-
psnet.ahrq.gov/node/46751/psn-pdf
July 23, 2018 - A call for a systems-thinking approach to medication
adherence: stop blaming the patient. … A Call for a Systems-Thinking Approach to Medication Adherence: Stop
Blaming the Patient. … https://psnet.ahrq.gov/issue/call-systems-thinking-approach-medication-adherence-stop-blaming-patient … discusses factors that affect patient medication nonadherence and suggests that
a systems thinking approach … https://psnet.ahrq.gov/issue/call-systems-thinking-approach-medication-adherence-stop-blaming-patient
-
psnet.ahrq.gov/node/41816/psn-pdf
September 26, 2016 - Designing for distractions: a human factors approach to
decreasing interruptions at a centralised medication … Designing for distractions: a human factors approach to decreasing
interruptions at a centralised medication … https://psnet.ahrq.gov/issue/designing-distractions-human-factors-approach-decreasing-interruptions- … interruptions while preserving a patient-centered
environment, this study used a human factors engineering approach … This approach resulted in
significantly fewer interruptions and improved staff satisfaction with medication
-
psnet.ahrq.gov/node/858167/psn-pdf
December 13, 2023 - A proposed approach to allegations of sexual boundary
violation in health care. … A proposed approach to allegations of sexual boundary violation
in health care. … https://psnet.ahrq.gov/issue/proposed-approach-allegations-sexual-boundary-violation-health-care
Policies … https://psnet.ahrq.gov/issue/proposed-approach-allegations-sexual-boundary-violation-health-care
https
-
psnet.ahrq.gov/node/838016/psn-pdf
January 02, 2021 - Racism as a Root Cause approach: a new framework.
January 2, 2021
Malawa Z, Gaarde J, Spellen S. … Racism as a Root Cause approach: a new framework. … https://psnet.ahrq.gov/issue/racism-root-cause-approach-new-framework
Structural racism, which manifests … https://psnet.ahrq.gov/issue/racism-root-cause-approach-new-framework
https://psnet.ahrq.gov/issue/structural-racism-and-health-inequities-usa-evidence-and-interventions
-
psnet.ahrq.gov/node/73984/psn-pdf
October 20, 2021 - Analyzing diagnostic errors in the acute setting: a
process-driven approach. … Analyzing diagnostic errors in the acute setting: a process-driven
approach. … https://psnet.ahrq.gov/issue/analyzing-diagnostic-errors-acute-setting-process-driven-approach
Diagnostic … https://psnet.ahrq.gov/issue/analyzing-diagnostic-errors-acute-setting-process-driven-approach
https:
-
psnet.ahrq.gov/node/74273/psn-pdf
January 19, 2022 - Community Living Centers: VA Needs to Strengthen Its
Approach for Addressing Resident Complaints. … https://psnet.ahrq.gov/issue/community-living-centers-va-needs-strengthen-its-approach-addressing-
resident-complaints … https://psnet.ahrq.gov/issue/community-living-centers-va-needs-strengthen-its-approach-addressing-resident-complaints … https://psnet.ahrq.gov/issue/community-living-centers-va-needs-strengthen-its-approach-addressing-resident-complaints
-
psnet.ahrq.gov/node/44729/psn-pdf
January 07, 2016 - The morbidity and mortality meeting: time for a different
approach?
January 7, 2016
Fraser J. … The morbidity and mortality meeting: time for a different approach? … https://psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-approach
Mortality and morbidity … of the traditional M&M conference model, this commentary advocates for a
proactive risk management approach … https://psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-approach
https://psnet.ahrq.gov
-
psnet.ahrq.gov/node/47200/psn-pdf
August 20, 2018 - Creating a comprehensive, unit-based approach to
detecting and preventing harm in the neonatal intensive … https://psnet.ahrq.gov/issue/creating-comprehensive-unit-based-approach-detecting-and-preventing-harm … 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 … https://psnet.ahrq.gov/issue/creating-comprehensive-unit-based-approach-detecting-and-preventing-harm-neonatal-intensive
-
psnet.ahrq.gov/node/47520/psn-pdf
February 06, 2019 - Improving patient safety in developing countries—moving
towards an integrated approach. … Improving patient safety in developing countries - moving towards an
integrated approach. … https://psnet.ahrq.gov/issue/improving-patient-safety-developing-countries-moving-towards-integrated-
approach … https://psnet.ahrq.gov/issue/improving-patient-safety-developing-countries-moving-towards-integrated-approach … https://psnet.ahrq.gov/issue/improving-patient-safety-developing-countries-moving-towards-integrated-approach
-
psnet.ahrq.gov/node/33890/psn-pdf
January 04, 2017 - The faces of errors: a case-based approach to educating
providers, policy makers, and the public about … The faces of errors: a case-based approach to educating providers,
policymakers, and the public about … https://psnet.ahrq.gov/issue/faces-errors-case-based-approach-educating-providers-policy-makers-and- … public-about-patient
The development of a case-based approach to educate patients and providers about … https://psnet.ahrq.gov/issue/faces-errors-case-based-approach-educating-providers-policy-makers-and-public-about-patient
-
psnet.ahrq.gov/node/46013/psn-pdf
January 01, 2018 - The dichotomy of the application of a systems approach
