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psnet.ahrq.gov/node/33865/psn-pdf
September 01, 2018 - RL: When we started, there was very little work in this area. … RL: We probably have the strongest evidence in the patient feedback area. … Then we conducted a randomized control trial in which 33 wards across the Yorkshire and
Humber area … Is this an area that deserves more focus?
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psnet.ahrq.gov/issue/jcaho-proposal-patient-centered-care-brings-concept-mainstream-healthcare-settings
September 03, 2008 - contextual factors essential to preventing contextual errors: a qualitative study conducted at Chicago area
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psnet.ahrq.gov/perspective/conversation-rebecca-lawton-phd
March 24, 2025 - RL : When we started, there was very little work in this area. … RL : We probably have the strongest evidence in the patient feedback area. … Then we conducted a randomized control trial in which 33 wards across the Yorkshire and Humber area … Is this an area that deserves more focus?
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psnet.ahrq.gov/node/60264/psn-pdf
January 14, 2021 - COVID-19 Content. ISMP Medication Safety Alert!
January 14, 2021
March 2020--January 2021.
https://psnet.ahrq.gov/issue/special-editions-covid-19-ismp-medication-safety-alert
Medication safety is improved through the sharing of frontline improvement experiences and concerns.
These articles share recommendations to…
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psnet.ahrq.gov/node/836867/psn-pdf
April 06, 2022 - Safer Dx Checklist: 10 High-Priority Practices for
Diagnostic Excellence.
April 6, 2022
Houston TX; Baylor College of Medicine: 2022.
https://psnet.ahrq.gov/issue/safer-dx-checklist-10-high-priority-practices-diagnostic-excellence
Assessment can identify the current state of a process or program to reveal ar…
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psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - The first foundational area is culture, leadership, and governance—ensuring that there is a core value … The second area is meaningful patient and family engagement in their own care, and all aspects of care … The fourth area is the learning system, with the establishment of networked and continuous learning and … This means that if organizations focus only on one foundational area, such as culture, leadership, and … have used the Organizational Self-Assessment Tool is the patient and family engagement foundational area
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psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
August 30, 2023 - The first foundational area is culture, leadership, and governance—ensuring that there is a core value … The second area is meaningful patient and family engagement in their own care, and all aspects of care … The fourth area is the learning system, with the establishment of networked and continuous learning and … This means that if organizations focus only on one foundational area, such as culture, leadership, and … have used the Organizational Self-Assessment Tool is the patient and family engagement foundational area
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psnet.ahrq.gov/node/866245/psn-pdf
July 10, 2024 - Assessing nourishment problems at a hospital: what can
we learn from them?
July 10, 2024
Clausen MK, Bogh SB, Schmidt-Petersen M, et al. Assessing nourishment problems at a hospital: what
can we learn from them? BMJ Open Qual. 2024;13(2):e002745. doi:10.1136/bmjoq-2024-002745.
https://psnet.ahrq.gov/issue/assessin…
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psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
October 02, 2019 - physician to recognize his limitations, especially given his decision to venture outside his primary area … assistance from others.( 4 ) Learning how best to facilitate practice-based improvement is an important area … either wish to focus their practice over time or develop additional proficiencies in a specific medical area … For example, the physician might be located in an underserved area with too few hepatologists and/or
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psnet.ahrq.gov/node/50716/psn-pdf
December 04, 2019 - Organisation for Economic Co-operation and
Development: Health at a Glance 2019.
December 4, 2019
Paris, France: OECD Publishing: 2019.
https://psnet.ahrq.gov/issue/organisation-economic-co-operation-and-development-health-glance-2019
This report documents the overall state of health care, based on an internationa…
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psnet.ahrq.gov/node/867685/psn-pdf
March 05, 2025 - Understanding factors influencing safety and team
functionality at operative vaginal birth through
multidisciplinary perspectives: a mixed methods study.
March 5, 2025
Skinner SM, Kippen E, Rolnik DL, et al. Understanding factors influencing safety and team functionality at
operative vaginal birth through multidis…
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psnet.ahrq.gov/web-mm/nosy-business
March 01, 2007 - Just inside the nostril and along the midline septum is an area where these arterial supplies meet, commonly … This area is the most common location of epistaxis. … The vast majority of nose bleeds originate from this area, but the less frequent and more serious bleeds
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psnet.ahrq.gov/issue/multiprofessional-team-simulation-training-based-obstetric-model-can-improve-teamwork-other
January 12, 2022 - Study
Multiprofessional team simulation training, based on an obstetric model, can improve teamwork in other areas of health care.
Citation Text:
van der Nelson HA, Siassakos D, Bennett J, et al. Multiprofessional team simulation training, based on an obstetric model, can improve teamwor…
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psnet.ahrq.gov/issue/identifying-risks-areas-related-medication-administrations-text-mining-analysis-using-free
December 18, 2019 - Study
Identifying risks areas related to medication administrations - text mining analysis using free-text descriptions of incident reports.
Citation Text:
Härkänen M, Paananen J, Murrells T, et al. Identifying risks areas related to medication administrations - text mining analysis usin…
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psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-competencies-across-learning-continuum
November 06, 2019 - Book/Report
Quality Improvement and Patient Safety Competencies Across the Learning Continuum.
Citation Text:
Quality Improvement and Patient Safety Competencies Across the Learning Continuum. AAMC New and Emerging Areas in Medicine Series. Washington, DC: Association of American Medical…
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psnet.ahrq.gov/node/38761/psn-pdf
July 15, 2009 - Effect of bar-code–assisted medication administration on
medication administration errors and accuracy in multiple
patient care areas.
July 15, 2009
Helmons PJ, Wargel LN, Daniels CE. Effect of bar-code-assisted medication administration on medication
administration errors and accuracy in multiple patient care are…
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psnet.ahrq.gov/node/42944/psn-pdf
March 03, 2024 - Clinical Learning Environment Review (CLER) Program.
March 3, 2024
Accreditation Council for Graduate Medical Education.
https://psnet.ahrq.gov/issue/clinical-learning-environment-review-cler-program
Many graduate medical education programs have instituted patient safety didactics or online courses to
meet accredi…
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psnet.ahrq.gov/issue/industrial-and-systems-engineering-and-health-care-critical-areas-research-final-report
November 17, 2010 - Book/Report
Industrial and Systems Engineering and Health Care: Critical Areas of Research: Final Report.
Citation Text:
Industrial and Systems Engineering and Health Care: Critical Areas of Research: Final Report. Valdez RS, Ramly E, Brennan PF. Rockville, MD: Agency for Healthcare Rese…
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psnet.ahrq.gov/issue/some-iv-medications-are-diluted-unnecessarily-patient-care-areas-creating-undue-risk
June 18, 2014 - Newspaper/Magazine Article
Some IV medications are diluted unnecessarily in patient care areas, creating undue risk.
Citation Text:
Some IV medications are diluted unnecessarily in patient care areas, creating undue risk. ISMP Medication Safety Alert! Acute Care Edition. June 19, 2014;19…
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psnet.ahrq.gov/node/74015/psn-pdf
October 27, 2021 - Safer Services: A Toolkit for Specialist Mental Health
Services and Primary Care.
October 27, 2021
National Confidential Inquiry into Suicide and Safety in Mental Health. Manchester, UK: University of
Manchester; May 31, 2021
https://psnet.ahrq.gov/issue/safer-services-toolkit-specialist-mental-health-services-and…