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psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
March 01, 2018 - Such an approach is already being trialed in Ireland. … How did you approach those issues, and what were your key findings?
Dr.
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psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
June 28, 2023 - adults. 16,17 Delirium prevention and care bundles, like the ABCDEF Bundle , utilize a multifaceted approach … decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach
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psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
March 27, 2024 - Transition Coaches® Reduce Readmissions for Medicare Patients With Complex Postdischarge Needs
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June 12, 2020
Innovation
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psnet.ahrq.gov/perspective/conversation-wanda-pratt-phd
November 01, 2017 - In Conversation With… Wanda Pratt, PhD
November 1, 2017
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Citation Text:
In Conversation With… Wanda Pratt, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/node/865454/psn-pdf
March 27, 2024 - The concept of just culture seeks to balance this systems-based
approach to safety events with appropriate … psnet.ahrq.gov/issue/identification-barriers-and-enablers-receiving-speaking-message-content-analysis-approach
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psnet.ahrq.gov/node/836850/psn-pdf
March 31, 2022 - identified, effective implementation of deprescribing practices includes a shared decision-
making approach … electronic-medical-record-based-interventions-encourage-opioid-prescribing-best-practices
https://psnet.ahrq.gov/issue/safe-opioid-prescribing-prognostic-machine-learning-approach-predicting
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psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
October 01, 2016 - A third approach to avoiding fatigue is to shift some responsibilities away from frontline providers.
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psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
January 04, 2024 - Retained Surgical Items: Causation and Prevention
Citation Text:
Gibbs V, Romano P. Retained Surgical Items: Causation and Prevention. PSNet [internet]. Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025.
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psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case
October 02, 2013 - might recognize when we are at risk for being (or have already become) cognitively trapped.( 23 ) This approach
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psnet.ahrq.gov/perspective/conversation-linda-aiken-phd-rn
March 01, 2018 - How did you approach those issues, and what were your key findings?
Dr. … Such an approach is already being trialed in Ireland.
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psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes
July 23, 2024 - Innovations
Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach … to improve communication and patient safety in obstetrics: examination of the health action process approach
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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
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psnet.ahrq.gov/web-mm/no-blood-please
January 14, 2011 - This approach is consistent with patient-centered care and respect for patient autonomy as well as reduces
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psnet.ahrq.gov/node/49429/psn-pdf
January 01, 2004 - chorionic gonadotrophin measurements in suspected ectopic pregnancy: a detailed analysis of a diagnostic
approach
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psnet.ahrq.gov/primer/high-reliability
January 29, 2020 - Improving Patient Safety and Team Communication through Daily Huddles January 29, 2020
Systems Approach
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psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
September 07, 2019 - study, most clinicians felt unsupported or under-supported, partly due to ambiguity around whom to approach
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psnet.ahrq.gov/node/49603/psn-pdf
June 01, 2010 - web-mm/fatal-error-neonate-does-just-culture-provide-answer
Case Objectives
Describe the just culture approach
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psnet.ahrq.gov/node/49800/psn-pdf
July 01, 2017 - A systematic approach to
obtaining a patient's history of alcohol use is necessary because missing this
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psnet.ahrq.gov/node/33713/psn-pdf
June 01, 2011 - This requires a
different approach to safety: at the systems, not the device, level.
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psnet.ahrq.gov/node/33641/psn-pdf
November 01, 2006 - People trained in this approach no longer simply see a central line being removed from a
hole in the