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psnet.ahrq.gov/node/38847/psn-pdf
September 23, 2009 - A better approach to medical malpractice claims? The
University of Michigan experience. … https://psnet.ahrq.gov/issue/better-approach-medical-malpractice-claims-university-michigan-experience … This legal discussion shares one hospital system's approach to addressing error and apology in a proactive … https://psnet.ahrq.gov/issue/better-approach-medical-malpractice-claims-university-michigan-experience
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psnet.ahrq.gov/node/39588/psn-pdf
December 04, 2016 - Reporting adverse events to patients: a step-by-step
approach. … Reporting adverse events to patients: a step-by-step approach. … https://psnet.ahrq.gov/issue/reporting-adverse-events-patients-step-step-approach
This article discusses … https://psnet.ahrq.gov/issue/reporting-adverse-events-patients-step-step-approach
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/44315/psn-pdf
November 20, 2015 - Expanding the scope of Critical Care Rapid Response
Teams: a feasible approach to identify adverse events … Expanding the scope of Critical Care Rapid Response
Teams: a feasible approach to identify adverse events … https://psnet.ahrq.gov/issue/expanding-scope-critical-care-rapid-response-teams-feasible-approach-
identify-adverse-events … https://psnet.ahrq.gov/issue/expanding-scope-critical-care-rapid-response-teams-feasible-approach-identify-adverse-events … https://psnet.ahrq.gov/issue/expanding-scope-critical-care-rapid-response-teams-feasible-approach-identify-adverse-events
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psnet.ahrq.gov/sites/default/files/2021-06/final_spotlight_miscommunication_possible_artifact_06.21.2021.pdf
January 01, 2021 - of images
based on formal education and experience and can help
prevent diagnostic errors
14
Approach … to Improving Safety & Patient
Safety Target
15
Approach to Improving Safety & Patient Safety Target … to Improving Safety & Patient Safety Target
Approach to Improving Safety & Patient Safety Target (1 … )
Approach to Improving Safety & Patient Safety Target (2)
Approach to Improving Safety & Patient Safety … Target (3)
Approach to Improving Safety & Patient Safety Target (4)
Approach to Improving Safety &
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psnet.ahrq.gov/node/41395/psn-pdf
May 23, 2012 - Bridging gaps in handoffs: a continuity of care based
approach. … Bridging gaps in handoffs: a continuity of care based approach. … https://psnet.ahrq.gov/issue/bridging-gaps-handoffs-continuity-care-based-approach
Direct observation … https://psnet.ahrq.gov/issue/bridging-gaps-handoffs-continuity-care-based-approach
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/37786/psn-pdf
March 23, 2011 - A theoretical framework and competency-based approach
to improving handoffs. … A theoretical framework and competency-based approach to
improving handoffs. … https://psnet.ahrq.gov/issue/theoretical-framework-and-competency-based-approach-improving-handoffs … https://psnet.ahrq.gov/issue/theoretical-framework-and-competency-based-approach-improving-handoffs
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psnet.ahrq.gov/node/40056/psn-pdf
November 21, 2016 - Bringing change-of-shift report to the bedside: a patient-
and family-centered approach. … Bringing change-of-shift report to the bedside: a patient- and family-centered approach. … https://psnet.ahrq.gov/issue/bringing-change-shift-report-bedside-patient-and-family-centered-approach … https://psnet.ahrq.gov/issue/bringing-change-shift-report-bedside-patient-and-family-centered-approach
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psnet.ahrq.gov/node/34584/psn-pdf
July 08, 2014 - Advocate Health Care: a systemwide approach to quality
and safety.
