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Showing results for "understanding".

9181. Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module6/guide.docx
      March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Long-Term Care Safety Modules Module 6: Sustainability Term Care Safety Toolkit Material Use Guide Learning Objectives: · Define sustainability and recognize the importance of maintaining positive change · Understand the link between sustainability and spread · …

9182. Moving patient safety into ambulatory settings and beyond. | PSNet
      psnet.ahrq.gov/issue/moving-patient-safety-ambulatory-settings-and-beyond
      October 02, 2019 - Commentary Moving patient safety into ambulatory settings and beyond. Citation Text: Ricciardi R, Shofer M. Moving Patient Safety Into Ambulatory Settings and Beyond. J Nurs Care Qual. 2018;33(3):195-199. doi:10.1097/NCQ.0000000000000329. Copy Citation Format: DOI Google Sc…

9183. Teach-Back Tips (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back-tips-jobaid-final508.pdf
      June 02, 2025 - Teach-Back Tips Teach-Back Tips All patients can benefit from teach-back. � Ask patients to teach information back to you in their own words, not just repeat your words. � Use plain language (blood thinner for anticoagulant, heart doctor for cardiologist). � Rephrase your message until the patient understa…

9184. Perioperative Staff Safety Assessment | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/perioperative-asst.html
      December 01, 2017 - Perioperative Staff Safety Assessment AHRQ Safety Program for Surgery Introduction Problem Statement One of the strongest determinants of safety culture is whether local and hospital leadership respond to staff patient safety concerns. Frontline providers understand patient safety risks in the…

9185. Operating Room Briefing and Debriefing Audit Tool | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/or-briefing-audit.html
      December 01, 2017 - Operating Room Briefing and Debriefing Audit Tool AHRQ Safety Program for Surgery Introduction Problem Statement One of the strongest determinants of safety culture is whether local and hospital leadership respond to staff patient safety concerns. Frontline providers understand patient safety …

9186. A safe haven for nurses to report medication errors? Clarian and Spectrum Health Systems prove it is possible! | PSNet
      psnet.ahrq.gov/issue/safe-haven-nurses-report-medication-errors-clarian-and-spectrum-health-systems-prove-it
      September 24, 2010 - Commentary A safe haven for nurses to report medication errors? Clarian and Spectrum Health Systems prove it is possible! Citation Text: Paparella S. A Safe Haven for Nurses to Report Medication Errors? Clarian and Spectrum Health Systems Prove It Is Possible!. J Emerg Nurs. 2005;31(4)…

9187. Exhibit 1.2. Lakeview Healthcare | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-2.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 1.2. Lakeview Healthcare Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Hospital …

9188. Strategy 2: Communicating to Improve Quality (Tool 3) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module5/engagemt-checklist.docx
      March 01, 2017 - Strategy 2: Communicating to Improve Quality (Tool 3) Long-Term Care Safety Toolkit AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Long-Term Care Safety Modules Resident and Family Engagement Checklist Purpose: To provide leaders and staff a checklist to help plan, implement, and evaluate resident and family en…

9189. Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the core issue. | PSNet
      psnet.ahrq.gov/issue/three-quarters-preventable-patient-harm-stems-situation-awareness-breakdowns-recognizing-and
      September 11, 2009 - Newspaper/Magazine Article Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the core issue. Citation Text: Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the …

9190. Is "first do no harm" a lost concept in medical education? | PSNet
      psnet.ahrq.gov/issue/first-do-no-harm-lost-concept-medical-education
      December 01, 2004 - Commentary Is "first do no harm" a lost concept in medical education? Citation Text: O'Leary D. Is "first do no harm" a lost concept in medical education. MedGenMed. 2006;8(3):77. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

9191. Resident and Family Engagement: What is my role as a leader? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/engage/rfe-role-leader.pdf
      March 01, 2017 - Resident and Family Engagement: What is my role as a leader? • Resident and family engagement is one component of person-centered care, a philosophy that recognizes residents as individuals and as partners. • Effective resident and family partnerships are demonstrated by including the residents and family a…

