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psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
October 23, 2013 - toward restructuring their organizational processes from policymaking to technology design.( 11 )
The concepts … this paradigm in health care will require that we explore strategies to effectively integrate these concepts
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psnet.ahrq.gov/print/pdf/node/866984
January 01, 2020 - In this narrative review, the authors contrast approaches to teamwork in healthcare with current concepts … In this narrative review, the authors contrast approaches to teamwork in healthcare with current concepts
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psnet.ahrq.gov/node/867845/psn-pdf
February 26, 2025 - Combined Proactive Risk Assessment (CPRA) – 4-Step
Technique Innovation Summary
February 26, 2025
https://psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-
summary
Summary
This innovation describes the Veteran Health Administration (VHA) National Center for Patient Saf…
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psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-summary
February 26, 2025 - New
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary
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February 26, 2025
Innovation
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psnet.ahrq.gov/issue/broadening-concept-patient-safety-culture-through-value-based-healthcare
September 29, 2021 - Commentary
Broadening the concept of patient safety culture through value-based healthcare.
Citation Text:
Dombrádi V, Bíró K, Jonitz G, et al. Broadening the concept of patient safety culture through value-based healthcare. J Health Organ Manag. 2021;35(5):541-549. doi:10.1108/jhom-07-2…
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psnet.ahrq.gov/node/39307/psn-pdf
February 24, 2010 - Intimidation: a concept analysis.
February 24, 2010
Lamontagne C. Intimidation: a concept analysis. Nurs Forum. 2010;45(1):54-65. doi:10.1111/j.1744-
6198.2009.00162.x.
https://psnet.ahrq.gov/issue/intimidation-concept-analysis
This piece discusses intimidation and its relationship to medical errors and patient sa…
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psnet.ahrq.gov/print/pdf/node/866419
March 27, 2024 - Engineering and design concepts are being applied across many health care domains to improve safety. … Engineering and design concepts are being applied across many health care domains to improve safety.
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psnet.ahrq.gov/curated-library/artificial-intelligence-system-level-considerations
March 27, 2024 - Engineering and design concepts are being applied across many health care domains to improve safety. … Engineering and design concepts are being applied across many health care domains to improve safety.
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psnet.ahrq.gov/curated-library/interdisciplinary-teamwork
April 17, 2025 - In this narrative review, the authors contrast approaches to teamwork in healthcare with current concepts … In this narrative review, the authors contrast approaches to teamwork in healthcare with current concepts
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psnet.ahrq.gov/primer/teamwork-training
September 15, 2024 - is no single standardized teamwork training program for health care, all programs stress several key concepts
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psnet.ahrq.gov/print/pdf/node/73848
July 01, 2022 - This review provides background on high-reliability organizations and discusses how these concepts are … This review provides background on high-reliability organizations and discusses how these concepts are
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psnet.ahrq.gov/about-psnet
September 01, 2015 - Theoretical pieces should articulate foundational concepts that help readers understand the methods and
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psnet.ahrq.gov/perspective/building-capacity-patient-safety
July 31, 2023 - We should integrate patient safety concepts into everything that we are already learning. … , if someone is developing a curriculum for a medical student or a pharmacy student, patient safety concepts … administrative staff and leadership teams, at a minimum they need to understand basic patient safety concepts
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psnet.ahrq.gov/issue/organizational-learning-hospitals-realist-review
June 19, 2019 - Review
Organizational learning in hospitals: a realist review.
Citation Text:
Lyman B, Jacobs JD, Hammond EL, et al. Organizational learning in hospitals: A realist review. J Adv Nurs. 2019;75(11):2352-2377. doi:10.1111/jan.14091.
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DOI Google Scholar Bi…
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psnet.ahrq.gov/curated-library/patient-team-member-clinical-care
March 15, 2025 - Last Updated: April 17, 2025
Description
This curated library highlights concepts … evidence reviews, trainer guidance, measurement tools, a pocket guide quick reference to keyTeamSTEPPS® concepts
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psnet.ahrq.gov/primers-0
March 15, 2025 - Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts
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psnet.ahrq.gov/curated-library/organizational-learning
April 17, 2025 - This curated library focuses on concepts and activities supporting learning at an overarching rather
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psnet.ahrq.gov/print/pdf/node/845971
January 01, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Value and Patient Safety
Curated Library
Foundations
Safety is the preservation of value.
Vandeskog B. J Safety Res. 2024;89:105-115.
Safety is at the heart of safety science, and yet “safety” lacks a consensus definition among safety
resea…
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psnet.ahrq.gov/perspective/conversation-elsabeth-kalenderian-dds-mph-phd-and-muhammad-f-walji-phd
December 22, 2020 - education in terms of like talking about culture and quality improvement and measurement, and similar concepts … We have to work with the faculty and get them up to speed on these concepts too.
… if there are opportunities to use simulation or if you’re already using it as means to introduce the concepts
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psnet.ahrq.gov/perspective/conversation-amy-j-starmer-md-mph
May 31, 2023 - information at hand to enhance the process of communication transfer is important to make sure the concepts … When we started this study 5 years ago or so, the concepts of standardized high reliability communication