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psnet.ahrq.gov/issue/look-behind-scenes-global-progress-patient-safety-and-prevention-harmful-medication-errors
August 05, 2020 - Medication Practices, who reviewed both successes and persistent challenges that call for continued effort
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psnet.ahrq.gov/issue/notice-intent-publish-funding-opportunity-announcement-improve-care-transitions-through-use
February 13, 2019 - Government Resource
Overview of the Environmental Scan of Primary Care-Based Effort
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psnet.ahrq.gov/issue/surgical-checklists-save-lives-once-while-they-dont-why
October 17, 2018 - This magazine article reports on how the checklist phenomenon evolved into a global patient safety effort
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psnet.ahrq.gov/issue/clinician-well-being-knowledge-hub
June 15, 2011 - This website serves as a companion to a collaborative effort to combat the problem.
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psnet.ahrq.gov/node/39716/psn-pdf
August 09, 2013 - In an innovative effort to apply principles from other
industries to medicine, this study used interviews
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psnet.ahrq.gov/node/36738/psn-pdf
August 02, 2011 - reported that logistical factors
were the major barrier to reporting errors, principally the additional effort
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psnet.ahrq.gov/node/40880/psn-pdf
December 21, 2014 - More than 1200 hospitals nationwide have joined the Leapfrog Group's effort to date.
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psnet.ahrq.gov/node/44513/psn-pdf
September 23, 2015 - The report emphasizes the need for much more effort,
and far more resources, at the practice, policy
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psnet.ahrq.gov/node/43349/psn-pdf
July 16, 2014 - This work underscores the resources and effort needed for
successfully implementing safety checklists
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psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail
March 03, 2021 - Commentary
Classic
Leading change: why transformation efforts fail.
Citation Text:
Leading change: why transformation efforts fail. Kotter JP. Harvard Bus Rev 1995;73(2);59-67.
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psnet.ahrq.gov/node/866846/psn-pdf
September 24, 2024 - drawn from safety science, specifically high reliability theory
which suggests that with greater effort … Theory,
which posits that some level of accident is intrinsic to highly
complex systems, regardless of effort … Indeed, the amount of
effort expended in the resource scarce environment of hospital
administration
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psnet.ahrq.gov/node/39970/psn-pdf
January 22, 2017 - This
AHRQ-funded effort is centered around principles of the comprehensive unit-based safety program
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psnet.ahrq.gov/issue/national-safety-standards-invasive-procedures-natssips
September 10, 2014 - The report is centered on areas of effort targeting both organizational and process-level actions
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psnet.ahrq.gov/issue/medication-safety-best-practices-guide-ambulatory-care-use
February 08, 2006 - Newspaper/Magazine Article
Independent double checks: worth the effort if used judiciously
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psnet.ahrq.gov/issue/complaints-about-acute-trusts-2013-14-and-q1-and-q2-2014-15
February 18, 2009 - complaints received and responded to, identify common themes, and uncover recurring problems in an effort
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psnet.ahrq.gov/node/42232/psn-pdf
May 08, 2013 - https://psnet.ahrq.gov/issue/measurement-and-monitoring-safety
Despite great effort, health care organizations
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psnet.ahrq.gov/node/46155/psn-pdf
December 21, 2017 - In adjusted analyses, this effort led to a significant
decrease in catheter-associated urinary tract
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psnet.ahrq.gov/node/42223/psn-pdf
August 15, 2013 - This study reports on a multidisciplinary, collaborative
effort—involving hospitalists, primary care
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psnet.ahrq.gov/node/38759/psn-pdf
April 05, 2010 - perceptions-impact-large-scale-collaborative-improvement-programme-
experience-uk-safer
The United Kingdom Safer Patients Initiative is a large-scale effort
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psnet.ahrq.gov/issue/origins-and-solutions-neonatal-medication-dispensing-errors
July 21, 2009 - This study reports on a quality improvement effort to eliminate errors due to look-alike, sound-alike