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psnet.ahrq.gov/primer/systems-approach
June 15, 2024 - Systems Approach
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Systems Approach. PSNet [internet]. … Copy URL
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Systems Approach … The systems approach, by contrast, takes the view that most errors reflect predictable human failings … Analyzing Errors Using the Systems Approach The systems approach provides a framework for analysis of … FMEA makes sense as a general approach and has been used in other high-risk industries.
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psnet.ahrq.gov/issue/systems-approach-healthcare
June 21, 2006 - Special or Theme Issue
Systems Approach in Healthcare. … Citation Text:
Systems Approach in Healthcare. Dean J, Clarkson J, eds. … The systems approach has long been heralded as a key element to safe patient care. … Copy URL
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Systems Approach … August 13, 2008
The systems approach at the sharp end.
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psnet.ahrq.gov/issue/systems-approach-medicine-controversy-and-misconceptions
June 24, 2020 - Commentary
The systems approach to medicine: controversy and misconceptions. … The systems approach to medicine: controversy and misconceptions. … Highlighting how the systems approach is often misunderstood to ascribe responsibility for failure … to the system when things go wrong, this commentary explains that the approach is instead meant to reduce … The systems approach to medicine: controversy and misconceptions.
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psnet.ahrq.gov/issue/spinal-surgery-and-patient-safety-systems-approach
January 12, 2022 - Review
Spinal surgery and patient safety: a systems approach. … Spinal surgery and patient safety: a systems approach. J Am Acad Orthop Surg. 2006;14(4):226-32. … epidemiology of surgical adverse events from major epidemiologic studies and discusses the need for a systems approach … Spinal surgery and patient safety: a systems approach.
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psnet.ahrq.gov/issue/patient-safety-engineering-approach
October 23, 2013 - Book/Report
Patient Safety: An Engineering Approach. … Citation Text:
Patient Safety: An Engineering Approach. Dhillon BS. … Cite
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Patient Safety: An Engineering Approach … May 21, 2019
Patient Safety: A Human Factors Approach.
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psnet.ahrq.gov/issue/towards-more-patient-centered-approach-medication-safety
January 22, 2025 - Review
Towards a more patient-centered approach to medication safety. … Towards a More Patient-Centered Approach to Medication Safety. … This commentary discusses the value of seeking patient insights as an approach to measure medication … Towards a More Patient-Centered Approach to Medication Safety.
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psnet.ahrq.gov/issue/avoid-punitive-approach-your-safety-event-reporting
October 23, 2019 - Newspaper/Magazine Article
Avoid punitive approach to your safety event reporting … ,
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Avoid punitive approach to your safety event reporting, Cheney C. … A blameless approach to error and near miss reporting is foundational to the success of the effort … Copy URL
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Avoid punitive approach
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psnet.ahrq.gov/issue/moving-towards-safety-ii-approach
May 18, 2022 - Commentary
Moving towards a Safety II approach. … Moving towards a safety II approach. … Moving towards a safety II approach. … October 9, 2013
Developing a 'critical' approach to patient and public involvement in
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psnet.ahrq.gov/issue/positive-deviance-different-approach-achieving-patient-safety
May 15, 2024 - Commentary
Positive deviance: a different approach to achieving patient safety. … Positive deviance: a different approach to achieving patient safety. … This commentary advocates for organizations to adopt an approach that focuses on top performers and … Positive deviance: a different approach to achieving patient safety. … January 14, 2009
A multistep approach to improving biopsy site identification in dermatology
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psnet.ahrq.gov/issue/systems-approach-patient-centered-care
November 21, 2021 - Commentary
A systems approach to patient-centered care. … A systems approach to patient-centered care. JAMA. 2006;296(23):2848-51. … A systems approach to patient-centered care. JAMA. 2006;296(23):2848-51. … May 27, 2011
Systems approach to health service design, delivery and improvement: a systematic … January 13, 2021
Racism as a Root Cause approach: a new framework.
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psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
August 31, 2020 - Annual Perspective
Approach to Improving Patient Safety: Communication
March 10, 2021 … Approach to Improving Patient Safety: Communication . PSNet [internet]. … Approach to Improving Patient Safety: Communication . PSNet [internet]. … Approach to Improving Patient Safety: Communication . PSNet [internet]. … A multisite qualitative approach.
