-
psnet.ahrq.gov/node/33602/psn-pdf
September 07, 2019 - 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 … As such, the approach intentionally deemphasizes the role of individual provider
competence in contributing … Use of the systems approach is tightly linked to the development of a culture of
safety, which emphasizes … a nonjudgmental approach to error reporting and analysis.
-
psnet.ahrq.gov/node/44115/psn-pdf
June 03, 2015 - An approach to assessing patient safety in hospitals in
low-income countries. … An approach to assessing patient safety in hospitals in low-income
countries. … https://psnet.ahrq.gov/issue/approach-assessing-patient-safety-hospitals-low-income-countries
Direct … https://psnet.ahrq.gov/issue/approach-assessing-patient-safety-hospitals-low-income-countries
-
psnet.ahrq.gov/node/38913/psn-pdf
May 24, 2015 - Thinking Outside the Pillbox: A System-wide Approach to
Improving Patient Medication Adherence for Chronic … https://psnet.ahrq.gov/issue/thinking-outside-pillbox-system-wide-approach-improving-patient-medication … https://psnet.ahrq.gov/issue/thinking-outside-pillbox-system-wide-approach-improving-patient-medication-adherence-chronic … https://psnet.ahrq.gov/issue/thinking-outside-pillbox-system-wide-approach-improving-patient-medication-adherence-chronic
-
psnet.ahrq.gov/node/42951/psn-pdf
September 16, 2014 - Novel approach to cardiac alarm management on
telemetry units. … Novel approach to cardiac alarm management on telemetry
units. … https://psnet.ahrq.gov/issue/novel-approach-cardiac-alarm-management-telemetry-units
The dangers of … https://psnet.ahrq.gov/issue/novel-approach-cardiac-alarm-management-telemetry-units
https://psnet.ahrq.gov
-
psnet.ahrq.gov/node/38453/psn-pdf
January 02, 2017 - A multidisciplinary team approach to retained foreign
objects. … A multidisciplinary team approach to retained foreign objects. … https://psnet.ahrq.gov/issue/multidisciplinary-team-approach-retained-foreign-objects
This article describes … https://psnet.ahrq.gov/issue/multidisciplinary-team-approach-retained-foreign-objects
https://psnet.ahrq.gov
-
psnet.ahrq.gov/node/38080/psn-pdf
September 24, 2008 - Patient-centered approach for improving prescription
drug warning labels. … Patient-centered approach for improving prescription drug warning
labels. … https://psnet.ahrq.gov/issue/patient-centered-approach-improving-prescription-drug-warning-labels
This … https://psnet.ahrq.gov/issue/patient-centered-approach-improving-prescription-drug-warning-labels
https
-
psnet.ahrq.gov/node/39020/psn-pdf
October 14, 2009 - A critical review of the systems approach within patient
safety research. … A critical review of the systems approach within patient safety research. … https://psnet.ahrq.gov/issue/critical-review-systems-approach-within-patient-safety-research
This narrative … https://psnet.ahrq.gov/issue/critical-review-systems-approach-within-patient-safety-research
https://
-
psnet.ahrq.gov/node/35090/psn-pdf
June 22, 2009 - Improving end of life care: an information systems
approach to reducing medical errors. … Improving end of life care: an information systems approach to
reducing medical errors. … https://psnet.ahrq.gov/issue/improving-end-life-care-information-systems-approach-reducing-medical-errors … https://psnet.ahrq.gov/issue/improving-end-life-care-information-systems-approach-reducing-medical-errors
-
psnet.ahrq.gov/node/44315/psn-pdf
November 20, 2015 - Expanding the scope of Critical Care Rapid Response
Teams: a feasible approach to identify adverse events … Expanding the scope of Critical Care Rapid Response
Teams: a feasible approach to identify adverse events … https://psnet.ahrq.gov/issue/expanding-scope-critical-care-rapid-response-teams-feasible-approach-
identify-adverse-events … https://psnet.ahrq.gov/issue/expanding-scope-critical-care-rapid-response-teams-feasible-approach-identify-adverse-events … https://psnet.ahrq.gov/issue/expanding-scope-critical-care-rapid-response-teams-feasible-approach-identify-adverse-events
-
psnet.ahrq.gov/node/44626/psn-pdf
November 04, 2015 - "SWARMing" to improve patient care: a novel approach to
root cause analysis. … "SWARMing" to Improve Patient Care: A Novel Approach to Root Cause
Analysis. … https://psnet.ahrq.gov/issue/swarming-improve-patient-care-novel-approach-root-cause-analysis
Root cause … This study describes the
development of a new rapid approach to RCAs, colloquially called "SWARMing, … https://psnet.ahrq.gov/issue/swarming-improve-patient-care-novel-approach-root-cause-analysis
https:/
-
psnet.ahrq.gov/node/43457/psn-pdf
