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psnet.ahrq.gov/node/50612/psn-pdf
October 30, 2019 - Systems should (i) focus on competency-based training and establish graduated levels of
independence … is
a need for shorter-term studies that can be designed to assess variable models of autonomy and establish
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.134_slideshow.ppt
September 01, 2006 - X-ray of Pneumothorax
Kotter's 8-Step Approach to Leading Change
Establish urgency
Form a powerful … The UCSF Experience
Establish urgency
Residents needs and JCAHO patient safety goal
Form a powerful
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psnet.ahrq.gov/node/33659/psn-pdf
October 01, 2007 - Hospital Association, the Minnesota
Department of Health, and the Minnesota Medical Association, to establish … Leaders must establish processes to know when someone is
engaging in reckless behavior and be willing
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psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
February 26, 2025 - Working groups must be convened to establish a meeting schedule, design agendas, and conduct the work … Establish a just culture framework and ensure buy-in from all partners. … Adoption of a closed-loop communication tool to establish and execute a collaborative follow-up plan
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psnet.ahrq.gov/issue/establishing-rapid-response-team-rrt-academic-hospital-one-years-experience
September 28, 2010 - Study
Establishing a rapid response team (RRT) in an academic hospital: one year's experience.
Citation Text:
King E, Horvath R, Shulkin DJ. Establishing a rapid response team (RRT) in an academic hospital: One year's experience. J Hosp Med. 2006;1(5). doi:10.1002/jhm.114.
Copy Citat…
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psnet.ahrq.gov/web-mm/lp-or-not-lp
February 01, 2018 - routinely, would have prevented this particular scenario from unfolding: Health care providers should establish … Furthermore, providers should establish a system to ensure that a receiving provider in the ED is spoken
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psnet.ahrq.gov/issue/tools-establishing-sustainable-safety-culture-within-maternity-services-retrospective-case
February 28, 2024 - Study
Tools for establishing a sustainable safety culture within maternity services: a retrospective case study.
Citation Text:
Løland M, Braut GS, Lichtenberg SM, et al. Tools for establishing a sustainable safety culture within maternity services: a retrospective case study. SAGE Open …
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psnet.ahrq.gov/node/851389/psn-pdf
July 31, 2023 - Working groups must be convened to establish a meeting schedule, design agendas, and conduct the
work … Establish a just culture framework and ensure buy-in from all partners. … Adoption of a closed-loop communication tool to establish
and execute a collaborative follow-up plan
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psnet.ahrq.gov/node/49774/psn-pdf
November 01, 2016 - balloons and
compression stitches
Immediate access to hemorrhage medications (kit or equivalent)
Establish … when help is needed (blood bank, advanced gynecologic
surgery, other support and tertiary services)
Establish … , families, and staff for all significant hemorrhages
Reporting and Systems Learning (Every Unit)
Establish
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psnet.ahrq.gov/node/49761/psn-pdf
May 01, 2016 - He was advised to establish care with a primary care physician (PCP). … https://psnet.ahrq.gov//#references
diagnostic errors, radiology departments should take steps to establish
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psnet.ahrq.gov/node/33563/psn-pdf
September 16, 2024 - Culture of Safety
September 16, 2024
Culture of Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/culture-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in …
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psnet.ahrq.gov/node/33573/psn-pdf
March 15, 2025 - accreditation organizations,
federal and state medical licensing boards, and individual hospitals to establish
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psnet.ahrq.gov/issue/enacting-washington-state-patient-safety-act-requiring-hospital-staffing-plans-nursing
May 04, 2015 - Legislation/Case Law
Enacting the Washington state patient safety act requiring hospital staffing plans for nursing services and establishing recordkeeping and reporting requirements.
Citation Text:
Enacting the Washington state patient safety act requiring hospital staffing plans for n…
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psnet.ahrq.gov/issue/making-business-case-quality-and-safety
January 19, 2022 - Commentary
Making the business case for quality and safety.
Citation Text:
Shah RK, Reinhart R, Cronin J. Making the business case for quality and safety. Otolaryngol Clin North Am. 2022;55(1):105-113. doi:10.1016/j.otc.2021.07.008.
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Format:
DOI Google Scholar …
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psnet.ahrq.gov/node/42667/psn-pdf
December 30, 2014 - Culture and behaviour in the English National Health
Service: overview of lessons from a large multimethod
study.
December 30, 2014
Dixon-Woods M, Baker R, Charles K, et al. Culture and behaviour in the English National Health Service:
overview of lessons from a large multimethod study. BMJ Qual Saf. 2014;23(2):10…
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psnet.ahrq.gov/primer/culture-safety
September 15, 2024 - Culture of Safety
Citation Text:
Culture of Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Dow…
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psnet.ahrq.gov/node/856635/psn-pdf
January 01, 2024 - System planning for modern-day Just Culture to mitigate
worker distress and second victim response.
November 29, 2023
Sells JR, Cole I, Dharmasukrit C, et al. System planning for modern-day Just Culture to mitigate worker
distress and second victim response. BMJ Lead. 2024;8(2):149-152. doi:10.1136/leader-2023-0008…
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psnet.ahrq.gov/issue/advancing-medication-safety-establishing-national-action-plan-adverse-drug-event-prevention
September 29, 2017 - Commentary
Advancing medication safety: establishing a National Action Plan for Adverse Drug Event Prevention.
Citation Text:
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. 201…
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psnet.ahrq.gov/node/33644/psn-pdf
December 01, 2006 - Only after appreciating these "facts on the ground" can one think about making the changes needed
to establish
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psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency
February 21, 2024 - Systems should (i) focus on competency-based training and establish graduated levels of independence … There is a need for shorter-term studies that can be designed to assess variable models of autonomy and establish