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psnet.ahrq.gov/node/37873/psn-pdf
June 16, 2009 - The examples cited
revealed many root causes, ranging from lack of a standardized signout process to environmental
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psnet.ahrq.gov/issue/notice-intent-publish-funding-opportunity-announcement-improve-care-transitions-through-use
February 13, 2019 - Web Resource
Government Resource
Overview of the Environmental
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psnet.ahrq.gov/node/47506/psn-pdf
January 21, 2019 - attending
physicians reported the lowest work–life balance, and psychologists, nutritionists, and environmental
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psnet.ahrq.gov/perspective/what-do-we-know-about-emergency-department-safety
June 01, 2010 - and identify solutions by deconstructing care into three realms: individual provider, patient, and environmental … Environmental System Issues
The ED care environment can be a significant source of safety problems. … The practice of boarding admitted patients in the ED creates the greatest environmental contributor to … There are several potential solutions to address environmental system issues. … (Go to table citation in the text)
Individual Provider Issues
Patient Issues
Environmental
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psnet.ahrq.gov/issue/healthy-work-environments-nurse-physician-communication-and-patients-outcomes
June 05, 2024 - nurse–physician communication could be attributed to factors in the work environment , even if the environmental
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psnet.ahrq.gov/issue/risk-identification-and-prediction-complaints-and-misconduct-against-health-practitioners
June 19, 2024 - identified practitioner characteristics (e.g., education, medical specialty, workload) and system or environmental
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psnet.ahrq.gov/node/43128/psn-pdf
August 25, 2015 - teamwork and
communication, infection prevention, handoffs, failure to adhere to standard practices, and environmental
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psnet.ahrq.gov/issue/second-trial
November 08, 2017 - Environmental assessments sharing program-generated data will inform site specific toolkits and change
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psnet.ahrq.gov/issue/inattentional-blindness-what-captures-your-attention
May 07, 2018 - This article defines inattentional blindness, explains its role in medical errors, and explores the environmental
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psnet.ahrq.gov/node/33598/psn-pdf
June 15, 2024 - A successful
program must include a combination of strategies:
environmental measures, such as nonslip … It is likely that
differences among patient populations, risk factors, and hospital environmental factors
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psnet.ahrq.gov/issue/better-health-mothers-and-babies
April 15, 2021 - Understanding the heterogeneity of labor and delivery units: using design thinking methodology to assess environmental
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psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
August 14, 2024 - dual-task activities), focused deprescribing especially of psychotropic medications and opioids, decreasing environmental … evidence of pain, or other possible causes of agitation such as constipation given, and no additional environmental … such as age, gender, attitudes/beliefs; interpersonal factors, such as staff/resident interactions; environmental … that the risk for falls can be decreased by optimizing the strength, function, physical status and environmental … residents for their risk of falls based on their fall history, medications, cognition, function, and environmental
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psnet.ahrq.gov/issue/lessons-patient-safety-accelerate-healthcare-decarbonization
June 14, 2023 - in patient safety—accountability, data transparency, and public reporting—can further evidence-based environmental
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psnet.ahrq.gov/issue/dissecting-communication-barriers-healthcare-path-enhancing-communication-resiliency
July 12, 2023 - This commentary advocates for studying behavioral, cognitive, linguistic , environmental , and technological
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psnet.ahrq.gov/issue/understanding-ultrarare-adverse-events-lessons-learned-twelve-year-review-intraoperative
March 29, 2023 - Common contributing factors included coordination challenges, skill-based errors, and environmental factors
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psnet.ahrq.gov/issue/handoffs-and-teamwork-framework-care-transition-communication
September 28, 2022 - integrating three theoretical frameworks addressing relevant inputs (i.e., individual organizational, environmental
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psnet.ahrq.gov/issue/safety-performance-and-satisfaction-outcomes-operating-room-literature-review
April 03, 2019 - The discussion highlights environmental themes associated with layout, acoustics , and lighting that
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psnet.ahrq.gov/issue/call-action-addressing-pediatric-fall-safety-ambulatory-environments
June 30, 2021 - on falls focus on the in-patient setting, this study reviewed research evidence and findings from environmental
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psnet.ahrq.gov/issue/time-rebalance-psychological-and-emotional-well-being-healthcare-workforce-foundation-patient
October 07, 2020 - Workforce wellbeing is a primary environmental factor in supporting patient safety.
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psnet.ahrq.gov/issue/contextual-errors-medical-decision-making-overlooked-and-understudied
May 01, 2020 - This commentary discusses how inattention to patient context, such as environmental or social factors