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psnet.ahrq.gov/node/36150/psn-pdf
September 29, 2010 - Nurse-physician communication during labor and birth:
implications for patient safety.
September 29, 2010
Simpson KR, James DC, Knox E. Nurse-physician communication during labor and birth: implications for
patient safety. J Obstet Gynecol Neonatal Nurs. 2006;35(4):547-56.
https://psnet.ahrq.gov/issue/nurse-physic…
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psnet.ahrq.gov/node/42854/psn-pdf
March 20, 2014 - Medication event huddles: a tool for reducing adverse
drug events.
March 20, 2014
Morvay S, Lewe D, Stewart B, et al. Medication event huddles: a tool for reducing adverse drug events. Jt
Comm J Qual Patient Saf. 2014;40(1):39-45.
https://psnet.ahrq.gov/issue/medication-event-huddles-tool-reducing-adverse-drug-eve…
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psnet.ahrq.gov/node/37803/psn-pdf
January 06, 2017 - Paying the piper: investing in infrastructure for patient
safety.
January 6, 2017
Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety.
Jt Comm J Qual Patient Saf. 2008;34(6):342-8.
https://psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-…
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psnet.ahrq.gov/node/41860/psn-pdf
November 28, 2012 - Stakeholder perspectives on handovers between hospital
staff and general practitioners: an evaluation through the
microsystems lens.
November 28, 2012
Göbel B, Zwart DLM, Hesselink G, et al. Stakeholder perspectives on handovers between hospital staff and
general practitioners: an evaluation through the microsyste…
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psnet.ahrq.gov/node/46696/psn-pdf
January 10, 2018 - Achieving the Institute of Medicine's 6 aims for quality in
the midst of the opioid crisis: considerations for the
emergency department.
January 10, 2018
Waszak DL, Fennimore LA. Achieving the Institute of Medicine's 6 aims for quality in the midst of the opioid
crisis: considerations for the emergency department.…
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psnet.ahrq.gov/node/42789/psn-pdf
December 04, 2013 - Development of the just culture assessment tool:
measuring the perceptions of health-care professionals in
hospitals.
December 4, 2013
Petschonek S, Burlison JD, Cross C, et al. Development of the just culture assessment tool: measuring the
perceptions of health-care professionals in hospitals. J Patient Saf. 2013…
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psnet.ahrq.gov/node/43436/psn-pdf
August 13, 2014 - Decreasing handoff-related care failures in children's
hospitals.
August 13, 2014
Bigham MT, Logsdon TR, Manicone PE, et al. Decreasing handoff-related care failures in children's
hospitals. Pediatrics. 2014;134(2):e572-e579. doi:10.1542/peds.2013-1844.
https://psnet.ahrq.gov/issue/decreasing-handoff-related-care-…
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psnet.ahrq.gov/node/73314/psn-pdf
May 26, 2021 - An evidence-based tool (PE for PS) for healthcare
managers to assess patient engagement for patient safety
in healthcare organizations.
May 26, 2021
Aho-Glele U, Pomey M-P, Gomes de Sousa MR, et al. An evidence-based tool (PE for PS) for healthcare
managers to assess patient engagement for patient safety in health…
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psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-final-report-evaluation-report-iv
May 21, 2014 - Related Resources
Advances in Patient Safety: New Directions and Alternative Approaches … Policy Makers
Financial
Error Reporting and Analysis
Communication Improvement
Technologic Approaches
-
psnet.ahrq.gov/issue/jurans-quality-handbook-5th-ed
October 18, 2017 - September 29, 2017
Advances in Patient Safety: New Directions and Alternative Approaches … Administrators
Quality and Safety Professionals
Quality Improvement Strategies
Technologic Approaches
-
psnet.ahrq.gov/issue/addressing-harms-financialization-healthcare-research-inform-advocacy-and-action-and-expand
April 04, 2018 - July 22, 2024
Systems-Based Approaches to Improve Patient Safety by Improving Healthcare … View More
See More About The Topic
Medicine
Nurse Care
Legal and Policy Approaches
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psnet.ahrq.gov/issue/still-hard-share-psos-making-progress-still-face-tech-hurdles
February 08, 2010 - May 18, 2019
Advances in Patient Safety: New Directions and Alternative Approaches. … Information Professionals
Policy Makers
Quality Improvement Strategies
Legal and Policy Approaches
-
psnet.ahrq.gov/issue/patient-safety-hospitals-face-challenges-implementing-evidence-based-practices
September 07, 2016 - October 12, 2022
Approaches and Challenges to Electronically Matching Patients' Records … Executives and Administrators
Medicine
Epidemiology of Errors and Adverse Events
Legal and Policy Approaches
-
psnet.ahrq.gov/issue/framework-effective-board-governance-health-system-quality
January 20, 2016 - September 29, 2017
Advances in Patient Safety: New Directions and Alternative Approaches … Epidemiology of Errors and Adverse Events
Quality Improvement Strategies
Legal and Policy Approaches
-
psnet.ahrq.gov/issue/partnership-patients-call-action-leaders
November 10, 2015 - Related Resources
Advances in Patient Safety: New Directions and Alternative Approaches … Health Care Executives and Administrators
Safety Scientists
Policy Makers
Legal and Policy Approaches
-
psnet.ahrq.gov/node/33729/psn-pdf
May 01, 2012 - generally accepted, rigorous, standardized, and practical measures of adverse events.(
4-5)
A number of approaches … and
overcomes many of the limitations of other methods.(7-11) A brief discussion on each of these approaches … sentinel events but rarely reflect the spectrum of adverse events.(16-18)
Administrative data sets: Approaches … The end result is that present approaches
to identify adverse events using administrative data sets … Although
not perfect, trigger tools have better operator characteristics than other measurement approaches
-
psnet.ahrq.gov/issue/residents-suggestions-reducing-errors-teaching-hospitals
August 20, 2018 - See More About The Topic
Hospitals
Physicians
Error Reporting
Logistical Approaches … Technologic Approaches
View More
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psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-moving-research-practice-evaluation-report-ii-2003
May 21, 2014 - June 5, 2019
Advances in Patient Safety: New Directions and Alternative Approaches. … Executives and Administrators
Policy Makers
Public Health
Audit and Feedback
Legal and Policy Approaches
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs023390-overby-final-report-2017.pdf
January 01, 2017 - Purpose
This project aimed to: (1) employ user-centered approaches … Methods
Aim 1: Employ user-centered approaches to design and develop a prototype clinical decision … Results
Aim 1: Employ user-centered approaches to design and develop a prototype clinical decision … In summary, our findings illustrated a need to support
customized notification approaches, user-specific … In addition,
we would implement novel technology approaches to address the challenges to achieving the
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digital.ahrq.gov/sites/default/files/docs/page/Frisse.ppt
June 08, 2005 - funding; $750k VU funding
08-18-04-Working-Group
Volunteer eHealth Initiative
Regional Approaches … regional level
Coordination among all regional stakeholders requires new organization and governance approaches … Such approaches can capture this additional value and distribute it to stakeholders in an equitable … way
Such approaches can evolve from the status quo and not be stymied by efforts to forestall change