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psnet.ahrq.gov/node/42582/psn-pdf
September 18, 2013 - When diagnostic testing leads to harm: a new outcomes-
based approach for laboratory medicine. … When diagnostic testing leads to harm: a new outcomes-based approach
for laboratory medicine. … https://psnet.ahrq.gov/issue/when-diagnostic-testing-leads-harm-new-outcomes-based-approach-
laboratory-medicine … This commentary recommends an approach to examine laboratory testing and identify weaknesses that … https://psnet.ahrq.gov/issue/when-diagnostic-testing-leads-harm-new-outcomes-based-approach-laboratory-medicine
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psnet.ahrq.gov/node/36905/psn-pdf
September 01, 2011 - Engineering a safe landing: engaging medical
practitioners in a systems approach to patient safety. … Engineering a safe landing: engaging medical practitioners in a systems
approach to patient safety. … https://psnet.ahrq.gov/issue/engineering-safe-landing-engaging-medical-practitioners-systems-approach … surveyed Australian medical practitioners and identified factors limiting their engagement in a
systems approach … https://psnet.ahrq.gov/issue/engineering-safe-landing-engaging-medical-practitioners-systems-approach-patient-safety
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psnet.ahrq.gov/node/867652/psn-pdf
February 26, 2025 - /perspective/evolution-root-cause-analysis
Introduction
Root Cause Analysis (RCA) is a structured approach … //psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
https://psnet.ahrq.gov/primer/systems-approach … One new component of RCA2 is its structured approach to prioritizing harm events for investigation. … The RCA2 toolkit offers a flexible approach to root cause analysis, allowing healthcare organizations … This proactive
approach helps organizations identify potential risks before they result in actual harm
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digital.ahrq.gov/principal-investigator/dorr-david
January 01, 2024 - Dorr, David
Study protocol: Collaboration Oriented Approach to Controlling … Study protocol: Collaboration Oriented Approach to Controlling High Blood Pressure (COACH) in adults … Project Name
Collaboration-Oriented Approach to Controlling High Blood Pressure (COACH) … Project Name
Collaboration-Oriented Approach to Controlling High Blood Pressure (COACH) … Clinical Decision Support
Description
This research developed the Collaboration Oriented Approach
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psnet.ahrq.gov/node/853071/psn-pdf
August 30, 2023 - A natural language processing approach to categorise
contributing factors from patient safety event … https://psnet.ahrq.gov/issue/natural-language-processing-approach-categorise-contributing-factors-patient … https://psnet.ahrq.gov/issue/natural-language-processing-approach-categorise-contributing-factors-patient-safety-event … https://psnet.ahrq.gov/issue/natural-language-processing-approach-categorise-contributing-factors-patient-safety-event
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digital.ahrq.gov/organization/weis-center-research
January 01, 2023 - Weis Center for Research
Regional Approach for Transforming Healthcare … Settings - 2010
Principal Investigator
Richards, Francis
Project Name
Regional Approach … Healthcare Quality through Information Technology (THQIT) in Rural Settings
Regional Approach … UC1 HS016162
Principal Investigator(s)
Richards, Francis
Regional Approach
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psnet.ahrq.gov/node/845356/psn-pdf
March 29, 2023 - A novel approach for engagement in team training in
high-technology surgery: the robotic-assisted surgery … A novel approach for engagement in team training in high-technology
surgery: the robotic-assisted surgery … https://psnet.ahrq.gov/innovation/novel-approach-engagement-team-training-high-technology-surgery-
robotic-assisted-surgery … https://psnet.ahrq.gov/innovation/novel-approach-engagement-team-training-high-technology-surgery-robotic-assisted-surgery … https://psnet.ahrq.gov/innovation/novel-approach-engagement-team-training-high-technology-surgery-robotic-assisted-surgery
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psnet.ahrq.gov/node/41203/psn-pdf
December 18, 2014 - A multicenter collaborative approach to reducing
pediatric codes outside the ICU. … A multicenter collaborative approach to reducing pediatric codes
outside the ICU. … https://psnet.ahrq.gov/issue/multicenter-collaborative-approach-reducing-pediatric-codes-outside-icu … This study leveraged a multicenter collaborative approach to address the complex process of managing … https://psnet.ahrq.gov/issue/multicenter-collaborative-approach-reducing-pediatric-codes-outside-icu
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psnet.ahrq.gov/node/43128/psn-pdf
August 25, 2015 - Locating errors through networked surveillance: a
multimethod approach to peer assessment, hazard
identification … Locating Errors Through Networked Surveillance: A
Multimethod Approach to Peer Assessment, Hazard Identification … https://psnet.ahrq.gov/issue/locating-errors-through-networked-surveillance-multimethod-approach-peer … -
assessment-hazard
This study describes a comprehensive approach to identifying safety hazards in … This type of in-depth, multidisciplinary approach shows
promise for determining and prioritizing safety
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psnet.ahrq.gov/node/40550/psn-pdf
June 22, 2011 - Applying a multidisciplinary approach to the selection,
evaluation, and acquisition of smart infusion … Applying a multidisciplinary approach to the selection, evaluation, and acquisition of smart
infusion … https://psnet.ahrq.gov/issue/applying-multidisciplinary-approach-selection-evaluation-and-acquisition … clinicians, patient safety experts, human factors engineers, and
