-
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
-
psnet.ahrq.gov/node/40935/psn-pdf
September 02, 2016 - A Review of FDA’s Approach to Medical Product
Shortages. … https://psnet.ahrq.gov/issue/review-fdas-approach-medical-product-shortages
This report outlines the … https://psnet.ahrq.gov/issue/review-fdas-approach-medical-product-shortages
https://psnet.ahrq.gov/issue
-
psnet.ahrq.gov/node/37970/psn-pdf
August 06, 2008 - Human factors and systems engineering approach to
patient safety for radiotherapy. … https://psnet.ahrq.gov/issue/human-factors-and-systems-engineering-approach-patient-safety-radiotherapy … https://psnet.ahrq.gov/issue/human-factors-and-systems-engineering-approach-patient-safety-radiotherapy
-
psnet.ahrq.gov/node/37407/psn-pdf
September 02, 2014 - HSMR: A New Approach for Measuring Hospital Mortality
Trends in Canada. … https://psnet.ahrq.gov/issue/hsmr-new-approach-measuring-hospital-mortality-trends-canada
This report … https://psnet.ahrq.gov/issue/hsmr-new-approach-measuring-hospital-mortality-trends-canada
-
psnet.ahrq.gov/node/36392/psn-pdf
July 14, 2010 - Airway carts: a systems-based approach to airway safety. … https://psnet.ahrq.gov/issue/airway-carts-systems-based-approach-airway-safety
The authors describe … https://psnet.ahrq.gov/issue/airway-carts-systems-based-approach-airway-safety
-
psnet.ahrq.gov/node/35728/psn-pdf
February 22, 2006 - Safety climate in health care organizations: a
multidimensional approach. … https://psnet.ahrq.gov/issue/safety-climate-health-care-organizations-multidimensional-approach
The … https://psnet.ahrq.gov/issue/safety-climate-health-care-organizations-multidimensional-approach
-
psnet.ahrq.gov/node/40826/psn-pdf
October 05, 2011 - Patient Safety: A Human Factors Approach.
October 5, 2011
Dekker S. … https://psnet.ahrq.gov/issue/patient-safety-human-factors-approach
This book explores the complexity … https://psnet.ahrq.gov/issue/patient-safety-human-factors-approach
https://psnet.ahrq.gov/primer/human-factors-engineering
-
psnet.ahrq.gov/node/42244/psn-pdf
June 27, 2018 - Medical simulation: a holistic approach to highly reliable
healthcare. … https://psnet.ahrq.gov/issue/medical-simulation-holistic-approach-highly-reliable-healthcare
This magazine … https://psnet.ahrq.gov/issue/medical-simulation-holistic-approach-highly-reliable-healthcare
https://
-
psnet.ahrq.gov/node/44652/psn-pdf
November 11, 2015 - Developing a principle-based approach to safe
medication practices. … https://psnet.ahrq.gov/issue/developing-principle-based-approach-safe-medication-practices
This commentary … https://psnet.ahrq.gov/issue/developing-principle-based-approach-safe-medication-practices
https://psnet.ahrq.gov
-
psnet.ahrq.gov/node/36094/psn-pdf
February 12, 2014 - Learning from Disasters: A Management Approach. Third
ed.
