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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/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/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/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/sites/default/files/2024-06/spotlight_case_hemorrhagic_shock_slides_final.pptx
January 01, 2024 - TO IMPROVING PATIENT SAFETY
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Approaches to Improving Patient Safety (1)
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Once the initial management … assume they were not in an environment where raising concerns was encouraged and embraced.
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Approaches … In a safety-conscious, highly reliable organization, this final step triggers a hard stop.
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Approaches … was not being sufficiently responsive, and the patient’s condition was still deteriorating.
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Approaches … symptoms is clear in retrospect, and it is surprising that nothing was done to address it.
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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/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/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/issue/misunderstanding-safety-culture-and-its-relationship-safety-management
May 10, 2014 - This commentary describes how to apply academic, analytic, and pragmatic research approaches for developing … February 8, 2023
Positive approaches to safety: learning from what we do well.
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psnet.ahrq.gov/perspective/patient-safety-medical-nursing-and-other-clinical-education
January 31, 2020 - Approaches to Enhance Student Understanding of Patient Safety Concepts The format and delivery of education … reliance on e-learning should be carefully monitored and coupled with other authentic performance-based approaches … large, interprofessional and interdisciplinary students and residents are emerging. [5] Other novel approaches … Regardless of the approach chosen, organizations such as AAMC and the WHO have emphasized that teaching approaches … industry is frequently cited as one that has made tremendous strides in improving safety, utilizing approaches
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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/node/44380/psn-pdf
October 26, 2018 - This white paper
describes the difference between two approaches to improving safety, the first focuses … The
authors suggest that a combination of the approaches is necessary to achieve resilient systems to
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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
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psnet.ahrq.gov/node/44807/psn-pdf
September 29, 2017 - /issue/legal-and-policy-interventions-improve-patient-safety
This review explores policy and legal approaches … The authors
suggest cardiologists are well-positioned as leaders in adopting these approaches because
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psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
January 01, 2015 - Although not all of these approaches are likely to prove efficacious, some may become standard of care … Mitigating Risk Associated With Opioid Use
Several recent studies examined approaches to mitigate harms … New policy approaches restrict access to these high-risk medications, but their effectiveness remains … Future efforts should examine clinic, health system, state, and federal policy approaches to address … opioid use as a patient safety problem and work to ensure that these approaches lead to the maximum benefit
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psnet.ahrq.gov/issue/comparing-rates-adverse-events-detected-incident-reporting-and-global-trigger-tool-systematic
December 13, 2023 - The authors of the review emphasize the importance of using multiple approaches and sources of patient … March 19, 2019
A review of current and emerging approaches to address failure-to-rescue
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psnet.ahrq.gov/node/73106/psn-pdf
April 01, 2021 - Strategies and Approaches for Tracking Improvements in
Patient Safety
April 1, 2021
Shaikh U. … Strategies and Approaches for Tracking Improvements in Patient Safety . PSNet [internet]. 2021. … https://psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
Background … indications for tracking data can help clinicians to select the most
appropriate tool.1
There are several approaches … https://psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
https://
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psnet.ahrq.gov/issue/organizational-characteristics-and-perceptions-clinical-event-notification-services
December 02, 2020 - Optimal use of health information exchange approaches such as event notification systems may be influenced … December 23, 2020
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Related Resources
Approaches to improving
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psnet.ahrq.gov/issue/learning-high-risk-industries-may-not-be-straightforward-qualitative-study-hierarchy-risk
September 11, 2019 - reliability organizations like aviation or nuclear power for solutions, but it is unclear how well such approaches … thinking framework to clinicians' solution ideas, they found that most of the clinician-generated safety approaches