biomedical engineers used a user-centered approach … https://psnet.ahrq.gov/issue/applying-multidisciplinary-approach-selection-evaluation-and-acquisition-smart-infusion-pumps
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psnet.ahrq.gov/node/46751/psn-pdf
July 23, 2018 - A call for a systems-thinking approach to medication
adherence: stop blaming the patient. … A Call for a Systems-Thinking Approach to Medication Adherence: Stop
Blaming the Patient. … https://psnet.ahrq.gov/issue/call-systems-thinking-approach-medication-adherence-stop-blaming-patient … discusses factors that affect patient medication nonadherence and suggests that
a systems thinking approach … https://psnet.ahrq.gov/issue/call-systems-thinking-approach-medication-adherence-stop-blaming-patient
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psnet.ahrq.gov/node/41816/psn-pdf
September 26, 2016 - Designing for distractions: a human factors approach to
decreasing interruptions at a centralised medication … Designing for distractions: a human factors approach to decreasing
interruptions at a centralised medication … https://psnet.ahrq.gov/issue/designing-distractions-human-factors-approach-decreasing-interruptions- … interruptions while preserving a patient-centered
environment, this study used a human factors engineering approach … This approach resulted in
significantly fewer interruptions and improved staff satisfaction with medication
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psnet.ahrq.gov/node/858167/psn-pdf
December 13, 2023 - A proposed approach to allegations of sexual boundary
violation in health care. … A proposed approach to allegations of sexual boundary violation
in health care. … https://psnet.ahrq.gov/issue/proposed-approach-allegations-sexual-boundary-violation-health-care
Policies … https://psnet.ahrq.gov/issue/proposed-approach-allegations-sexual-boundary-violation-health-care
https
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psnet.ahrq.gov/node/838016/psn-pdf
January 02, 2021 - Racism as a Root Cause approach: a new framework.
January 2, 2021
Malawa Z, Gaarde J, Spellen S. … Racism as a Root Cause approach: a new framework. … https://psnet.ahrq.gov/issue/racism-root-cause-approach-new-framework
Structural racism, which manifests … https://psnet.ahrq.gov/issue/racism-root-cause-approach-new-framework
https://psnet.ahrq.gov/issue/structural-racism-and-health-inequities-usa-evidence-and-interventions
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psnet.ahrq.gov/node/73984/psn-pdf
October 20, 2021 - Analyzing diagnostic errors in the acute setting: a
process-driven approach. … Analyzing diagnostic errors in the acute setting: a process-driven
approach. … https://psnet.ahrq.gov/issue/analyzing-diagnostic-errors-acute-setting-process-driven-approach
Diagnostic … https://psnet.ahrq.gov/issue/analyzing-diagnostic-errors-acute-setting-process-driven-approach
https:
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psnet.ahrq.gov/node/74273/psn-pdf
January 19, 2022 - Community Living Centers: VA Needs to Strengthen Its
Approach for Addressing Resident Complaints. … https://psnet.ahrq.gov/issue/community-living-centers-va-needs-strengthen-its-approach-addressing-
resident-complaints … https://psnet.ahrq.gov/issue/community-living-centers-va-needs-strengthen-its-approach-addressing-resident-complaints … https://psnet.ahrq.gov/issue/community-living-centers-va-needs-strengthen-its-approach-addressing-resident-complaints
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psnet.ahrq.gov/node/44729/psn-pdf
January 07, 2016 - The morbidity and mortality meeting: time for a different
approach?
January 7, 2016
Fraser J. … The morbidity and mortality meeting: time for a different approach? … https://psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-approach
Mortality and morbidity … of the traditional M&M conference model, this commentary advocates for a
proactive risk management approach … https://psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-approach
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/47200/psn-pdf
August 20, 2018 - Creating a comprehensive, unit-based approach to
detecting and preventing harm in the neonatal intensive … https://psnet.ahrq.gov/issue/creating-comprehensive-unit-based-approach-detecting-and-preventing-harm … This commentary describes a broad
collaborative approach to improve the safety of neonatal intensive … The approach
involved the use of trigger tool technology, patient and family advisory councils, and … https://psnet.ahrq.gov/issue/creating-comprehensive-unit-based-approach-detecting-and-preventing-harm-neonatal-intensive
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psnet.ahrq.gov/node/47520/psn-pdf
February 06, 2019 - Improving patient safety in developing countries—moving
towards an integrated approach. … Improving patient safety in developing countries - moving towards an
integrated approach. … https://psnet.ahrq.gov/issue/improving-patient-safety-developing-countries-moving-towards-integrated-
approach … https://psnet.ahrq.gov/issue/improving-patient-safety-developing-countries-moving-towards-integrated-approach … https://psnet.ahrq.gov/issue/improving-patient-safety-developing-countries-moving-towards-integrated-approach
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psnet.ahrq.gov/node/33890/psn-pdf
January 04, 2017 - The faces of errors: a case-based approach to educating
providers, policy makers, and the public about … The faces of errors: a case-based approach to educating providers,
policymakers, and the public about … https://psnet.ahrq.gov/issue/faces-errors-case-based-approach-educating-providers-policy-makers-and- … public-about-patient
The development of a case-based approach to educate patients and providers about … https://psnet.ahrq.gov/issue/faces-errors-case-based-approach-educating-providers-policy-makers-and-public-about-patient