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psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma
February 26, 2025 - How do you approach that? … If you're doing a generic approach—let's try to solve that with a generic tool or by throwing everything
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psnet.ahrq.gov/node/867497/psn-pdf
February 26, 2025 - Retained Surgical Items: Causation and Prevention
February 26, 2025
Gibbs V, Romano P. Retained Surgical Items: Causation and Prevention. PSNet [internet]. 2025.
https://psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
Background
A retained surgical item (RSI) is a surgical patient safety pro…
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psnet.ahrq.gov/node/33789/psn-pdf
August 01, 2015 - NS: How would you approach the tensions from a purely policy and incentive standpoint in terms of using
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.110_slideshow.ppt
December 01, 2005 - Spotlight Case [MONTH] 2003
Spotlight Case December 2005
Low on the Totem Pole
Source and Credits
This presentation is based on the Dec. 2005
Spotlight Case in Surgery/Anesthesia
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Robert Wachter, MD, …
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psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix
September 01, 2007 - from fairly small process changes to more global measures is helpful because it brings a more holistic approach … July 8, 2020
Clinical communities at Johns Hopkins Medicine: an emerging approach to … June 27, 2012
A systems approach to morbidity and mortality conference.
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psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice
May 01, 2009 - Perhaps the most practical modification of this approach is to apply triage principles—the ordering physician … Those incentives need to be aligned, or there needs to be a cost-sharing or cost-savings–sharing approach … clearly examining the system's vulnerabilities and then mitigating those vulnerabilities is a better approach
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psnet.ahrq.gov/innovations-exchange
May 01, 2021 - Overtreatment
(1)
Psychological and Social Complications
(1)
Approach
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psnet.ahrq.gov/issue/apology-medical-practice-emerging-clinical-skill
October 25, 2006 - Understanding the barriers to physician error reporting and disclosure: a systemic approach
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psnet.ahrq.gov/issue/personal-nursing-care-experiences-provide-lessons-patient-safety
March 01, 2023 - patients to contribute toward safer surgical care: community-based evaluation using a participatory approach
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psnet.ahrq.gov/issue/how-does-law-recognize-and-deal-medical-errors
March 17, 2021 - Commentary
How does the law recognize and deal with medical errors?
Citation Text:
Merry A. How does the law recognize and deal with medical errors? J R Soc Med. 2009;102(7):265-71. doi:10.1258/jrsm.2009.09k029.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNot…
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psnet.ahrq.gov/periodic-issue/periodic-issue-466
December 18, 2024 - Study
Evaluation of a natural language processing approach to identify diagnostic
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psnet.ahrq.gov/periodic-issue/periodic-issue-442
May 29, 2024 - A consensus approach to definitions and validation strategies is needed.
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psnet.ahrq.gov/node/49665/psn-pdf
September 01, 2012 - A multidisciplinary team approach to retained foreign
objects.
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psnet.ahrq.gov/node/49417/psn-pdf
October 01, 2003 - Many providers and health care organizations lack any organized approach to
preventing transitional
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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/when-should-students-learn-about-ethics-professionalism-and-patient-safety63
August 14, 2013 - Topics
Approach to Improving Safety
Students
Resource Type
Commentary … Journal Article
Commentary
A multi-tiered approach … Journal Article
Commentary
Medical improv: a novel approach