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psnet.ahrq.gov/node/50887/psn-pdf
February 12, 2020 - Lessons learned from a systems approach to engaging
patients and families in patient safety transformation … Lessons Learned from a Systems Approach to Engaging Patients
and Families in Patient Safety Transformation … https://psnet.ahrq.gov/issue/lessons-learned-systems-approach-engaging-patients-and-families-patient- … https://psnet.ahrq.gov/issue/lessons-learned-systems-approach-engaging-patients-and-families-patient-safety-transformation … https://psnet.ahrq.gov/issue/patient-and-family-engagement-potential-approach-improving-patient-safety-systematic-review
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psnet.ahrq.gov/node/47399/psn-pdf
November 14, 2018 - Leveraging the continuum: a novel approach to meeting
quality improvement and patient safety competency … Leveraging the Continuum: A Novel Approach to Meeting Quality Improvement and
Patient Safety Competency … https://psnet.ahrq.gov/issue/leveraging-continuum-novel-approach-meeting-quality-improvement-and-
patient-safety-competency … The approach included activities such as event reporting, root cause analysis, and disclosure
simulation … https://psnet.ahrq.gov/issue/leveraging-continuum-novel-approach-meeting-quality-improvement-and-patient-safety-competency
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psnet.ahrq.gov/node/40469/psn-pdf
May 20, 2019 - Error Reduction in Health Care: A Systems Approach to
Improving Patient Safety, Second edition. … https://psnet.ahrq.gov/issue/error-reduction-health-care-systems-approach-improving-patient-safety-2nd … This
updated edition covers key concepts in safety, beginning with the systems approach and the role … https://psnet.ahrq.gov/issue/error-reduction-health-care-systems-approach-improving-patient-safety-2nd-edition … https://psnet.ahrq.gov/primer/systems-approach
https://psnet.ahrq.gov/primer/human-factors-engineering
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psnet.ahrq.gov/node/60614/psn-pdf
June 24, 2020 - A systems approach to analyzing and preventing hospital
adverse events. … A systems approach to analyzing and preventing hospital
adverse events. … https://psnet.ahrq.gov/issue/systems-approach-analyzing-and-preventing-hospital-adverse-events
This … The CAST approach is based on the
principle that accidents are not only the result of individual system … https://psnet.ahrq.gov/issue/systems-approach-analyzing-and-preventing-hospital-adverse-events
https:
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psnet.ahrq.gov/node/836824/psn-pdf
March 30, 2022 - Collaborative case review: a systems-based approach to
patient safety event investigation and analysis … Collaborative case review: a systems-based approach to patient
safety event investigation and analysis … https://psnet.ahrq.gov/issue/collaborative-case-review-systems-based-approach-patient-safety-event- … This study assessed a system-based approach, (i.e., collaborative case reviews (CCR) co-
led by radiology … https://psnet.ahrq.gov/issue/collaborative-case-review-systems-based-approach-patient-safety-event-investigation-and
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psnet.ahrq.gov/node/46981/psn-pdf
May 04, 2019 - Lessons learned from implementing a principled
approach to resolution following patient harm. … Lessons learned from implementing a principled approach to
resolution following patient harm. … https://psnet.ahrq.gov/issue/lessons-learned-implementing-principled-approach-resolution-following- … This
commentary describes a seven-element approach to resolving family and patient issues following … https://psnet.ahrq.gov/issue/lessons-learned-implementing-principled-approach-resolution-following-patient-harm
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digital.ahrq.gov/principal-investigator/simpson-kit-n
