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psnet.ahrq.gov/issue/actions-renew-focus-safety-culture
July 24, 2024 - A strong safety work environment is core to reliable care delivery and staff wellbeing.
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psnet.ahrq.gov/node/49719/psn-pdf
September 01, 2014 - emergency equipment and an additional anesthesia professional close at
hand (5), as support from the core … non-operating room setting are often
of different makes, models, and configurations than those in the core … the difference between this patient monitor's
behavior and the commonly used patient monitors in the core … Points
Anesthesia machines and patient monitors commonly differ between the non-operating room and
core
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psnet.ahrq.gov/issue/evaluation-shared-mental-models-and-mutual-trust-general-medical-units-implications
November 08, 2012 - Fostering a shared mental model and mutual trust are core components of teamwork training programs … September 9, 2010
View More
Related Resources
TeamSTEPPS Core Curriculum
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psnet.ahrq.gov/issue/identification-errors-pathology-and-laboratory-medicine
October 19, 2022 - February 15, 2010
The effectiveness of inking needle core prostate biopsies for preventing
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psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
September 24, 2024 - The Hippocratic Oath, “First do no harm,” serves as the cornerstone of medical ethics and core … simply declaring a goal of zero preventable harm – it is an organizational commitment to safety as a core … First, they set our direction both corporately and individually. … And so, folks who have that view tend to say we shouldn't set zero harm as a goal if it's unrealistic … We have this sense that if we set lofty goals, they will inspire us to meet them.
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psnet.ahrq.gov/issue/complications-and-death-start-new-academic-year-there-july-phenomenon
February 13, 2008 - September 19, 2018
Moving towards a core measures set for patient safety in perioperative
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psnet.ahrq.gov/issue/measurable-outcomes-quality-improvement-trauma-intensive-care-unit-impact-daily-quality
February 24, 2010 - December 21, 2014
Moving towards a core measures set for patient safety in perioperative
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psnet.ahrq.gov/issue/care-transitions-threat-and-opportunity-patient-safety
May 20, 2009 - December 6, 2023
From HRO to HERO: making health equity a core system capability. … June 9, 2011
View More
Related Resources
TeamSTEPPS Core Curriculum
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psnet.ahrq.gov/node/43534/psn-pdf
January 22, 2016 - the development of a quality and safety clinical fellowship curriculum which
focused on identifying core
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.122_slideshow.ppt
April 01, 2006 - The Myth of the “Surgical Personality”
Surgery requires a specific skill set
Excellent eye-hand coordination … Creates an aura of a hero who displays grace under pressure
However, neither the aura nor the skill set … Critical Elements of Safety Culture
Instill core values in members of organization
Those in charge
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psnet.ahrq.gov/node/49640/psn-pdf
November 01, 2011 - Per existing protocol, the patient was
asked to contact the clinic in July to set up an appointment … the
outgoing resident that included this patient's tenuous condition) and contacted the patient to set … She set up another appointment for
later that month and told the resident that her primary care provider … on demand assuming that office resources
are sufficient (these resources can be estimated using the core … Operations research and its core component, queuing theory, as well as system analysis still remain
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psnet.ahrq.gov/node/73496/psn-pdf
July 14, 2021 - racism-pain-medicine-we-can-and-should-do-more
https://psnet.ahrq.gov/issue/racism-and-health
https://psnet.ahrq.gov/issue/role-racism-core-patient-safety-issue
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psnet.ahrq.gov/perspective/conversation-withjanet-corrigan-phd-mba
April 01, 2010 - So they, in many ways, set the stage for standardization and public reporting. … By setting national priorities and goals, we are also trying to set performance expectations at such … responsible for (i) implementing a comprehensive plan for measurement and reporting, (ii) identifying core … metrics for measurement and reporting, and (iii) promoting the development of the core measures. … These core measures would provide a foundation for reporting systems that facilitate the capture of quality
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psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
April 01, 2010 - responsible for (i) implementing a comprehensive plan for measurement and reporting, (ii) identifying core … metrics for measurement and reporting, and (iii) promoting the development of the core measures. … IOM), federal task forces, and major stakeholders have recommended that it be tasked with managing a set … These core measures would provide a foundation for reporting systems that facilitate the capture of quality … So they, in many ways, set the stage for standardization and public reporting.
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psnet.ahrq.gov/node/33803/psn-pdf
January 01, 2015 - RK: CMS and private payers have recently made substantial progress by reaching agreement on a core
set … However, CMS and
private payers were necessarily limited to choosing core measures from among the measures … improving-diagnosis-health-care
https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/Core-Measures.html … https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/Core-Measures.html … It includes a comprehensive set of ready-to-use materials and a customizable training
curriculum to
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psnet.ahrq.gov/node/836812/psn-pdf
March 30, 2022 - Incident reports set the stage for the use of other patient safety tools that are then employed to investigate … Root causes are core issues that directly lead to
the safety issue. … Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition.
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psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
November 27, 2023 - AACN included “Quality and Safety” as one of its 10 domains of competence, which is described as a “core … After expectations are set, many students will experience or witness a safety event during their clinical … The Essentials: Core Competencies for Professional Nursing Education . … Some states have set specific requirements for clinical hours in various types of settings, but the … But we also created a new role and set of competencies specific to a master’s degree in nursing called
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psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
November 27, 2023 - The Essentials recognize “quality and safety as core values of nursing practice to minimize risk of … Some states have set specific requirements for clinical hours in various types of settings, but the … But we also created a new role and set of competencies specific to a master’s degree in nursing called … After expectations are set, many students will experience or witness a safety event during their clinical … The Essentials: Core Competencies for Professional Nursing Education .
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psnet.ahrq.gov/node/840255/psn-pdf
November 16, 2022 - This type of solution inherently
addresses core design problems rather than relying on humans to adapt … versions, SEIPS 2.0, SEIPS 3.0, and SEIPS 101, depict key
characteristics and interactions between three core … Each model has a slightly different emphasis on the core components and has evolved as healthcare
complexity
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psnet.ahrq.gov/node/851062/psn-pdf
June 28, 2023 - opportunities to prevent
suicide and present a systems approach to suicide prevention including three core