in UK healthcare the challenges and priorities … The dichotomy of the application of a systems approach in UK
healthcare the challenges and priorities … https://psnet.ahrq.gov/issue/dichotomy-application-systems-approach-uk-healthcare-challenges-and-
priorities-implementation … commentary uses case examples to illustrate how combining human factors
engineering and the systems approach … https://psnet.ahrq.gov/issue/dichotomy-application-systems-approach-uk-healthcare-challenges-and-priorities-implementation
-
psnet.ahrq.gov/node/34650/psn-pdf
April 21, 2015 - human-error-models-and-management
The author discusses concepts of human error, contrasting the person approach … with a system approach in
understanding the differing philosophies of error management. … The person approach focuses on blaming
individuals, whereas the system approach concentrates on the … He explains the benefits of making the transition from a person approach to a system
approach in the
-
psnet.ahrq.gov/node/837860/psn-pdf
August 17, 2022 - Alcoholism and American healthcare: the case for a
patient safety approach. … Alcoholism and American healthcare: the case for a patient safety approach. … https://psnet.ahrq.gov/issue/alcoholism-and-american-healthcare-case-patient-safety-approach
Implicit … https://psnet.ahrq.gov/issue/alcoholism-and-american-healthcare-case-patient-safety-approach
https://
-
psnet.ahrq.gov/node/850351/psn-pdf
June 14, 2023 - A novel approach for assessing bias during team-based
clinical decision-making. … A novel approach for assessing bias during team-based clinical
decision-making. … https://psnet.ahrq.gov/issue/novel-approach-assessing-bias-during-team-based-clinical-decision-making … https://psnet.ahrq.gov/issue/novel-approach-assessing-bias-during-team-based-clinical-decision-making
-
psnet.ahrq.gov/node/45696/psn-pdf
January 23, 2017 - Understanding patient safety performance and
educational needs using the 'Safety-II' approach for
complex … Understanding patient safety performance and educational needs
using the 'Safety-II' approach for complex … psnet.ahrq.gov/issue/understanding-patient-safety-performance-and-educational-needs-using-
safety-ii-approach … psnet.ahrq.gov/issue/understanding-patient-safety-performance-and-educational-needs-using-safety-ii-approach … psnet.ahrq.gov/issue/understanding-patient-safety-performance-and-educational-needs-using-safety-ii-approach
-
psnet.ahrq.gov/node/43660/psn-pdf
November 12, 2014 - Developing a systematic approach to safer medication
use during pregnancy: summary of a Centers for … Developing a systematic approach to safer medication
use during pregnancy: summary of a Centers for … https://psnet.ahrq.gov/issue/developing-systematic-approach-safer-medication-use-during-pregnancy-
summary-centers-disease … disseminate evidence with the goal of providing guidance on these processes and developing a systematic
approach … https://psnet.ahrq.gov/issue/developing-systematic-approach-safer-medication-use-during-pregnancy-summary-centers-disease
-
psnet.ahrq.gov/node/43580/psn-pdf
October 01, 2014 - Reducing medication errors in critical care: a multimodal
approach. … Reducing medication errors in critical care: a multimodal approach. … https://psnet.ahrq.gov/issue/reducing-medication-errors-critical-care-multimodal-approach
In light of … The authors recommend a
multimodal approach that combines system-level interventions, such as computerized … https://psnet.ahrq.gov/issue/reducing-medication-errors-critical-care-multimodal-approach
https://psnet.ahrq.gov
-
psnet.ahrq.gov/node/46849/psn-pdf
May 23, 2018 - 1,300 days and counting: a risk model approach to
preventing retained foreign objects (RFOs). … May 23, 2018
Duggan EG, Fernandez J, Saulan MM, et al. 1,300 Days and Counting: A Risk Model Approach … https://psnet.ahrq.gov/issue/1300-days-and-counting-risk-model-approach-preventing-retained-foreign- … https://psnet.ahrq.gov/issue/1300-days-and-counting-risk-model-approach-preventing-retained-foreign-objects-rfos … https://psnet.ahrq.gov/issue/1300-days-and-counting-risk-model-approach-preventing-retained-foreign-objects-rfos
-
psnet.ahrq.gov/node/72814/psn-pdf
March 10, 2021 - Implementing a human factors approach to RCA(2) :
tools, processes and strategies. … Implementing a human factors approach to RCA(2) : tools,
processes and strategies. … https://psnet.ahrq.gov/issue/implementing-human-factors-approach-rca2-tools-processes-and-strategies … https://psnet.ahrq.gov/issue/implementing-human-factors-approach-rca2-tools-processes-and-strategies
-
psnet.ahrq.gov/node/47399/psn-pdf
November 14, 2018 - Leveraging the continuum: a novel approach to meeting
quality improvement and patient safety competency … Leveraging the Continuum: A Novel Approach to Meeting Quality Improvement and
Patient Safety Competency … https://psnet.ahrq.gov/issue/leveraging-continuum-novel-approach-meeting-quality-improvement-and-
patient-safety-competency … The approach included activities such as event reporting, root cause analysis, and disclosure
simulation … https://psnet.ahrq.gov/issue/leveraging-continuum-novel-approach-meeting-quality-improvement-and-patient-safety-competency