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psnet.ahrq.gov/issue/surgeon-information-transfer-and-communication-factors-affecting-quality-and-efficiency
December 21, 2014 - This study used direct observation of surgical teams, focus groups with surgery residents and staff, … The focus group data were combined with a literature review to establish best practices for ITC at both
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psnet.ahrq.gov/node/43788/psn-pdf
February 25, 2015 - suggested that insufficient time to manage their workload leads to safety problems,
echoing a recent focus … psnet.ahrq.gov/issue/qualitative-analysis-physician-perspectives-missed-and-delayed-outpatient-diagnosis-focus
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psnet.ahrq.gov/node/43917/psn-pdf
November 03, 2015 - underlying-reasons-associated-hospital-readmission-following-surgery-united-
states
Hospital readmissions have received intensive focus … national-surgical-quality-improvement-program
https://psnet.ahrq.gov/issue/readmission-after-delayed-diagnosis-surgical-site-infection-focus-prevention-using-american
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psnet.ahrq.gov/issue/patient-safety-incidents-involving-sick-children-primary-care-england-and-wales-mixed-methods
October 12, 2016 - Although the focus on ambulatory safety has grown in recent years, little is known about adverse events … Based on their analysis, the authors conclude that efforts should focus on building safer systems for
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psnet.ahrq.gov/node/33778/psn-pdf
March 01, 2015 - Perhaps more importantly, physicians who find
diagnostic errors interesting tend to focus on the cognitive … This focus on individual diagnostic acumen and the psychology of cognition may
not attract those interested … An analysis of outpatient physician focus groups similarly saw clinicians attribute diagnostic errors … psnet.ahrq.gov/issue/qualitative-analysis-physician-perspectives-missed-and-delayed-outpatient-diagnosis-focus … The focus of the patient safety field on
diagnosis over the past 5 years appears to be bearing fruit
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psnet.ahrq.gov/node/47104/psn-pdf
December 04, 2018 - technicians, and security officers participated in a simulated encounter with an agitated patient and
in focus … They also completed surveys prior to the simulation and focus
groups, which researchers analyzed to
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psnet.ahrq.gov/issue/exploring-new-avenues-assess-sharp-end-patient-safety-analysis-nationally-aggregated-peer
December 21, 2014 - but concerns have been raised that these programs may hinder safety culture due to a perceived focus … Unprofessional behaviors among tomorrow's physicians: review of the literature with a focus
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psnet.ahrq.gov/issue/nurse-physician-communication-during-labor-and-birth-implications-patient-safety
January 03, 2017 - This study used focus groups, structured interviews, and medical record review to describe communication … Related Resources
Managing disruptive behaviors in the health care setting: focus
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psnet.ahrq.gov/node/45293/psn-pdf
February 01, 2017 - Although the focus on ambulatory safety has grown in recent years, little is known about adverse events … Based on their
analysis, the authors conclude that efforts should focus on building safer systems for
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psnet.ahrq.gov/node/49560/psn-pdf
April 01, 2008 - of older, dying persons having life prolonged against their wishes has in part driven the current
focus … This focus may be somewhat
surprising, because the published evidence indicates that patients being … Smith, your goal is to focus on your comfort, not interventions that would prolong your life." … However, if that is not
possible, care should focus on comfort even if it shortens life. … Such a focus on comfort may lead to a
decision to forego further hospitalizations.
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psnet.ahrq.gov/issue/operating-room-icu-patient-handovers-multidisciplinary-human-centered-design-approach
June 27, 2012 - This study used human factors approaches to conduct observations, surveys, interviews, and focus groups … January 12, 2022
FOCUS: The Society of Cardiovascular Anesthesiologists' initiative to
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psnet.ahrq.gov/issue/deriving-framework-systems-approach-agitated-patient-care-emergency-department
June 13, 2018 - technicians, and security officers participated in a simulated encounter with an agitated patient and in focus … They also completed surveys prior to the simulation and focus groups, which researchers analyzed to form
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psnet.ahrq.gov/issue/identification-doctors-risk-recurrent-complaints-national-study-healthcare-complaints
September 07, 2011 - Although most patient safety efforts focus on identifying and addressing flawed systems, individual clinicians … Unprofessional behaviors among tomorrow's physicians: review of the literature with a focus
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psnet.ahrq.gov/node/33764/psn-pdf
April 01, 2014 - When the organization started, the focus was very much on raising awareness of patient
safety because … Now the focus is more on creation and spread of best practices but also
creating a workforce that is … TG: The Affordable Care Act has drawn this focus on value and population health, especially with newer … And for NPSF, as I mentioned, the ACA has created a
focus on value and cost reduction. … So taken in a vacuum with just the focus on cost, not thinking about
quality and safety, could be a
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psnet.ahrq.gov/issue/collaboration-focused-priority-issues-promotes-safety
May 05, 2018 - Newspaper/Magazine Article
Collaboration focused on priority issues promotes safety.
Citation Text:
Collaboration focused on priority issues promotes safety. ISMP Medication Safety Alert! Acute Care Edition. October 10, 2008;13:1-3.
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psnet.ahrq.gov/issue/achieving-climate-patient-safety-focusing-relationships
December 19, 2017 - Study
Achieving a climate for patient safety by focusing on relationships.
Citation Text:
Manojlovich M, Kerr M, Davies B, et al. Achieving a climate for patient safety by focusing on relationships. Int J Qual Health Care. 2014;26(6):579-84. doi:10.1093/intqhc/mzu068.
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psnet.ahrq.gov/issue/pearls-pitfalls-and-errors-musculoskeletal-diagnosis
February 26, 2025 - February 26, 2025
Focus On: Health Care Policy and Quality. … March 27, 2019
Focus On: Health Care Policy and Quality.
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psnet.ahrq.gov/perspective/conversation-tejal-k-gandhi-md-mph
February 26, 2025 - When the organization started, the focus was very much on raising awareness of patient safety because … Now the focus is more on creation and spread of best practices but also creating a workforce that is … TG : The Affordable Care Act has drawn this focus on value and population health, especially with newer … And for NPSF, as I mentioned, the ACA has created a focus on value and cost reduction. … RW : Another trend in the safety field was we began with a huge focus on the hospital and the acute care
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psnet.ahrq.gov/node/866395/psn-pdf
July 23, 2024 - Conference (RIC)1 was designed at the University of Michigan to address failure
to rescue with a particular focus … RICs invite all types of hospital staff to attend one-hour case review sessions, which focus on breakdowns … events.1 Unlike traditional M&M conferences, which have historically
focused on individual errors, RICs focus … perioperative complications that
may arise from major surgery.1 Furthermore, traditional M&M conferences often focus … Innovation Patient Safety Focus
A study was conducted on 84,730 patients from 2005 to 2007 using data
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psnet.ahrq.gov/print/pdf/node/74277
January 01, 2021 - A mixed-methods study with a focus
on user experience.
Garfield S, Furniss D, Husson F, et al. … psnet.ahrq.gov/issue/how-can-patient-held-lists-medication-enhance-patient-safety-mixed-methods-study-focus-user … The Institute for Safe Medication Practices (ISMP) is a nonprofit organization whose focus is to help … In order to
ensure health care facilities focus on preventing major... … Strategies to prevent medication errors are a continuing focus of ongoing safety initiatives.