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psnet.ahrq.gov/issue/event-reporting-value-nonpunitive-approach
June 16, 2011 - Commentary
Event reporting: the value of a nonpunitive approach. … Event reporting: the value of a nonpunitive approach. … Event reporting: the value of a nonpunitive approach.
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psnet.ahrq.gov/issue/crises-clinical-care-approach-management
March 23, 2011 - Commentary
Crises in clinical care: an approach to management. … Crises in clinical care: an approach to management. … Crises in clinical care: an approach to management. … Innovations
Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach
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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
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psnet.ahrq.gov/issue/when-diagnostic-testing-leads-harm-new-outcomes-based-approach-laboratory-medicine
September 12, 2018 - Commentary
When diagnostic testing leads to harm: a new outcomes-based approach for … When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine. … This commentary recommends an approach to examine laboratory testing and identify weaknesses that may … When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine. … November 16, 2022
Identifying and analyzing diagnostic paths: a new approach for studying
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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
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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
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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.
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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.
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psnet.ahrq.gov/issue/what-causes-adverse-events-prehospital-care-human-factors-approach
July 26, 2023 - A human-factors approach.
Citation Text:
Price R, Bendall JC, Patterson JA, et al. … A human-factors approach. Emerg Med J. 2013;30(7):583-8. doi:10.1136/emermed-2011-200971. … This survey of Australian emergency services personnel used a human factors approach to characterize … A human-factors approach. Emerg Med J. 2013;30(7):583-8. doi:10.1136/emermed-2011-200971.
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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
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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
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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
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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.
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psnet.ahrq.gov/issue/systems-approach-address-impact-second-victim-phenomenon
December 07, 2022 - Commentary
A systems approach to address the impact of second victim phenomenon. … A systems approach to address the impact of second victim phenomenon. … A systems approach to address the impact of second victim phenomenon.
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psnet.ahrq.gov/issue/growth-mindset-approach-preparing-trainees-medical-error
August 19, 2020 - Commentary
A growth mindset approach to preparing trainees for medical error. … A growth mindset approach to preparing trainees for medical error. … A growth mindset approach to preparing trainees for medical error.
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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
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psnet.ahrq.gov/issue/lessons-learned-implementing-principled-approach-resolution-following-patient-harm
February 12, 2020 - Commentary
Lessons learned from implementing a principled approach to resolution … Lessons learned from implementing a principled approach to resolution following patient harm. … This commentary describes a seven-element approach to resolving family and patient issues following … Lessons learned from implementing a principled approach to resolution following patient harm. … Related Resources From the Same Author(s)
Lessons learned from a systems approach
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psnet.ahrq.gov/issue/quality-standards-safe-medication-nursing-homes-development-through-multistep-approach
July 13, 2022 - Quality standards for safe medication in nursing homes: development through a multistep approach … Quality standards for safe medication in nursing homes: development through a multistep approach including … Using a Delphi approach, experts identified 85 minimal requirements for safe medication prescribing in … Quality standards for safe medication in nursing homes: development through a multistep approach including … May 19, 2021
Safe opioid prescribing: a prognostic machine learning approach to predicting
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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
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psnet.ahrq.gov/issue/dynamic-risk-management-approach-reducing-harm-invasive-bedside-procedures-performed-during
April 13, 2022 - Commentary
A dynamic risk management approach for reducing harm from invasive bedside … A dynamic risk management approach for reducing harm from invasive bedside procedures performed during … This article briefly summarizes the “as low as reasonably achievable” (ALARA) approach, which was developed … A dynamic risk management approach for reducing harm from invasive bedside procedures performed during … Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach