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Showing results for "examples".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33618/psn-pdf
    September 01, 2005 - Let's consider a few examples. … The Table cites these examples and several more, including the use of simulators to improve technical … Reason and Rasmussen initially developed the concept of system safety outside of health care (their examples … Examples of Translocational Research in Patient Safety https://psnet.ahrq.gov//#ref7back http://www.ncbi.nlm.nih.gov

  2. Clinical Risk Management. Enhancing Patient Safety. 2nd ed. | PSNet

    psnet.ahrq.gov/issue/clinical-risk-management-enhancing-patient-safety-2nd-ed
    May 20, 2019 - The book is anchored by tangible examples of the application of these ideas within the context of a risk

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39249/psn-pdf
    September 30, 2015 - review examines ways in which patients have been integrated into clinical decision-making, discusses examples

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34685/psn-pdf
    September 29, 2017 - system for significant systematic failures to deliver high-quality care, giving several illustrative examples

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41611/psn-pdf
    November 23, 2012 - Alerts and the Institute for Safe Medication Practices' Medication Safety Alerts are two prominent examples

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35264/psn-pdf
    June 29, 2009 - details of the clinical patient characteristics, the range in severity of incidents, and specific examples

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39456/psn-pdf
    May 04, 2010 - Half of the labels contained at least one error, and the authors document examples of incomplete or

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36902/psn-pdf
    June 09, 2010 - A prior news article discussed this and other examples of incorporating techniques from other industries

  9. When public health goes wrong: toward a new concept of public health error. | PSNet

    psnet.ahrq.gov/issue/when-public-health-goes-wrong-toward-new-concept-public-health-error
    September 02, 2020 - Through examples of the opioid crisis in the United States and Canada, and radiation therapy in Canada

  10. Mistake-Proofing the Design of Health Care Processes. | PSNet

    psnet.ahrq.gov/issue/mistake-proofing-design-health-care-processes
    December 18, 2008 - In this report, the author draws from multidisciplinary sources to share examples of practical process

  11. Misadventures in Health Care: Inside Stories. | PSNet

    psnet.ahrq.gov/issue/misadventures-health-care-inside-stories
    July 06, 2011 - The examples illustrate how the systems approach serves as an effective tool for understanding errors

  12. Misidentification of alphanumeric symbols in both handwritten and computer-generated information. | PSNet

    psnet.ahrq.gov/issue/misidentification-alphanumeric-symbols-both-handwritten-and-computer-generated-information
    May 07, 2018 - This article discusses examples of confusion associated with the use of certain letters and numbers and

  13. Staff Care: How to Engage Staff in the NHS and Why It Matters. | PSNet

    psnet.ahrq.gov/issue/staff-care-how-engage-staff-nhs-and-why-it-matters
    November 30, 2016 - survey investigating conditions that affect staff engagement in the National Health Service along with examples

  14. ISMP medication error report analysis. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-44
    September 26, 2017 - This report discusses examples of serious medication errors involving "sound-alike" drugs as well as

  15. Why doctors still offer treatments that may not help. | PSNet

    psnet.ahrq.gov/issue/why-doctors-still-offer-treatments-may-not-help
    July 20, 2016 - treatments are recommended despite insufficient evidence regarding their effectiveness and provides examples

  16. Healing Words: The Power of Apology in Medicine. 2nd edition. | PSNet

    psnet.ahrq.gov/issue/healing-words-power-apology-medicine
    July 06, 2011 - author proposes a straightforward approach and practical advice on apologizing to patients, drawing on examples

  17. Misidentification of alphanumeric symbols. | PSNet

    psnet.ahrq.gov/issue/misidentification-alphanumeric-symbols
    March 26, 2014 - This newsletter article provides examples of this issue in medication administration, discusses factors

  18. Medication errors. | PSNet

    psnet.ahrq.gov/issue/medication-errors
    August 21, 2018 - The author discusses causes of medication errors and drug safety and provides case examples of safe medication

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34804/psn-pdf
    January 05, 2017 - The authors offer a plan to improve reporting systems and provide examples of how past incident reports

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36909/psn-pdf
    January 05, 2017 - Implementation and evaluation of the programs are described in detail, along with examples of projects
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