-
psnet.ahrq.gov/node/45826/psn-pdf
January 18, 2017 - training for staff regarding how to respond to aggressive behaviors and developing incident management
approaches
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psnet.ahrq.gov/node/44093/psn-pdf
April 29, 2015 - tenfold-medication-errors-5-years-experience-university-affiliated-pediatric-hospital
https://psnet.ahrq.gov/issue/current-approaches-punitive-action-medication-errors-boards-pharmacy
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psnet.ahrq.gov/node/43395/psn-pdf
July 30, 2014 - slow thinking and fast
thinking can cause interpretation errors, the author recommends system-level approaches
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psnet.ahrq.gov/node/44386/psn-pdf
August 12, 2015 - https://psnet.ahrq.gov/issue/using-simulation-improve-systems
Safety approaches from aviation that can
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psnet.ahrq.gov/node/34086/psn-pdf
May 27, 2011 - constraints, and
product/vendor immaturity as the chief barriers, and suggest organizational policy approaches
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psnet.ahrq.gov/node/43333/psn-pdf
January 15, 2017 - multidisciplinary-multifaceted-improvement-initiative-eliminate-mislabelled-
laboratory
This quality improvement initiative used human factors approaches
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psnet.ahrq.gov/node/43868/psn-pdf
February 04, 2015 - authors ascribe the success of the program to a planning
process that involved human factors engineering approaches
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psnet.ahrq.gov/node/855107/psn-pdf
January 01, 2019 - topics such as resilience
engineering, high-reliability organizations, and the Swiss cheese model as approaches
-
psnet.ahrq.gov/node/45070/psn-pdf
October 03, 2017 - The session discussed the history and evolution of new approaches to achieve transparency, such
as communication-and-resolution
-
psnet.ahrq.gov/node/47970/psn-pdf
May 01, 2019 - improvement efforts in health care, but
complexities unique to medicine can make translating these approaches
-
psnet.ahrq.gov/node/43014/psn-pdf
March 12, 2014 - The authors recommend that
transparency initiatives use multidisciplinary approaches to address challenges
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psnet.ahrq.gov/node/34660/psn-pdf
December 24, 2008 - organizations become skilled at five main activities: systematic problem
solving, experimentation with new approaches
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psnet.ahrq.gov/node/46650/psn-pdf
July 12, 2018 - The authors suggest adapting system-oriented
approaches to reflect patient-centered concerns.
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psnet.ahrq.gov/node/44863/psn-pdf
July 01, 2016 - commentary discusses problems with the existing set of patient safety metrics and
suggests that measurement approaches
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psnet.ahrq.gov/node/867428/psn-pdf
December 18, 2024 - We have
recommended and tested several approaches to improve measurement and communication with staff
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psnet.ahrq.gov/issue/fallible-medicine-responding-errors-emergency-care
July 01, 2015 - Newspaper/Magazine Article
Fallible medicine: responding to errors in emergency care.
Citation Text:
Fallible medicine: responding to errors in emergency care. Whitehead S.
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psnet.ahrq.gov/issue/poetry-and-medicine-mistakes
September 25, 2019 - Commentary
Poetry and Medicine. Mistakes.
Citation Text:
Poetry and Medicine. Mistakes. Kittleson M. JAMA. 2019;322:984.
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psnet.ahrq.gov/issue/massachusetts-hospitals-launch-patient-apology-program
September 12, 2012 - Newspaper/Magazine Article
Massachusetts hospitals launch patient apology program.
Citation Text:
Massachusetts hospitals launch patient apology program. Gallegos A.
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psnet.ahrq.gov/issue/learn-not-blame
November 14, 2011 - Multi-use Website
Learn Not Blame.
Citation Text:
Learn Not Blame. Doctors' Association UK.
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July 31, 2019
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psnet.ahrq.gov/issue/essential-role-leadership-developing-safety-culture
November 24, 2021 - Sentinel Event Alerts
The essential role of leadership in developing a safety culture.
Citation Text:
The essential role of leadership in developing a safety culture. Sentinel Event Alert. 2021;57(57):1-8.
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