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psnet.ahrq.gov/issue/high-reliability-truly-achieving-healthcare-quality-and-safety
March 18, 2019 - This commentary discusses how high reliability concepts, such as developing a culture of safety and … Download Citation
Related Resources From the Same Author(s)
Transforming concepts
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-0
September 27, 2017 - Articles in this special issue apply safety concepts to reducing preventable patient harm in otolaryngology … October 5, 2021
Emerging Concepts in Patient Safety.
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psnet.ahrq.gov/node/42864/psn-pdf
January 15, 2014 - unified-model-patient-safety-or-who-froze-my-cheese
This commentary combines two models of systems safety concepts—Reason's … Swiss Cheese model and
the Iceberg theory—and applies variations of the hybrid concepts to explain
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psnet.ahrq.gov/node/43376/psn-pdf
January 16, 2017 - resilient-actions-diagnostic-process-and-system-performance
https://psnet.ahrq.gov/issue/resilience-engineering-concepts-and-precepts … https://psnet.ahrq.gov/issue/resilience-engineering-concepts-and-precepts
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psnet.ahrq.gov/node/33630/psn-pdf
March 01, 2006 - However, the most effective way to
teach and implement these concepts is much less clear. … First, the teamwork
concepts are rolled out in stages. … They
teach and coach CRM concepts such as cross-monitoring, conflict resolution, effective communication … These units can make use of many CRM concepts such as "pre-flight"
briefings, checklists, and structured … These environments require that teamwork concepts be applied to
the management of the entire unit, not
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psnet.ahrq.gov/node/842779/psn-pdf
January 12, 2011 - This textbook
discussed concepts foundational to instilling resilience engineering concepts into workplace
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psnet.ahrq.gov/node/34747/psn-pdf
August 04, 2009 - Applicable tools and practical ideas couch the concepts in concrete experience. … A resource guide to change concepts completes the book.
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psnet.ahrq.gov/issue/unified-model-patient-safety-or-who-froze-my-cheese
August 23, 2023 - This commentary combines two models of systems safety concepts—Reason's Swiss Cheese model and the … Iceberg theory—and applies variations of the hybrid concepts to explain hazards in care delivery.
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psnet.ahrq.gov/issue/human-factors-healthcare-welcome-progress-still-scratching-surface
June 16, 2021 - Despite the interest in integrating human factors engineering concepts into patient safety improvement … around human factors engineering in health care to determine how to enhance the application of these concepts
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psnet.ahrq.gov/issue/partnering-pediatric-patients-and-families-high-reliability-identify-and-reduce-preventable
December 02, 2020 - The organization applied high reliability concepts to identify, recognize, and support projects at … February 28, 2018
Serious experience events: applying patient safety concepts to improve
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psnet.ahrq.gov/node/46564/psn-pdf
December 06, 2017 - This
commentary discusses the adoption of aviation concepts in health care, successful tactics used … in clinical
oncology, and the importance of embedding the concepts across the system to ensure success
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psnet.ahrq.gov/node/34650/psn-pdf
April 21, 2015 - https://psnet.ahrq.gov/issue/human-error-models-and-management
The author discusses concepts of human … The author further explains several background concepts, including the “Swiss cheese” model of system
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psnet.ahrq.gov/node/44795/psn-pdf
June 29, 2016 - human-factors-healthcare-welcome-progress-still-scratching-surface
Despite the interest in integrating human factors engineering concepts … around human factors
engineering in health care to determine how to enhance the application of these concepts
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psnet.ahrq.gov/node/34760/psn-pdf
March 28, 2005 - Human Error, this book demonstrates Reason's thinking at its finest
and illustrates many of the key concepts … Much of Lucian Leape's work in Error in Medicine involved translating Reason's concepts into health care
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psnet.ahrq.gov/node/37610/psn-pdf
June 16, 2011 - Health care systems that embody these concepts are
considered "learning organizations"—organizations … This article presents examples (primarily from outside health
care) to illustrate these concepts and
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psnet.ahrq.gov/node/44799/psn-pdf
July 11, 2017 - https://psnet.ahrq.gov/issue/rising-frequency-it-blackouts-indicates-increasing-relevance-it-emergency-concepts-ensure … https://psnet.ahrq.gov/issue/rising-frequency-it-blackouts-indicates-increasing-relevance-it-emergency-concepts-ensure
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psnet.ahrq.gov/node/841305/psn-pdf
January 27, 2023 - Can you tell us more about these concepts? … Ellen Deutsch: Yes; the concepts of work-as-imagined versus work-as-done were initially developed by … How is resilient healthcare different
from some of these other patient safety concepts? … Ellen Deutsch: There are overlapping concepts, and, in some ways that’s reassuring that we may be on … Exposure to these concepts is a little bit uneven.
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psnet.ahrq.gov/issue/improving-patient-safety-effects-safety-program-performance-and-culture-department-radiology
May 12, 2010 - Related Resources From the Same Author(s)
Improving patient safety in radiology: concepts … July 1, 2017
Serious experience events: applying patient safety concepts to improve patient … July 6, 2022
Healthcare worker serious safety events: applying concepts from patient
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psnet.ahrq.gov/node/36559/psn-pdf
July 14, 2010 - description-and-evaluation-interprofessional-patient-safety-course-health-
professions-and
As the science of patient safety evolves, methods for teaching patient safety concepts … The course sought to communicate the basic concepts of patient safety, including
the science of errors
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psnet.ahrq.gov/node/39638/psn-pdf
July 02, 2014 - residency
programs to reengineer their curricula to emphasize patient safety and quality improvement (QI) concepts … curricula were generally popular among trainees and resulted in increased knowledge of safety or QI
concepts