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Showing results for "understanding".

  1. Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. | PSNet

    psnet.ahrq.gov/issue/using-orgahead-computational-modeling-program-improve-patient-care-unit-safety-and-quality
    June 22, 2011 - Commentary Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. Citation Text: Effken JA, Brewer BB, Patil A, et al. Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. Int J …

  2. State of science: evolving perspectives on ‘human error’. | PSNet

    psnet.ahrq.gov/issue/state-science-evolving-perspectives-human-error
    February 22, 2023 - Commentary State of science: evolving perspectives on ‘human error’. Citation Text: Read GJM, Shorrock S, Walker GH, et al. State of science: evolving perspectives on ‘human error’. Ergonomics. 2021;64(9):1091-1114. doi:10.1080/00140139.2021.1953615. Copy Citation Format: D…

  3. Bringing change-of-shift report to the bedside: a patient- and family-centered approach. | PSNet

    psnet.ahrq.gov/issue/bringing-change-shift-report-bedside-patient-and-family-centered-approach
    August 18, 2021 - Commentary Bringing change-of-shift report to the bedside: a patient- and family-centered approach. Citation Text: Griffin T. Bringing change-of-shift report to the bedside: a patient- and family-centered approach. J Perinat Neonatal Nurs. 2010;24(4):348-355. doi:10.1097/JPN.0b013e3181f8…

  4. High-reliability and the I-PASS communication tool. | PSNet

    psnet.ahrq.gov/issue/high-reliability-and-i-pass-communication-tool
    June 02, 2021 - Newspaper/Magazine Article High-reliability and the I-PASS communication tool. Citation Text: Clements K. High-reliability and the I-PASS communication tool. Nursing Management (Springhouse). 2017;48(3). doi:10.1097/01.numa.0000512897.68425.e5. Copy Citation Format: DOI Goo…

  5. What causes prescribing errors in children? Scoping review. | PSNet

    psnet.ahrq.gov/issue/what-causes-prescribing-errors-children-scoping-review
    September 09, 2015 - Review What causes prescribing errors in children? Scoping review. Citation Text: Conn RL, Kearney O, Tully MP, et al. What causes prescribing errors in children? Scoping review. BMJ Open. 2019;9(8):e028680. doi:10.1136/bmjopen-2018-028680. Copy Citation Format: DOI Google …

  6. The pharmacist-physician relationship in the detection of ambulatory medication errors. | PSNet

    psnet.ahrq.gov/issue/pharmacist-physician-relationship-detection-ambulatory-medication-errors
    September 30, 2020 - Study The pharmacist-physician relationship in the detection of ambulatory medication errors. Citation Text: Brown A, Bailey JH, Lee J, et al. The pharmacist-physician relationship in the detection of ambulatory medication errors. Am J Med Sci. 2006;331(1):22-24. Copy Citation Fo…

  7. Taking the blame: appropriate responses to medical error. | PSNet

    psnet.ahrq.gov/issue/taking-blame-appropriate-responses-medical-error
    September 23, 2020 - Commentary Taking the blame: appropriate responses to medical error. Citation Text: Tigard DW. Taking the blame: appropriate responses to medical error. J Med Ethics. 2019;45(2):101-105. doi:10.1136/medethics-2017-104687. Copy Citation Format: DOI Google Scholar PubMed BibT…

  8. The moderate success of quality of care improvement efforts: three observations on the situation. | PSNet

    psnet.ahrq.gov/issue/moderate-success-quality-care-improvement-efforts-three-observations-situation
    May 06, 2015 - Commentary The moderate success of quality of care improvement efforts: three observations on the situation. Citation Text: Katz-Navon T, Naveh E, Stern Z. The moderate success of quality of care improvement efforts: three observations on the situation. International Journal for Qualit…

  9. The SHARE Approach: Cultural Competence and Getting To Know Your Patient (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sdm/share-approach/05-SHARE-Cultural-Competence.pdf
    October 25, 2024 - The SHARE Approach: Cultural Competence and Getting To Know Your Patient The SHARE Approach: Cultural Competence and Getting To Know Your Patient Providers striving to deliver high-quality care to all patients understand that cultural factors influence patients’ health beliefs, behaviors, and responses …

