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psnet.ahrq.gov/issue/just-cup-tea-introduction-seips-framework
January 31, 2018 - Audiovisual Presentation
Just a Cup of Tea – an Introduction to the SEIPS Framework.
Citation Text:
Just a Cup of Tea – an Introduction to the SEIPS Framework. Epsom and St Helier University Hospitals. Epsom, UK: National Health Service; March 21, 2023.
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psnet.ahrq.gov/issue/judgment-under-uncertainty-heuristics-and-biases
June 02, 2010 - Book/Report
Classic
Judgment under Uncertainty: Heuristics and Biases.
Citation Text:
Judgment under Uncertainty: Heuristics and Biases. Kahneman D, Slovic P, Tversky A, eds. Cambridge, NY: Cambridge University Press; 1982. ISBN: 0521284147.
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psnet.ahrq.gov/issue/ihi-framework-improving-joy-work
September 06, 2017 - Book/Report
Classic
IHI Framework for Improving Joy in Work.
Citation Text:
IHI Framework for Improving Joy in Work. Perlo J, Balik B, Swensen S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017.
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psnet.ahrq.gov/issue/national-action-plan-advance-patient-safety
October 16, 2024 - Book/Report
Safer Together: A National Action Plan to Advance Patient Safety.
Citation Text:
Safer Together: A National Action Plan to Advance Patient Safety. Boston, MA: Institute for Healthcare Improvement: September 2020.
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psnet.ahrq.gov/issue/patient-safety-emergency-medicine
March 09, 2018 - Book/Report
Classic
Patient Safety in Emergency Medicine.
Citation Text:
Patient Safety in Emergency Medicine. Croskerry P, Cosby KS, Schenkel SM, Wears RL, eds. Philadelphia, PA: Lippincott Williams & Wilkins; 2009. ISBN: 9780781777278.
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psnet.ahrq.gov/issue/same-day-surgery-us-findings-two-inaugural-leapfrog-surveys-2019
November 06, 2019 - Book/Report
Same Day Surgery in the US; Findings of Two Inaugural Leapfrog Surveys 2019.
Citation Text:
Same Day Surgery in the US; Findings of Two Inaugural Leapfrog Surveys 2019. Washington DC: Leapfrog Group; 2019.
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psnet.ahrq.gov/issue/findings-two-inaugural-leapfrog-surveys-2019
November 06, 2019 - Book/Report
Findings of Two Inaugural Leapfrog Surveys 2019.
Citation Text:
Findings of Two Inaugural Leapfrog Surveys 2019. Washington DC: Leapfrog Group; 2019.
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psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
January 01, 2022 - way to mitigate this risk is by standardizing opioid
prescribing patterns, leveraging technology and establishing
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psnet.ahrq.gov/web-mm/production-pressures
November 16, 2022 - This factor is comprised of two elements: (i) predicting and planning workload and (ii) establishing
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psnet.ahrq.gov/sites/default/files/2020-12/final_dec_spotlight_code_status_vs_care_status.pdf
January 01, 2020 - evidenced by his inability to
advocate for himself
— The palliative care team advocated for the patient by establishing
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psnet.ahrq.gov/node/49864/psn-pdf
June 01, 2019 - Describe the role of leaders in establishing and maintaining a culture of safety.
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psnet.ahrq.gov/web-mm/spinal-epidural-abscess
November 13, 2019 - Detailed history taking to identify potential risk factors for SEA is important in establishing the early
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psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
December 15, 2024 - four-step model of implementation involves identifying current practices within a health system, establishing
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psnet.ahrq.gov/primer/failure-rescue
September 15, 2024 - improve FTR rates within healthcare organizations: Recognize Staffing levels and education, including establishing
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psnet.ahrq.gov/curated-library/interdisciplinary-teamwork
August 10, 2025 - The authors call for establishing more relevant outcomes to evaluate interdisciplinary team interventions
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psnet.ahrq.gov/web-mm/communication-error-closed-icu
July 01, 2016 - Establishing central venous access in this patient was challenging.
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psnet.ahrq.gov/web-mm/inside-time-out
March 01, 2004 - confronted about his behavior and apologized to the nurse, but was also told that the nursing staff would be establishing
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psnet.ahrq.gov/web-mm/techno-trip
May 01, 2005 - Executive order: Incentives for the use of health information technology and establishing the position
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psnet.ahrq.gov/node/72836/psn-pdf
January 26, 2021 - Meaningful Measurement in Patient and Family
Engagement
March 10, 2021
Hoy L, Hoy S, Fitall E, et al. Meaningful Measurement in Patient and Family Engagement. PSNet [internet].
2021.
https://psnet.ahrq.gov/perspective/meaningful-measurement-patient-and-family-engagement
Defining Patient and Family Engagement
Pat…
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psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
October 01, 2007 - Establishing a just culture within an organization requires action on three fronts: building awareness