9192. Medication mix-up: what happened at Vanderbilt and how it impacts health care providers. | PSNet
      psnet.ahrq.gov/issue/medication-mix-what-happened-vanderbilt-and-how-it-impacts-health-care-providers
      March 18, 2020 - Commentary Medication mix-up: what happened at Vanderbilt and how it impacts health care providers. Citation Text: Medication mix-up: what happened at Vanderbilt and how it impacts health care providers. Michel C, Talley C. J Health Life Sci Law. 2022;17(1):71 Copy Citation …

9193. Audibility of patient clinical alarms to hospital nursing personnel. | PSNet
      psnet.ahrq.gov/issue/audibility-patient-clinical-alarms-hospital-nursing-personnel
      November 15, 2023 - Study Audibility of patient clinical alarms to hospital nursing personnel. Citation Text: Sobieraj J, Ortega C, West I, et al. Audibility of patient clinical alarms to hospital nursing personnel. Mil Med. 2006;171(4):306-10. Copy Citation Format: Google Scholar PubMed Bib…

9194. No-fault compensation in New Zealand: harmonizing injury compensation, provider accountability, and patient safety. | PSNet
      psnet.ahrq.gov/issue/no-fault-compensation-new-zealand-harmonizing-injury-compensation-provider-accountability-and
      April 22, 2011 - Commentary No-fault compensation in New Zealand: harmonizing injury compensation, provider accountability, and patient safety. Citation Text: Bismark M, Paterson R. No-fault compensation in New Zealand: harmonizing injury compensation, provider accountability, and patient safety. Healt…

9195. ACOG SCOPE: Safety Certification in Outpatient Practice Excellence for Women's Health. | PSNet
      psnet.ahrq.gov/issue/acog-scope-safety-certification-outpatient-practice-excellence-womens-health
      January 23, 2017 - Multi-use Website ACOG SCOPE: Safety Certification in Outpatient Practice Excellence for Women's Health. Citation Text: Sclafani J, Levy BS, Lawrence H, et al. Building a Better Safety Net. doi:10.1097/aog.0b013e318260957c. Copy Citation Format: DOI Google Scholar BibTeX E…

9196. Technology, cognition and error. | PSNet
      psnet.ahrq.gov/issue/technology-cognition-and-error
      September 04, 2024 - Commentary Technology, cognition and error. Citation Text: Coiera E. Technology, cognition and error. BMJ Qual Saf. 2015;24(7):417-22. doi:10.1136/bmjqs-2014-003484. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

9197. Deaths due to medical error: jumbo jets or just small propeller planes? | PSNet
      psnet.ahrq.gov/issue/deaths-due-medical-error-jumbo-jets-or-just-small-propeller-planes
      June 22, 2022 - Commentary Deaths due to medical error: jumbo jets or just small propeller planes? Citation Text: Shojania KG. Deaths due to medical error: jumbo jets or just small propeller planes? BMJ Qual Saf. 2012;21(9). doi:10.1136/bmjqs-2012-001368. Copy Citation Format: DOI Google S…

9198. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33691/psn-pdf
      December 01, 2009 - Seeing an opportunity to contribute to a better understanding of this issue, we then developed our own … The goal is to have a better understanding of how and why people react the way they do and, through … this understanding, potentially prevent a disruptive event or communication mishap from occurring. … Gaining a better understanding of human factor issues; providing education and workshops supported by … Understanding Patient Safety. New York, NY: McGraw-Hill Professional; 2008. 5. Rosenstein AH.

9199. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38699/psn-pdf
      June 17, 2009 - Mapping research on culture and safety in high-risk organizations: arguments for a sociotechnical understanding … Mapping Research on Culture and Safety in High-Risk Organizations: Arguments for a Sociotechnical Understanding

9200. Orientation to Opioid Use Disorder Treatment | The Academy
      integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/obtain-training-and-support-providers-and-staff/clinicwide-orientation-oud-treatment
      January 01, 2019 - This training should improve staff’s understanding of addiction as “a chronic, relapsing brain disease … This training should help improve their basic understanding of the patients they will serve and the MAT … Understanding that opioid use disorder leads to fundamental changes in the brain can help reinforce to … Build an understanding of risk and protective factors and of the kinds of behaviors common in people … Everyone should have a basic understanding of behaviors, side effects, and complications of opioid use