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psnet.ahrq.gov/issue/medical-errors-mandatory-reporting-voluntary-reporting-or-both
February 28, 2024 - elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines, V.2.0: examples
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psnet.ahrq.gov/issue/when-systems-fail
February 10, 2011 - They provide four case examples to illustrate their points and contrast organizational successes with
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.254_slideshow.ppt
November 01, 2011 - Examples include:
Charting of vital signs in OR by anesthesiologists
Systematic recording of erroneously … Identifying Near Misses (3)
Active clinical monitoring may be automated to record data and detect errors
Examples
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psnet.ahrq.gov/issue/driving-improvement-patient-care-lessons-toyota
September 24, 2016 - They provide specific examples in inpatient medication administration and postulate that TPS could significantly
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psnet.ahrq.gov/issue/ambiguity-and-workarounds-contributors-medical-error
December 23, 2008 - Examples from health care settings are included as well as discussion of case studies previously published
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psnet.ahrq.gov/issue/implementing-patient-safety-and-quality-improvement-dermatology
September 30, 2015 - Part 1 of this series provides examples of patient safety concerns in dermatology (e.g., medication errors
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psnet.ahrq.gov/issue/organizational-culture-source-high-reliability
December 03, 2018 - Using examples from air traffic control and NASA, Weick proposes that organizations should focus on improving
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psnet.ahrq.gov/issue/diseases-medical-progress
June 27, 2018 - This review shares a perspective that the history of medicine provides numerous examples of how emerging
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psnet.ahrq.gov/issue/improving-quality-health-care-who-will-lead
June 14, 2011 - originate (e.g., consumers, purchasers, government, academic centers) as well as strategies for and examples
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psnet.ahrq.gov/issue/studying-patient-safety-health-care-organizations-accentuate-qualitative
January 18, 2011 - In this context, they offer a number of case examples to illustrate these challenges with greater discussion
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psnet.ahrq.gov/issue/emotional-influences-patient-safety
July 02, 2014 - A series of case examples is used to illustrate how subconscious biases, acute stressors, burnout, and
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psnet.ahrq.gov/issue/cognitive-errors-diagnosis-instantiation-classification-and-consequences
June 21, 2016 - Discussion includes detailed examples of each cognitive error type to better illustrate the results,
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psnet.ahrq.gov/issue/building-learning-organization
June 16, 2011 - Using examples from different industries and companies, including Xerox and GE, the author states that
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psnet.ahrq.gov/issue/facing-ambiguous-threats
December 24, 2008 - Examples from health care, such as the deployment of rapid response teams, are used to illustrate how
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psnet.ahrq.gov/issue/medication-errors-involving-wrong-administration-technique
January 05, 2017 - Drawing from more than 7200 wrong administration technique errors, a number of true case examples are
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psnet.ahrq.gov/issue/clinician-directed-performance-improvement-moving-beyond-externally-mandated-metrics
July 10, 2008 - Examples of CDPI include projects that focused on reducing the rate of healthcare-associated infections
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psnet.ahrq.gov/issue/defining-and-measuring-patient-safety
June 16, 2011 - A number of case examples are provided to illustrate the various issues facing safety and quality researchers
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psnet.ahrq.gov/issue/through-patients-eyes-understanding-and-promoting-patient-centered-care
October 04, 2006 - Examples include giving patients access to their medical records, giving them “written and/or visual
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psnet.ahrq.gov/issue/special-issue-health-literacy
December 23, 2011 - September 10, 2008
Health Literacy Practices in Primary Care Settings: Examples from
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psnet.ahrq.gov/node/42064/psn-pdf
March 16, 2013 - However, the literature also shows examples of many interventions that were strongly touted
initially