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- Communication Improvement
- Culture of Safety 2
- Error Reporting and Analysis 2
- Human Factors Engineering 1
- Legal and Policy Approaches 1
- Quality Improvement Strategies 2
- Teamwork 2
- Technologic Approaches 3
- Australia and New Zealand 1
- Europe 1
- North America 3
Search results for "Policy Makers"
Cultural Issues Related to Allegations of Bullying and Harassment in NHS Highland: Independent Review Report.
Sturrock J. Edinburgh, Scotland: The Scottish Government; May 2019. ISBN: 9781787817760.
Disrespectful and unprofessional behaviors are a common problem in health care. The report examines cultural issues at a National Health Service trust that affected the transparency needed to report disruptive behaviors and that limited conversation needed to facilitate local actions and improvement. Recommendations for the leadership, organizational, and system levels are provided to enable constructive change.
DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All Servicemembers.
Washington, DC: United States Government Accountability Office; November 2, 2012. Publication GAO-13-26.
This government report reveals the need for a policy to ensure that veterans' medication needs are safely managed during transitions between health care providers.
Salt Lake City, UT: Utah Department of Health, Utah Hospitals & Health Systems Association, and HealthInsight; March 10, 2010.
This brief provides information on 101 sentinel events reported to the state of Utah in 2009. The report also includes background on efforts to address such incidents.
Meeting/Conference > Government Resource
This Web site provides access to presentation materials from AHRQ's first annual conference, held in September 2007.
Paterson R. Auckland, New Zealand: Office of the Health and Disability Commissioner; April 24, 2007.
This report analyzes an incident of medication error that led to a patient's death, discusses the subsequent actions taken by the health board, and calls for a coordinated approach to medication reconciliation in New Zealand.