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psnet.ahrq.gov/issue/systems-approach-analyzing-and-preventing-hospital-adverse-events
March 30, 2022 - Study
Emerging Classic
A systems approach to analyzing … A systems approach to analyzing and preventing hospital adverse events. … The CAST approach is based on the principle that accidents are not only the result of individual system … A systems approach to analyzing and preventing hospital adverse events. … May 25, 2022
Lessons learned from a systems approach to engaging patients and families
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psnet.ahrq.gov/issue/systems-approach-sharp-end
April 21, 2021 - Commentary
The systems approach at the sharp end. … The systems approach at the sharp end. … The systems approach at the sharp end. … April 21, 2021
A systems approach to evaluating ionizing radiation: six focus areas to … and opportunities for telehealth implementation amidst the COVID-19 pandemic by using a human factors approach
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psnet.ahrq.gov/issue/creating-comprehensive-unit-based-approach-detecting-and-preventing-harm-neonatal-intensive
December 15, 2021 - Commentary
Creating a comprehensive, unit-based approach to detecting and preventing … Citation Text:
Creating a comprehensive, unit-based approach to detecting and preventing harm in the … 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 … Cite
Citation
Citation Text:
Creating a comprehensive, unit-based approach
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/why-cusp.html
April 01, 2025 - MRSA Prevention Toolkit: Targeting SSI
Why Choose a CUSP Approach? … Surveillance
The Comprehensive Unit-based Safety Program (CUSP) for MRSA Prevention
Why Choose a CUSP Approach … How To Integrate a CUSP Approach
What Are the 4Es? … Presentations Presentation: Why Choose a CUSP Approach? … – Slides (PPTX, 5 MB) Why Choose a CUSP Approach?
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psnet.ahrq.gov/issue/creating-high-reliability-new-approach-patient-safety
April 07, 2022 - Commentary
Creating high reliability: a new approach for patient safety. … Creating high reliability: a new approach for patient safety. … This commentary outlines a comprehensive approach for creating and maintaining high reliability in … Creating high reliability: a new approach for patient safety.
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psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
October 01, 2007 - Making Just Culture a Reality: One Organization's Approach
Alison H. … Making Just Culture a Reality: One Organization's Approach. PSNet [internet]. … Making Just Culture a Reality: One Organization's Approach. PSNet [internet]. … Making Just Culture a Reality: One Organization's Approach. PSNet [internet].
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psnet.ahrq.gov/issue/adapting-rapid-assessment-procedures-implementation-research-using-team-based-approach
November 09, 2022 - Adapting rapid assessment procedures for implementation research using a team-based approach … Adapting rapid assessment procedures for implementation research using a team-based approach to analysis … The RAP approach included developing evaluation questions with stakeholder input, integrating implementation … The authors conclude that this approach is particularly useful for learning health systems because … Adapting rapid assessment procedures for implementation research using a team-based approach to analysis
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/cusp-approach.html
October 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs
Why Choose a CUSP Approach? … Topics
The Comprehensive Unit-based Safety Program (CUSP) for MRSA Prevention
Why Choose a CUSP Approach … The Science of Safety
How To Integrate a CUSP Approach
Performing a Premortem Assessment
What Are … Presentations Presentation: Why Choose a CUSP Approach? … Documents: Why Choose a CUSP Approach? – Slides (PPTX, 2.5 MB) Why Choose a CUSP Approach?
