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Showing results for "approach".

6361. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47495/psn-pdf
      October 31, 2018 - systematic review found that most leadership training in maternity settings used a work-based learning approach … https://psnet.ahrq.gov/issue/reducing-risk-maternity-optimising-teamwork-and-leadership-evidence-based-approach-save … https://psnet.ahrq.gov/issue/reducing-risk-maternity-optimising-teamwork-and-leadership-evidence-based-approach-save

6362. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44689/psn-pdf
      February 24, 2018 - concept of a just culture has become popular for balancing individual accountability with a systems approach … https://psnet.ahrq.gov/perspective/accountability-patient-safety https://psnet.ahrq.gov/primer/systems-approach … https://psnet.ahrq.gov/primer/systems-approach https://psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil

6363. Psn-Pdf (pdf file)
      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

6364. Medication errors—new approaches to prevention. | PSNet
      psnet.ahrq.gov/issue/medication-errors-new-approaches-prevention
      November 18, 2016 - Review Medication errors—new approaches to prevention. Citation Text: Merry A, Anderson BJ. Medication errors--new approaches to prevention. Paediatr Anaesth. 2011;21(7):743-53. doi:10.1111/j.1460-9592.2011.03589.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

6365. Theoretical approaches for investigating patient safety.   | PSNet
      psnet.ahrq.gov/issue/theoretical-approaches-investigating-patient-safety
      September 15, 2009 - Commentary Theoretical approaches for investigating patient safety.   Citation Text: Thomas MB, Houston S. Theoretical approaches for investigating patient safety. Clin Nurse Spec. 2005;19(3):129-134. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

6366. Individual Clinician Performance Issues | PSNet
      psnet.ahrq.gov/primer/individual-clinician-performance-issues
      March 15, 2025 - Background The patient safety field has emphasized the use of the systems approach to improving safety … 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

6367. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44812/psn-pdf
      February 15, 2017 - Investigators also tested a combined approach. … Although both team training and system redesign individually demonstrated improvement, the combined approach … was more successful than either individual approach.

6368. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46781/psn-pdf
      August 20, 2018 - risk industries may not be straightforward: a qualitative study of the hierarchy of risk controls approach … risk industries may not be straightforward: a qualitative study of the hierarchy of risk controls approach … /errors-and-near-misses-what-health-care-could-learn-aviation https://psnet.ahrq.gov/primer/systems-approach

6369. Accountability in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/accountability-patient-safety
      January 01, 2018 - New articles exploring the role of individual skill in safety have heightened the need for an approach … This approach to mistakes was an ineffective strategy for preventing further patient safety mishaps, … This approach was codified as the cornerstone for the field of patient safety by its central role in … The systems-based approach was not only more likely to fix underlying patient safety problems, but … A prior PSNet perspective summarizes a stepwise approach for managing problem behaviors.

6370. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41858/psn-pdf
      November 21, 2012 - This study applied the systems approach to analyze cases presented at surgical M&M conferences over … disorganized-care-findings-iterative-depth-analysis-surgical-morbidity-and-mortality https://psnet.ahrq.gov/primer/systems-approach … /discussion-medical-errors-morbidity-and-mortality-conferences https://psnet.ahrq.gov/issue/systems-approach-morbidity-and-mortality-conference

6371. Safety I, Safety II, and the New Views of Safety | PSNet
      psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
      October 02, 2024 - This approach to case review also highlights the assumption of bimodality. … A Safety II approach emphasizes the importance of understanding “work-as-done.” … A Safety II approach may also require new methods and tools to understand how things work, depending … Pre-Accident Investigations: Better Questions-An Applied Approach to Operational Learning : CRC Press … April 8, 2020 Moving towards a Safety II approach.

6372. Patient Safety. | PSNet
      psnet.ahrq.gov/issue/patient-safety-23
      October 31, 2018 - Copy Citation Related Resources From the Same Author(s) Systems Approach … April 21, 2021 The systems approach at the sharp end. … and opportunities for telehealth implementation amidst the COVID-19 pandemic by using a human factors approach … December 7, 2022 A systems approach to evaluating ionizing radiation: six focus areas

6373. In Conversation With... Heidi Wald, MD | PSNet
      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.

6374. Wrong site surgery in otolaryngology–head and neck surgery. | PSNet
      psnet.ahrq.gov/issue/wrong-site-surgery-otolaryngology-head-and-neck-surgery
      March 03, 2021 - Medication errors and adverse drug events in an intensive care unit: direct observation approach … March 28, 2012 Direct observation approach for detecting medication errors and adverse … November 28, 2016 A multistep approach to improving biopsy site identification in dermatology … August 11, 2010 Spinal surgery and patient safety: a systems approach.

6375. Information chaos in primary care: implications for physician performance and patient safety. | PSNet
      psnet.ahrq.gov/issue/information-chaos-primary-care-implications-physician-performance-and-patient-safety
      July 02, 2019 - July 2, 2019 Human factors systems approach to healthcare quality and patient safety. … March 10, 2011 Toward a theoretical approach to medical error reporting system research … September 24, 2016 A prospective hazard and improvement analytic approach to predicting … November 26, 2014 E-prescribing: a focused review and new approach to addressing safety

6376. The use of a standard design medication room to promote medication safety: organizational implications. | PSNet
      psnet.ahrq.gov/issue/use-standard-design-medication-room-promote-medication-safety-organizational-implications
      July 27, 2022 - September 28, 2022 Beyond the corrective action hierarchy: a systems approach to organizational … January 9, 2008 A systems approach to evaluating ionizing radiation: six focus areas … September 27, 2016 Designing for distractions: a human factors approach to decreasing … December 12, 2012 Patient Safety: An Engineering Approach.

6377. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39215/psn-pdf
      January 03, 2017 - drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach … Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach … A related editorial discusses the MPSMS as an example of a patient-centered approach to detecting harmful

6378. What stands in the way of technology-mediated patient safety improvements? A study of facilitators and barriers to physicians' use of electronic health records. | PSNet
      psnet.ahrq.gov/issue/what-stands-way-technology-mediated-patient-safety-improvements-study-facilitators-and
      May 16, 2012 - September 24, 2016 Human factors systems approach to healthcare quality and patient safety … December 18, 2013 Toward a theoretical approach to medical error reporting system research … Enhancing electronic health record usability in pediatric patient care: a scenario-based approach … February 17, 2011 Preventing medication errors in hospitals through a systems approach

6379. Time to accelerate integration of human factors and ergonomics in patient safety. | PSNet
      psnet.ahrq.gov/issue/time-accelerate-integration-human-factors-and-ergonomics-patient-safety
      October 03, 2013 - October 3, 2013 Locating errors through networked surveillance: a multimethod approach … and categorising patient safety hazards in cardiovascular operating rooms using an interdisciplinary approach … May 29, 2014 Human factors systems approach to healthcare quality and patient safety. … November 6, 2013 Systems approach and systems engineering applied to health care: improving

6380. Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry. | PSNet
      psnet.ahrq.gov/issue/improving-healthcare-quality-through-organisational-peer-peer-assessment-lessons-nuclear
      May 24, 2012 - August 9, 2017 Clinical communities at Johns Hopkins Medicine: an emerging approach to … November 6, 2024 What is an ethically informed approach to managing patient safety risk … December 12, 2018 Peer support for clinicians: a programmatic approach. … February 2, 2011 A multifaceted approach to improve patient safety, prevent medical errors