Application of high-reliability (HR) principles into daily healthcare processes can drive culture change, safety, and quality outcomes. Understanding foundational practices to full HR principle integration in an organization's quality and safety programs strengthens evidence-based practices, reduces clinical variation, and improves nurse-sensitive patient outcomes. Quantifying the cost impact of reduction in preventable harm and improved nurse-sensitive patient outcomes is an initial attempt to formulate an empiric measure of nursing value.
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http://dx.doi.org/10.1097/NNA.0000000000000570 | DOI Listing |
Fed Pract
September 2024
Veterans Health Administration Office of Quality and Patient Safety, Washington, DC.
Background: To establish a culture of safety and improve patient care, the Veterans Health Administration (VHA) is identifying and implementing necessary parameters and objectives across the health care landscape to enhance services on its journey to becoming a high reliability organization (HRO).
Methods: This quality improvement initiative sought to increase the understanding of factors that influence the establishment and sustainment of a just culture and identify specific methods for improving their implementation. Focus groups of HRO leads at 16 VHA hospital facilities identified emergent themes, facilitators, and barriers to maintaining a just culture and developed recommendations for enhancing both psychological safety and accountabilitity.
Sci Rep
January 2025
Department of Materials Science and Engineering, Faculty of Engineering, Çanakkale Onsekiz Mart Universitesi, 17100, Çanakkale, Turkey.
The anisotropic behavior of fiber-reinforced polymer composites, coupled with their susceptibility to various failure modes, poses challenges for their structural health monitoring (SHM) during service life. To address this, non-destructive testing techniques have been employed, but they often suffer from drawbacks such as high costs and suboptimal resolutions. Moreover, routine inspections fail to disclose incidents or failures occurring between successive assessments.
View Article and Find Full Text PDFDisabil Rehabil
January 2025
Postgraduate Program in Rehabilitation Sciences, Nove de Julho University (UNINOVE), São Paulo, SP, Brazil.
Purpose: The LIMOS is a validated observational tool designed to assess stroke rehabilitation within hospital settings. To enable its application in outpatient settings in Brazil and similar low- and middle-income countries, it is necessary to adapt LIMOS into a Patient-Reported Outcome Measure (PROM). Accordingly, this study aimed to translate, cross-culturally adapt, and standardise LIMOS for the Brazilian context (LIMOS-Br) and transform it into a PROM.
View Article and Find Full Text PDFDent Mater
January 2025
Department of Prosthodontics and Periodontology, University of São Paulo - Bauru School of Dentistry, Bauru, SP, Brazil.
Objective: To synthesize bilayer zirconia systems based on commercial or recycled 3Y-TZP obtained from non-milled remnants and to compare their optical and mechanical properties before and after aging.
Methods: Bilayer zirconia samples were fabricated using either recycled 3Y-TZP (3Y-R/4Y and 3Y-R/5Y) or commercial powders (3Y/4Y and 3Y/5Y). Microstructure and phase composition were analyzed using ScanningElectronMicroscopy (SEM) and X-Ray Diffraction (XRD).
Nat Commun
January 2025
Department of Mechanical Engineering, Carnegie Mellon University, 5000 Forbes Ave, Pittsburgh, PA, USA.
Effective heat dissipation remains a grand challenge for energy-dense devices and systems. As heterogeneous integration becomes increasingly inevitable in electronics, thermal resistance at interfaces has emerged as a critical bottleneck for thermal management. However, existing thermal interface solutions are constrained by either high thermal resistance or poor reliability.
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