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psnet.ahrq.gov/issue/sociotechnical-work-system-approach-occupational-fatigue
January 15, 2025 - Commentary
Sociotechnical work system approach to occupational fatigue. … Sociotechnical work system approach to occupational fatigue. … Sociotechnical work system approach to occupational fatigue. … August 4, 2021
A work systems analysis approach to understanding fatigue in hospital
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psnet.ahrq.gov/issue/patient-safety-human-factors-approach
January 01, 2019 - Book/Report
Patient Safety: A Human Factors Approach. … Citation Text:
Patient Safety: A Human Factors Approach. Dekker S. … Cite
Citation
Citation Text:
Patient Safety: A Human Factors Approach
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psnet.ahrq.gov/issue/multilayered-approach-patient-safety-culture
March 14, 2016 - Commentary
Multilayered approach to patient safety culture. … Multilayered approach to patient safety culture. … Multilayered approach to patient safety culture. … Organisational safety indicators: some conceptual considerations and a supplementary qualitative approach
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psnet.ahrq.gov/issue/collaborative-case-review-systems-based-approach-patient-safety-event-investigation-and
May 04, 2022 - Study
Collaborative case review: a systems-based approach to patient safety event … Collaborative case review: a systems-based approach to patient safety event investigation and analysis … This study assessed a system-based approach, (i.e., collaborative case reviews (CCR) co-led by radiology … Collaborative case review: a systems-based approach to patient safety event investigation and analysis … May 4, 2022
Lessons learned from a systems approach to engaging patients and families
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psnet.ahrq.gov/issue/reducing-medication-errors-critical-care-multimodal-approach
March 27, 2019 - Review
Reducing medication errors in critical care: a multimodal approach. … Reducing medication errors in critical care: a multimodal approach. … The authors recommend a multimodal approach that combines system-level interventions, such as computerized … Reducing medication errors in critical care: a multimodal approach.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/tiered-approach-notes.docx
April 01, 2022 - Using a Tiered Approach With CUSP Principles Facilitator Guide
CUSP Module: Using a Tiered Approach … With CUSP Principles
Facilitator Guide
Slide Number and Image
This module, titled “Using a Tiered Approach … Slide 1
Objectives for this module include:
· Describe the tiered approach for CAUTI and CLABSI prevention … ;
· Give an example of how to develop a test of change using the tiered approach to CLABSI and CAUTI … Slide 4
Now let’s consider the CAUTI prevention tiered-approach.
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psnet.ahrq.gov/issue/reclaiming-systems-approach-paediatric-safety
April 03, 2019 - Commentary
Reclaiming the systems approach to paediatric safety. … Reclaiming the systems approach to paediatric safety. … Reclaiming the systems approach to paediatric safety.
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psnet.ahrq.gov/issue/humanizing-harm-using-restorative-approach-heal-and-learn-adverse-events
November 30, 2022 - Commentary
Humanizing harm: using a restorative approach to heal and learn from adverse … Humanizing harm: Using a restorative approach to heal and learn from adverse events. … A restorative approach focuses on (1) who has been hurt and their needs, and who is responsible for addressing … Humanizing harm: Using a restorative approach to heal and learn from adverse events. … June 2, 2021
A systems approach to analyzing and preventing hospital adverse events.
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digital.ahrq.gov/ahrq-funded-projects/systems-engineering-approach-improving-medication-safety-clinician-use-health-2
January 01, 2023 - Enhancing and measuring patient safety with an innovative web-based systems approach. … Enhancing and measuring patient safety with an innovative web-based systems approach. … .2011.039747
Principal Investigator
Singh, Gurdev
Project Name
A Systems Engineering Approach
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digital.ahrq.gov/ahrq-funded-projects/systems-engineering-approach-improving-medication-safety-clinician-use-health-4
January 01, 2023 - IT-enabled systems engineering approach to monitoring and reducing ADEs. … IT-enabled systems engineering approach to monitoring and reducing ADEs. … engineering a…
Principal Investigator
Singh, Gurdev
Project Name
A Systems Engineering Approach
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digital.ahrq.gov/ahrq-funded-projects/automated-adverse-drug-event-detection-and-intervention/citation/multifaceted
January 01, 2023 - A multifaceted approach to safety: the synergistic detection of adverse drug events in adult inpatients … A multifaceted approach to safety: the synergistic detection of adverse drug events in adult inpatients … A multifaceted approach to safety: the…
Principal Investigator
Ferranti, Jeffrey
Project
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digital.ahrq.gov/ahrq-funded-projects/novel-approach-supporting-care-coordination-across-distributed-emergency-care-teams/final-report
January 01, 2023 - A Novel Approach For Supporting Care Coordination Across Distributed Emergency Care Teams - Final Report … A Novel Approach For Supporting Care Coordination Across Distributed Emergency Care Teams – Final Report … Principal Investigator
Zhang, Zhan
Project Name
A Novel Approach For Supporting Care