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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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psnet.ahrq.gov/node/50699/psn-pdf
November 26, 2019 - A multi-phase approach to the care of these patients may help providers minimize the risk that the patient … Indicator, the timed-up-and-go-test (TUGT), and
the Edmonton Frail Scale.6
Consider a horizontal approach … The typical approach for preventing HACs on a condition by condition basis has been very successful … A horizontal approach strives to address risk
factors in the context of lowering overall facility-wide … Before
initiating care providers should determine what the risk of harm is, whether the proposed approach
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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/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/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/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/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/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/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/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/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
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psnet.ahrq.gov/node/45461/psn-pdf
January 03, 2017 - Operating room–to-ICU patient handovers: a
multidisciplinary human-centered design approach. … Operating Room-to-ICU Patient Handovers: A Multidisciplinary
Human-Centered Design Approach. … psnet.ahrq.gov/issue/operating-room-icu-patient-handovers-multidisciplinary-human-centered-
design-approach … The authors suggest that their human factors-based
improvement approach could be applied to other patient … //psnet.ahrq.gov/issue/operating-room-icu-patient-handovers-multidisciplinary-human-centered-design-approach
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psnet.ahrq.gov/node/35443/psn-pdf
September 18, 2009 - The nuclear power industry as an alternative analogy for
safety in anaesthesia and a novel approach … The nuclear power industry as an alternative analogy for safety in anaesthesia and a novel
approach … https://psnet.ahrq.gov/issue/nuclear-power-industry-alternative-analogy-safety-anaesthesia-and-novel-
approach … https://psnet.ahrq.gov/issue/nuclear-power-industry-alternative-analogy-safety-anaesthesia-and-novel-approach … https://psnet.ahrq.gov/issue/nuclear-power-industry-alternative-analogy-safety-anaesthesia-and-novel-approach
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psnet.ahrq.gov/node/41565/psn-pdf
December 21, 2014 - Pursuing professional accountability: an evidence-based
approach to addressing residents with behavioral … Pursuing professional accountability: an evidence-based
approach to addressing residents with behavioral … https://psnet.ahrq.gov/issue/pursuing-professional-accountability-evidence-based-approach-addressing- … https://psnet.ahrq.gov/issue/pursuing-professional-accountability-evidence-based-approach-addressing-residents-behavioral … https://psnet.ahrq.gov/issue/pursuing-professional-accountability-evidence-based-approach-addressing-residents-behavioral
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psnet.ahrq.gov/node/42405/psn-pdf
July 10, 2013 - The role of patient involvement in the diagnostic process
in internal medicine: a cognitive approach … The role of patient involvement in the diagnostic process in internal medicine: a
cognitive approach … https://psnet.ahrq.gov/issue/role-patient-involvement-diagnostic-process-internal-medicine-cognitive-
approach … https://psnet.ahrq.gov/issue/role-patient-involvement-diagnostic-process-internal-medicine-cognitive-approach … https://psnet.ahrq.gov/issue/role-patient-involvement-diagnostic-process-internal-medicine-cognitive-approach
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psnet.ahrq.gov/node/42102/psn-pdf
April 03, 2013 - Enhancing electronic health record usability in pediatric
patient care: a scenario-based approach. … Enhancing electronic health record usability in pediatric patient
care: a scenario-based approach. … psnet.ahrq.gov/issue/enhancing-electronic-health-record-usability-pediatric-patient-care-scenario-
based-approach … psnet.ahrq.gov/issue/enhancing-electronic-health-record-usability-pediatric-patient-care-scenario-based-approach … psnet.ahrq.gov/issue/enhancing-electronic-health-record-usability-pediatric-patient-care-scenario-based-approach
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psnet.ahrq.gov/node/42684/psn-pdf
September 24, 2016 - A socio-technical systems approach to studying
interruptions: understanding the interrupter's
perspective … A socio-technical systems approach to studying interruptions: understanding the interrupter's
perspective … https://psnet.ahrq.gov/issue/socio-technical-systems-approach-studying-interruptions-understanding- … https://psnet.ahrq.gov/issue/socio-technical-systems-approach-studying-interruptions-understanding-interrupters … https://psnet.ahrq.gov/issue/socio-technical-systems-approach-studying-interruptions-understanding-interrupters
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psnet.ahrq.gov/node/840170/psn-pdf
November 16, 2022 - errors in community pharmacies:
an application of the Systematic Human Error Reduction
and Prediction Approach … This qualitative study used an innovative approach to examine prospective medication dispensing errors … using a two-step approach. … medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
https://psnet.ahrq.gov/issue/beyond-corrective-action-hierarchy-systems-approach-organizational-change
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psnet.ahrq.gov/node/43014/psn-pdf
March 12, 2014 - Understanding the barriers to physician error reporting
and disclosure: a systemic approach to a systemic … Understanding the barriers to physician error reporting and
disclosure: a systemic approach to a systemic … https://psnet.ahrq.gov/issue/understanding-barriers-physician-error-reporting-and-disclosure-systemic-
approach-systemic … https://psnet.ahrq.gov/issue/understanding-barriers-physician-error-reporting-and-disclosure-systemic-approach-systemic … https://psnet.ahrq.gov/issue/understanding-barriers-physician-error-reporting-and-disclosure-systemic-approach-systemic