Results

Total Results: over 10,000 records

Showing results for "approach".

9941. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49638/psn-pdf
      January 01, 2012 - Communication Failure—Who's in Charge? October 1, 2011 Fackler J, Schwartz JM. Communication Failure—Who's in Charge? PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/communication-failure-whos-charge The Case A 20-month-old boy was admitted to the intensive care unit (ICU) following a Fontan surgical procedu…

9942. Learning Health Systems for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
      February 26, 2025 - action emphasizes that meaningful and lasting improvements in patient safety require a total systems approach … A data driven approach to achieving high value healthcare. eGEMS: J Electronic Health Data and Methods

9943. In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
      February 26, 2025 - A data driven approach to achieving high value healthcare. eGEMS: J Electronic Health Data and Methods … action emphasizes that meaningful and lasting improvements in patient safety require a total systems approach

9944. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40206/psn-pdf
      June 15, 2011 - The authors argue that their findings reinforce the need to adopt a systems approach to prevention rather … swiss-cheese-model https://psnet.ahrq.gov/issue/critical-incident-technique https://psnet.ahrq.gov/primer/systems-approach … https://psnet.ahrq.gov/primer/systems-approach

9945. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46746/psn-pdf
      March 07, 2018 - Safety with nebulized medications requires an interdisciplinary team approach. … https://psnet.ahrq.gov/issue/safety-nebulized-medications-requires-interdisciplinary-team-approach Myriad … https://psnet.ahrq.gov/issue/safety-nebulized-medications-requires-interdisciplinary-team-approach https

9946. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43218/psn-pdf
      July 28, 2014 - The approach consists of students enhancing their clinical skills, analyzing information to augment … decision making, and applying a systems approach to detect underlying causes. … principles-risk-management-and-patient-safety https://psnet.ahrq.gov/issue/yours-learning-organization https://psnet.ahrq.gov/primer/systems-approach

9947. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46326/psn-pdf
      October 18, 2017 - Surgical Patient Safety: A Case-Based Approach. October 18, 2017 Stahel PF, ed. … https://psnet.ahrq.gov/issue/surgical-patient-safety-case-based-approach Surgical residency can be a … https://psnet.ahrq.gov/issue/surgical-patient-safety-case-based-approach https://psnet.ahrq.gov/issue

9948. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46622/psn-pdf
      December 06, 2017 - https://psnet.ahrq.gov/issue/white-paper-recommendation-systems-based-practice-competency A systems approach … /white-paper-recommendation-systems-based-practice-competency https://psnet.ahrq.gov/primer/systems-approach … psnet.ahrq.gov/primer/patient-safety-101 https://psnet.ahrq.gov/issue/quality-and-safety-nursing-competency-approach-improving-outcomes-second-edition

9949. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42363/psn-pdf
      September 19, 2013 - characterisation of patient safety hazards in community pharmacies using a sociotechnical systems approach … characterisation of patient safety hazards in community pharmacies using a sociotechnical systems approach … e-prescribing-characterisation-patient-safety-hazards-community-pharmacies-using https://psnet.ahrq.gov/issue/e-prescribing-focused-review-and-new-approach-addressing-safety-pharmacies-and-primary-care

9950. Psn-Pdf (pdf file)
      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

9951. Psn-Pdf (pdf file)
      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

9952. Psn-Pdf (pdf file)
      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

9953. 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.

9954. 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

9955. 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

9956. 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

9957. 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.

9958. 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

9959. 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

9960. 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