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psnet.ahrq.gov/node/865819/psn-pdf
May 08, 2024 - Focus on HARM (Harmonizing Accountability in
Reporting and Monitoring).
May 8, 2024
National Quality Forum.
https://psnet.ahrq.gov/issue/focus-harm-harmonizing-accountability-reporting-and-monitoring
Strong incident reporting systems are a foundational component for understanding preventable health care
error. Th…
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psnet.ahrq.gov/node/48154/psn-pdf
July 31, 2019 - Learn Not Blame.
July 31, 2019
Doctors' Association UK.
https://psnet.ahrq.gov/issue/learn-not-blame
This website provides information about a National Health Service (NHS) campaign to shift response to
errors from blame to an approach that embraces fairness, openness, learning, and patient and health care
profes…
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psnet.ahrq.gov/node/44535/psn-pdf
September 30, 2015 - Diagnostic experiences of children with attention-
deficit/hyperactivity disorder.
September 30, 2015
Visser SN, Zablotsky B, Holbrook JR, Danielson ML, Bitsko RH. Natl Health Stat Report. 2015;(81):1-8.
https://psnet.ahrq.gov/issue/diagnostic-experiences-children-attention-deficithyperactivity-disorder
This surve…
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psnet.ahrq.gov/node/40259/psn-pdf
December 04, 2016 - Successful remediation of patient safety incidents: a tale
of two medication errors.
December 4, 2016
Helmchen LA, Richards MR, McDonald TB. Successful remediation of patient safety incidents: a tale of two
medication errors. Health Care Manage Rev. 2011;36(2):114-123. doi:10.1097/HMR.0b013e318200f916.
https://psn…
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psnet.ahrq.gov/node/39739/psn-pdf
August 04, 2010 - A model for developing high-reliability teams.
August 4, 2010
Riley W, Davis SE, Miller KK, et al. A model for developing high-reliability teams. J Nurs Manag.
2010;18(5):556-63. doi:10.1111/j.1365-2834.2010.01121.x.
https://psnet.ahrq.gov/issue/model-developing-high-reliability-teams
Providing background on high …
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psnet.ahrq.gov/node/836791/psn-pdf
August 21, 2024 - TeamSTEPPS for Diagnosis Improvement.
August 21, 2024
TeamSTEPPS for Diagnosis Improvement.
https://psnet.ahrq.gov/issue/teamstepps-diagnosis-improvement
The recognition of diagnosis as a team activity is energizing new diagnostic process initiatives. Building on
the established TeamSTEPPS® principles, this new Te…
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digital.ahrq.gov/organization/upper-peninsula-health-care-network
January 01, 2023 - Upper Peninsula Health Care Network
Critical Access Hospital Partnership Health Information Technology Implementation - 2009
Principal Investigator
Wheeler, Donald
Project Name
Critical Access Hospital Partnership Health Information Technology Implementation
…
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psnet.ahrq.gov/issue/patient-assisted-incident-reporting-including-patient-patient-safety
June 16, 2011 - December 15, 2011
Establishing a global learning community for incident-reporting systems
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psnet.ahrq.gov/issue/night-and-day-shedding-light-hours-care
September 28, 2010 - July 21, 2009
Establishing a rapid response team (RRT) in an academic hospital: one year's
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psnet.ahrq.gov/issue/creative-education-rapid-response-team-implementation
October 13, 2018 - November 21, 2016
Establishing a rapid response team (RRT) in an academic hospital: one
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psnet.ahrq.gov/issue/checklist-recognize-limits-harness-its-power
September 07, 2016 - September 30, 2020
Establishing a multi-institutional quality and patient safety consortium
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psnet.ahrq.gov/issue/using-simulation-improve-systems
May 29, 2014 - January 31, 2018
Establishing a global learning community for incident-reporting systems
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psnet.ahrq.gov/issue/southern-baptist-hospital-florida-v-charles
May 20, 2009 - the Washington state patient safety act requiring hospital staffing plans for nursing services and establishing
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psnet.ahrq.gov/issue/ihi-skilled-nursing-facility-trigger-tool-measuring-adverse-events
February 15, 2017 - November 21, 2016
Leadership Guide to Patient Safety: Resources and Tools for Establishing
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psnet.ahrq.gov/issue/human-factors-engineering-its-place-and-potential-or-safety
May 24, 2017 - May 24, 2017
Alarm management: promoting safety and establishing guidelines.
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psnet.ahrq.gov/issue/ongoing-quality-improvement-journey-next-stop-high-reliability
January 23, 2012 - May 20, 2009
Establishing a global learning community for incident-reporting systems.
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digital.ahrq.gov/sites/default/files/docs/page/privacy-and-security-solutions-for-interoperable-hie-avas-executive-summary.pdf
June 30, 2007 - States also
proposed establishing an information technology privacy and security committee to
recommend
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digital.ahrq.gov/sites/default/files/docs/page/A_ReferenceLibrary_0.pdf
February 16, 2006 - Summary: RHIO Governance Series: A Road Map for Establishing Your Health
Information Organization. … While the form of the organization may vary, the process for
establishing a RHIO is fairly straightforward … and can be divided into the following 6
phases: (1) establishing the team, (2) data gathering and analysis
-
digital.ahrq.gov/sites/default/files/docs/page/A_ReferenceLibrary_1.pdf
February 16, 2006 - Summary: RHIO Governance Series: A Road Map for Establishing Your Health
Information Organization. … While the form of the organization may vary, the process for
establishing a RHIO is fairly straightforward … and can be divided into the following 6
phases: (1) establishing the team, (2) data gathering and analysis
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cds.ahrq.gov/sites/default/files/workgroups/236/may-2017-cholesterol-wg-notes.docx
January 01, 2017 - Lookback Periods and Exclusion Clarifications
· Six years is appropriate for a lookback period; Consider establishing … · Be aware that establishing lookback periods have been difficult for some EHR vendors.
· ACC/AHA time