-
psnet.ahrq.gov/node/43764/psn-pdf
July 03, 2016 - Redesigning rounds: towards a more purposeful
approach to inpatient teaching and learning. … Redesigning rounds: towards a more purposeful approach to
inpatient teaching and learning. … https://psnet.ahrq.gov/issue/redesigning-rounds-towards-more-purposeful-approach-inpatient-teaching- … https://psnet.ahrq.gov/issue/redesigning-rounds-towards-more-purposeful-approach-inpatient-teaching-and-learning … https://psnet.ahrq.gov/issue/redesigning-rounds-towards-more-purposeful-approach-inpatient-teaching-and-learning
-
psnet.ahrq.gov/node/35246/psn-pdf
July 11, 2007 - Treatment errors in healthcare: a safety climate approach. … Treatment errors in healthcare: a safety climate approach. . … https://psnet.ahrq.gov/issue/treatment-errors-healthcare-safety-climate-approach
The authors identify … https://psnet.ahrq.gov/issue/treatment-errors-healthcare-safety-climate-approach
-
psnet.ahrq.gov/node/38134/psn-pdf
December 30, 2008 - Developing expert medical teams: toward an evidence-
based approach. … Developing expert medical teams: toward an evidence-
based approach. … https://psnet.ahrq.gov/issue/developing-expert-medical-teams-toward-evidence-based-approach
Building … https://psnet.ahrq.gov/issue/developing-expert-medical-teams-toward-evidence-based-approach
-
psnet.ahrq.gov/node/42480/psn-pdf
August 07, 2013 - A multi-tiered approach to safety education.
August 7, 2013
Oates K, Sammut J, Kennedy P. … A multi-tiered approach to safety education. … https://psnet.ahrq.gov/issue/multi-tiered-approach-safety-education
This commentary describes an initiative … https://psnet.ahrq.gov/issue/multi-tiered-approach-safety-education
https://psnet.ahrq.gov/issue/unmet-needs-teaching-physicians-provide-safe-patient-care
-
psnet.ahrq.gov/sites/default/files/2021-06/final_spotlight_miscommunication_possible_artifact_06.21.2021.pdf
January 01, 2021 - of images
based on formal education and experience and can help
prevent diagnostic errors
14
Approach … to Improving Safety & Patient
Safety Target
15
Approach to Improving Safety & Patient Safety Target … to Improving Safety & Patient Safety Target
Approach to Improving Safety & Patient Safety Target (1 … )
Approach to Improving Safety & Patient Safety Target (2)
Approach to Improving Safety & Patient Safety … Target (3)
Approach to Improving Safety & Patient Safety Target (4)
Approach to Improving Safety &
-
psnet.ahrq.gov/node/45710/psn-pdf
December 22, 2017 - Our current approach to root cause analysis: is it
contributing to our failure to improve patient safety … Our current approach to root cause analysis: is it contributing to our
failure to improve patient safety … https://psnet.ahrq.gov/issue/our-current-approach-root-cause-analysis-it-contributing-our-failure-improve … https://psnet.ahrq.gov/issue/our-current-approach-root-cause-analysis-it-contributing-our-failure-improve-patient-safety … https://psnet.ahrq.gov/issue/our-current-approach-root-cause-analysis-it-contributing-our-failure-improve-patient-safety
-
psnet.ahrq.gov/node/42011/psn-pdf
March 06, 2013 - A multidisciplinary approach to reduce central line-
associated bloodstream infections. … A multidisciplinary approach to reduce central line-
associated bloodstream infections. … https://psnet.ahrq.gov/issue/multidisciplinary-approach-reduce-central-line-associated-bloodstream- … https://psnet.ahrq.gov/issue/multidisciplinary-approach-reduce-central-line-associated-bloodstream-infections … https://psnet.ahrq.gov/issue/multidisciplinary-approach-reduce-central-line-associated-bloodstream-infections
-
psnet.ahrq.gov/node/34584/psn-pdf
July 08, 2014 - Advocate Health Care: a systemwide approach to quality
and safety.
