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psnet.ahrq.gov/issue/review-medical-error-taxonomies-human-factors-perspective
July 25, 2012 - highlight the importance of taxonomies that use knowledge of cognitive mechanisms and theoretical error concepts … May 20, 2019
Counterheroism, common knowledge, and ergonomics: concepts from aviation
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psnet.ahrq.gov/issue/core-principles-quality-improvement-and-patient-safety
August 01, 2018 - This review discusses key patient safety concepts such as systems thinking , the role of leadership … September 29, 2021
Transforming concepts in patient safety: a progress report.
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psnet.ahrq.gov/issue/can-aviation-industry-be-useful-teaching-oncology-about-safety
June 13, 2011 - 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/issue/human-error-models-and-management
November 18, 2015 - The author discusses concepts of human error, contrasting the person approach with a system approach … The author further explains several background concepts, including the “Swiss cheese” model of system
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/safety-engineering-strategies.pdf
March 06, 2025 - .......................................................................... 4
Strategies and Change Concepts … This document provides an overview of some safety engineering principles, strategies, change
concepts … Those reviewing the proposed concepts are encouraged to
consider what may be relevant in their local … This document includes high-level concepts, specific actions, tools, and examples. … Some
practices, such as the use of simulation, are cross-cutting concepts and can support multiple
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psnet.ahrq.gov/perspective/conversation-ellen-deutsch-md-ms-facs-faap-fssh-cpps
December 14, 2022 - 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/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
December 14, 2022 - Download Citation
Resilient healthcare applies resilient engineering methods and concepts … 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? … Exposure to these concepts is a little bit uneven.
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www.uspreventiveservicestaskforce.org/uspstf/behavioral-counseling-interventions-an-evidence-based-approach---table-2
November 01, 2013 - Six Most Commonly Cited Behavior Change Models, Theories, and Constructs - Focus and Key Concepts … Level Addressed
Theory/Model
Focus
Key Concepts
Theories that address how individual
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-facguide.docx
January 01, 2017 - How can these concepts be applied in your unit? … System performance can be improved by understanding the four primary concepts of the Science of Safety … Slide 9
Understand the Science of Safety Video
SAY:
Reinforce key concepts of the Science of Safety … your team understands these principles, here are three short videos which explain more about these concepts
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www.ahrq.gov/teamstepps-program/curriculum/communication/teach/half-day.html
May 01, 2023 - Encourage the trainees to look for specific concepts and tools they can apply to their own teams after … described in the 2-day training section (Slide 3) is a useful, active way to teach key communication concepts
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digital.ahrq.gov/ahrq-funded-projects/evaluating-impact-acpoecds-system-outcomes/citation/preparing-ambulatory
January 01, 2023 - In Advances in Patient Safety: From Research to Implementation (Volume 2: Concepts and Methodology).
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module3/guide.docx
March 01, 2017 - Modules
Module 3: Staff Empowerment
Material Use Guide
Learning Objectives:
· Cite staff empowerment concepts … · Video 3.5: Just Culture and Open Communication
Barriers to Staff Empowerment
· Slide 26
Key Concepts
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module3/guide.html
March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Learning Objectives:
Cite staff empowerment concepts … Just Culture and Open Communication
Barriers to Staff Empowerment
Slide 26
Key Concepts
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digital.ahrq.gov/ahrq-funded-projects/veterans-administration-va-integrated-medication-manager/annual-summary/2011
January 01, 2011 - The IMM organizes information around the core concepts of interventions, observations, and conditions … information in a manner that reduces the cognitive effort to consider data across time, relationships among concepts … Standard and VA-specific terminologies and knowledge bases are used to relate concepts and provide the
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psnet.ahrq.gov/patient-safety-101
March 26, 2025 - provides an overview of the history and current status of the patient safety field and key definitions and concepts … It links to other Patient Safety Primers that discuss the concepts in more detail.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety3.html
September 01, 2022 - The program introduces diagnosis concepts and skills and can help raise diagnostic safety awareness among … Strategy
Advantages
Disadvantages
Examples
Handouts/printed materials
Presents key concepts … Lectures/ presentations
Good for primary explanation and clarifying diagnostic concepts
Teacher … Focus on key diagnostic safety concepts and interventions that are essential and feasible for nurses
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psnet.ahrq.gov/issue/teaching-quality-improvement-and-patient-safety-trainees-systematic-review
June 09, 2015 - 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
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www.ahrq.gov/es/tools/index.html?page=3
June 01, 2016 - curriculum 3.0 materials include six Welcome Guides for different audiences, a pocket guide of tools and concepts … for trainees, and various training videos to illustrate TeamSTEPPS tools and concepts.
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/learning-modules/nh-learning-module-guide.pdf
November 01, 2021 - ○ Encourage supervisors to extend the concepts to a staff meeting so team members can share what … they have learned and how they can use those concepts in the workplace.
• Identify a staff champion
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hcup-us.ahrq.gov/toolssoftware/ccsr/ccs_refined.jsp
November 01, 2024 - The CCSR for ICD-10-CM diagnoses balances the retention of the clinical concepts included in the CCS … taxonomy and specificity of the ICD-10-PCS coding scheme and, where possible, retains the same surgical concepts