culture of safety promotes teamwork and standard practice using the Glucommander and … Safety is a systems property.( 5,7,13 ) Therefore, the safety of glucose management depends on safe system … and American College of Endocrinology—clinical practice guidelines for developing a diabetes mellitus comprehensive … A human factors engineering paradigm for patient safety: designing to support the performance of the

209. The Role of the National Quality Forum (NQF) in the Quest for Transparency in U.S. Hospitals' Patient Safety Performance | PSNet
     psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
     April 01, 2010 - envisioned an entity that would be responsible for (i) implementing a comprehensive plan for measurement … The long road to patient safety: a status report on patient safety systems. … in its public reporting and payment programs. … It's often used in the context of pay-for-performance programs. … We're always hearing from the front lines that there are disincentives in our current payment programs

210. In Conversation With... Dr. Michelle Schreiber on Measuring Patient Safety | PSNet
     psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
     December 14, 2022 - 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 … 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

211. The Role of Graduate Medical Education (GME) in Improving Patient Safety | PSNet
     psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
     February 01, 2010 - The Outcomes Project has further resulted in the development of new, more comprehensive, assessment strategies … Vidyarthi, MD Associate Professor of Clinical Medicine Director, Quality and Safety Programs, Graduate … in the program. … the time the program complies with our requirements. … the 80 or 90% of programs that are doing a good job to get at the 10% of problem programs.

212. Root Cause Analysis Gone Wrong | PSNet
     psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
     August 28, 2024 - Although the hospital's patient safety officer attempted to conduct the RCA in a nonjudgmental fashion … In: Comprehensive Accreditation Manual for Hospitals. CAMH Update 1. … Brussels, Belgium: Education and Training in Patient Safety Subgoup of the Patient Safety and Quality … Proceedings of the 12th Australian Workshop on Safety Critical Systems and Software and Safety-Related … Explaining Michigan: developing an ex post theory of a quality improvement program.

213. In Conversation With… Gregg S. Meyer, MD, MSc | PSNet
     psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
     June 01, 2016 - Now we have fellowship programs through the Harvard system and similar programs across the country. … programs to be patient safety programs. … The test is comprehensive and requires critical thinking. … Our patient safety program embraces the high reliability concepts of resilience, reluctance to simplify … I participate in two comprehensive unit-based safety program (CUSP) teams (in Labor & Delivery and Pharmacy

214. Dying in the Hospital With Advanced Dementia | PSNet
     psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
     November 01, 2016 - ACGME for residency training programs. … Fourth, the NAM recommends that government and commercial payers cover comprehensive care programs for … Use of the physician orders for life-sustaining treatment program in the clinical setting: a systematic … Program of All-Inclusive Care for the Elderly. J Am Geriatr Soc. 2000;48:1219-1225. … Finding John Doe: Patient matching and the need for a national patient safety identifier.

215. Methicillin-Resistant Staphylococcus aureus | PSNet
     psnet.ahrq.gov/perspective/methicillin-resistant-staphylococcus-aureus
     June 24, 2010 - From a patient safety perspective, the single most effective method to avoid the adverse outcomes associated … implementing a widespread program, and that states tread carefully before mandating infection control … Like most patient safety activities, this requires a comprehensive approach focusing on the system and … Prevention Epicenter Program. … Program?

216. Missed Opportunities for Suicide Risk Assessment | PSNet
     psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
     September 27, 2023 - adversely impacted patient safety and resulted in the tragic outcomes. … In July 2019, The Joint Commission implemented several suicide prevention programs as part of National … or repeated ED visits associated with suicidal ideation, gestures, or attempts should all receive a comprehensive … Suicide risk assessment is a comprehensive evaluation based on a synthesis of multiple acute, chronic … Toolkit for Primary Care Practices; Western Interstate Commission of Higher Education Mental Health Program

217. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33595/psn-pdf
     December 15, 2024 - Safety. … and practice in the patient safety field. … and patient safety.  … of closely monitored, comprehensive interventions to reduce work hours and improve sleep. … revised its work hour standards in 2017 to provide more flexibility to physician learners and training programs

218. Defensive Medicine: "Glowing" with Pain | PSNet
     psnet.ahrq.gov/web-mm/defensive-medicine-glowing-pain
     November 01, 2012 - and consequences for patient safety. … example, a 1994 comprehensive study performed by the US Congressional Office of Technology Assessment … Defensive medicine is a threat to patient safety: the patient in this case received doses of radiation … Sethi, MD Harvard Combined Orthopaedic Program Harvard Medical School     References 1. … Malpractice liability costs and the practice of medicine in the Medicare program.

219. Potentially inappropriate prescribing in older patients discharged from acute care hospitals to residential aged care facilities. | PSNet
     psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-older-patients-discharged-acute-care-hospitals
     June 23, 2021 - View more articles from the same authors. … This study found that about half of patients aged 70 and older who were discharged from the hospital … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation … Care Health Care Providers Quality and Safety Professionals Geriatrics View More

220. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33574/psn-pdf
     March 15, 2025 - ambulatory care, setting, efforts to improve safety have mostly focused on the inpatient setting. … However, a body of research dedicated to patient safety in ambulatory care has emerged over the past … Factors Influencing Safety in Ambulatory Care Ensuring patient safety outside of the hospital setting … The AHRQ Medical Office Survey on Patient Safety Culture is designed to assess safety culture in ambulatory … and safety through programs and research funding.