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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
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psnet.ahrq.gov/node/35116/psn-pdf
April 06, 2011 - Crises in clinical care: an approach to management.
April 6, 2011
Runciman WB. … Crises in clinical care: an approach to management. … https://psnet.ahrq.gov/issue/crises-clinical-care-approach-management
This commentary discusses the … https://psnet.ahrq.gov/issue/crises-clinical-care-approach-management
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psnet.ahrq.gov/node/46714/psn-pdf
January 10, 2018 - A system-based approach to managing patient safety in
ambulatory care (and beyond). … https://psnet.ahrq.gov/issue/system-based-approach-managing-patient-safety-ambulatory-care-and-beyond … https://psnet.ahrq.gov/issue/system-based-approach-managing-patient-safety-ambulatory-care-and-beyond … https://psnet.ahrq.gov/primer/systems-approach
https://psnet.ahrq.gov/issue/understanding-why-quality-initiatives-succeed-or-fail-sociotechnical-systems-perspective
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psnet.ahrq.gov/node/44221/psn-pdf
September 27, 2016 - Reducing surgical errors: implementing a three-hinge
approach to success. … Reducing surgical errors: implementing a three-hinge approach to success. … https://psnet.ahrq.gov/issue/reducing-surgical-errors-implementing-three-hinge-approach-success
Errors … https://psnet.ahrq.gov/issue/reducing-surgical-errors-implementing-three-hinge-approach-success
https
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psnet.ahrq.gov/node/46080/psn-pdf
August 28, 2017 - A growth mindset approach to preparing trainees for
medical error. … A growth mindset approach to preparing trainees for medical error. … https://psnet.ahrq.gov/issue/growth-mindset-approach-preparing-trainees-medical-error
Establishing errors … https://psnet.ahrq.gov/issue/growth-mindset-approach-preparing-trainees-medical-error
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/43587/psn-pdf
November 05, 2014 - Influence of a systems-based approach to prescribing
errors in a pediatric resident clinic. … Influence of a systems-based approach to prescribing errors in a
pediatric resident clinic. … https://psnet.ahrq.gov/issue/influence-systems-based-approach-prescribing-errors-pediatric-resident-clinic … https://psnet.ahrq.gov/issue/influence-systems-based-approach-prescribing-errors-pediatric-resident-clinic
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psnet.ahrq.gov/node/45560/psn-pdf
October 19, 2016 - Learning from excellence in healthcare: a new approach
to incident reporting. … Learning from excellence in healthcare: a new approach to incident reporting. … https://psnet.ahrq.gov/issue/learning-excellence-healthcare-new-approach-incident-reporting
Learning … https://psnet.ahrq.gov/issue/learning-excellence-healthcare-new-approach-incident-reporting
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/45875/psn-pdf
May 10, 2017 - An improvement approach to integrate teaching teams in
the reporting of safety events. … An Improvement Approach to Integrate Teaching Teams in the
Reporting of Safety Events. … https://psnet.ahrq.gov/issue/improvement-approach-integrate-teaching-teams-reporting-safety-events
Despite … https://psnet.ahrq.gov/issue/improvement-approach-integrate-teaching-teams-reporting-safety-events
https
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psnet.ahrq.gov/node/37469/psn-pdf
January 16, 2008 - reduction of medication errors in
orthopedics and spinal surgery: outcomes using a
pharmacist-led approach … reduction of medication errors in orthopedics and spinal
surgery: outcomes using a pharmacist-led approach … towards-reduction-medication-errors-orthopedics-and-spinal-surgery-
outcomes-using-pharmacist
This study describes the successful efforts of a pharmacist-led approach … The approach included screening of orders and educational interventions.
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psnet.ahrq.gov/node/45321/psn-pdf
August 01, 2017 - Peer support for clinicians: a programmatic approach.
