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psnet.ahrq.gov/node/39572/psn-pdf
January 03, 2017 - The tangible handoff: a team approach for advancing
structured communication in labor and delivery. … The tangible handoff: a team approach for advancing structured
communication in labor and delivery. … https://psnet.ahrq.gov/issue/tangible-handoff-team-approach-advancing-structured-communication-labor- … https://psnet.ahrq.gov/issue/tangible-handoff-team-approach-advancing-structured-communication-labor-and-delivery … https://psnet.ahrq.gov/issue/tangible-handoff-team-approach-advancing-structured-communication-labor-and-delivery
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psnet.ahrq.gov/node/42728/psn-pdf
February 06, 2014 - Taking ergonomics to the bedside—a multi-disciplinary
approach to designing safer healthcare. … Taking ergonomics to the bedside--a multi-disciplinary approach to
designing safer healthcare. … https://psnet.ahrq.gov/issue/taking-ergonomics-bedside-multi-disciplinary-approach-designing-safer- … https://psnet.ahrq.gov/issue/taking-ergonomics-bedside-multi-disciplinary-approach-designing-safer-healthcare … https://psnet.ahrq.gov/issue/taking-ergonomics-bedside-multi-disciplinary-approach-designing-safer-healthcare
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psnet.ahrq.gov/web-mm/feeling-no-pain
August 30, 2023 - The systems approach drives us to address overarching societal level factors. … Stretching the search for the “why” of error: the systems approach. … Identifying error provoking factors: the systems approach. … The systems approach analysis of error. … The Systems Approach: Artichoke Model
The leaves of the systems approach
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psnet.ahrq.gov/node/43014/psn-pdf
March 12, 2014 - Understanding the barriers to physician error reporting
and disclosure: a systemic approach to a systemic … Understanding the barriers to physician error reporting and
disclosure: a systemic approach to a systemic … https://psnet.ahrq.gov/issue/understanding-barriers-physician-error-reporting-and-disclosure-systemic-
approach-systemic … https://psnet.ahrq.gov/issue/understanding-barriers-physician-error-reporting-and-disclosure-systemic-approach-systemic … https://psnet.ahrq.gov/issue/understanding-barriers-physician-error-reporting-and-disclosure-systemic-approach-systemic
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psnet.ahrq.gov/node/45461/psn-pdf
January 03, 2017 - Operating room–to-ICU patient handovers: a
multidisciplinary human-centered design approach. … Operating Room-to-ICU Patient Handovers: A Multidisciplinary
Human-Centered Design Approach. … psnet.ahrq.gov/issue/operating-room-icu-patient-handovers-multidisciplinary-human-centered-
design-approach … The authors suggest that their human factors-based
improvement approach could be applied to other patient … //psnet.ahrq.gov/issue/operating-room-icu-patient-handovers-multidisciplinary-human-centered-design-approach
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psnet.ahrq.gov/node/46650/psn-pdf
July 12, 2018 - Towards a more patient-centered approach to medication
safety. … Towards a More Patient-Centered Approach to Medication Safety. … https://psnet.ahrq.gov/issue/towards-more-patient-centered-approach-medication-safety
Patient perspectives … This commentary discusses the
value of seeking patient insights as an approach to measure medication … https://psnet.ahrq.gov/issue/towards-more-patient-centered-approach-medication-safety
https://psnet.ahrq.gov
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psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
November 26, 2019 - The typical approach for preventing HACs on a condition by condition basis has been very successful, … Given this, providers may wish to consider a horizontal approach. … A horizontal approach strives to address risk factors in the context of lowering overall facility-wide … I think the approach that we are going to fix specific conditions is a more vertical approach. … Our prior approach to falls was, “if we keep them in bed they won’t fall.”
