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psnet.ahrq.gov/node/43322/psn-pdf
January 28, 2015 - Patient Safety Initiative: Hospital Executive and Physician
Leadership Strategies.
January 28, 2015
Oakbrook, IL: Joint Commission Resources; January 2014.
https://psnet.ahrq.gov/issue/patient-safety-initiative-hospital-executive-and-physician-leadership-strategies
This toolkit draws from experiences of the Joint …
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psnet.ahrq.gov/node/47354/psn-pdf
November 21, 2018 - Improving Diagnosis in Medicine Change Package.
November 21, 2018
Chicago, IL: Health Research & Educational Trust; 2018.
https://psnet.ahrq.gov/issue/improving-diagnosis-medicine-change-package
Proactive identification of conditions that degrade the diagnostic process can drive improvement. This
toolkit provides …
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psnet.ahrq.gov/node/860400/psn-pdf
January 10, 2024 - AHA Patient Safety Initiative.
January 10, 2024
American Hospital Association.
https://psnet.ahrq.gov/issue/aha-patient-safety-initiative
Leadership at the organization and system level is crucial to gaining improvement traction and
sustainability. This initiative centers on safety culture, care inequities, and wo…
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psnet.ahrq.gov/node/41185/psn-pdf
March 24, 2012 - Learning from near misses: from quick fixes to closing off
the Swiss-cheese holes.
March 24, 2012
Jeffs L, Berta W, Lingard LA, et al. Learning from near misses: from quick fixes to closing off the Swiss-
cheese holes. BMJ Qual Saf. 2012;21(4):287-94. doi:10.1136/bmjqs-2011-000256.
https://psnet.ahrq.gov/issue/lea…
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psnet.ahrq.gov/node/42279/psn-pdf
May 15, 2013 - Interdisciplinary collaboration to maintain a culture of
safety in a labor and delivery setting.
May 15, 2013
Burke C, Grobman WA, Miller D. Interdisciplinary collaboration to maintain a culture of safety in a labor and
delivery setting. J Perinat Neonatal Nurs. 2013;27(2):113-23; quiz 124-5.
doi:10.1097/JPN.0b013…
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psnet.ahrq.gov/node/44503/psn-pdf
November 18, 2024 - Certified Professional in Patient Safety Review Course.
November 18, 2024
Institute for Healthcare Improvement. February 5-6, 2025, 12:00-4:00 PM (eastern).
https://psnet.ahrq.gov/issue/certified-professional-patient-safety-review-course
This online class prepares individuals to apply for the Institute for Healthca…
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psnet.ahrq.gov/node/44237/psn-pdf
November 03, 2015 - Consistent with prior studies, the authors
recommend enhancing communication among team members to augment
-
psnet.ahrq.gov/node/38193/psn-pdf
November 05, 2008 - hospital-finances-and-patient-safety-outcomes
https://psnet.ahrq.gov/issue/drive-toward-transparency-enhancing-openness-and-accountability
-
psnet.ahrq.gov/node/39745/psn-pdf
September 09, 2010 - duty-hours-emergency-medicine-balancing-patient-safety-resident-wellness-and-resident
https://psnet.ahrq.gov/issue/resident-duty-hours-enhancing-sleep-supervision-and-safety
-
psnet.ahrq.gov/node/47035/psn-pdf
April 18, 2018 - should take to
improve diagnosis in primary care, such as leading efforts to reduce diagnostic error, enhancing
-
psnet.ahrq.gov/node/36804/psn-pdf
August 26, 2011 - analysis-surgical-errors-closed-malpractice-claims-4-liability-insurers
https://psnet.ahrq.gov/issue/enhancing-patient-safety-during-hand-offs-standardized-communication-and-teamwork-using-sbar
-
psnet.ahrq.gov/node/42619/psn-pdf
January 23, 2019 - organizational safety and reliability from other
industries, the authors identify three key domains critical to enhancing
-
psnet.ahrq.gov/node/40364/psn-pdf
July 01, 2011 - psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance
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psnet.ahrq.gov/node/40859/psn-pdf
October 19, 2011 - issue/why-patient-summaries-electronic-health-records-do-not-provide-cognitive-
support-necessary
By enhancing
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psnet.ahrq.gov/node/43764/psn-pdf
July 03, 2016 - This
commentary describes a rounding process that focuses on enhancing safety culture, engaging patients
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psnet.ahrq.gov/node/39197/psn-pdf
January 06, 2010 - root-cause-analysis
https://psnet.ahrq.gov/primer/never-events
https://psnet.ahrq.gov/issue/resident-duty-hours-enhancing-sleep-supervision-and-safety
-
psnet.ahrq.gov/node/43027/psn-pdf
July 23, 2014 - improving-team-information-sharing-structured-call-out-anaesthetic-emergencies-randomized
https://psnet.ahrq.gov/issue/enhancing-patient-safety-during-hand-offs-standardized-communication-and-teamwork-using-sbar
-
psnet.ahrq.gov/node/44513/psn-pdf
September 23, 2015 - recommendations to improve diagnosis, including promoting teamwork among interdisciplinary health care
teams, enhancing
-
psnet.ahrq.gov/node/47516/psn-pdf
December 19, 2018 - Diverse stakeholders in Australia established an agenda for enhancing test result management,
which
-
psnet.ahrq.gov/node/44819/psn-pdf
June 21, 2016 - notes the lack of systems to ensure clinicians' awareness of patients' opioid
overdoses and recommends enhancing