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psnet.ahrq.gov/perspective/evolution-root-cause-analysis
February 26, 2025 - Furthermore, organizations seeking to enhance or integrate RCA practices can access a variety of customizable … safety. 10,11 By embracing these advancements, healthcare organizations can better protect patients, enhance
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psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
March 29, 2023 - practices, such as communication-based strategies including TeamSTEPPS® (Team Strategies and Tools to Enhance … understand how perinatal mood disorders can affect the parental dyad and the infant in the long term to enhance
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psnet.ahrq.gov/web-mm/right-place-right-drug-wrong-strength
March 26, 2015 - Right Place, Right Drug, Wrong Strength
Citation Text:
Jelincic V, Greenall J. Right Place, Right Drug, Wrong Strength. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/node/50696/psn-pdf
November 27, 2019 - Complications of Vascular Access Procedures in Patients
with Kidney Disease
November 27, 2019
Young SR, Chen I. Complications of Vascular Access Procedures in Patients with Kidney Disease. PSNet
[internet]. 2019.
https://psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease
The Ca…
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psnet.ahrq.gov/node/61079/psn-pdf
October 28, 2020 - When Looks Aren’t All They Appear to Be: A Medication
Error in an Uncommon Indication
October 28, 2020
Ton K. When Looks Aren’t All They Appear to Be: A Medication Error in an Uncommon Indication . PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon-
…
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psnet.ahrq.gov/node/60652/psn-pdf
June 29, 2020 - In Conversation With... Anna Legreid Dopp, Pharm. D
June 29, 2020
In Conversation With.. Anna Legreid Dopp, Pharm. D. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/conversation-anna-legreid-dopp-pharm-d
Editor’s note: Anna Legreid Dopp, Pharm. D is the Senior Director of Clinical Guidelines and Quality…
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psnet.ahrq.gov/web-mm/language-barrier
February 28, 2024 - Such directly observed dosing has been shown to enhance safety and accuracy even when language barriers
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psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
August 01, 2006 - and those medical specialties that have focused on improving the handoff process.( 2 ) Practices to enhance
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psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis
October 26, 2022 - Dual-process cognitive interventions to enhance diagnostic reasoning: a systematic review.
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psnet.ahrq.gov/web-mm/one-dose-two-errors
September 29, 2017 - is little evidence that didactic education improves care.( 4 ) EHRs and CDSSs have the potential to enhance
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psnet.ahrq.gov/web-mm/empty-handoff
August 01, 2017 - November 2, 2022
Combining systems and teamwork approaches to enhance the effectiveness
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psnet.ahrq.gov/node/854897/psn-pdf
October 31, 2023 - This proactive approach enables individuals and organizations to enhance
patient safety by mitigating
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psnet.ahrq.gov/node/73642/psn-pdf
August 25, 2021 - completed tasks, and faster
completion of those tasks.22 Thus, increased utilization of simulation may enhance
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psnet.ahrq.gov/sites/default/files/2020-03/final_spotlight_case_delays_in_the_ed_powerpoint_for_cme_review_03.09.2020.pdf
January 01, 2020 - of goals
• Examples of tools to improve teamwork and communication:
– Team Strategies and Tools to Enhance
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psnet.ahrq.gov/node/73300/psn-pdf
July 01, 2022 - questions will add some time to the discharge process, but the
time will be well spent, as it will enhance
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psnet.ahrq.gov/node/49864/psn-pdf
June 01, 2019 - Therefore, offering feedback appears to be an untapped opportunity for leaders
to enhance psychological
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psnet.ahrq.gov/node/33707/psn-pdf
February 01, 2011 - Enhance PQOs
careers with training in
safety science, support
to attend meetings, and
bonuses for
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psnet.ahrq.gov/node/49780/psn-pdf
January 01, 2017 - negative consequences of PACS, many organizations have been
developing tools to improve the workflow and enhance
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psnet.ahrq.gov/node/49584/psn-pdf
April 01, 2009 - Thus, the efforts of industry-led certification groups to enhance information
exchange across HIT platforms
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psnet.ahrq.gov/web-mm/pain-relief-risk-case-suspected-opioid-overdose-pediatric-patient
October 04, 2023 - prescribing and education can increase the availability of the medication in outpatient settings and enhance