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psnet.ahrq.gov/issue/characterising-complexity-medication-safety-using-human-factors-approach-observational-study
March 15, 2017 - Classic
Characterising the complexity of medication safety using a human factors approach … Characterising the complexity of medication safety using a human factors approach: an observational study … Characterising the complexity of medication safety using a human factors approach: an observational study … October 13, 2010
Human factors systems approach to healthcare quality and patient safety … January 7, 2015
Medication safety and knowledge-based functions: a stepwise approach
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psnet.ahrq.gov/node/40608/psn-pdf
November 27, 2012 - Developing a 'critical' approach to patient and public
involvement in patient safety in the NHS: learning … Developing a 'critical' approach to patient and public involvement in patient safety in
the NHS: learning … https://psnet.ahrq.gov/issue/developing-critical-approach-patient-and-public-involvement-patient-safety … https://psnet.ahrq.gov/issue/developing-critical-approach-patient-and-public-involvement-patient-safety-nhs-learning … https://psnet.ahrq.gov/issue/developing-critical-approach-patient-and-public-involvement-patient-safety-nhs-learning
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psnet.ahrq.gov/node/42657/psn-pdf
October 16, 2013 - Medication safety and knowledge-based functions: a
stepwise approach against information overload. … Medication safety and knowledge-based functions: a stepwise
approach against information overload. … https://psnet.ahrq.gov/issue/medication-safety-and-knowledge-based-functions-stepwise-approach-against … https://psnet.ahrq.gov/issue/medication-safety-and-knowledge-based-functions-stepwise-approach-against-information … https://psnet.ahrq.gov/issue/medication-safety-and-knowledge-based-functions-stepwise-approach-against-information
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psnet.ahrq.gov/node/37336/psn-pdf
January 05, 2012 - 'My five moments for hand hygiene': a user-centred
design approach to understand, train, monitor and … 'My five moments for hand hygiene': a user-centred design approach to
understand, train, monitor and … https://psnet.ahrq.gov/issue/my-five-moments-hand-hygiene-user-centred-design-approach-understand-
train-monitor-and-report … https://psnet.ahrq.gov/issue/my-five-moments-hand-hygiene-user-centred-design-approach-understand-train-monitor-and-report … https://psnet.ahrq.gov/issue/my-five-moments-hand-hygiene-user-centred-design-approach-understand-train-monitor-and-report
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psnet.ahrq.gov/node/34747/psn-pdf
August 04, 2009 - The Improvement Guide: A Practical Approach to
Enhancing Organizational Performance. 2nd ed. … https://psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance … improvement initiatives with
stories from business, law, and health care to illustrate the successes of this approach … https://psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance … -2nd-ed
https://psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance
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psnet.ahrq.gov/node/34779/psn-pdf
December 21, 2014 - The first, an
incidental approach, uses a multidisciplinary conference format to discuss cases in which … The second, a statistical approach, systematically captures annual death and
complication rates for … surgical death and complication rates, the authors suggest that greater value exists from the
incidental approach … They
conclude that both approaches should occur continuously, with the statistical approach used only … to
validate the effects of the incidental approach and respond to concerns of safety and quality.
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psnet.ahrq.gov/node/45716/psn-pdf
September 29, 2017 - Microanalysis of video from the operating room: an
underused approach to patient safety research. … Microanalysis of video from the operating room: an underused
approach to patient safety research. … https://psnet.ahrq.gov/issue/microanalysis-video-operating-room-underused-approach-patient-safety-
research … https://psnet.ahrq.gov/issue/microanalysis-video-operating-room-underused-approach-patient-safety-research … https://psnet.ahrq.gov/issue/microanalysis-video-operating-room-underused-approach-patient-safety-research
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psnet.ahrq.gov/node/41087/psn-pdf
November 26, 2014 - Use of an appreciative inquiry approach to improve
resident sign-out in an era of multiple shift changes … Use of an appreciative inquiry approach to improve resident sign-out in
an era of multiple shift changes … https://psnet.ahrq.gov/issue/use-appreciative-inquiry-approach-improve-resident-sign-out-era-multiple-shift … https://psnet.ahrq.gov/issue/use-appreciative-inquiry-approach-improve-resident-sign-out-era-multiple-shift-changes … https://psnet.ahrq.gov/issue/use-appreciative-inquiry-approach-improve-resident-sign-out-era-multiple-shift-changes
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psnet.ahrq.gov/node/45143/psn-pdf
October 20, 2016 - Medical improv: a novel approach to teaching
communication and professionalism skills. … Medical Improv: A Novel Approach to Teaching Communication and Professionalism
Skills. … https://psnet.ahrq.gov/issue/medical-improv-novel-approach-teaching-communication-and-professionalism … https://psnet.ahrq.gov/issue/medical-improv-novel-approach-teaching-communication-and-professionalism-skills … https://psnet.ahrq.gov/issue/medical-improv-novel-approach-teaching-communication-and-professionalism-skills
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psnet.ahrq.gov/node/38782/psn-pdf
August 01, 2009 - A multidisciplinary approach to adverse drug events in
pediatric trauma patients in an adult trauma … A multidisciplinary approach to adverse drug events in pediatric
trauma patients in an adult trauma … https://psnet.ahrq.gov/issue/multidisciplinary-approach-adverse-drug-events-pediatric-trauma-patients … https://psnet.ahrq.gov/issue/multidisciplinary-approach-adverse-drug-events-pediatric-trauma-patients-adult-trauma-center … https://psnet.ahrq.gov/issue/multidisciplinary-approach-adverse-drug-events-pediatric-trauma-patients-adult-trauma-center
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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 … E-prescribing: a focused review and new approach to addressing safety in
pharmacies and primary care … https://psnet.ahrq.gov/issue/e-prescribing-focused-review-and-new-approach-addressing-safety-
pharmacies-and-primary-care … https://psnet.ahrq.gov/issue/e-prescribing-focused-review-and-new-approach-addressing-safety-pharmacies-and-primary-care … https://psnet.ahrq.gov/issue/e-prescribing-focused-review-and-new-approach-addressing-safety-pharmacies-and-primary-care
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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/39732/psn-pdf
August 04, 2010 - A comparative resident site visit project: a novel
approach for implementing programmatic change in … A comparative resident site visit project: a novel approach
for implementing programmatic change in … https://psnet.ahrq.gov/issue/comparative-resident-site-visit-project-novel-approach-implementing-
programmatic-change-duty … https://psnet.ahrq.gov/issue/comparative-resident-site-visit-project-novel-approach-implementing-programmatic-change-duty … https://psnet.ahrq.gov/issue/comparative-resident-site-visit-project-novel-approach-implementing-programmatic-change-duty