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Total Results: 400 records

Showing results for "things".

301. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33589/psn-pdf
     September 15, 2024 - Reluctance to Simplify People resist simplifying their understanding of work processes and how and why things

302. Checklists | PSNet
     psnet.ahrq.gov/primer/checklists
     September 15, 2024 - Engineering September 15, 2024 Editor's Picks The Checklist Manifesto: How to Get Things

303. Caution, Interrupted | PSNet
     psnet.ahrq.gov/web-mm/caution-interrupted
     October 01, 2016 - simplistic approach to reducing the volume of communications and interruptions may inadvertently make things … Structure Although much of the writing about emergency departments concerns biology, the most important things

304. The Role of Health Literacy in Patient Safety | PSNet
     psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
     March 22, 2009 - number of times that we do medication reconciliation in the office and we pick up some pretty scary things … levels—as they relate to health care materials—tend to be fairly robust predictors of a whole bunch of things … their families, and to enable them to know how to access resources appropriately to help them when things

305. Adverse Events, Near Misses, and Errors | PSNet
     psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
     March 30, 2022 - Adverse Events, Near Misses, and Errors Citation Text: Adverse Events, Near Misses, and Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

306. In Conversation With... Cindy Brach | PSNet
     psnet.ahrq.gov/perspective/conversation-cindy-brach
     December 27, 2019 - However, I don’t want to oversell its ability to reduce disparities as there are many things that factor … For example, you should still have bi-lingual clinicians, interpreter services, and things that will

307. Patient Engagement and Safety | PSNet
     psnet.ahrq.gov/primer/patient-engagement-and-safety
     August 30, 2023 - Patient and Family Roles in Safety June 14, 2023 Patient Advocacy in Patient Safety: Have Things

308. Measuring Patient Safety | PSNet
     psnet.ahrq.gov/perspective/measuring-patient-safety
     December 14, 2022 - Our concept of harm has grown, as we count more things now as harm. … personal belief that if we unleash the voice of the patient in quality reporting, we are going to see things … CMS works closely with the Office of the National Coordinator (ONC) in doing several things that are

309. 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 - Our concept of harm has grown, as we count more things now as harm. … personal belief that if we unleash the voice of the patient in quality reporting, we are going to see things … CMS works closely with the Office of the National Coordinator (ONC) in doing several things that are

310. Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout | PSNet
     psnet.ahrq.gov/web-mm/speaking-patient-safety-what-they-dont-tell-you-training-about-feedback-and-burnout
     January 22, 2020 - Sexton, PhD To assess or improve safety culture in health care is to assess or improve "the way we do things … Exquisite teamwork, leadership, and communication are required for things to go well in the health care

311. Debriefing for Clinical Learning | PSNet
     psnet.ahrq.gov/primer/debriefing-clinical-learning
     September 15, 2024 - After her initial reflection, JA identified things that went well during the debriefing, and a few things

312. Patient Safety in Home Dialysis | PSNet
     psnet.ahrq.gov/perspective/patient-safety-home-dialysis
     April 28, 2021 - American Kidney Health Initiative that was implemented by executive order in July of 2019 put a lot of things … In the training program, they add things every week and reinforce what’s already been taught. … We also need to think about home programs and the things that a home program provides.

313. Failure to Report | PSNet
     psnet.ahrq.gov/web-mm/failure-report
     July 01, 2008 - Instead, the message that may have been imparted is, "When things don't go right, hide the mistake" rather … than "When things don't go right, openly discuss how to keep it from happening again

314. Patient Safety in Frail Older Patients | PSNet
     psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
     November 26, 2019 - But there are programs that have been created in hospitals and hospices that have done things to “geriatricize

315. In Conversation With... Heidi Wald, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-heidi-wald-md
     November 26, 2019 - But there are programs that have been created in hospitals and hospices that have done things to “geriatricize

316. Unintended Consequences of CPOE | PSNet
     psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
     September 01, 2004 - mind goes, unbidden and free of conscious control, making generally good assumptions about the way things … The Design of Everyday Things. New York: Basic Books; 1988. ISBN: 9780385267748. 12.

317. Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis. | PSNet
     psnet.ahrq.gov/issue/why-safety-intrapartum-electronic-fetal-monitoring-so-hard-qualitative-study-combining-human
     October 21, 2020 - Study Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis. Citation Text: Lamé G, Liberati EG, Canham A, et al. Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative…

318. Where Does Risk-Adjusted Mortality Fit Into a Safety Measurement Program? | PSNet
     psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
     March 01, 2015 - The Head of Investigations at the Health Care Commission said that, while all those things were important

319. Drug-related harms in hospitalized Medicare beneficiaries: results from the Healthcare Cost and Utilization Project, 2000–2008. | PSNet
     psnet.ahrq.gov/issue/drug-related-harms-hospitalized-medicare-beneficiaries-results-healthcare-cost-and
     September 15, 2011 - Study Drug-related harms in hospitalized Medicare beneficiaries: results from the Healthcare Cost and Utilization Project, 2000–2008. Citation Text: Shamliyan TA, Kane RL. Drug-Related Harms in Hospitalized Medicare Beneficiaries: Results From the Healthcare Cost and Utilization Project,…

320. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. | PSNet
     psnet.ahrq.gov/issue/nature-adverse-events-hospitalized-patients-results-harvard-medical-practice-study-ii
     February 18, 2011 - Study Classic The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. Citation Text: Leape L, Brennan TA, Laird N, et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Pra…