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psnet.ahrq.gov/issue/reducing-risk-maternity-optimising-teamwork-and-leadership-evidence-based-approach-save
January 06, 2016 - review reveals how teamwork and leadership behaviors can affect safety in maternity care and includes examples
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psnet.ahrq.gov/issue/can-we-import-improvements-industry-healthcare
October 30, 2010 - This commentary highlights examples from aviation to illustrate both successes and areas where improvement
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psnet.ahrq.gov/issue/building-bridge-quality-urgent-call-integrate-quality-improvement-and-patient-safety
January 14, 2014 - A framework and list of concrete examples describe how groups can get started.
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psnet.ahrq.gov/issue/unintended-adverse-consequences-clinical-decision-support-system-two-cases
October 23, 2018 - This commentary provides two examples of adverse results that stem from problems with clinical decision
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psnet.ahrq.gov/issue/lost-art-history-and-physical
May 08, 2013 - concerns about over-reliance on laboratory tests to form diagnoses, this commentary discusses two case examples
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psnet.ahrq.gov/issue/name-and-shame
March 06, 2013 - impact of whistleblowing on the caregivers involved, using the Bristol incident and other high-profile examples
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psnet.ahrq.gov/issue/role-medical-students-preventing-patient-harm-and-enhancing-patient-safety
July 10, 2008 - The study offers examples of situations in which medical students witnessed errors and argues that students
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psnet.ahrq.gov/issue/learning-samples-one-or-fewer
December 21, 2017 - The authors cite examples of rare events and outline the strategies that organizations use to learn from
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psnet.ahrq.gov/issue/organizational-costs-preventable-medical-errors
April 01, 2010 - Using two composite case studies as examples, the authors review the financial and organizational costs
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psnet.ahrq.gov/issue/introducing-safety-score-audit-staff-member-and-patient-safety
April 16, 2014 - The author illustrates examples of tools to determine areas for improvement and augment safety behaviors
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psnet.ahrq.gov/issue/can-aviation-industry-be-useful-teaching-oncology-about-safety
June 13, 2011 - Aviation safety provides goals and examples that have been applied to improve safety in health care.
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psnet.ahrq.gov/issue/sentinel-events-serious-reportable-events-and-root-cause-analysis
February 26, 2014 - The authors use ophthalmologic examples to illustrate the elements of a systematic approach to root
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psnet.ahrq.gov/node/43865/psn-pdf
May 01, 2015 - From these data, the researchers developed 21 examples of problematic orders and tested whether
they
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psnet.ahrq.gov/issue/structural-and-organizational-issues-patient-safety-comparison-health-care-other-high-hazard
February 09, 2011 - organization theory, as they apply to the complex world of health care and provides specific parallel examples
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psnet.ahrq.gov/issue/assessing-and-monitoring-override-medications-automated-dispensing-devices
May 06, 2009 - The authors discuss their multifaceted approach, present examples of the changes that resulted, and offer
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psnet.ahrq.gov/issue/reconciliation-failures-lead-medication-errors
November 01, 2012 - The author also provides case examples for reconciliation errors at admission, transfer of care, and
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psnet.ahrq.gov/issue/teaching-smart-people-learn
September 05, 2012 - Using examples from the business consulting world, Argyris describes the tendency for highly successful
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psnet.ahrq.gov/issue/stop-using-these-adult-bed-rails-warns-consumer-product-safety-commission
June 21, 2023 - April 12, 2023
Examples of Medical Device Misconnections.
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psnet.ahrq.gov/issue/proposal-use-common-ground-exists-between-medical-and-legal-professions-promote-culture
December 15, 2021 - May 28, 2014
Health Literacy Practices in Primary Care Settings: Examples from the Field
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psnet.ahrq.gov/issue/safety-risk-air-embolus-associated-central-venous-catheters-used-haemodialysis-treatment
April 05, 2023 - Improving Diagnostic Safety and Quality
April 26, 2023
Examples