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psnet.ahrq.gov/node/33872/psn-pdf
January 01, 2018 - 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/45599/psn-pdf
July 02, 2017 - The authors describe
inattentional blindness, a concept in which individuals in high-complexity environments
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psnet.ahrq.gov/node/841156/psn-pdf
October 10, 2010 - those-found-responsible-have-been-sacked-some-observations-usefulness-
error
Discussions on why humans err are central to safety improvement, but the concept
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psnet.ahrq.gov/node/43807/psn-pdf
June 21, 2015 - These results contribute to the evidence for standardization of work, a concept
drawn from human factors
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psnet.ahrq.gov/node/47542/psn-pdf
January 16, 2019 - psnet.ahrq.gov/issue/applying-human-centered-design-thinking-enhance-safety-or
https://psnet.ahrq.gov/issue/concept-analysis-systems-thinking
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psnet.ahrq.gov/node/46132/psn-pdf
September 24, 2017 - This commentary describes an innovation built on the mortality and morbidity conference
concept that
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psnet.ahrq.gov/node/35251/psn-pdf
April 06, 2011 - The
authors define the features of HROs before exploring the concept of HRTs that are integral to their
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psnet.ahrq.gov/node/73346/psn-pdf
June 02, 2021 - Human factors and ergonomics to improve performance
in intensive care units during the COVID-19 pandemic.
June 2, 2021
Della Torre V, E. Nacul F, Rosseel P, et al. Human factors and ergonomics to improve performance in
intensive care units during the COVID-19 pandemic. Anaesthesiol Intensive Ther. 2021;53(3):265-27…
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs018830-nemeth-final-report-2013.pdf
January 01, 2013 - Synthesizing Lessons Learned Using Health Information Technology - Final Report
Grant Final Report
Grant ID: R03HS018830
Synthesizing Lessons Learned Using Health
Information Technology
Inclusive Project Dates: 05/01/10 – 04/30/13
Principal Investigator:
Lynne S. Nemeth, PhD, RN
Tea…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdf
February 06, 2008 - education notebook ● ●
Practice scenarios (multidisciplinary) ● ●
SBAR practice worksheets ●
Concept … implementation toolkit included a fast talk notebook of teaching materials for discussion
topics on concept … Concept posters. … , social work,
dietary, and spiritual care; and templates for SBAR communication forms/worksheets, concept
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digital.ahrq.gov/ahrq-funded-projects/cognitive-engineering-complex-decisionmaking-problem-solving-acute-care/citation/guidance
January 01, 2023 - Are you paying attention? Related guidance on how concepts of attention may inform effective time sharing of tasks in emergency medicine.
Citation
Benda NC, Fairbanks RJ, Fairbanks RJ. Are you paying attention? Related guidance on how concepts of attention may inform effective time sharing of tasks i…
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psnet.ahrq.gov/node/857060/psn-pdf
November 27, 2023 - The Role of Undergraduate Nursing Education in Patient
Safety
November 27, 2023
Stanley J, Gale B, Mossburg S. The Role of Undergraduate Nursing Education in Patient Safety. PSNet
[internet]. 2023.
https://psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
Introduction
Nurses are a li…
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digital.ahrq.gov/sites/default/files/docs/citation/cedar-year1-final-report.pdf
September 01, 2022 - CEDAR Concept of Operations ......................................................................... … Figure 1 shows the main
functions of the CEDAR Concept of Operations and its associated stakeholders … CEDAR Concept of Operations
CEDAR Indexing and Datastore
CEDAR imports and indexes artifacts from … • Navigating through the MeSH Concept hierarchy tree to find relevant Concepts for
searching. … , keyword with concept).
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psnet.ahrq.gov/issue/healthcare-worker-serious-safety-events-applying-concepts-patient-safety-improve-healthcare
July 06, 2022 - Study
Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety.
Citation Text:
Foster C, Doud L, Palangyo T, et al. Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety…
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psnet.ahrq.gov/node/44696/psn-pdf
September 01, 2016 - issue/clinically-inconsequential-alerts-characteristics-opioid-drug-alerts-and-their-
utility
The concept
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psnet.ahrq.gov/node/35588/psn-pdf
February 03, 2011 - The authors offer a series of explanations for these
delays in important improvements and apply the concept
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psnet.ahrq.gov/node/44405/psn-pdf
September 02, 2015 - psnet.ahrq.gov/issue/ranking-hospitals-avoidable-death-rates-derived-retrospective-case-record-
review
The concept
-
psnet.ahrq.gov/node/46571/psn-pdf
October 25, 2017 - post-operative-mortality-missed-care-and-nurse-staffing-nine-countries-cross-sectional-study
https://psnet.ahrq.gov/issue/missed-nursing-care-concept-analysis
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integrationacademy.ahrq.gov/sites/default/files/2020-06/Lexicon.pdf
January 01, 2020 - Annotations:
The term “behavioral health” is employed as a broader concept than “mental health”—although … “Identification” is
a broader concept that includes non-disease states of affairs that indicate need … Do we have
a shared view of the edges of the concept we are investigating—the boundaries of the genuine … (Adapted from Blount—Certificate program)
The same or similar concept is “Primary Care Behavioral Health … This concept is similar to “care management” though it may imply a personified
“case manager”, whereas
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psnet.ahrq.gov/node/37960/psn-pdf
September 24, 2010 - The concept of just culture has been proposed in order to
maintain individual accountability for unsafe