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psnet.ahrq.gov/node/46217/psn-pdf
January 30, 2018 - Safer and more appropriate opioid prescribing: a large
healthcare system's comprehensive approach. … Safer and more appropriate opioid prescribing: a large healthcare
system's comprehensive approach. … psnet.ahrq.gov/issue/safer-and-more-appropriate-opioid-prescribing-large-healthcare-systems-
comprehensive-approach … psnet.ahrq.gov/issue/safer-and-more-appropriate-opioid-prescribing-large-healthcare-systems-comprehensive-approach … psnet.ahrq.gov/issue/safer-and-more-appropriate-opioid-prescribing-large-healthcare-systems-comprehensive-approach
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psnet.ahrq.gov/node/35979/psn-pdf
September 17, 2010 - An organization-
wide approach to measuring and improving safety. … An organization-
wide approach to measuring and improving safety. … https://psnet.ahrq.gov/issue/how-will-we-know-patients-are-safer-organization-wide-approach-measuring … The authors discuss a measurement approach that focuses on the following: how
often do we harm patients … https://psnet.ahrq.gov/issue/how-will-we-know-patients-are-safer-organization-wide-approach-measuring-and-improving-safety
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psnet.ahrq.gov/issue/theoretical-approaches-investigating-patient-safety
September 15, 2009 - Commentary
Theoretical approaches for investigating patient safety.
Citation Text:
Thomas MB, Houston S. Theoretical approaches for investigating patient safety. Clin Nurse Spec. 2005;19(3):129-134.
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psnet.ahrq.gov/issue/medication-errors-new-approaches-prevention
November 18, 2016 - Review
Medication errors—new approaches to prevention.
Citation Text:
Merry A, Anderson BJ. Medication errors--new approaches to prevention. Paediatr Anaesth. 2011;21(7):743-53. doi:10.1111/j.1460-9592.2011.03589.x.
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psnet.ahrq.gov/node/50610/psn-pdf
October 30, 2019 - This cultural approach, which derives from an assumption of
pathology and aims to protect against the … Value-based patient safety is achieved via a collaborative,
interdisciplinary team approach with a flat … Importantly, this approach promotes provider
engagement and reduces burnout and staff turnover.(6) … We believe that the approach taken at Dixie Regional provides a
template for other NICUs across the … The approach
protects harm from health care workers and infants.
Figure 2.
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psnet.ahrq.gov/node/43503/psn-pdf
August 02, 2015 - The preventive surgical site infection bundle in colorectal
surgery: an effective approach to surgical … The preventive surgical site infection bundle in colorectal
surgery: an effective approach to surgical … https://psnet.ahrq.gov/issue/preventive-surgical-site-infection-bundle-colorectal-surgery-effective-approach … https://psnet.ahrq.gov/issue/preventive-surgical-site-infection-bundle-colorectal-surgery-effective-approach-surgical-site … https://psnet.ahrq.gov/issue/preventive-surgical-site-infection-bundle-colorectal-surgery-effective-approach-surgical-site
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psnet.ahrq.gov/node/43045/psn-pdf
August 02, 2015 - A multistep approach to improving biopsy site
identification in dermatology: physician, staff, and patient … A multistep approach to improving biopsy site identification in
dermatology: physician, staff, and patient … https://psnet.ahrq.gov/issue/multistep-approach-improving-biopsy-site-identification-dermatology-physician … https://psnet.ahrq.gov/issue/multistep-approach-improving-biopsy-site-identification-dermatology-physician-staff-and … https://psnet.ahrq.gov/issue/multistep-approach-improving-biopsy-site-identification-dermatology-physician-staff-and
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psnet.ahrq.gov/node/46755/psn-pdf
May 30, 2018 - Innovative approach to reconstruct bedside handoff:
using simple rules of complexity science to promote … Innovative Approach to Reconstruct Bedside Handoff: Using Simple
Rules of Complexity Science to Promote … https://psnet.ahrq.gov/issue/innovative-approach-reconstruct-bedside-handoff-using-simple-rules-
complexity-science-promote … https://psnet.ahrq.gov/issue/innovative-approach-reconstruct-bedside-handoff-using-simple-rules-complexity-science-promote … https://psnet.ahrq.gov/issue/innovative-approach-reconstruct-bedside-handoff-using-simple-rules-complexity-science-promote
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psnet.ahrq.gov/node/42840/psn-pdf
January 08, 2014 - A system-wide approach to explaining variation in
potentially avoidable emergency admissions: national … A system-wide approach to explaining variation in
potentially avoidable emergency admissions: national … https://psnet.ahrq.gov/issue/system-wide-approach-explaining-variation-potentially-avoidable-emergency … https://psnet.ahrq.gov/issue/system-wide-approach-explaining-variation-potentially-avoidable-emergency-admissions-national … https://psnet.ahrq.gov/issue/system-wide-approach-explaining-variation-potentially-avoidable-emergency-admissions-national
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psnet.ahrq.gov/node/45888/psn-pdf
December 19, 2017 - A work systems analysis approach to understanding
fatigue in hospital nurses. … A work systems analysis approach to understanding fatigue in
hospital nurses. … https://psnet.ahrq.gov/issue/work-systems-analysis-approach-understanding-fatigue-hospital-nurses
Prior … They conclude that a work systems approach leads to a
better understanding of occupational fatigue and … https://psnet.ahrq.gov/issue/work-systems-analysis-approach-understanding-fatigue-hospital-nurses
https
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psnet.ahrq.gov/node/43058/psn-pdf
March 26, 2014 - A strategic approach to quality improvement and patient
safety education and resident integration in … A strategic approach to quality improvement and patient safety education and
