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psnet.ahrq.gov/node/39127/psn-pdf
November 25, 2009 - An effectiveness analysis of healthcare systems using a
systems theoretic approach. … An effectiveness analysis of healthcare systems using a systems theoretic approach. … https://psnet.ahrq.gov/issue/effectiveness-analysis-healthcare-systems-using-systems-theoretic-approach … This study describes a theoretical systems approach to integrating quality measurement and reporting … https://psnet.ahrq.gov/issue/effectiveness-analysis-healthcare-systems-using-systems-theoretic-approach
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qualityindicators.ahrq.gov/Downloads/Modules/IQI/V2022/TechSpecs/IQI_33_Primary_Cesarean_Delivery_Rate_Uncomplicated.pdf
July 01, 2022 - 10D00Z2 Extraction of products of conception,
extraperitoneal, open approach
10D00Z1 Extraction … of products of conception,
low, open approach
Cesarean delivery procedure codes: (PRCSECP)
July 2022 … Rate, Uncomplicated
qualityindicators.ahrq.gov
10A00ZZ Abortion of products of conception, open
approach … 10A04ZZ Abortion of products of conception,
percutaneous endoscopic approach
10A03ZZ Abortion of … products of conception,
percutaneous approach
Hysterotomy procedure codes: (PRCSE2P)
July 2022 4
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psnet.ahrq.gov/issue/interprofessional-approaches-patient-safety
October 15, 2008 - Special or Theme Issue
Interprofessional Approaches to Patient Safety.
Citation Text:
Interprofessional Approaches to Patient Safety. J Interprof Care. 2006;20(5):461-563.
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psnet.ahrq.gov/node/35957/psn-pdf
August 02, 2010 - A practical approach to measure the quality of
handwritten medication orders: a tool for improvement … A Practical Approach to Measure the Quality of Handwritten
Medication Orders. … https://psnet.ahrq.gov/issue/practical-approach-measure-quality-handwritten-medication-orders-tool- … https://psnet.ahrq.gov/issue/practical-approach-measure-quality-handwritten-medication-orders-tool-improvement … https://psnet.ahrq.gov/issue/practical-approach-measure-quality-handwritten-medication-orders-tool-improvement
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psnet.ahrq.gov/node/40990/psn-pdf
December 07, 2011 - A novel approach to implementation of quality and safety
programmes in anaesthesiology. … A novel approach to implementation of quality and safety
programmes in anaesthesiology. … https://psnet.ahrq.gov/issue/novel-approach-implementation-quality-and-safety-programmes-
anaesthesiology … https://psnet.ahrq.gov/issue/novel-approach-implementation-quality-and-safety-programmes-anaesthesiology … https://psnet.ahrq.gov/issue/novel-approach-implementation-quality-and-safety-programmes-anaesthesiology
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psnet.ahrq.gov/node/35395/psn-pdf
September 10, 2009 - Toward a theoretical approach to medical error reporting
system research and design. … Toward a theoretical approach to medical error reporting system
research and design. … https://psnet.ahrq.gov/issue/toward-theoretical-approach-medical-error-reporting-system-research-and- … https://psnet.ahrq.gov/issue/toward-theoretical-approach-medical-error-reporting-system-research-and-design … https://psnet.ahrq.gov/issue/toward-theoretical-approach-medical-error-reporting-system-research-and-design
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psnet.ahrq.gov/node/37324/psn-pdf
February 16, 2011 - A complementary approach to promoting
professionalism: identifying, measuring, and addressing
unprofessional … A complementary approach to promoting professionalism:
identifying, measuring, and addressing unprofessional … https://psnet.ahrq.gov/issue/complementary-approach-promoting-professionalism-identifying-measuring- … The authors share their approach and model for addressing disruptive behavior,
and their related interventions … https://psnet.ahrq.gov/issue/complementary-approach-promoting-professionalism-identifying-measuring-and-addressing
