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psnet.ahrq.gov/issue/lessons-learned-radonda-vaught-ruling
April 26, 2023 - The concept of just culture was challenged in a high-profile medication error resulting in criminal
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psnet.ahrq.gov/node/33563/psn-pdf
September 16, 2024 - The concept of safety culture originated outside health care, in studies of high reliability organizations … In an effort to balance the twin
needs for no-blame and appropriate accountability, the concept of just
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psnet.ahrq.gov/primer/rapid-response-systems
July 18, 2024 - Background Rapid response teams represent an intuitively simple concept: When a patient demonstrates … However, the rapid response team concept has come to exemplify the tension between those arguing for
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psnet.ahrq.gov/curated-library/rapid-response-systems
September 15, 2024 - Team |
September 15, 2024
Rapid response teams represent an intuitively simple concept … Linkedin
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Rapid response teams represent an intuitively simple concept
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psnet.ahrq.gov/perspective/safety-across-board
August 31, 2020 - Download Citation
Defining Safety Across the Board
Safety Across The Board (SAB) is a concept … In SAB, the concept of safety extends beyond individual process improvement initiatives and the traditional … We spoke with him about his experiences with the concept of safety across the board at his medical center … Are there other components of that Safety Across The Board concept at play here?
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psnet.ahrq.gov/issue/identifying-trigger-concepts-screen-emergency-department-visits-diagnostic-errors
March 12, 2025 - Study
Identifying trigger concepts to screen emergency department visits for diagnostic errors.
Citation Text:
Mahajan P, Pai C-W, Cosby KS, et al. Identifying trigger concepts to screen emergency department visits for diagnostic errors. Diagnosis (Berl). 2021;8(3):340-346. doi:10.1515/d…
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psnet.ahrq.gov/perspective/update-patient-engagement-safety
January 01, 2017 - Second, the concept of psychological harm as a safety event rose in prominence. … Although this concept took time to gain traction, it has now percolated into the practice of patient … The acceptance of the concept and consequences of psychological harm is an example of how the patient
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psnet.ahrq.gov/node/72577/psn-pdf
December 16, 2020 - Identifying trigger concepts to screen emergency
department visits for diagnostic errors.
December 16, 2020
Mahajan P, Pai C-W, Cosby KS, et al. Identifying trigger concepts to screen emergency department visits
for diagnostic errors. Diagnosis (Berl). 2021;8(3):340-346. doi:10.1515/dx-2020-0122.
https://psnet.ahr…
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psnet.ahrq.gov/issue/just-culture-who-gets-draw-line
June 24, 2020 - This commentary explores the just culture concept and how the assignment of accountability for acceptable
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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/node/33596/psn-pdf
January 29, 2025 - Background and Theory
The concept of failure-to-rescue (FTR) captures the idea that many complications … appropriate testing and
delayed treatment for an ultimately fatal complication, is consistent with the concept … aligned with Silber and colleagues’ original construct, may
refocus attention on the value of this concept
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psnet.ahrq.gov/issue/incident-learning-radiation-oncology-review
October 14, 2020 - This review explores the application of this concept in radiation oncology , successful practices, and
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psnet.ahrq.gov/issue/situativity-family-social-cognitive-theories-clinical-reasoning-and-error
June 08, 2022 - The articles explore the four complementary facets of the concept -- situated cognition ; distributed
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psnet.ahrq.gov/primer/culture-safety
September 15, 2024 - The concept of safety culture originated outside health care, in studies of high reliability organizations … In an effort to balance the twin needs for no-blame and appropriate accountability, the concept of
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psnet.ahrq.gov/issue/patient-safety-consumers-perspective
January 12, 2022 - perspectives of patients and families who have experienced medical errors, and attempts to redefine the concept
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psnet.ahrq.gov/issue/systems-approach-sharp-end
April 21, 2021 - This commentary argues that the concept has relevance at the sharp end as well.
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psnet.ahrq.gov/issue/improving-communication-diagnostic-uncertainty-families-hospitalized-children
December 23, 2020 - conversations include lack of time, language discordance, and lack of clarity around the uncertainty concept
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psnet.ahrq.gov/issue/bad-things-can-happen-are-medical-students-aware-patient-centered-care-and-safety
July 06, 2022 - Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept
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psnet.ahrq.gov/issue/tolerating-uncertainty-next-medical-revolution
April 24, 2018 - Uncertainty is a difficult concept to accept for both patients and clinicians .
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psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
December 01, 2006 - In this article, I apply management and organizational principles to examine the concept of safety culture … The Unfortunate Watering Down of a Concept A few years ago, I set out to study residency and academic … The experience and data ( 1 , 4 ) convinced me that we need to look at the concept of safety culture … We treat the concept as if it has universality in both form and function across health care settings. … For these reasons, the concept of safety culture is in danger of becoming mechanistic and rhetorical,