resident integration in … https://psnet.ahrq.gov/issue/strategic-approach-quality-improvement-and-patient-safety-education-and- … https://psnet.ahrq.gov/issue/strategic-approach-quality-improvement-and-patient-safety-education-and-resident-integration … https://psnet.ahrq.gov/issue/strategic-approach-quality-improvement-and-patient-safety-education-and-resident-integration
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psnet.ahrq.gov/node/43021/psn-pdf
November 04, 2014 - Patient safety culture transformation in a children's
hospital: an interprofessional approach. … Patient safety culture transformation in a children's hospital: an
interprofessional approach. … //psnet.ahrq.gov/issue/patient-safety-culture-transformation-childrens-hospital-interprofessional-
approach … https://psnet.ahrq.gov/issue/patient-safety-culture-transformation-childrens-hospital-interprofessional-approach … https://psnet.ahrq.gov/issue/patient-safety-culture-transformation-childrens-hospital-interprofessional-approach
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psnet.ahrq.gov/node/43903/psn-pdf
April 21, 2015 - Crisis management on surgical wards: a simulation-based
approach to enhancing technical, teamwork, and … Crisis management on surgical wards: a simulation-based approach to
enhancing technical, teamwork, and … https://psnet.ahrq.gov/issue/crisis-management-surgical-wards-simulation-based-approach-enhancing-
technical-teamwork-and … https://psnet.ahrq.gov/issue/crisis-management-surgical-wards-simulation-based-approach-enhancing-technical-teamwork-and … https://psnet.ahrq.gov/issue/crisis-management-surgical-wards-simulation-based-approach-enhancing-technical-teamwork-and
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psnet.ahrq.gov/node/36788/psn-pdf
August 26, 2011 - Direct observation approach for detecting medication
errors and adverse drug events in a pediatric intensive … Direct observation approach for detecting medication errors and
adverse drug events in a pediatric intensive … https://psnet.ahrq.gov/issue/direct-observation-approach-detecting-medication-errors-and-adverse-drug … https://psnet.ahrq.gov/issue/direct-observation-approach-detecting-medication-errors-and-adverse-drug-events-pediatric … https://psnet.ahrq.gov/issue/direct-observation-approach-detecting-medication-errors-and-adverse-drug-events-pediatric
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psnet.ahrq.gov/node/44210/psn-pdf
September 09, 2015 - The future of graduate medical education: a systems-
based approach to ensure patient safety. … The Future of Graduate Medical Education: A Systems-Based Approach to Ensure Patient
Safety. … https://psnet.ahrq.gov/issue/future-graduate-medical-education-systems-based-approach-ensure-patient- … https://psnet.ahrq.gov/issue/future-graduate-medical-education-systems-based-approach-ensure-patient-safety … https://psnet.ahrq.gov/issue/future-graduate-medical-education-systems-based-approach-ensure-patient-safety
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psnet.ahrq.gov/node/44231/psn-pdf
January 22, 2016 - Just-in-time training for high-risk low-volume therapies:
an approach to ensure patient safety. … Just-in-Time Training for High-Risk Low-Volume Therapies: An
Approach to Ensure Patient Safety. … https://psnet.ahrq.gov/issue/just-time-training-high-risk-low-volume-therapies-approach-ensure-patient … https://psnet.ahrq.gov/issue/just-time-training-high-risk-low-volume-therapies-approach-ensure-patient-safety … https://psnet.ahrq.gov/issue/just-time-training-high-risk-low-volume-therapies-approach-ensure-patient-safety
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psnet.ahrq.gov/primer/individual-clinician-performance-issues
March 15, 2025 - Background The patient safety field has emphasized the use of the systems approach to improving safety … This approach takes the stance that adverse events occur due to poorly designed systems, which allow … The systems approach views errors made by individuals as inevitable, although it acknowledges that human … a nonjudgmental approach to error reporting and analysis. … There is now a general consensus that a just culture approach—which seeks to draw clear boundaries
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psnet.ahrq.gov/node/47729/psn-pdf
April 10, 2019 - Reclaiming the systems approach to paediatric safety. … Reclaiming the systems approach to paediatric safety. … https://psnet.ahrq.gov/issue/reclaiming-systems-approach-paediatric-safety
Children are vulnerable to … https://psnet.ahrq.gov/issue/reclaiming-systems-approach-paediatric-safety
https://psnet.ahrq.gov/issue … principles-pediatric-patient-safety-reducing-harm-due-medical-care
https://psnet.ahrq.gov/primer/systems-approach
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psnet.ahrq.gov/node/42784/psn-pdf
January 15, 2014 - A multi-disciplinary approach to medication safety and
the implication for nursing education and practice … A multi-disciplinary approach to medication safety and the implication
for nursing education and practice … https://psnet.ahrq.gov/issue/multi-disciplinary-approach-medication-safety-and-implication-nursing- … https://psnet.ahrq.gov/issue/multi-disciplinary-approach-medication-safety-and-implication-nursing-education-and-practice … https://psnet.ahrq.gov/issue/multi-disciplinary-approach-medication-safety-and-implication-nursing-education-and-practice
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psnet.ahrq.gov/node/46898/psn-pdf
April 16, 2019 - TeamSTEPPS: an evidence-based approach to reduce
clinical errors threatening safety in outpatient settings … TeamSTEPPS : An evidence-based approach to reduce clinical
errors threatening safety in outpatient settings … https://psnet.ahrq.gov/issue/teamstepps-evidence-based-approach-reduce-clinical-errors-threatening- … https://psnet.ahrq.gov/issue/teamstepps-evidence-based-approach-reduce-clinical-errors-threatening-safety-outpatient … https://psnet.ahrq.gov/issue/teamstepps-evidence-based-approach-reduce-clinical-errors-threatening-safety-outpatient