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psnet.ahrq.gov/node/38010/psn-pdf
August 27, 2008 - Detection of adverse events in surgical patients using the
Trigger Tool approach. … Detection of adverse events in surgical patients using the Trigger Tool approach. … https://psnet.ahrq.gov/issue/detection-adverse-events-surgical-patients-using-trigger-tool-approach … The tool was tested through
a collaborative approach between 11 hospitals, yielding a list of 23 clinical … https://psnet.ahrq.gov/issue/detection-adverse-events-surgical-patients-using-trigger-tool-approach
https
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psnet.ahrq.gov/node/36564/psn-pdf
January 12, 2011 - Preventing medication errors in hospitals through a
systems approach and technological innovation: a … Preventing medication errors in hospitals through a systems approach and
technological innovation: a … https://psnet.ahrq.gov/issue/preventing-medication-errors-hospitals-through-systems-approach-and-
technological-innovation … https://psnet.ahrq.gov/issue/preventing-medication-errors-hospitals-through-systems-approach-and-technological-innovation … https://psnet.ahrq.gov/issue/preventing-medication-errors-hospitals-through-systems-approach-and-technological-innovation
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digital.ahrq.gov/sites/default/files/docs/page/2006Dye_051111comp.pdf
June 05, 2006 - A Three-pronged Approach to Monitoring the Effect of an EMR Implementation on Medication-related Events … in a Pediatric Hospital
A three-pronged approach to monitoring the effect
of an EMR implementation … more susceptible to
adverse outcomes when errors occur1
1: Fortescue et al. (2003)
6
3-pronged approach … of pre-defined order sets
• Increase in pharmacy order entry to populate the eMAR
A three-pronged approach … Trigger Tool Chart Reviews
Medication Error Assessment Plan
Impact of new systems
A three-pronged approach
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psnet.ahrq.gov/node/40519/psn-pdf
June 08, 2011 - A public health approach to patient safety reporting
systems is urgently needed. … A public health approach to patient safety reporting systems is urgently
needed. … https://psnet.ahrq.gov/issue/public-health-approach-patient-safety-reporting-systems-urgently-needed … Analyzing online patient safety reporting systems, this review suggests that applying a public health
approach … https://psnet.ahrq.gov/issue/public-health-approach-patient-safety-reporting-systems-urgently-needed
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psnet.ahrq.gov/node/37881/psn-pdf
July 02, 2008 - Simulated laparoscopic operating room crisis: an
approach to enhance the surgical team performance. … Simulated laparoscopic operating room crisis: An approach to
enhance the surgical team performance. … https://psnet.ahrq.gov/issue/simulated-laparoscopic-operating-room-crisis-approach-enhance-surgical- … https://psnet.ahrq.gov/issue/simulated-laparoscopic-operating-room-crisis-approach-enhance-surgical-team-performance … https://psnet.ahrq.gov/issue/simulated-laparoscopic-operating-room-crisis-approach-enhance-surgical-team-performance
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psnet.ahrq.gov/node/35859/psn-pdf
July 22, 2010 - A multifaceted approach to improve patient safety,
prevent medical errors and resolve the professional … A multifacited approach to improve patient safety, prevent medical errors and resolve the
professional … https://psnet.ahrq.gov/issue/multifaceted-approach-improve-patient-safety-prevent-medical-errors-and- … https://psnet.ahrq.gov/issue/multifaceted-approach-improve-patient-safety-prevent-medical-errors-and-resolve-professional … https://psnet.ahrq.gov/issue/multifaceted-approach-improve-patient-safety-prevent-medical-errors-and-resolve-professional
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psnet.ahrq.gov/node/41684/psn-pdf
July 01, 2013 - A
human-factors approach.