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psnet.ahrq.gov/issue/system-safety-approach-assessing-risks-sepsis-treatment-process
February 03, 2021 - Study
A system safety approach to assessing risks in the sepsis treatment process … A system safety approach to assessing risks in the sepsis treatment process. … A systems approach provides a framework to analyze errors and improve safety. … A system safety approach to assessing risks in the sepsis treatment process. … February 1, 2012
The emergency department trigger tool: a novel approach to screening
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psnet.ahrq.gov/issue/bottom-approach-addressing-patient-care-and-differential-diagnosis-amidst-covid-19-response
May 05, 2021 - Commentary
A bottom-up approach addressing patient care and differential diagnosis … A bottom-up approach addressing patient care and differential diagnosis amidst the Covid-19 response. … The authors suggest the use of a “bottom-up” approach to diagnosis, which first eliminates the rare and … A bottom-up approach addressing patient care and differential diagnosis amidst the Covid-19 response. … February 16, 2022
Use of a structured approach and virtual simulation practice to improve
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psnet.ahrq.gov/issue/team-based-approach-improving-medication-reconciliation-rates-family-medicine-residency
June 15, 2022 - Study
Team-based approach to improving medication reconciliation rates in family … Team-based approach to improving medication reconciliation rates in family medicine residency clinics … This article describes a systematic team-based care approach to medication reconciliation implemented … Team-based approach to improving medication reconciliation rates in family medicine residency clinics … December 8, 2021
Applying a multidisciplinary approach to the selection, evaluation,
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psnet.ahrq.gov/issue/systems-approach-analyzing-and-preventing-hospital-adverse-events
March 30, 2022 - Study
Emerging Classic
A systems approach to analyzing … A systems approach to analyzing and preventing hospital adverse events. … The CAST approach is based on the principle that accidents are not only the result of individual system … A systems approach to analyzing and preventing hospital adverse events. … May 25, 2022
Lessons learned from a systems approach to engaging patients and families
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psnet.ahrq.gov/issue/systems-approach-sharp-end
April 21, 2021 - Commentary
The systems approach at the sharp end. … The systems approach at the sharp end. … The systems approach at the sharp end. … April 21, 2021
A systems approach to evaluating ionizing radiation: six focus areas to … and opportunities for telehealth implementation amidst the COVID-19 pandemic by using a human factors approach
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psnet.ahrq.gov/issue/creating-comprehensive-unit-based-approach-detecting-and-preventing-harm-neonatal-intensive
December 15, 2021 - Commentary
Creating a comprehensive, unit-based approach to detecting and preventing … Citation Text:
Creating a comprehensive, unit-based approach to detecting and preventing harm in the … This commentary describes a broad collaborative approach to improve the safety of neonatal intensive … The approach involved the use of trigger tool technology, patient and family advisory councils, and … Cite
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Creating a comprehensive, unit-based approach
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psnet.ahrq.gov/issue/creating-high-reliability-new-approach-patient-safety
April 07, 2022 - Commentary
Creating high reliability: a new approach for patient safety. … Creating high reliability: a new approach for patient safety. … This commentary outlines a comprehensive approach for creating and maintaining high reliability in … Creating high reliability: a new approach for patient safety.
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psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
October 01, 2007 - Making Just Culture a Reality: One Organization's Approach
Alison H. … Making Just Culture a Reality: One Organization's Approach. PSNet [internet]. … Making Just Culture a Reality: One Organization's Approach. PSNet [internet]. … Making Just Culture a Reality: One Organization's Approach. PSNet [internet].
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psnet.ahrq.gov/issue/adapting-rapid-assessment-procedures-implementation-research-using-team-based-approach
November 09, 2022 - Adapting rapid assessment procedures for implementation research using a team-based approach … Adapting rapid assessment procedures for implementation research using a team-based approach to analysis … The RAP approach included developing evaluation questions with stakeholder input, integrating implementation … The authors conclude that this approach is particularly useful for learning health systems because … Adapting rapid assessment procedures for implementation research using a team-based approach to analysis