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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/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.
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psnet.ahrq.gov/issue/roadmap-patient-safety-research-approaches-and-roadforks
July 17, 2019 - Review
Roadmap for patient safety research: approaches and roadforks.
Citation Text:
Hofoss D, Deilkås E. Roadmap for patient safety research: approaches and roadforks. Scand J Public Health. 2008;36(8):812-7. doi:10.1177/1403494808096168.
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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
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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.
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psnet.ahrq.gov/node/41300/psn-pdf
April 22, 2012 - knowledge-self-efficacy
A 3-day course for second year medical students that emphasized teamwork skills and the systems
approach … day-patient-safety-curriculum-advance-knowledge-self-efficacy
https://psnet.ahrq.gov/primer/systems-approach … https://psnet.ahrq.gov/primer/systems-approach
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psnet.ahrq.gov/node/35501/psn-pdf
June 15, 2011 - Lucian Leape, begins with a retrospective view on the
birth of patient safety initiatives, the systems approach … to addressing problems, progress made in changing
systems, and challenges with this systems approach … ethical-issues-patient-safety
https://psnet.ahrq.gov/issue/interview-lucian-leape
https://psnet.ahrq.gov/primer/systems-approach
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psnet.ahrq.gov/node/44624/psn-pdf
March 02, 2016 - Researchers found that the most common patient safety research topic using this approach to date is … The authors suggest that more methodological rigor is needed to apply
the approach to patient safety … what-methods-are-used-apply-positive-deviance-within-healthcare-organisations-systematic
https://psnet.ahrq.gov/issue/positive-deviance-different-approach-achieving-patient-safety
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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
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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
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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
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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.
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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.
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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
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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
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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
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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
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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
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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
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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