July 1, 2013
Price R, Bendall JC, Patterson JA, et al. … A human-factors
approach. Emerg Med J. 2013;30(7):583-8. doi:10.1136/emermed-2011-200971. … https://psnet.ahrq.gov/issue/what-causes-adverse-events-prehospital-care-human-factors-approach
Patient … This survey of Australian
emergency services personnel used a human factors approach to characterize … https://psnet.ahrq.gov/issue/what-causes-adverse-events-prehospital-care-human-factors-approach
https
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psnet.ahrq.gov/node/42221/psn-pdf
April 24, 2013 - Systems approach and systems engineering applied to
health care: improving patient safety and health … https://psnet.ahrq.gov/issue/systems-approach-and-systems-engineering-applied-health-care-improving- … patient-safety-and
This commentary describes a systems engineering approach to understanding how interactions … https://psnet.ahrq.gov/issue/systems-approach-and-systems-engineering-applied-health-care-improving-patient-safety-and … https://psnet.ahrq.gov/issue/systems-approach-and-systems-engineering-applied-health-care-improving-patient-safety-and
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psnet.ahrq.gov/node/35674/psn-pdf
June 28, 2010 - Medication errors and adverse drug events in an intensive
care unit: direct observation approach for … Medication errors and adverse drug events in an intensive care unit:
direct observation approach for … psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-intensive-care-unit-direct-
observation-approach … psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-intensive-care-unit-direct-observation-approach … psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-intensive-care-unit-direct-observation-approach
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psnet.ahrq.gov/node/37121/psn-pdf
March 09, 2009 - An innovative mobile approach for patient safety
services: the case of a Taiwan health care provider … An innovative mobile approach for patient safety services: The case of
a Taiwan health care provider … https://psnet.ahrq.gov/issue/innovative-mobile-approach-patient-safety-services-case-taiwan-health-care … https://psnet.ahrq.gov/issue/innovative-mobile-approach-patient-safety-services-case-taiwan-health-care-provider … https://psnet.ahrq.gov/issue/innovative-mobile-approach-patient-safety-services-case-taiwan-health-care-provider
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psnet.ahrq.gov/node/37015/psn-pdf
September 15, 2011 - System approach to prevent common bile duct injury and
enhance performance of laparoscopic cholecystectomy … System approach to prevent common bile duct injury and enhance
performance of laparoscopic cholecystectomy … https://psnet.ahrq.gov/issue/system-approach-prevent-common-bile-duct-injury-and-enhance-performance- … https://psnet.ahrq.gov/issue/system-approach-prevent-common-bile-duct-injury-and-enhance-performance-laparoscopic … https://psnet.ahrq.gov/issue/system-approach-prevent-common-bile-duct-injury-and-enhance-performance-laparoscopic
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psnet.ahrq.gov/node/40670/psn-pdf
August 03, 2011 - ED revamp: team approach to care reduces errors, boosts
patient and clinician satisfaction. … August 3, 2011
ED revamp: team approach to care reduces errors, boosts patient and clinician satisfaction … https://psnet.ahrq.gov/issue/ed-revamp-team-approach-care-reduces-errors-boosts-patient-and-clinician … https://psnet.ahrq.gov/issue/ed-revamp-team-approach-care-reduces-errors-boosts-patient-and-clinician-satisfaction … https://psnet.ahrq.gov/issue/ed-revamp-team-approach-care-reduces-errors-boosts-patient-and-clinician-satisfaction
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psnet.ahrq.gov/node/35178/psn-pdf
April 23, 2014 - Computer visualisation of patient safety in primary care: a
systems approach adapted from management … Computer visualisation of patient safety in primary care: a systems
approach adapted from management … https://psnet.ahrq.gov/issue/computer-visualisation-patient-safety-primary-care-systems-approach-
adapted-management … https://psnet.ahrq.gov/issue/computer-visualisation-patient-safety-primary-care-systems-approach-adapted-management … https://psnet.ahrq.gov/issue/computer-visualisation-patient-safety-primary-care-systems-approach-adapted-management