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psnet.ahrq.gov/issue/vulnerability-medical-product-supply-chain-wake-call-covid-19
December 02, 2020 - The authors summarize the evidence on supply chain resilience and medical product shortage, provide examples
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psnet.ahrq.gov/issue/bridging-gap-between-culture-and-safety-critical-care-context-role-work-debate-spaces
July 15, 2020 - Examples of formal and informal spaces include mortality and morbidity (M&M) meetings (formal) and
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psnet.ahrq.gov/issue/how-incorporate-quality-improvement-and-patient-safety-projects-your-training
November 21, 2021 - The authors describe their multimodal educational approach and provide examples of fellow-led projects
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psnet.ahrq.gov/issue/prosocial-voice-hierarchy-healthcare-professionals-role-emotions-after-harmful-patient-safety
February 23, 2022 - Using three case examples from surgery, urology, and maternity care, this study explored the emotional
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psnet.ahrq.gov/issue/morbidity-and-mortality-conferences-narrative-review-strategies-prioritize-quality
January 11, 2023 - This review explores examples of M&M programs that emphasize quality improvement and a culture of safety
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psnet.ahrq.gov/issue/aspen-parenteral-nutrition-safety-consensus-recommendations-translation-practice
February 17, 2015 - The authors include examples of how checklists can improve adoption of best practices and discuss the
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psnet.ahrq.gov/issue/patient-safety-and-diagnostic-error-tips-your-next-shift
January 15, 2009 - Through case examples, the authors illustrate potential pitfalls in clinical reasoning and provide a
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psnet.ahrq.gov/issue/patient-handoffs
June 17, 2014 - Examples of such tools are included along with case studies of their application.
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psnet.ahrq.gov/issue/safe-medication-prescribing-and-monitoring-outpatient-setting
January 06, 2018 - The author presents three case examples of medication error in ambulatory settings, suggests how to avoid
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psnet.ahrq.gov/issue/studying-organisational-cultures-and-their-effects-safety
April 20, 2014 - The author shares examples of cultural analyses and provides suggestions for effective research on safety
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psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
September 15, 2024 - Examples include ingested batteries, dentures, safety pins, screws and other sharp objects, inserted … The table below provides detailed examples from each group. … Examples include, but are not limited to clamps, needle holders, multi-component retractors, malleable … Examples include a piece of a drill bit, a broken tip or part of an instrument, a broken part of a catheter
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psnet.ahrq.gov/node/33578/psn-pdf
September 15, 2024 - But as these examples illustrate, the interaction between workers,
the equipment, and their environment … Current Context
Despite the above examples, it is generally agreed that human factors principles are
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psnet.ahrq.gov/issue/human-error
March 06, 2005 - technical for the average reader, Reason’s lucid explanations of complex concepts, his easily accessible examples
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psnet.ahrq.gov/submit-innovations-landing
February 26, 2025 - Willingness to be contacted via email with questions about your innovation
Browse Innovation Examples
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psnet.ahrq.gov/node/40656/psn-pdf
October 16, 2012 - model dimensions (e.g.,
hardware/software, clinical content, workflow, human–computer interface) to examples
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psnet.ahrq.gov/issue/fighting-common-enemy-catalyst-close-intractable-safety-gaps
June 30, 2021 - This Viewpoint presents examples of short-term positive effects resulting from early COVID-19-related
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psnet.ahrq.gov/issue/jurans-quality-handbook-5th-ed
October 18, 2017 - product development continuum, industry-oriented achievements in quality, geographical quality management examples
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psnet.ahrq.gov/node/45858/psn-pdf
March 24, 2017 - The authors provide examples of how this framework was used to address safety
issues such as health
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psnet.ahrq.gov/node/45905/psn-pdf
December 22, 2017 - that most clinicians do not perceive that copy-forward practices pose
patient safety risks, despite examples
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psnet.ahrq.gov/node/42966/psn-pdf
November 21, 2018 - This commentary provides two examples of
organizational approaches to minimizing diagnostic error.