August 1, 2017
Shapiro J, Galowitz P. … Peer Support for Clinicians: A Programmatic Approach. … https://psnet.ahrq.gov/issue/peer-support-clinicians-programmatic-approach
Peer support programs can … https://psnet.ahrq.gov/issue/peer-support-clinicians-programmatic-approach
https://psnet.ahrq.gov/primer
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psnet.ahrq.gov/node/43091/psn-pdf
May 30, 2014 - Development of a professionalism committee approach to
address unprofessional medical staff behavior … Development of a professionalism committee approach to address
unprofessional medical staff behavior … https://psnet.ahrq.gov/issue/development-professionalism-committee-approach-address-unprofessional- … https://psnet.ahrq.gov/issue/development-professionalism-committee-approach-address-unprofessional-medical-staff-behavior … https://psnet.ahrq.gov/issue/development-professionalism-committee-approach-address-unprofessional-medical-staff-behavior
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psnet.ahrq.gov/node/43388/psn-pdf
July 30, 2014 - Exploration of an automated approach for receiving
patient feedback after outpatient acute care visits … Exploration of an automated approach for receiving patient
feedback after outpatient acute care visits … https://psnet.ahrq.gov/issue/exploration-automated-approach-receiving-patient-feedback-after-outpatient … https://psnet.ahrq.gov/issue/exploration-automated-approach-receiving-patient-feedback-after-outpatient-acute-care-visits … https://psnet.ahrq.gov/issue/exploration-automated-approach-receiving-patient-feedback-after-outpatient-acute-care-visits
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psnet.ahrq.gov/perspective/conversation-heidi-wald-md
November 26, 2019 - It seems that this is a much more patient-centric approach to safety than you might see for other efforts … Our guidance for frail older patients with diabetes is a more liberal approach to blood sugar control … 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.” … Given this, providers may wish to consider a horizontal approach.
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psnet.ahrq.gov/node/44002/psn-pdf
March 25, 2015 - Preventing medication errors in transitions of care: a
patient case approach. … Preventing medication errors in transitions of care: A patient case
approach. … https://psnet.ahrq.gov/issue/preventing-medication-errors-transitions-care-patient-case-approach
Transitions … https://psnet.ahrq.gov/issue/preventing-medication-errors-transitions-care-patient-case-approach
https
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psnet.ahrq.gov/node/45592/psn-pdf
October 27, 2016 - Preventing Patient Falls: A Systematic Approach From
the Joint Commission Center for Transforming Healthcare … https://psnet.ahrq.gov/issue/preventing-patient-falls-systematic-approach-joint-commission-center-
transforming-healthcare … https://psnet.ahrq.gov/issue/preventing-patient-falls-systematic-approach-joint-commission-center-transforming-healthcare … https://psnet.ahrq.gov/issue/preventing-patient-falls-systematic-approach-joint-commission-center-transforming-healthcare
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psnet.ahrq.gov/node/44521/psn-pdf
July 03, 2016 - Crib of horrors: one hospital's approach to promoting a
culture of safety. … Crib of Horrors: One Hospital's Approach to Promoting a Culture of
Safety. … https://psnet.ahrq.gov/issue/crib-horrors-one-hospitals-approach-promoting-culture-safety
Games illustrating … https://psnet.ahrq.gov/issue/crib-horrors-one-hospitals-approach-promoting-culture-safety
https://psnet.ahrq.gov
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psnet.ahrq.gov/primer/individual-clinician-performance-issues
September 07, 2019 - September 7, 2019
Background The patient safety field has emphasized the use of the systems approach … 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/47057/psn-pdf
July 14, 2018 - A framework for operationalizing risk: a practical
approach to patient safety. … A framework for operationalizing risk: A practical approach to
patient safety. … https://psnet.ahrq.gov/issue/framework-operationalizing-risk-practical-approach-patient-safety
The patient … https://psnet.ahrq.gov/issue/framework-operationalizing-risk-practical-approach-patient-safety
https:
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psnet.ahrq.gov/node/45228/psn-pdf
June 29, 2016 - An innovative approach to the surgical time out: a patient-
focused model. … An Innovative Approach to the Surgical Time Out: A Patient-
Focused Model. … https://psnet.ahrq.gov/issue/innovative-approach-surgical-time-out-patient-focused-model
The surgical … https://psnet.ahrq.gov/issue/innovative-approach-surgical-time-out-patient-focused-model
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/45867/psn-pdf
April 12, 2017 - The Economics of Patient Safety: Strengthening a Value-
based Approach to Reducing Patient Harm at National … https://psnet.ahrq.gov/issue/economics-patient-safety-strengthening-value-based-approach-reducing-
patient-harm-national … https://psnet.ahrq.gov/issue/economics-patient-safety-strengthening-value-based-approach-reducing-patient-harm-national … https://psnet.ahrq.gov/issue/economics-patient-safety-strengthening-value-based-approach-reducing-patient-harm-national