  10. Nurses' practice environments, error interception practices, and inpatient medication errors. | PSNet

    psnet.ahrq.gov/issue/nurses-practice-environments-error-interception-practices-and-inpatient-medication-errors
    December 15, 2011 - Study Nurses' practice environments, error interception practices, and inpatient medication errors. Citation Text: Flynn L, Liang Y, Dickson GL, et al. Nurses' practice environments, error interception practices, and inpatient medication errors. J Nurs Scholarsh. 2012;44(2):180-6. doi:…

  11. Crossing to safety: transforming healthcare organizations for patient safety. | PSNet

    psnet.ahrq.gov/issue/crossing-safety-transforming-healthcare-organizations-patient-safety
    January 05, 2012 - Commentary Crossing to safety: transforming healthcare organizations for patient safety. Citation Text: Ralston JD, Larson EB. Crossing to safety: transforming healthcare organizations for patient safety. J Postgrad Med. 2005;51(1):61-67. Copy Citation Format: Google Scho…

  12. Clinical impact associated with corrected results in clinical microbiology testing. | PSNet

    psnet.ahrq.gov/issue/clinical-impact-associated-corrected-results-clinical-microbiology-testing
    December 03, 2008 - Study Clinical impact associated with corrected results in clinical microbiology testing. Citation Text: Yuan S, Astion ML, Schapiro J, et al. Clinical impact associated with corrected results in clinical microbiology testing. J Clin Microbiol. 2005;43(5):2188-93. Copy Citation For…

  13. A demonstration project on the impact of safety culture on infection control practices in hemodialysis | PSNet

    psnet.ahrq.gov/issue/demonstration-project-impact-safety-culture-infection-control-practices-hemodialysis
    May 01, 2024 - Journal Article A demonstration project on the impact of safety culture on infection control practices in hemodialysis Citation Text: Millson T, Hackbarth D, Bernard HL. A demonstration project on the impact of safety culture on infection control practices in hemodialysis. Am J Infect Co…

  14. Certain uncertainties: modes of patient safety in healthcare. | PSNet

    psnet.ahrq.gov/issue/certain-uncertainties-modes-patient-safety-healthcare
    April 04, 2011 - Study Certain uncertainties: modes of patient safety in healthcare. Citation Text: Jerak-Zuiderent S. Certain uncertainties: modes of patient safety in healthcare. Soc Stud Sci. 2012;42(5):732-52. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

  15. Chasing the 6-sigma: drawing lessons from the cockpit culture. | PSNet

    psnet.ahrq.gov/issue/chasing-6-sigma-drawing-lessons-cockpit-culture
    April 22, 2015 - Commentary Chasing the 6-sigma: drawing lessons from the cockpit culture. Citation Text: Hickey EJ, Halvorsen F, Laussen PC, et al. Chasing the 6-sigma: Drawing lessons from the cockpit culture. J Thorac Cardiovasc Surg. 2017;155(2). doi:10.1016/j.jtcvs.2017.09.097. Copy Citation F…

  16. Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs. | PSNet

    psnet.ahrq.gov/issue/adverse-events-associated-procedural-sedation-and-analgesia-pediatric-emergency-department
    June 12, 2019 - Study Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs. Citation Text: Roback MG, Wathen JE, Bajaj L, et al. Adverse events associated with procedural sedation and analgesia in a pediatric emer…

  17. Trends in health information technology safety: from technology-induced errors to current approaches for ensuring technology safety. | PSNet

    psnet.ahrq.gov/issue/trends-health-information-technology-safety-technology-induced-errors-current-approaches
    July 14, 2009 - Review Trends in health information technology safety: from technology-induced errors to current approaches for ensuring technology safety. Citation Text: Borycki EM. Trends in health information technology safety: from technology-induced errors to current approaches for ensuring techn…

  18. A living will misinterpreted as a DNR order: confusion compromises patient care. | PSNet

    psnet.ahrq.gov/issue/living-will-misinterpreted-dnr-order-confusion-compromises-patient-care
    September 11, 2019 - Commentary A living will misinterpreted as a DNR order: confusion compromises patient care. Citation Text: Katsetos AD, Mirarchi FL. A living will misinterpreted as a DNR order: confusion compromises patient care. J Emerg Med. 2011;40(6):629-32. doi:10.1016/j.jemermed.2008.11.014. Co…

  19. 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

  20. 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
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