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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/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/837860/psn-pdf
August 17, 2022 - Alcoholism and American healthcare: the case for a
patient safety approach. … Alcoholism and American healthcare: the case for a patient safety approach. … https://psnet.ahrq.gov/issue/alcoholism-and-american-healthcare-case-patient-safety-approach
Implicit … https://psnet.ahrq.gov/issue/alcoholism-and-american-healthcare-case-patient-safety-approach
https://
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psnet.ahrq.gov/node/850351/psn-pdf
June 14, 2023 - A novel approach for assessing bias during team-based
clinical decision-making. … A novel approach for assessing bias during team-based clinical
decision-making. … https://psnet.ahrq.gov/issue/novel-approach-assessing-bias-during-team-based-clinical-decision-making … https://psnet.ahrq.gov/issue/novel-approach-assessing-bias-during-team-based-clinical-decision-making
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psnet.ahrq.gov/node/72814/psn-pdf
March 10, 2021 - Implementing a human factors approach to RCA(2) :
tools, processes and strategies. … Implementing a human factors approach to RCA(2) : tools,
processes and strategies. … https://psnet.ahrq.gov/issue/implementing-human-factors-approach-rca2-tools-processes-and-strategies … https://psnet.ahrq.gov/issue/implementing-human-factors-approach-rca2-tools-processes-and-strategies
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psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
January 01, 2023 - an interdisciplinary person-centered care plan for fall
prevention would be appropriate.
17
APPROACH … TO FALL PREVENTION AND
IMPROVING RESIDENT SAFETY
18
Approach to Fall Prevention and Improving Patient … to Fall Prevention and Improving Patient Safety (5)
• In addition to using a multicomponent approach … to Fall Prevention and Improving Patient Safety (8)
• A person-centered approach to risk reduction … 29
Systems Change Needed/Quality Improvement Approach (1)
• A culture of safety is necessary to
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psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
November 26, 2019 - The typical approach for preventing HACs on a condition by condition basis has been very successful, … Given this, providers may wish to consider a horizontal approach. … A horizontal approach strives to address risk factors in the context of lowering overall facility-wide … I think the approach that we are going to fix specific conditions is a more vertical approach. … Our prior approach to falls was, “if we keep them in bed they won’t fall.”
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qualityindicators.ahrq.gov/Downloads/Modules/IQI/V2022/TechSpecs/IQI_21_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/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/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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digital.ahrq.gov/principal-investigator/mane-ketan
January 01, 2023 - Decision Support for Behavioral Health
Patient electronic health data-driven approach … Patient electronic health data-driven approach to clinical decision support. … Decision Support for Behavioral Health
VisualDecisionLinc: a visual analytics approach … VisualDecisionLinc: a visual analytics approach for comparative effectiveness-based clinical decision
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psnet.ahrq.gov/node/50610/psn-pdf
October 30, 2019 - This cultural approach, which derives from an assumption of
pathology and aims to protect against the … Value-based patient safety is achieved via a collaborative,
interdisciplinary team approach with a flat … Importantly, this approach promotes provider
engagement and reduces burnout and staff turnover.(6) … We believe that the approach taken at Dixie Regional provides a
template for other NICUs across the … The approach
protects harm from health care workers and infants.
Figure 2.
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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/web-mm/feeling-no-pain
August 30, 2023 - The systems approach drives us to address overarching societal level factors. … Stretching the search for the “why” of error: the systems approach. … Identifying error provoking factors: the systems approach. … The systems approach analysis of error. … The Systems Approach: Artichoke Model
The leaves of the systems approach
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digital.ahrq.gov/funding-mechanism/blanket-purchasing-agreement-bpa-support-services
January 01, 2023 - Cecilia
Project Name
Reducing Disparities in Health Care Quality for Priority Populations: An Approach … Cecilia
Project Name
Reducing Disparities in Health Care Quality for Priority Populations: An Approach … Cecilia
Project Name
Reducing Disparities in Health Care Quality for Priority Populations: An Approach … Cecilia
Project Name
Reducing Disparities in Health Care Quality for Priority Populations: An Approach … Cecilia
Project Name
Reducing Disparities in Health Care Quality for Priority Populations: An Approach
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psnet.ahrq.gov/issue/medication-errors-new-approaches-prevention
November 18, 2016 - Review
Medication errors—new approaches to prevention.
Citation Text:
Merry A, Anderson BJ. Medication errors--new approaches to prevention. Paediatr Anaesth. 2011;21(7):743-53. doi:10.1111/j.1460-9592.2011.03589.x.
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Format:
DOI Google Scholar PubMed BibTeX E…
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psnet.ahrq.gov/issue/theoretical-approaches-investigating-patient-safety
September 15, 2009 - Commentary
Theoretical approaches for investigating patient safety.
Citation Text:
Thomas MB, Houston S. Theoretical approaches for investigating patient safety. Clin Nurse Spec. 2005;19(3):129-134.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNo…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-balancing-harms-benefits_research.pdf
February 01, 2014 - and the Gail/NCI approach, equation 7 for the NNT and NNH approach
(Table 8) shows that we can easily … Gail/NCI approach. … In men age
75-84 years, the difference between the NNT approach and Gail/NCI approach is 6.9 (19.6 … For the NNT and NNH approach and the Gail/NCI
approach, we found little difference in the number of … The Gail/NCI approach shows a potential advantage over the NNT and NNH approach in
that it not only
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psnet.ahrq.gov/node/42480/psn-pdf
August 07, 2013 - A multi-tiered approach to safety education.
August 7, 2013
Oates K, Sammut J, Kennedy P. … A multi-tiered approach to safety education. … https://psnet.ahrq.gov/issue/multi-tiered-approach-safety-education
This commentary describes an initiative … https://psnet.ahrq.gov/issue/multi-tiered-approach-safety-education
https://psnet.ahrq.gov/issue/unmet-needs-teaching-physicians-provide-safe-patient-care
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psnet.ahrq.gov/node/38134/psn-pdf
December 30, 2008 - Developing expert medical teams: toward an evidence-
based approach. … Developing expert medical teams: toward an evidence-
based approach. … https://psnet.ahrq.gov/issue/developing-expert-medical-teams-toward-evidence-based-approach
Building … https://psnet.ahrq.gov/issue/developing-expert-medical-teams-toward-evidence-based-approach