August 02, 2015 - A human factors subsystems approach to trauma care. … A human factors subsystems approach to trauma care. JAMA
Surg. 2014;149(9):962-8. … https://psnet.ahrq.gov/issue/human-factors-subsystems-approach-trauma-care
Human factors analysis led … https://psnet.ahrq.gov/issue/human-factors-subsystems-approach-trauma-care
https://psnet.ahrq.gov/primer
-
psnet.ahrq.gov/node/43795/psn-pdf
December 17, 2014 - Systematic Systems Analysis: A Practical Approach to
Patient Safety Reviews. … https://psnet.ahrq.gov/issue/systematic-systems-analysis-practical-approach-patient-safety-reviews
Drawing … from human factors and system analysis techniques, this guide describes an approach to
identifying … https://psnet.ahrq.gov/issue/systematic-systems-analysis-practical-approach-patient-safety-reviews
https
-
psnet.ahrq.gov/node/60055/psn-pdf
March 18, 2020 - patients to
contribute toward safer surgical care: community-based
evaluation using a participatory approach … Patients to Contribute Toward
Safer Surgical Care: Community-Based Evaluation Using a Participatory Approach … smartphone-app-designed-empower-patients-contribute-toward-safer-surgical-
care-community
Using a participatory action research approach
-
psnet.ahrq.gov/node/73905/psn-pdf
October 06, 2021 - One approach is more closely aligned to traditional definitions of maternal safety. … This approach seeks to
identify where there are, or are expected to be, discrepancies and differences … However, while
it can support a more direct link between intervention and outcomes, this approach can … This approach is prospective and focuses on the provision of equitable care from the outset
and offers … The first
approach provides direction for specific, targeted areas for action, whereas the second approach
-
psnet.ahrq.gov/node/43591/psn-pdf
August 02, 2015 - The automated operating room: a team approach to
patient safety and communication. … The automated operating room: a team approach to patient safety
and communication. … https://psnet.ahrq.gov/issue/automated-operating-room-team-approach-patient-safety-and-communication … https://psnet.ahrq.gov/issue/automated-operating-room-team-approach-patient-safety-and-communication
-
psnet.ahrq.gov/node/42749/psn-pdf
November 20, 2013 - a qualitative approach.
November 20, 2013
Kaderli R, Seelandt JC, Umer M, et al. … Reasons for the persistence of adverse events in the era of safer
surgery--a qualitative approach. … https://psnet.ahrq.gov/issue/reasons-persistence-adverse-events-era-safer-surgery-qualitative-approach … https://psnet.ahrq.gov/issue/reasons-persistence-adverse-events-era-safer-surgery-qualitative-approach
-
psnet.ahrq.gov/node/43106/psn-pdf
September 27, 2016 - The sterile cockpit: an effective approach to reducing
medication errors? … The sterile cockpit: an effective approach to reducing medication
errors? … https://psnet.ahrq.gov/issue/sterile-cockpit-effective-approach-reducing-medication-errors
Aviation … https://psnet.ahrq.gov/issue/sterile-cockpit-effective-approach-reducing-medication-errors
https://psnet.ahrq.gov
-
psnet.ahrq.gov/node/45931/psn-pdf
July 05, 2017 - The CARE approach to reducing diagnostic errors.
July 5, 2017
Rush JL, Helms SE, Mostow EN. … The CARE approach to reducing diagnostic errors. … https://psnet.ahrq.gov/issue/care-approach-reducing-diagnostic-errors
Cognitive aids such as checklists … https://psnet.ahrq.gov/issue/care-approach-reducing-diagnostic-errors
https://psnet.ahrq.gov/primer/checklists
-
psnet.ahrq.gov/node/42711/psn-pdf
October 31, 2014 - Characterising the complexity of medication safety using
a human factors approach: an observational … Characterising the complexity of medication safety using a
human factors approach: an observational … https://psnet.ahrq.gov/issue/characterising-complexity-medication-safety-using-human-factors-approach … https://psnet.ahrq.gov/issue/characterising-complexity-medication-safety-using-human-factors-approach-observational-study … https://psnet.ahrq.gov/issue/characterising-complexity-medication-safety-using-human-factors-approach-observational-study
-
psnet.ahrq.gov/node/46986/psn-pdf
June 27, 2018 - A multi-hospital before–after observational study using a
point-prevalence approach with an infusion … A Multi-hospital Before-After Observational Study Using a Point-
Prevalence Approach with an Infusion … https://psnet.ahrq.gov/issue/multi-hospital-after-observational-study-using-point-prevalence-approach … https://psnet.ahrq.gov/issue/multi-hospital-after-observational-study-using-point-prevalence-approach-infusion-safety … https://psnet.ahrq.gov/issue/multi-hospital-after-observational-study-using-point-prevalence-approach-infusion-safety