-
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/perspective/conversation-charles-vincent-mphil-phd
July 10, 2024 - Historically, in the mid-1990s the concern about litigation turned into a slightly more proactive approach … we had a national system set up for insuring doctors in hospitals, which meant there was a national approach
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.64_slideshow.ppt
June 01, 2004 - Improving Disclosure Outcome
Approach disclosure as integral component of quality improvement
Employ
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psnet.ahrq.gov/node/73104/psn-pdf
January 04, 2021 - of six core characteristics among healthcare facilities that are recommended to
be included in any approach
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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/node/49758/psn-pdf
April 01, 2016 - A multidisciplinary team approach to safe glycemic management
is needed to build an inpatient glycemic … Impact of a hypoglycemia reduction bundle and a systems
approach to inpatient glycemic management.
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psnet.ahrq.gov/node/33680/psn-pdf
March 22, 2009 - this recognition that most of the action
happens outside of these institutions change the way you approach … The current measures don't even approach that.
-
psnet.ahrq.gov/node/49675/psn-pdf
February 01, 2013 - Assess how reliably individual patients are likely to be contacted and customize your approach. … Customize the approach to patients based on their anticipated reliability
4.
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psnet.ahrq.gov/web-mm/inpatient-stroke-management-adolescent-type-1-diabetes-and-home-insulin-pump
February 01, 2023 - between patients/families and providers, and the need for standardized hospital protocols. 4,6
Approach … From the perspective of these authors, one alternate approach might be to consider a specialized unit
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psnet.ahrq.gov/web-mm/slippery-slide-life
January 21, 2017 - 3,4 ) Simulation Training High-fidelity simulation-based training offers an innovative learning approach … Yet, too often, the approach to education and training is to “train as many as you can, as quickly as
-
psnet.ahrq.gov/node/74252/psn-pdf
January 12, 2022 - Would you please tell us about the approach to analysis that you've
been taking to better understand … It was only through this Safe Table approach that we were able to delve into COVID-19-specific
issues
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psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
December 01, 2005 - Information processing and human-machine interaction: an approach to cognitive engineering. … December 18, 2019
A dynamic risk management approach for reducing harm from invasive
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psnet.ahrq.gov/node/33594/psn-pdf
November 18, 2021 - Common methodologies for debriefing
include:
Plus-delta: a straight-forward approach that asks learners … excellence and reflective learning in simulation (PEARLS):
development and rationale for a blended approach
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psnet.ahrq.gov/node/837660/psn-pdf
July 08, 2022 - Intubating with a
video-laryngoscope is preferred because this approach requires less mouth opening … Approach to Improving Safety
Take a thorough preoperative history and carefully review the past medical
-
psnet.ahrq.gov/node/49774/psn-pdf
November 01, 2016 - (ACOG) and many state and national quality collaboratives to craft a more
organized and structured approach … Before we discuss the modern approach to treating obstetric hemorrhage, let us discuss the special
challenges
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psnet.ahrq.gov/node/49738/psn-pdf
August 21, 2015 - Such an approach has balanced privacy and safety. … the risk of loss or theft of mobile devices,
this system was moved to a secure, encrypted, IT-hosted 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.
-
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
-
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