July 8, 2014
Willeumier D. … Advocate health care: a systemwide approach to quality and safety. … https://psnet.ahrq.gov/issue/advocate-health-care-systemwide-approach-quality-and-safety
Advocate is … https://psnet.ahrq.gov/issue/advocate-health-care-systemwide-approach-quality-and-safety
-
psnet.ahrq.gov/node/40056/psn-pdf
November 21, 2016 - Bringing change-of-shift report to the bedside: a patient-
and family-centered approach. … Bringing change-of-shift report to the bedside: a patient- and family-centered approach. … https://psnet.ahrq.gov/issue/bringing-change-shift-report-bedside-patient-and-family-centered-approach … https://psnet.ahrq.gov/issue/bringing-change-shift-report-bedside-patient-and-family-centered-approach
-
psnet.ahrq.gov/node/37786/psn-pdf
March 23, 2011 - A theoretical framework and competency-based approach
to improving handoffs. … A theoretical framework and competency-based approach to
improving handoffs. … https://psnet.ahrq.gov/issue/theoretical-framework-and-competency-based-approach-improving-handoffs … https://psnet.ahrq.gov/issue/theoretical-framework-and-competency-based-approach-improving-handoffs
-
psnet.ahrq.gov/node/41395/psn-pdf
May 23, 2012 - Bridging gaps in handoffs: a continuity of care based
approach. … Bridging gaps in handoffs: a continuity of care based approach. … https://psnet.ahrq.gov/issue/bridging-gaps-handoffs-continuity-care-based-approach
Direct observation … https://psnet.ahrq.gov/issue/bridging-gaps-handoffs-continuity-care-based-approach
https://psnet.ahrq.gov
-
psnet.ahrq.gov/node/38344/psn-pdf
January 21, 2009 - The error of omission: a simple checklist approach for
improving operating room safety. … The error of omission: a simple checklist approach for improving operating room
safety. … https://psnet.ahrq.gov/issue/error-omission-simple-checklist-approach-improving-operating-room-safety … https://psnet.ahrq.gov/issue/error-omission-simple-checklist-approach-improving-operating-room-safety
-
psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
January 01, 2020 - concern and
the trauma surgery team and orthopedic consultant were
correct to adopt a conservative approach … have limited increasingly futile resuscitative
efforts, based on that shared decision-making
14
Approach … potentially at a time when personnel and intellectual resources are
already stretched thin.
16
Approach … have included
reducing the physiologic impact of the surgery by shortening
operative time
17
Approach … to Improving Safety (7)
Systems Change Needed/
Quality Improvement Approach
21
• Teams should
-
psnet.ahrq.gov/node/40384/psn-pdf
April 20, 2011 - A "back to basics" approach to reduce ED medication
errors. … A "back to basics" approach to reduce ED medication errors. … https://psnet.ahrq.gov/issue/back-basics-approach-reduce-ed-medication-errors
An educational intervention … https://psnet.ahrq.gov/issue/back-basics-approach-reduce-ed-medication-errors
-
psnet.ahrq.gov/node/38554/psn-pdf
November 21, 2016 - Family-centered multidisciplinary rounds enhance the
team approach in pediatrics. … Family-centered multidisciplinary rounds enhance the team
approach in pediatrics. … https://psnet.ahrq.gov/issue/family-centered-multidisciplinary-rounds-enhance-team-approach-pediatrics … https://psnet.ahrq.gov/issue/family-centered-multidisciplinary-rounds-enhance-team-approach-pediatrics
-
psnet.ahrq.gov/node/42494/psn-pdf
January 01, 2014 - Human factors systems approach to healthcare quality
and patient safety. … Human factors systems approach to healthcare
quality and patient safety. … https://psnet.ahrq.gov/issue/human-factors-systems-approach-healthcare-quality-and-patient-safety
This … https://psnet.ahrq.gov/issue/human-factors-systems-approach-healthcare-quality-and-patient-safety
https
-
psnet.ahrq.gov/node/36148/psn-pdf
March 03, 2011 - Surgical crisis management skills training and
assessment: a stimulation-based approach to enhancing … /psnet.ahrq.gov/issue/surgical-crisis-management-skills-training-and-assessment-stimulation-based-
approach … ://psnet.ahrq.gov/issue/surgical-crisis-management-skills-training-and-assessment-stimulation-based-approach … ://psnet.ahrq.gov/issue/surgical-crisis-management-skills-training-and-assessment-stimulation-based-approach
-
psnet.ahrq.gov/node/41159/psn-pdf
September 29, 2017 - A nurse-led approach to developing and implementing a
collaborative count policy. … A nurse-led approach to developing and implementing a
collaborative count policy. … https://psnet.ahrq.gov/issue/nurse-led-approach-developing-and-implementing-collaborative-count-policy … https://psnet.ahrq.gov/issue/nurse-led-approach-developing-and-implementing-collaborative-count-policy
-
psnet.ahrq.gov/node/36810/psn-pdf
November 19, 2014 - A Systems Approach to Quality Improvement in Long-
Term Care: Safe Medication Practices Workbook. … https://psnet.ahrq.gov/issue/systems-approach-quality-improvement-long-term-care-safe-medication-
practices-workbook … https://psnet.ahrq.gov/issue/systems-approach-quality-improvement-long-term-care-safe-medication-practices-workbook … https://psnet.ahrq.gov/issue/systems-approach-quality-improvement-long-term-care-safe-medication-practices-workbook
-
psnet.ahrq.gov/node/47919/psn-pdf
April 03, 2019 - The authors emphasize that sharing the systems
approach to improvement can help patients understand … how-talk-about-patient-safety
https://psnet.ahrq.gov/primer/patient-safety-101
https://psnet.ahrq.gov/primer/systems-approach … https://psnet.ahrq.gov/primer/systems-approach
https://psnet.ahrq.gov/issue/error-management-lessons-aviation