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psnet.ahrq.gov/issue/medical-teamwork-and-evolution-safety-science-critical-review
January 26, 2022 - In this narrative review, the authors contrast approaches to teamwork in healthcare with current concepts … July 17, 2019
Roadmap for patient safety research: approaches and roadforks.
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psnet.ahrq.gov/issue/cognitive-debiasing-part-1-and-part-2
September 18, 2024 - reviews the psychological origins of cognitive biases, examines the theoretical basis behind "debiasing" approaches … , and proposes a framework for preventing diagnostic errors through educational and systems-based approaches
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psnet.ahrq.gov/issue/global-patient-safety-action-plan-2021-2030-towards-zero-patient-harm-health-care-first-draft
August 01, 2020 - Topics
Approach to Improving Safety
Legal and Policy Approaches
Logistical Approaches
Quality Improvement
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psnet.ahrq.gov/issue/ten-years-later-alarm-fatigue-still-safety-concern
October 25, 2023 - Clinical approaches include customization of alert parameters to reduce nonactionable alarms, while … Topic
Hospitals
Intensive Care Units
Critical Care Nursing
Alert fatigue
Technologic Approaches
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psnet.ahrq.gov/issue/safer-clinical-systems
December 04, 2015 - teams to identify problems in care delivery, develop innovations, and then test and evaluate the new approaches … November 16, 2015
Interprofessional Approaches to Patient Safety.
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psnet.ahrq.gov/node/47875/psn-pdf
July 19, 2019 - This systematic review examined validated approaches for assessing nontechnical
skills using direct … They identified substantial variability in
how these approaches were validated and whether individual
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psnet.ahrq.gov/node/47949/psn-pdf
July 10, 2019 - Two WebM&M commentaries
describe different approaches to addressing unprofessional physician behavior … communication-failures-operating-room-observational-classification-recurrent-types-and
https://psnet.ahrq.gov/issue/combining-systems-and-teamwork-approaches-enhance-effectiveness-safety-improvement
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psnet.ahrq.gov/issue/improving-safety-information-technology
July 25, 2011 - The authors provide a broad overview of the goals, approaches, and limitations of information technology … 14, 2010
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See More About The Topic
Physicians
Technologic Approaches
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psnet.ahrq.gov/issue/risk-science-perspective-discussion-concerning-safety-i-safety-ii-and-safety-iii
August 19, 2013 - This paper explores the debate within safety science about Safety-I, Safety-II, and Safety-III approaches … Integration of risk science and safety science can provide a more comprehensive understanding of the three approaches
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psnet.ahrq.gov/node/36830/psn-pdf
March 28, 2011 - Making use of mortality data to improve quality and safety
in general practice: a review of current approaches … Making use of mortality data to improve quality and safety
in general practice: a review of current approaches
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psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
August 31, 2020 - For example, interdisciplinary bedside rounding approaches bring together clinicians with the goal … Different team huddle approaches help providers avoid cognitive errors by allowing colleagues to confer … When such approaches are used, it can decrease misconceptions and misunderstanding between nursing and … The first is the need for better tools and approaches for communicating medication safety with patients … Finally, research is needed to better understand communication approaches applied during the COVID-19
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psnet.ahrq.gov/issue/sentinel-event-alert-67-preserving-patient-safety-after-cyberattack
March 13, 2024 - Quality
April 26, 2023
A learning health system agenda for organizational approaches … Hospitals
Long-Term Care
Ambulatory Care
Interruptions and distractions
Technologic Approaches
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psnet.ahrq.gov/sites/default/files/2024-06/spotlight_case_hemorrhagic_shock_slides_final.pptx
January 01, 2024 - TO IMPROVING PATIENT SAFETY
18
Approaches to Improving Patient Safety (1)
19
Once the initial management … assume they were not in an environment where raising concerns was encouraged and embraced.
19
Approaches … In a safety-conscious, highly reliable organization, this final step triggers a hard stop.
20
Approaches … was not being sufficiently responsive, and the patient’s condition was still deteriorating.
21
Approaches … symptoms is clear in retrospect, and it is surprising that nothing was done to address it.
22
Approaches
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psnet.ahrq.gov/node/836812/psn-pdf
March 30, 2022 - Strategies and Approaches for Investigating Patient
Safety Events
March 30, 2022
Shaikh U. … Strategies and Approaches for Investigating Patient Safety Events. PSNet [internet]. 2022. … https://psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
Background … inadequate integration of reports into electronic health
https://psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events … identify corrective actions, and eliminate these
root causes through systems-based process improvement approaches
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psnet.ahrq.gov/issue/implementation-science-ambulatory-care-safety-novel-method-develop-context-sensitive
April 17, 2019 - This study used human factors engineering and design thinking approaches to develop an understanding … improve healthcare safety for young people: an exploration of the relevance and suitability of current approaches
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psnet.ahrq.gov/issue/crossing-academic-boundaries-diagnostic-safety-10-complex-challenges-and-potential-solutions
November 30, 2022 - Safe diagnosis is a complex challenge requiring multidisciplinary approaches . … improve healthcare safety for young people: an exploration of the relevance and suitability of current approaches
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psnet.ahrq.gov/issue/making-communication-and-resolution-programmes-mission-critical-healthcare-organisations
September 09, 2020 - Communication-and-resolution programs (CRP) emphasize early disclosure of adverse events and proactive approaches … Improving Diagnostic Safety and Quality
April 26, 2023
Positive approaches
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psnet.ahrq.gov/issue/ensuring-successful-implementation-communication-and-resolution-programmes
November 11, 2020 - Communication-and-resolution programs (CRP) emphasize early disclosure of adverse events and proactive approaches … 2020
Speaking up about patient safety concerns: the influence of safety management approaches
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psnet.ahrq.gov/issue/learning-lawsuits-using-malpractice-claims-data-develop-care-transitions-planning-tools
January 21, 2019 - These results suggest that malpractice data can inform safety improvement approaches. … September 19, 2016
Using stakeholder intervention refinement teams to develop approaches
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psnet.ahrq.gov/node/36783/psn-pdf
August 23, 2011 - psnet.ahrq.gov/issue/doctors-are-more-dangerous-gun-owners-rejoinder-error-counting
The author argues that approaches … that constitute the safety culture within
an organization, such as willingness to refine and adapt approaches