January 01, 2024 - Create a Continuum of Services for COVID-19 Screening, Testing, and Treatment: A Learning Health System Approach … Create a Continuum of Services for COVID-19 Screening, Testing, and Treatment: A Learning Health System Approach … Create a Continuum of Services for COVID-19 Screening, Testing, and Treatment: A Learning Health System Approach … Create a Continuum of Services for COVID-19 Screening, Testing, and Treatment: A Learning Health System Approach … Create a Continuum of Services for COVID-19 Screening, Testing, and Treatment: A Learning Health System Approach
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psnet.ahrq.gov/node/854376/psn-pdf
October 11, 2023 - Community validation of an approach to detect delayed
diagnosis of appendicitis in big databases. … Community validation of an approach to detect
delayed diagnosis of appendicitis in big databases. … https://psnet.ahrq.gov/issue/community-validation-approach-detect-delayed-diagnosis-appendicitis-big- … https://psnet.ahrq.gov/issue/community-validation-approach-detect-delayed-diagnosis-appendicitis-big-databases … https://psnet.ahrq.gov/issue/community-validation-approach-detect-delayed-diagnosis-appendicitis-big-databases
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psnet.ahrq.gov/node/841149/psn-pdf
December 07, 2022 - A structured approach to EHR surveillance of diagnostic
error in acute care: an exploratory analysis … A structured approach to EHR surveillance of diagnostic
error in acute care: an exploratory analysis … https://psnet.ahrq.gov/issue/structured-approach-ehr-surveillance-diagnostic-error-acute-care-exploratory … https://psnet.ahrq.gov/issue/structured-approach-ehr-surveillance-diagnostic-error-acute-care-exploratory-analysis-two … https://psnet.ahrq.gov/issue/structured-approach-ehr-surveillance-diagnostic-error-acute-care-exploratory-analysis-two
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psnet.ahrq.gov/issue/airway-carts-systems-based-approach-airway-safety
July 21, 2010 - Study
Airway carts: a systems-based approach to airway safety.
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psnet.ahrq.gov/node/848085/psn-pdf
April 26, 2023 - Understanding complexity in a safety critical setting: a
systems approach to medication administration … Understanding complexity in a safety critical setting: a systems
approach to medication administration … https://psnet.ahrq.gov/issue/understanding-complexity-safety-critical-setting-systems-approach-medication … https://psnet.ahrq.gov/issue/understanding-complexity-safety-critical-setting-systems-approach-medication-administration … https://psnet.ahrq.gov/issue/understanding-complexity-safety-critical-setting-systems-approach-medication-administration
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qualityindicators.ahrq.gov/Downloads/ICD10/PQI%2016%20Lower-Extremity%20Amputation%20among%20Patients%20with%20Diabetes%20Rate.xlsx
January 01, 2016 - Approach
84.19 Abdominopelvic amputation 0Y6D0Z2 Detachment at Left Upper Leg, Mid, Open Approach … Open Approach
0Y6G0ZZ Detachment at Left Knee Region, Open Approach
0Y6H0Z1 Detachment at Right … Lower Leg, High, Open Approach
0Y6H0Z2 Detachment at Right Lower Leg, Mid, Open Approach
0Y6H0Z3 … , Complete 2nd Ray, Open Approach
0Y6N0Z6 Detachment at Left Foot, Complete 3rd Ray, Open Approach … , Complete 5th Ray, Open Approach
0Y6N0Z9 Detachment at Left Foot, Partial 1st Ray, Open Approach
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qualityindicators.ahrq.gov/Downloads/Modules/IQI/v2018/TechSpecs/IQI_04_Abdominal_Aortic_Aneurysm_(AAA)_Repair_Volume.pdf
June 01, 2018 - Tissue,
Open Approach
04100Z8 Bypass Abdominal Aorta to Bilateral
Common Iliac Arteries, Open Approach … Arterial Tissue, Open Approach
04100ZH Bypass Abdominal Aorta to Right
Femoral Artery, Open Approach … Tissue, Open Approach
04500ZZ Destruction of Abdominal Aorta, Open
Approach
04100AQ Bypass Abdominal … Approach
04100J0 Bypass Abdominal Aorta to Abdominal
Aorta with Synthetic Substitute, Open
Approach … Synthetic
Substitute, Open Approach
04Q00ZZ Repair Abdominal Aorta, Open
Approach
04100J8 Bypass
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psnet.ahrq.gov/node/854988/psn-pdf
