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psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - paused elective procedures, reduced in-person treatment across care settings, and reprioritized care to address … responding to COVID-19 remains a public health priority, there is a renewed focus on patient safety to address … Although processes were put in place to address patient safety challenges, many organizations that had … This reorientation requires our collective acknowledgment that we can no longer address safety in fits … There is also a critical need to address the joy and meaning of the workforce, not because these are
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psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
August 30, 2023 - responsive to identifying inequities, reaching deeply into communities, and prioritizing action to address … This reorientation requires our collective acknowledgment that we can no longer address safety in fits … Self-Assessment Tool to assess their organization’s current state, and implement a plan of action to address … There is also a critical need to address the joy and meaning of the workforce, not because these are … Although processes were put in place to address patient safety challenges, many organizations that had
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psnet.ahrq.gov/node/41970/psn-pdf
July 02, 2014 - Transformative learning in a professional development
course aimed at addressing disruptive physician
behavior: a composite case study.
July 2, 2014
Samenow CP, Worley LLM, Neufeld R, et al. Transformative learning in a professional development course
aimed at addressing disruptive physician behavior: a composite …
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psnet.ahrq.gov/node/42089/psn-pdf
March 06, 2013 - Organizational culture: an important context for
addressing and improving hospital to community patient
discharge.
March 6, 2013
Hesselink G, Vernooij-Dassen M, Pijnenborg L, et al. Organizational culture: an important context for
addressing and improving hospital to community patient discharge. Med Care. 2013;51(…
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psnet.ahrq.gov/node/41565/psn-pdf
December 21, 2014 - Pursuing professional accountability: an evidence-based
approach to addressing residents with behavioral
problems.
December 21, 2014
Sanfey H, DaRosa DA, Hickson GB, et al. Pursuing professional accountability: an evidence-based
approach to addressing residents with behavioral problems. Arch Surg. 2012;147(7):642-…
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psnet.ahrq.gov/node/38276/psn-pdf
December 10, 2008 - Addressing delays in medication administration for
patients transferred from the hospital to the nursing
home: a pilot quality improvement project.
December 10, 2008
Ward KT, Bates-Jensen B, Eslami MS, et al. Addressing delays in medication administration for patients
transferred from the hospital to the nursing h…
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psnet.ahrq.gov/node/40922/psn-pdf
December 21, 2014 - Assessment of latent factors contributing to error:
addressing surgical pathology error wisely.
December 21, 2014
Smith ML, Raab SS. Assessment of Latent Factors Contributing to Error: Addressing Surgical Pathology
Error Wisely. Arch Pathol Lab Med. 2011;135(11). doi:10.5858/arpa.2011-0334-oa.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/46948/psn-pdf
April 16, 2018 - The authors call for stronger efforts to address the impact of the opioid
epidemic on children. … interview discussed factors that contributed to the increase in
opioid-related harm and strategies to address
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psnet.ahrq.gov/issue/ahrq-announces-interest-research-diagnostic-errors-ambulatory-care-settings
November 10, 2021 - November 10, 2021
AHRQ Announces Interest in Health Services Research to Address the … May 20, 2019
AHRQ Announces Interest in Health Services Research to Address the Opioids
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psnet.ahrq.gov/issue/leaving-discontinued-fentanyl-infusion-attached-patient-leads-tragic-error
February 10, 2021 - September 8, 2021
Safety committees need to proactively address the risk of accidental … Nurses, organizations work to address alarm fatigue.
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psnet.ahrq.gov/issue/medical-audible-alarms-review
August 11, 2021 - Related Resources From the Same Author(s)
Applying human factors engineering to address … November 3, 2021
How can interventions more directly address drivers of unprofessional
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psnet.ahrq.gov/issue/dissemination-and-implementation-equity-focused-evidence-based-interventions-healthcare
April 20, 2022 - January 15, 2020
AHRQ Announces Interest in Health Services Research to Address the Opioids … January 8, 2020
AHRQ Announces Interest in Health Services Research to Address the Opioids
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psnet.ahrq.gov/issue/racial-ethnic-and-payer-disparities-adverse-safety-events-are-there-differences-across
December 01, 2019 - Development of the Leapfrog Group's bar code medication administration standard to address … A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care.
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psnet.ahrq.gov/primer/national-patient-safety-goals
January 16, 2025 - As health systems address these critical issues, a renewed focus on national action plans for patient … safety that address system level solutions is both timely and crucial. … from the literature, The Joint Commission identifies areas of priority and accompanying strategies to address … and track their performance, and create and implement systems-level quality improvement strategies to address
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psnet.ahrq.gov/node/45904/psn-pdf
October 24, 2017 - Annual Perspective discussed the relationship between burnout and
patient safety and interventions to address
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psnet.ahrq.gov/node/41803/psn-pdf
December 16, 2013 - E-prescribing: a focused review and new approach to
addressing safety in pharmacies and primary care.
December 16, 2013
Odukoya OK, Chui MA. E-prescribing: a focused review and new approach to addressing safety in
pharmacies and primary care. Res Social Adm Pharm. 2013;9(6):996-1003.
doi:10.1016/j.sapharm.2012.09.…
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psnet.ahrq.gov/node/44908/psn-pdf
June 07, 2016 - Speak up! Addressing the paradox plaguing patient-
centered care.
June 7, 2016
Mazor KM, Smith KM, Fisher K, et al. Speak Up! Addressing the Paradox Plaguing Patient-Centered Care.
Ann Intern Med. 2016;164(9):618-9. doi:10.7326/M15-2416.
https://psnet.ahrq.gov/issue/speak-addressing-paradox-plaguing-patient-center…
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psnet.ahrq.gov/node/37722/psn-pdf
February 18, 2011 - Leveraging computerized sign-out to increase error
reporting and addressing patient safety in graduate
medical education.
February 18, 2011
Foster PN, Sidhu R, Gadhia DA, et al. Leveraging computerized sign-out to increase error reporting and
addressing patient safety in graduate medical education. J Gen Intern Me…
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psnet.ahrq.gov/issue/meeting-moment-addressing-barriers-and-facilitating-clinical-adoption-artificial-intelligence
September 19, 2018 - A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care.
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psnet.ahrq.gov/node/34775/psn-pdf
February 07, 2019 - escape-fire-lessons-future-health-care
This report represents an edited version of Donald Berwick’s Plenary Address … In his address to more than 3000 attendees, Berwick uses the story of the Mann Gulch Fire tragedy
to