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psnet.ahrq.gov/issue/how-make-emergency-department-visit-safe-one
November 02, 2005 - December 6, 2011
From HRO to HERO: making health equity a core system capability.
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psnet.ahrq.gov/issue/doctors-say-patients-who-lie-may-put-their-health-risk
March 06, 2005 - October 25, 2006
Case Studies in Patient Safety: Foundations for Core Competencies.
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psnet.ahrq.gov/issue/team-cognition-handoffs-relating-system-factors-team-cognition-functions-and-outcomes-two
February 16, 2022 - the perioperative environment: a conceptual framework of key theories, system factors, methods, and core
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psnet.ahrq.gov/issue/shift-shift-handoff-effects-patient-safety-and-outcomes-systematic-review
January 22, 2016 - the perioperative environment: a conceptual framework of key theories, system factors, methods, and core
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psnet.ahrq.gov/issue/handoffs-and-transitions-care-systematic-review-meta-analysis-and-practice-management
September 23, 2020 - the perioperative environment: a conceptual framework of key theories, system factors, methods, and core
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psnet.ahrq.gov/issue/patient-safety-and-staff-competence-managing-challenging-behavior-based-feedback-former
October 15, 2016 - Strategies for managing these behaviors are discussed, as well as core competencies for delivering care
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psnet.ahrq.gov/issue/student-mistakes-and-teacher-reactions-bedside-teaching
January 18, 2012 - Recognizing and learning from mistakes is a core component of medical and nursing education.
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psnet.ahrq.gov/node/840256/psn-pdf
November 16, 2022 - And so, a core concept is really
understanding people and the rest of the system and the interactions … We think
about them as a group of different models that have core elements, but each one of them has … The core team that participated in the
design process included an ED physician, an ED nurse, sometimes … skilled nursing facilities that were overseen by these advanced practice providers,
an automated trigger set
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psnet.ahrq.gov/issue/quality-and-variability-patient-directions-electronic-prescriptions-ambulatory-care-setting
May 08, 2017 - July 13, 2010
Creating a high-reliability health care system: improving performance on core
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psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph
April 01, 2009 - organizations—particularly hospitals—on solving critical safety and quality problems through National Patient Safety Goals, core … If you look at The Joint Commission's publicly reported core measures over the past 5 to 8 years, there … wonder whether these organizations can clean it up so that it is coming in a single voice with a single set … that are not, in my view, as highly valid from a quality standpoint as most of the clinically based core … accreditation requirements are viewed as a floor; staff at the Veterans Health Administration explicitly set
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psnet.ahrq.gov/issue/safety-learning-system-development-incident-reporting-component-family-practice
March 21, 2012 - August 4, 2021
Core competencies for patient safety research: a cornerstone for global
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psnet.ahrq.gov/perspective/conversation-richard-kronick-phd
February 01, 2014 - RK : CMS and private payers have recently made substantial progress by reaching agreement on a core … set of measures to use when assessing physician performance. … However, CMS and private payers were necessarily limited to choosing core measures from among the measures … It includes a comprehensive set of ready-to-use materials and a customizable training curriculum to successfully … The impact of a set of interventions to reduce interruptions and distractions to nurses during medication
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psnet.ahrq.gov/issue/err-human-report-retrospective-and-decade-ahead
February 15, 2011 - April 25, 2016
Strengthening the core.
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psnet.ahrq.gov/issue/patient-handoffs
June 17, 2014 - the perioperative environment: a conceptual framework of key theories, system factors, methods, and core
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psnet.ahrq.gov/issue/implementing-and-validating-comprehensive-unit-based-safety-program
July 14, 2010 - May 12, 2021
Core competencies for patient safety research: a cornerstone for global
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psnet.ahrq.gov/issue/science-safety-improvement-learning-while-doing
May 20, 2009 - December 6, 2023
From HRO to HERO: making health equity a core system capability.
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psnet.ahrq.gov/node/33708/psn-pdf
March 01, 2011 - In nursing, emergency medicine, and other shift work disciplines, handoffs are a
core part of the work … your work was done and then have a very minimal handoff, the new model is
probably going to involve a set … And another set of handoffs that involve the patient moving from place to place. … VA: A good handoff usually has three core components: interactive verbal communication, a written
communication
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psnet.ahrq.gov/issue/nursing-implications-early-warning-system-implemented-reduce-adverse-events-qualitative-study
October 27, 2021 - timeliness, lack of accuracy , workflow interruptions, actionability of alerts, underappreciation of core
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psnet.ahrq.gov/issue/changing-hospital-organisational-culture-improved-patient-outcomes-developing-and
June 17, 2020 - This article describes the design and core content of the Leadership Saves Lives (LSL) intervention
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psnet.ahrq.gov/perspective/safety-across-board
August 31, 2020 - improvement initiatives and the traditional clinical care team to the level of the organization, and is a core … incorporation of all three. 1
Culture 1
Culture in the context of SAB encompasses many of the core … Tactics to support the implementation of the three core components (culture, strong safety processes, … given day, we can have the conversation that yes, we're struggling right now, but we know what our core … That expectation is set by the CEO and cascades to every level of the organization.