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psnet.ahrq.gov/node/33798/psn-pdf
January 01, 2015 - Swiss cheese model of organizational accidents
spurred an initial focus in the 1990s on systems-based approaches … conferences (such as local Morbidity and Mortality conferences) still do not
always support blame-free approaches … These types of errors are not necessarily solved through systems
approaches; they may require actions … The researchers worried that "rule-
based, calculus-like approaches intended to support a 'just culture … individual accountability, organizations
should appreciate the interdependencies between these two approaches
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psnet.ahrq.gov/issue/recognizing-excellence-diagnosis-recommended-practices-hospitals
June 21, 2023 - February 15, 2023
Positive approaches to safety: learning from what we do well. … A Guide to Patient Safety Improvement: Integrating Knowledge Translation & Quality Improvement Approaches
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psnet.ahrq.gov/node/72616/psn-pdf
December 22, 2020 - includes working to
enhance the use of EHRs as well as defining appropriate measures and measurement approaches … psnet.ahrq.gov//#_edn5
https://psnet.ahrq.gov//#_edn7
https://psnet.ahrq.gov//#_edn5
Research Intervention Approaches … In her professional role, she leads research projects focused on using informatics approaches to
improve … he oversees the BigMouth Dental Data Repository
and research projects focused on using informatics approaches
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psnet.ahrq.gov/issue/advancing-future-patient-safety-oncology-implications-patient-safety-education-cancer-care
December 21, 2014 - medical students, half of whom declared at the program onset that they had no awareness of systems approaches … Related Resources
Creating a framework to integrate residency program and medical center approaches
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psnet.ahrq.gov/issue/bundle-interventions-used-reduce-prescribing-and-administration-errors-hospitalized-children
September 09, 2015 - errors and medication administration errors in hospitalized children characterized several types of approaches … 27, 2016
Human factors and ergonomics and quality improvement science: integrating approaches
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psnet.ahrq.gov/issue/system-related-interventions-reduce-diagnostic-errors-narrative-review
May 29, 2015 - and this narrative review sought to develop a taxonomy of diagnostic error dimensions and identify approaches … to address these issues have been formally tested, leaving clinicians with little evidence to guide approaches
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psnet.ahrq.gov/periodic-issue/periodic-issue-446
May 29, 2024 - Improving diagnostic safety requires a variety of approaches. … This review presents Safety-I, Safety-II, and Safety-III approaches to not only identify and reduce diagnostic … Improving diagnostic safety requires a variety of approaches. … This review presents Safety-I, Safety-II, and Safety-III approaches to not only identify and reduce diagnostic … This session provided insight on how quality improvement approaches and digital healthcare interventions
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psnet.ahrq.gov/node/43695/psn-pdf
August 02, 2015 - The
authors discuss alternative approaches to malpractice. … shortcomings of the current malpractice
environment in promoting patient safety, but suggests how alternative approaches
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psnet.ahrq.gov/issue/knowledge-improvement
December 30, 2014 - June 5, 2013
View More
Related Resources
New Approaches to Researching … February 16, 2011
Interprofessional Approaches to Patient Safety.
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psnet.ahrq.gov/print/pdf/node/866843
January 01, 2024 - The commentary
discusses how risk factors for falls should be considered in care planning and approaches … The commentary
discusses how risk factors for falls should be considered in care planning and approaches
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psnet.ahrq.gov/issue/meeting-challenge-patient-safety-ambulatory-care-setting
February 22, 2023 - September 29, 2017
Advances in Patient Safety: New Directions and Alternative Approaches … Ambulatory Care
Health Care Providers
Health Care Executives and Administrators
Legal and Policy Approaches
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psnet.ahrq.gov/issue/cultures-caring-healthcare-scandals-inquiries-and-remaking-accountabilities
September 07, 2022 - exploration of spoken communication of patients' fall risks in hospitals and implications for multifactorial approaches … November 29, 2023
Using stakeholder intervention refinement teams to develop approaches
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psnet.ahrq.gov/issue/patient-options-safe-and-effective-disposal-unused-opioids
March 06, 2019 - Copy Citation
Related Resources From the Same Author(s)
Approaches and Challenges … June 5, 2019
Advances in Patient Safety: New Directions and Alternative Approaches.
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psnet.ahrq.gov/issue/who-killed-patient-safety
February 12, 2020 - October 5, 2022
Positive approaches to safety: learning from what we do well. … August 3, 2022
System Governance Towards Improved Patient Safety: Key Functions, Approaches
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psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
January 01, 2023 - APPROACHES TO IMPROVING PATIENT
SAFETY
16
Approaches to Improving Patient Safety (1)
• Tracheostomy … but this information would be useful in identifying patient-
specific contributing factors.
17
Approaches … chosen to prevent stenosis, which could potentially necessitate permanent
tracheostomy.7,8
18
Approaches … 30 should be considered for
tracheostomy tubes with a proximal extension or longer tubes.
19
Approaches … tubes may be placed in the distal intact trachea to bypass areas of
dilation, as appropriate.
21
Approaches
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psnet.ahrq.gov/issue/timely-follow-abnormal-diagnostic-imaging-test-results-outpatient-setting-are-electronic
September 20, 2011 - Adoption of information technology approaches serves as a logical solution if designed to effectively … The authors advocate for greater multidisciplinary approaches to address these breakdowns.
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psnet.ahrq.gov/issue/improving-care-search-centre
July 05, 2013 - A Guide to Patient Safety Improvement: Integrating Knowledge Translation & Quality Improvement Approaches … May 22, 2019
Advances in Patient Safety: New Directions and Alternative Approaches.
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psnet.ahrq.gov/issue/critical-thinking
August 22, 2007 - June 13, 2007
The Gift of Failure: New Approaches to Analyzing and Learning from Events … July 31, 2012
New Approaches to Researching Patient Safety.
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psnet.ahrq.gov/issue/quality-and-patient-safety
December 24, 2008 - September 29, 2017
Advances in Patient Safety: New Directions and Alternative Approaches … The Topic
Health Care Providers
Health Care Executives and Administrators
Technologic Approaches
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psnet.ahrq.gov/issue/still-crossing-quality-chasm
November 04, 2012 - August 31, 2022
Advances in Patient Safety: New Directions and Alternative Approaches … Administrators
Safety Scientists
Policy Makers
Quality Improvement Strategies
Legal and Policy Approaches