February 12, 2014
Toft B, Reynolds S. … https://psnet.ahrq.gov/issue/learning-disasters-management-approach-third-ed
This book provides a discussion … https://psnet.ahrq.gov/issue/learning-disasters-management-approach-third-ed
-
psnet.ahrq.gov/node/33957/psn-pdf
February 05, 2018 - State Patient Safety Centers: A New Approach to Promote
Patient Safety. … https://psnet.ahrq.gov/issue/state-patient-safety-centers-new-approach-promote-patient-safety
Six states … https://psnet.ahrq.gov/issue/state-patient-safety-centers-new-approach-promote-patient-safety
-
psnet.ahrq.gov/node/39891/psn-pdf
October 06, 2010 - Organisational safety indicators: some conceptual
considerations and a supplementary qualitative approach … Organisational safety indicators: Some conceptual considerations and a
supplementary qualitative approach … organizational safety indicators and describes the Operational
Safety Condition method and how this qualitative approach
-
psnet.ahrq.gov/node/46746/psn-pdf
March 07, 2018 - Safety with nebulized medications requires an
interdisciplinary team approach. … https://psnet.ahrq.gov/issue/safety-nebulized-medications-requires-interdisciplinary-team-approach
Myriad … https://psnet.ahrq.gov/issue/safety-nebulized-medications-requires-interdisciplinary-team-approach
https
-
psnet.ahrq.gov/node/40206/psn-pdf
June 15, 2011 - The authors argue that their findings reinforce the need to adopt a systems
approach to prevention rather … swiss-cheese-model
https://psnet.ahrq.gov/issue/critical-incident-technique
https://psnet.ahrq.gov/primer/systems-approach … https://psnet.ahrq.gov/primer/systems-approach
-
psnet.ahrq.gov/node/43218/psn-pdf
July 28, 2014 - The approach consists of students enhancing
their clinical skills, analyzing information to augment … decision making, and applying a systems approach to
detect underlying causes. … principles-risk-management-and-patient-safety
https://psnet.ahrq.gov/issue/yours-learning-organization
https://psnet.ahrq.gov/primer/systems-approach
-
psnet.ahrq.gov/node/46622/psn-pdf
December 06, 2017 - https://psnet.ahrq.gov/issue/white-paper-recommendation-systems-based-practice-competency
A systems approach … /white-paper-recommendation-systems-based-practice-competency
https://psnet.ahrq.gov/primer/systems-approach … psnet.ahrq.gov/primer/patient-safety-101
https://psnet.ahrq.gov/issue/quality-and-safety-nursing-competency-approach-improving-outcomes-second-edition
-
psnet.ahrq.gov/node/42363/psn-pdf
September 19, 2013 - characterisation of patient safety hazards
in community pharmacies using a sociotechnical systems
approach … characterisation of patient safety hazards in community pharmacies
using a sociotechnical systems approach … e-prescribing-characterisation-patient-safety-hazards-community-pharmacies-using
https://psnet.ahrq.gov/issue/e-prescribing-focused-review-and-new-approach-addressing-safety-pharmacies-and-primary-care
-
psnet.ahrq.gov/node/46326/psn-pdf
October 18, 2017 - Surgical Patient Safety: A Case-Based Approach.
October 18, 2017
Stahel PF, ed. … https://psnet.ahrq.gov/issue/surgical-patient-safety-case-based-approach
Surgical residency can be a … https://psnet.ahrq.gov/issue/surgical-patient-safety-case-based-approach
https://psnet.ahrq.gov/issue
-
hcup-us.ahrq.gov/datainnovations/ICD10Imp_Romano_NAHDO_October2016.pdf
October 27, 2016 - System)
Inpatient Procedure
3
1 2 3 4 5 6 7
Section
Body
System
Root
Operation
Body
Part
Approach … 02QA3ZZ Repair Heart, Percutaneous Approach
02QA4ZZ Repair Heart, Percutaneous
Endoscopic Approach … 35.42 Creation of
septal defect
in heart
F Map 02B50ZZ Excision of Atrial Septum,
Open Approach … Endoscopic Approach
ICD-9 Desc ICD10 Description Approx
37.91 Open chest
cardiac massage
02QA0ZZ … Repair heart,
open approach
1
Congenital heart disease
• Common atrioventricular valve
• Truncus
-
psnet.ahrq.gov/node/41300/psn-pdf
April 22, 2012 - knowledge-self-efficacy
A 3-day course for second year medical students that emphasized teamwork skills and the systems
approach … day-patient-safety-curriculum-advance-knowledge-self-efficacy
https://psnet.ahrq.gov/primer/systems-approach … https://psnet.ahrq.gov/primer/systems-approach