July 8, 2014
Willeumier D. … Advocate health care: a systemwide approach to quality and safety. … https://psnet.ahrq.gov/issue/advocate-health-care-systemwide-approach-quality-and-safety
Advocate is … https://psnet.ahrq.gov/issue/advocate-health-care-systemwide-approach-quality-and-safety
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psnet.ahrq.gov/node/38344/psn-pdf
January 21, 2009 - The error of omission: a simple checklist approach for
improving operating room safety. … The error of omission: a simple checklist approach for improving operating room
safety. … https://psnet.ahrq.gov/issue/error-omission-simple-checklist-approach-improving-operating-room-safety … https://psnet.ahrq.gov/issue/error-omission-simple-checklist-approach-improving-operating-room-safety
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psnet.ahrq.gov/node/44626/psn-pdf
November 04, 2015 - "SWARMing" to improve patient care: a novel approach to
root cause analysis. … "SWARMing" to Improve Patient Care: A Novel Approach to Root Cause
Analysis. … https://psnet.ahrq.gov/issue/swarming-improve-patient-care-novel-approach-root-cause-analysis
Root cause … This study describes the
development of a new rapid approach to RCAs, colloquially called "SWARMing, … https://psnet.ahrq.gov/issue/swarming-improve-patient-care-novel-approach-root-cause-analysis
https:/
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psnet.ahrq.gov/node/36148/psn-pdf
March 03, 2011 - Surgical crisis management skills training and
assessment: a stimulation-based approach to enhancing … /psnet.ahrq.gov/issue/surgical-crisis-management-skills-training-and-assessment-stimulation-based-
approach … ://psnet.ahrq.gov/issue/surgical-crisis-management-skills-training-and-assessment-stimulation-based-approach … ://psnet.ahrq.gov/issue/surgical-crisis-management-skills-training-and-assessment-stimulation-based-approach
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psnet.ahrq.gov/node/41159/psn-pdf
September 29, 2017 - A nurse-led approach to developing and implementing a
collaborative count policy. … A nurse-led approach to developing and implementing a
collaborative count policy. … https://psnet.ahrq.gov/issue/nurse-led-approach-developing-and-implementing-collaborative-count-policy … https://psnet.ahrq.gov/issue/nurse-led-approach-developing-and-implementing-collaborative-count-policy
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psnet.ahrq.gov/node/40384/psn-pdf
April 20, 2011 - A "back to basics" approach to reduce ED medication
errors. … A "back to basics" approach to reduce ED medication errors. … https://psnet.ahrq.gov/issue/back-basics-approach-reduce-ed-medication-errors
An educational intervention … https://psnet.ahrq.gov/issue/back-basics-approach-reduce-ed-medication-errors
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psnet.ahrq.gov/node/42494/psn-pdf
January 01, 2014 - Human factors systems approach to healthcare quality
and patient safety. … Human factors systems approach to healthcare
quality and patient safety. … https://psnet.ahrq.gov/issue/human-factors-systems-approach-healthcare-quality-and-patient-safety
This … https://psnet.ahrq.gov/issue/human-factors-systems-approach-healthcare-quality-and-patient-safety
https
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psnet.ahrq.gov/node/38554/psn-pdf
November 21, 2016 - Family-centered multidisciplinary rounds enhance the
team approach in pediatrics. … Family-centered multidisciplinary rounds enhance the team
approach in pediatrics. … https://psnet.ahrq.gov/issue/family-centered-multidisciplinary-rounds-enhance-team-approach-pediatrics … https://psnet.ahrq.gov/issue/family-centered-multidisciplinary-rounds-enhance-team-approach-pediatrics
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psnet.ahrq.gov/node/36810/psn-pdf
November 19, 2014 - A Systems Approach to Quality Improvement in Long-
Term Care: Safe Medication Practices Workbook. … https://psnet.ahrq.gov/issue/systems-approach-quality-improvement-long-term-care-safe-medication-
practices-workbook … https://psnet.ahrq.gov/issue/systems-approach-quality-improvement-long-term-care-safe-medication-practices-workbook … https://psnet.ahrq.gov/issue/systems-approach-quality-improvement-long-term-care-safe-medication-practices-workbook
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psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
January 01, 2020 - concern and
the trauma surgery team and orthopedic consultant were
correct to adopt a conservative approach … have limited increasingly futile resuscitative
efforts, based on that shared decision-making
14
Approach … potentially at a time when personnel and intellectual resources are
already stretched thin.
16
Approach … have included
reducing the physiologic impact of the surgery by shortening
operative time
17
Approach … to Improving Safety (7)
Systems Change Needed/
Quality Improvement Approach
21
• Teams should
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psnet.ahrq.gov/node/38913/psn-pdf
May 24, 2015 - Thinking Outside the Pillbox: A System-wide Approach to
Improving Patient Medication Adherence for Chronic … https://psnet.ahrq.gov/issue/thinking-outside-pillbox-system-wide-approach-improving-patient-medication … https://psnet.ahrq.gov/issue/thinking-outside-pillbox-system-wide-approach-improving-patient-medication-adherence-chronic … https://psnet.ahrq.gov/issue/thinking-outside-pillbox-system-wide-approach-improving-patient-medication-adherence-chronic
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psnet.ahrq.gov/node/35090/psn-pdf
June 22, 2009 - Improving end of life care: an information systems
approach to reducing medical errors. … Improving end of life care: an information systems approach to
reducing medical errors. … https://psnet.ahrq.gov/issue/improving-end-life-care-information-systems-approach-reducing-medical-errors … https://psnet.ahrq.gov/issue/improving-end-life-care-information-systems-approach-reducing-medical-errors
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psnet.ahrq.gov/node/38453/psn-pdf
January 02, 2017 - A multidisciplinary team approach to retained foreign
objects. … A multidisciplinary team approach to retained foreign objects. … https://psnet.ahrq.gov/issue/multidisciplinary-team-approach-retained-foreign-objects
This article describes … https://psnet.ahrq.gov/issue/multidisciplinary-team-approach-retained-foreign-objects
https://psnet.ahrq.gov