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psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve
April 28, 2021 - Thus, after a failed attempt it is often necessary to reinsert the insufflation needle and re-establish … If the initial attempt at trocar insertion fails, re-establish pneumoperitoneum before reinserting the
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psnet.ahrq.gov/node/72657/psn-pdf
January 20, 2021 - Establishing a multi-institutional quality and patient
safety consortium: collaboration across affiliates in a
community-based medical school.
January 20, 2021
Hillman E, Paul J, Neustadt M, et al. Establishing a multi-institutional quality and patient safety consortium:
collaboration across affiliates in a commun…
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psnet.ahrq.gov/node/865570/psn-pdf
April 10, 2024 - Then, for each high-risk population, establish a process to make formal recommendations to
implement … Sustaining This Innovation
A key to sustaining this innovation is as follows:
Establish and continue
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psnet.ahrq.gov/node/74179/psn-pdf
January 01, 2022 - Establishing a multidisciplinary taskforce to improve
anticoagulation safety at a large health system.
December 12, 2021
Attia E, Fuentes A, Vassallo M, et al. Establishing a multidisciplinary taskforce to improve anticoagulation
safety at a large health system. Am J Health Syst Pharm. 2022;79(4):297-305. doi:10.10…
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psnet.ahrq.gov/web-mm/low-totem-pole
October 01, 2003 - How can we establish a culture in which individuals feel comfortable breaching authority gradients to … First, there has to be a clear protocol for reporting: it does little good to establish culture if the … Second, evidence is accumulating that specific teamwork training, modeled on CRM, can help establish
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psnet.ahrq.gov/issue/towards-diagnostic-excellence-academic-ward-teams-building-conceptual-model-team-dynamics
August 20, 2018 - May 1, 2024
A systematic integrative review of specialized nurses' role to establish
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psnet.ahrq.gov/issue/prevalence-incivility-hospitals-and-effects-incivility-patient-safety-culture-and-outcomes
March 24, 2019 - Related Resources
A systematic integrative review of specialized nurses' role to establish
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psnet.ahrq.gov/issue/disclosing-and-reporting-practice-errors-nurses-residential-long-term-care-settings
April 02, 2015 - October 13, 2018
A systematic integrative review of specialized nurses' role to establish
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psnet.ahrq.gov/issue/teamstepps-evidence-based-approach-reduce-clinical-errors-threatening-safety-outpatient
November 18, 2009 - Related Resources
A systematic integrative review of specialized nurses' role to establish
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psnet.ahrq.gov/node/44874/psn-pdf
July 11, 2017 - Establishing an ambulatory medicine quality and safety
oversight structure: leveraging the fractal model.
July 11, 2017
Kravet SJ, Bailey J, Demski R, et al. Establishing an Ambulatory Medicine Quality and Safety Oversight
Structure: Leveraging the Fractal Model. Acad Med. 2016;91(7):962-6.
doi:10.1097/ACM.0000000…
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psnet.ahrq.gov/node/845357/psn-pdf
March 29, 2023 - Reducing hospital harm: establishing a command centre
to foster situational awareness.
March 29, 2023
Collins B. Reducing hospital harm: establishing a command centre to foster situational awareness. Healthc
Q. 2022;25(2):75-81. doi:10.12927/hcq.2022.26885.
https://psnet.ahrq.gov/innovation/reducing-hospital-harm-…
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psnet.ahrq.gov/node/34011/psn-pdf
April 03, 2009 - AACN Standards for Establishing and Sustaining Healthy
Work Environments: A Journey to Excellence.
April 3, 2009
https://psnet.ahrq.gov/issue/aacn-standards-establishing-and-sustaining-healthy-work-environments-
journey-excellence
In the face of evidence that outlines the impact work environments play on providing…
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psnet.ahrq.gov/node/43101/psn-pdf
May 30, 2014 - Instituting a culture of professionalism: the establishment
of a Center for Professionalism and Peer Support.
May 30, 2014
Shapiro J, Whittemore A, Tsen LC. Instituting a culture of professionalism: the establishment of a center for
professionalism and peer support. Jt Comm J Qual Patient Saf. 2014;40(4):168-177.
…
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psnet.ahrq.gov/node/36264/psn-pdf
October 21, 2010 - The importance of establishing regimen concordance in
preventing medication errors in anticoagulant care.
October 21, 2010
Schillinger D, Wang F, Rodriguez M, et al. The importance of establishing regimen concordance in
preventing medication errors in anticoagulant care. J Health Commun. 2006;11(6):555-67.
https:/…
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psnet.ahrq.gov/node/44378/psn-pdf
August 05, 2015 - Advancing medication safety: establishing a National
Action Plan for Adverse Drug Event Prevention.
August 5, 2015
Harris Y, Hu DJ, Lee C, et al. Advancing Medication Safety: Establishing a National Action Plan for
Adverse Drug Event Prevention. Jt Comm J Qual Patient Saf. 2015;41(8):351-60.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/38650/psn-pdf
May 20, 2009 - Resident duty hour regulation and patient safety:
establishing a balance between concerns about resident
fatigue and adequate training in neurosurgery.
May 20, 2009
Grady S, Batjer H, Dacey RG. Resident duty hour regulation and patient safety: establishing a balance
between concerns about resident fatigue and adeq…
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psnet.ahrq.gov/issue/establishing-ambulatory-medicine-quality-and-safety-oversight-structure-leveraging-fractal
July 01, 2017 - Commentary
Establishing an ambulatory medicine quality and safety oversight structure: leveraging the fractal model.
Citation Text:
Kravet SJ, Bailey J, Demski R, et al. Establishing an Ambulatory Medicine Quality and Safety Oversight Structure: Leveraging the Fractal Model. Acad Med. 20…
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psnet.ahrq.gov/issue/establishing-simulation-center-surgical-skills-what-do-and-how-do-it
January 18, 2012 - Meeting/Conference Proceedings
Establishing a simulation center for surgical skills: what to do and how to do it.
Citation Text:
Haluck RS, Satava RM, Fried G, et al. Establishing a simulation center for surgical skills: what to do and how to do it.
Copy Citation
Format:
…
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psnet.ahrq.gov/issue/importance-establishing-regimen-concordance-preventing-medication-errors-anticoagulant-care
January 02, 2017 - Study
The importance of establishing regimen concordance in preventing medication errors in anticoagulant care.
Citation Text:
Schillinger D, Wang F, Rodriguez M, et al. The importance of establishing regimen concordance in preventing medication errors in anticoagulant care. J Health C…
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psnet.ahrq.gov/node/36962/psn-pdf
June 15, 2011 - Rates and types of events reported to established
incident reporting systems in two US hospitals.
June 15, 2011
Nuckols TK, Bell D, Liu H, et al. Rates and types of events reported to established incident reporting
systems in two US hospitals. Qual Saf Health Care. 2007;16(3):164-8.
https://psnet.ahrq.gov/issue/ra…