November 01, 2023 - Use of design thinking and human factors approach to
improve situation awareness in the pediatric intensive … Use of design thinking and human factors approach to improve
situation awareness in the pediatric intensive … https://psnet.ahrq.gov/issue/use-design-thinking-and-human-factors-approach-improve-situation-
awareness-pediatric … https://psnet.ahrq.gov/issue/use-design-thinking-and-human-factors-approach-improve-situation-awareness-pediatric … https://psnet.ahrq.gov/issue/use-design-thinking-and-human-factors-approach-improve-situation-awareness-pediatric
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psnet.ahrq.gov/node/853432/psn-pdf
September 13, 2023 - Healthcare leaders' and elected politicians' approach to
support-systems and requirements for complying … Healthcare leaders’ and elected politicians’ approach to support-
systems and requirements for complying … https://psnet.ahrq.gov/issue/healthcare-leaders-and-elected-politicians-approach-support-systems-and- … https://psnet.ahrq.gov/issue/healthcare-leaders-and-elected-politicians-approach-support-systems-and-requirements … https://psnet.ahrq.gov/issue/healthcare-leaders-and-elected-politicians-approach-support-systems-and-requirements
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psnet.ahrq.gov/node/60850/psn-pdf
August 26, 2020 - Beyond the corrective action hierarchy: a systems
approach to organizational change. … Beyond the corrective action hierarchy: a systems approach to organizational
change. … https://psnet.ahrq.gov/issue/beyond-corrective-action-hierarchy-systems-approach-organizational-change … https://psnet.ahrq.gov/issue/beyond-corrective-action-hierarchy-systems-approach-organizational-change … https://psnet.ahrq.gov/primer/systems-approach
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psnet.ahrq.gov/node/47412/psn-pdf
October 31, 2018 - The systems approach at the sharp end.
October 31, 2018
Cross SRH. … The systems approach at the sharp end. Future Healthc J. 2019;5(3):176-180. … https://psnet.ahrq.gov/issue/systems-approach-sharp-end
Systems solutions are often focused on creating … https://psnet.ahrq.gov/issue/systems-approach-sharp-end
https://psnet.ahrq.gov/issue/systems-approach-healthcare
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psnet.ahrq.gov/node/47749/psn-pdf
June 19, 2019 - A simulation-based approach to training in heuristic
clinical decision-making. … A simulation-based approach to training in heuristic clinical decision-
making. … https://psnet.ahrq.gov/issue/simulation-based-approach-training-heuristic-clinical-decision-making
This … majority were able to identify and recover from the bias,
suggesting that simulation may be a promising approach … https://psnet.ahrq.gov/issue/simulation-based-approach-training-heuristic-clinical-decision-making
https
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psnet.ahrq.gov/node/837740/psn-pdf
July 27, 2022 - Reducing near miss medication events using an
evidence-based approach. … Reducing near miss medication events using an evidence-based approach. … https://psnet.ahrq.gov/issue/reducing-near-miss-medication-events-using-evidence-based-approach
Barcode … medication administration (BCMA) is one approach to reducing near-miss medication safety
events. … https://psnet.ahrq.gov/issue/reducing-near-miss-medication-events-using-evidence-based-approach
https
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psnet.ahrq.gov/node/848036/psn-pdf
April 26, 2023 - Using a learning system approach to improve safety for
prone-position ventilation patients. … Using a learning system approach to improve safety for prone-
position ventilation patients. … https://psnet.ahrq.gov/issue/using-learning-system-approach-improve-safety-prone-position-ventilation … https://psnet.ahrq.gov/issue/using-learning-system-approach-improve-safety-prone-position-ventilation-patients … https://psnet.ahrq.gov/issue/using-learning-system-approach-improve-safety-prone-position-ventilation-patients