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psnet.ahrq.gov/primer/patient-safety-101
January 16, 2025 - Background The History of the Patient Safety Movement The concept that patients could be harmed while … The concept of just culture , now widely used in health care, emphasizes that most errors result from
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psnet.ahrq.gov/issue/three-quarters-preventable-patient-harm-stems-situation-awareness-breakdowns-recognizing-and
September 11, 2009 - Situation awareness is a crisis management concept drawn from aviation safety to be used in examination
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psnet.ahrq.gov/issue/high-reliability-organizations-hros-what-they-know-we-dont-part-ii
June 10, 2018 - This article concludes a two-part introduction to the concept of high-reliability organizations (HROs
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psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-newsletter
August 14, 2019 - August 8, 2018
Critical phase distractions in anaesthesia and the sterile cockpit concept
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psnet.ahrq.gov/issue/global-knowledge-sharing-platform-patient-safety
July 14, 2021 - October 5, 2022
Nurse well-being: a concept analysis.
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psnet.ahrq.gov/perspective/conversation-paul-mcgann-md
July 10, 2024 - That concept of preventability changes over time, so we knew that was a moving target. … This issue of scaling is a really important concept that people who are interested in national improvement … : Bidirectionality, from the perspective of the federal government and agencies I worked at, is the concept … This is another example of that concept of bidirectionality that I was talking about. … PM : If there was one thought I could leave with your readers or listeners, it is that this concept of
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psnet.ahrq.gov/issue/identity-crisis-examination-costs-and-benefits-unique-patient-identifier-us-health-care
May 21, 2014 - This monograph reports on the concept of creating a unique patient identifier system and addresses potential
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psnet.ahrq.gov/curated-library/nurse-wellbeing-and-patient-safety
August 30, 2023 - Read More
Nurse well-being: a concept analysis. … In this study, researchers used a concept analysis to identify attributes of nurse well-being at the. … Study
Nurse well-being: a concept analysis. … In this study, researchers used a concept analysis to identify attributes of nurse well-being at the
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psnet.ahrq.gov/issue/how-administrative-burdens-can-harm-health
February 10, 2021 - October 12, 2022
Nurse well-being: a concept analysis.
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psnet.ahrq.gov/node/33659/psn-pdf
October 01, 2007 - The "just culture" concept teaches us to shift our attention from
retrospective judgment of others, … The leaders who attended enthusiastically embraced the just
culture concept, finding that it provides … Organizational Practices and Processes
Once the leadership group of the organization has grasped the concept
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psnet.ahrq.gov/issue/healthcare-simulation-dictionary-third-edition
January 10, 2024 - Book/Report
Healthcare Simulation Dictionary, Third Edition.
Citation Text:
Healthcare Simulation Dictionary, Third Edition. Lioce L, Lopreiato J, Anderson M, et al, eds and the Terminology and Concepts Working Group. Rockville, MD: Agency for Healthcare Research and Quality; January 202…
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psnet.ahrq.gov/node/33600/psn-pdf
June 16, 2024 - Background
The History of the Patient Safety Movement
The concept that patients could be harmed while … The concept
of just culture, now widely used in health care, emphasizes that most errors result from
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psnet.ahrq.gov/node/33621/psn-pdf
November 01, 2005 - The RRT is a simple concept whose implementation might seem straightforward. … Many of these recommendations must necessarily be based on anecdotal evidence or
impressions—the concept … remote attending physician, and having the physician be on call to the primary RRT
undermines the concept
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psnet.ahrq.gov/issue/counterheroism-common-knowledge-and-ergonomics-concepts-aviation-could-improve-patient-safety
November 03, 2015 - Commentary
Counterheroism, common knowledge, and ergonomics: concepts from aviation that could improve patient safety.
Citation Text:
Lewis GH, Vaithianathan R, Hockey PM, et al. Counterheroism, common knowledge, and ergonomics: concepts from aviation that could improve patient safety. M…
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psnet.ahrq.gov/issue/fifth-discipline-art-practice-learning-organization-revised-updated-edition
May 12, 2010 - He introduces the concept of systems thinking and describes how systems often conspire to create their
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psnet.ahrq.gov/issue/involuntary-automaticity-work-system-induced-risk-safe-health-care
June 22, 2009 - The authors discuss the concept of automaticity, or the automation of a skilled behavior through repetition
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psnet.ahrq.gov/issue/meaning-justice-safety-incident-reporting
April 11, 2011 - An AHRQ WebM&M interview and perspective address the concept of just culture and its implementation
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psnet.ahrq.gov/issue/resilience-engineering-practice-guidebook
February 06, 2019 - Book/Report
Classic
Resilience Engineering in Practice: a Guidebook.
Citation Text:
Resilience Engineering in Practice: a Guidebook. Hollnagel E, Pariès J, Woods DD et al eds. Farnham UK; Ashgate, 2011. ISBN: 9781472420749
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psnet.ahrq.gov/issue/ahrq-safety-program-mrsa-prevention
December 24, 2008 - facilities across the United States, building on the Comprehensive Unit-based Safety Program (CUSP) concept
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psnet.ahrq.gov/issue/how-health-care-changes-when-algorithms-start-making-diagnoses
May 29, 2019 - Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept