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psnet.ahrq.gov/node/73346/psn-pdf
June 02, 2021 - This paper expands
on the core concepts of HF and proposes the additional key concepts of agility, serendipity … Adoption of these HF concepts by leadership and staff can improve patient safety in intensive
care units
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psnet.ahrq.gov/issue/naming-baby-or-beast-importance-concepts-and-labels-healthcare-safety-investigation
April 14, 2021 - The importance of concepts and labels in healthcare safety investigation. … The importance of concepts and labels in healthcare safety investigation. … The importance of concepts and labels in healthcare safety investigation.
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www.ahrq.gov/teamstepps-program/curriculum/intro/teach.html
August 01, 2023 - Afterwards, they can refresh their memories or learn more about concepts or tools discussed in the training … Use clinical simulations to introduce the tools and concepts and incorporate them into practice. … Have participants read sections before the simulations; or briefly introduce one or two tools or concepts … In a group of six to eight trainees, if two trainees review one of three or four concepts or tools and … learning are now widely used, and evidence for their value is strong. 1
Use stories to illustrate concepts
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effectivehealthcare.ahrq.gov/sites/default/files/zikmund.pdf
May 29, 2025 - a statement can
be “accurate,” yet “uninformative”
• To clarify, I present a taxonomy of risk concepts … Slide
7: A Taxonomy
of Risk Concepts
table with 3 columns: “Risk Concept,” “Sample Cognition … Absolute Probability
• Comparative Probability
• Incremental Probability
Slide
8: A Taxonomy of Risk Concepts … Will/Won’t
• Lower/Equal
• They are equally likely
• Normal/Average
Slide
9: A Taxonomy of Risk
Concepts … • Patients have varying information
needs
o Sometimes need simpler risk concepts
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psnet.ahrq.gov/issue/rising-frequency-it-blackouts-indicates-increasing-relevance-it-emergency-concepts-ensure
October 12, 2022 - The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts … The Rising Frequency of IT Blackouts Indicates the Increasing Relevance of IT Emergency Concepts to Ensure … The Rising Frequency of IT Blackouts Indicates the Increasing Relevance of IT Emergency Concepts to Ensure
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integrationacademy.ahrq.gov/news-and-events/calendar/event/23289
January 01, 2013 - Attendees will be invited to examine the concepts of autonomy and agency and how these concepts influence … The session will pair overarching concepts with practical application and valuable insights from both … Attendees will: Increase understanding of the concepts of patient/client autonomy and agency. … Explore how the application of these concepts may impact the experiences of those receiving services.
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psnet.ahrq.gov/node/36250/psn-pdf
February 06, 2019 - Resilience Engineering: Concepts and Precepts.
February 6, 2019
Hollnagel E, Woods DD, Leveson N. … https://psnet.ahrq.gov/issue/resilience-engineering-concepts-and-precepts
This book explores how organizations … https://psnet.ahrq.gov/issue/resilience-engineering-concepts-and-precepts
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psnet.ahrq.gov/node/857060/psn-pdf
November 27, 2023 - Instructional Strategies
Nursing students are first introduced to patient safety concepts in the classroom … These concepts are reinforced later in their education during their clinical rotations. … Safety concepts can be
integrated into lessons to instill patient safety as a core competency in students … from the beginning, starting
with introducing safety concepts explicitly in lectures and readings. … Faculty can build on concepts introduced in
lectures through case studies.
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www.ahrq.gov/news/newsroom/case-studies/202002.html
May 01, 2020 - Universal Precautions Toolkit helped to improve the knowledge and understanding of health literacy concepts … statistically significant improvements in their ability to apply health literacy universal precautions concepts
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psnet.ahrq.gov/issue/counterheroism-common-knowledge-and-ergonomics-concepts-aviation-could-improve-patient-safety
November 03, 2015 - Commentary
Counterheroism, common knowledge, and ergonomics: concepts from aviation … Counterheroism, common knowledge, and ergonomics: concepts from aviation that could improve patient safety … Counterheroism, common knowledge, and ergonomics: concepts from aviation that could improve patient safety
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www.ahrq.gov/sites/default/files/2024-07/zhou-report.pdf
January 01, 2024 - We further categorized allergen concepts into groups and calculated
the frequencies of these concepts … Ambiguous, generic concepts such as “nuts” and “seafood” accounted for 8.8%
of the records. … We identified 787 reaction
concepts in PEAR. … This yielded 1106 concepts in our final
integrated value set. … There were 1305 unique contrast allergen records,
which we grouped into 141 concepts.
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psnet.ahrq.gov/issue/human-factors-and-ergonomics-improve-performance-intensive-care-units-during-covid-19
December 23, 2020 - This paper expands on the core concepts of HF and proposes the additional key concepts of agility, serendipity … Adoption of these HF concepts by leadership and staff can improve patient safety in intensive care units
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psnet.ahrq.gov/issue/resilience-engineering-practice-guidebook
February 06, 2019 - This textbook discussed concepts foundational to instilling resilience engineering concepts into workplace … Citation
Related Resources From the Same Author(s)
Resilience Engineering: Concepts
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load1.html
May 01, 2024 - Load Theory and Its Impact on Diagnostic Accuracy
Introduction to Diagnostic Errors
Fundamental Concepts … This AHRQ brief will provide a broad overview of fundamental CLT concepts, discuss what is and is not … A clinical vignette will be woven throughout the paper to better illustrate the concepts and provide
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs018830-nemeth-final-report-2013.pdf
January 01, 2013 - Four key concepts drive their improvement efforts: Develop a team care practice, Adapt
and use HIT tools … A matrix of
practice strategies provides evidence of how these concepts were operationalized by practices … The
revised four concepts present a more parsimonious way to emphasize the complex interactions … The four concepts in the new model: “Improving Primary Care through Health Information
Technology” ( … Figure 1 presents the concepts and
relationships of the framework.
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psnet.ahrq.gov/issue/concept-error-and-malpractice-radiology
January 24, 2018 - Commentary
The concept of error and malpractice in radiology.
Citation Text:
Pinto A, Brunese L, Pinto F, et al. The concept of error and malpractice in radiology. Semin Ultrasound CT MR. 2012;33(4):275-9. doi:10.1053/j.sult.2012.01.009.
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Format:
DOI Google S…
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psnet.ahrq.gov/issue/distracted-practice-concept-analysis
February 27, 2009 - Review
Distracted practice: a concept analysis.
Citation Text:
D'Esmond LK. Distracted Practice: A Concept Analysis. Nurs Forum. 2016;51(4):275-285. doi:10.1111/nuf.12153.
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Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…
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psnet.ahrq.gov/issue/concept-analysis-systems-thinking
August 20, 2018 - Review
A concept analysis of systems thinking.
Citation Text:
Stalter AM, Phillips JM, Ruggiero JS, et al. A Concept Analysis of Systems Thinking. Nurs Forum. 2017;52(4):323-330. doi:10.1111/nuf.12196.
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Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML En…
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psnet.ahrq.gov/issue/oncology-care-setting-design-and-planning-part-i-concepts-oncology-nurse-improve-patient
September 24, 2010 - Commentary
Oncology care setting design and planning part I: concepts for the oncology … Oncology care setting design and planning part I: Concepts for the oncology nurse that improve patient … Oncology care setting design and planning part I: Concepts for the oncology nurse that improve patient
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
April 01, 2016 - : 24)
Impression of Liked Other: (Concepts: 16)
KC is a very intelligent /and well spoken person. / … Impression of Disliked Other: (Concepts: 8)
Sometimes, I find XX focused on self-preservation / and … Detailed Descriptive Impressions: (Total Concepts: 33)
Impression of Liked Other: (Concepts: 22)
This … Impression of Disliked Other: (Concepts: 11)
This person is a challenging individual/ in the sense … Impression of Liked Other:
[Insert original participant response here]
Total Number of Concepts: