-
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
-
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
-
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
Citation
Citation Text:
Creating a comprehensive, unit-based approach
-
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
-
psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-approach
August 30, 2023 - Commentary
The morbidity and mortality meeting: time for a different approach? … The morbidity and mortality meeting: time for a different approach? … of the traditional M&M conference model , this commentary advocates for a proactive risk management approach … The morbidity and mortality meeting: time for a different approach?
-
psnet.ahrq.gov/issue/building-community-engagement-approach-patient-safety-improvement
April 01, 2010 - Commentary
Building a community engagement approach for patient safety improvement … Building a community engagement approach for patient safety improvement. … This commentary provides information about an approach to augment patient safety through public health … Building a community engagement approach for patient safety improvement. … View More
Related Resources
Early diagnosis of cancer: systems approach
-
psnet.ahrq.gov/issue/reducing-medication-errors-critical-care-multimodal-approach
March 27, 2019 - Review
Reducing medication errors in critical care: a multimodal approach. … Reducing medication errors in critical care: a multimodal approach. … The authors recommend a multimodal approach that combines system-level interventions, such as computerized … Reducing medication errors in critical care: a multimodal approach.
-
psnet.ahrq.gov/issue/collaborative-case-review-systems-based-approach-patient-safety-event-investigation-and
May 04, 2022 - Study
Collaborative case review: a systems-based approach to patient safety event … Collaborative case review: a systems-based approach to patient safety event investigation and analysis … This study assessed a system-based approach, (i.e., collaborative case reviews (CCR) co-led by radiology … Collaborative case review: a systems-based approach to patient safety event investigation and analysis … May 4, 2022
Lessons learned from a systems approach to engaging patients and families
-
psnet.ahrq.gov/issue/cmqcc-obstetric-sepsis-toolkit-update-patient-centered-approach-quality-improvement
August 21, 2024 - Commentary
CMQCC obstetric sepsis toolkit update: a patient-centered approach to … CMQCC obstetric sepsis toolkit update: a patient-centered approach to quality improvement. … This report describes a patient-centered approach to diagnosis and treatment of maternal sepsis. … CMQCC obstetric sepsis toolkit update: a patient-centered approach to quality improvement.
-
psnet.ahrq.gov/issue/call-systems-thinking-approach-medication-adherence-stop-blaming-patient
November 09, 2022 - Commentary
A call for a systems-thinking approach to medication adherence: stop blaming … A Call for a Systems-Thinking Approach to Medication Adherence: Stop Blaming the Patient. … discusses factors that affect patient medication nonadherence and suggests that a systems thinking approach … A Call for a Systems-Thinking Approach to Medication Adherence: Stop Blaming the Patient. … June 14, 2011
Preventing medication errors in hospitals through a systems approach and
-
psnet.ahrq.gov/issue/reducing-near-miss-medication-events-using-evidence-based-approach
July 07, 2021 - Study
Reducing near miss medication events using an evidence-based approach. … Reducing near miss medication events using an evidence-based approach. … Barcode medication administration (BCMA) is one approach to reducing near-miss medication safety events … Reducing near miss medication events using an evidence-based approach.
-
psnet.ahrq.gov/issue/humanizing-harm-using-restorative-approach-heal-and-learn-adverse-events
November 30, 2022 - Commentary
Humanizing harm: using a restorative approach to heal and learn from adverse … Humanizing harm: Using a restorative approach to heal and learn from adverse events. … A restorative approach focuses on (1) who has been hurt and their needs, and who is responsible for addressing … Humanizing harm: Using a restorative approach to heal and learn from adverse events. … June 2, 2021
A systems approach to analyzing and preventing hospital adverse events.
-
psnet.ahrq.gov/issue/locating-errors-through-networked-surveillance-multimethod-approach-peer-assessment-hazard
May 24, 2012 - Study
Locating errors through networked surveillance: a multimethod approach to peer … Locating Errors Through Networked Surveillance: A Multimethod Approach to Peer Assessment, Hazard Identification … This study describes a comprehensive approach to identifying safety hazards in a specific clinical … This type of in-depth, multidisciplinary approach shows promise for determining and prioritizing safety … March 29, 2023
A systems approach to analyzing and preventing hospital adverse events
-
psnet.ahrq.gov/issue/machine-learning-approach-reclassifying-miscellaneous-patient-safety-event-reports
July 22, 2020 - Study
A machine learning approach to reclassifying miscellaneous patient safety event … A machine learning approach to reclassifying miscellaneous patient safety event reports. … This pilot study reported generally positive user feedback on a machine learning approach to reclassifying … A machine learning approach to reclassifying miscellaneous patient safety event reports. … Author(s)
Patient safety and quality improvement: ethical principles for a regulatory approach
-
psnet.ahrq.gov/issue/systems-approach-health-service-design-delivery-and-improvement-systematic-review-and-meta
February 02, 2022 - Review
Emerging Classic
Systems approach to health service … Systems approach to health service design, delivery and improvement: a systematic review and meta-analysis … A systems approach is a key element in safe patient care . … This systematic review concluded that a systems approach to healthcare design and delivery can lead to … Systems approach to health service design, delivery and improvement: a systematic review and meta-analysis
-
psnet.ahrq.gov/issue/applying-multidisciplinary-approach-selection-evaluation-and-acquisition-smart-infusion-pumps
October 12, 2022 - Study
Applying a multidisciplinary approach to the selection, evaluation, and acquisition … Applying a multidisciplinary approach to the selection, evaluation, and acquisition of smart infusion … clinicians, patient safety experts, human factors engineers , and biomedical engineers used a user-centered approach … Applying a multidisciplinary approach to the selection, evaluation, and acquisition of smart infusion
-
psnet.ahrq.gov/issue/simulation-based-approach-training-heuristic-clinical-decision-making
January 31, 2024 - Study
A simulation-based approach to training in heuristic clinical decision-making … A simulation-based approach to training in heuristic clinical decision-making. … majority were able to identify and recover from the bias, suggesting that simulation may be a promising approach … A simulation-based approach to training in heuristic clinical decision-making.
-
psnet.ahrq.gov/issue/improving-patient-safety-developing-countries-moving-towards-integrated-approach
December 02, 2020 - Review
Improving patient safety in developing countries—moving towards an integrated approach … Improving patient safety in developing countries - moving towards an integrated approach. … The authors recommend a patient-centered, systems-oriented approach built on leadership , teamwork, … Improving patient safety in developing countries - moving towards an integrated approach. … January 23, 2019
Patient Safety: A Human Factors Approach.
-
psnet.ahrq.gov/issue/improving-approach-defining-classifying-reporting-and-monitoring-adverse-events-seriously-ill
July 29, 2020 - Commentary
Improving the approach to defining, classifying, reporting and monitoring … Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously … events (SAEs/AEs) are currently defined and reported, the associated challenges, and proposes a new approach … A decision-tree to determine SAE/AE reporting based on the new proposed approach is presented. … Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously
-
psnet.ahrq.gov/issue/cognitive-biases-and-moral-characteristics-healthcare-workers-and-their-treatment-approach
March 28, 2018 - Cognitive biases and moral characteristics of healthcare workers and their treatment approach … Cognitive biases and moral characteristics of healthcare workers and their treatment approach for persons … Cognitive biases can influence treatment approach at the end of life . … Representativeness, availability, and anchoring biases were associated with treatment approach in this … Cognitive biases and moral characteristics of healthcare workers and their treatment approach for persons