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psnet.ahrq.gov/perspective/safety-across-board
August 31, 2020 - In addition to a focus on the safety of patients, a strong SAB culture also focuses on workforce safety … I use this board to emphasize our commitment and focus on the idea that these patients are all people … The focus of a culture of safety is an ever-evolving, ever-improving process. … We have to have difficult conversations when we need to, demonstrate the focus when that focus is needed … We have been able to focus on some things.
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psnet.ahrq.gov/issue/communicating-patients-about-diagnostic-errors-breast-cancer-care-providers-attitudes
March 11, 2013 - This study held focus groups with breast cancer providers to better understand attitudes and experiences … communication about these errors, participants recommended educating patients, being honest and empathetic, and focus
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psnet.ahrq.gov/issue/interprofessional-model-speaking-behaviour-healthcare-professionals-qualitative-study
December 21, 2017 - Based on focus groups and interviews with nurses, advanced practice providers, and physicians, this study … Interventions to promote speaking up behaviors should focus on engaging leaders across the institution
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psnet.ahrq.gov/issue/hospitalists-emerging-leaders-patient-safety-targeting-few-affect-many
January 29, 2010 - The consortium's focus is on translating patient safety research into practice and sharing information … January 29, 2010
Work hour rules and contributors to patient care mistakes: a focus group
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psnet.ahrq.gov/issue/safety-culture-assessment-community-pharmacy-development-face-validity-and-feasibility
June 09, 2011 - Safety culture assessments largely focus on the hospital setting. … study developed a tool to identify, stimulate, and evaluate areas for improvement based on a series of focus
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psnet.ahrq.gov/issue/i-pass-checklist-powerful-tool-patient-handoffs
November 21, 2018 - June 10, 2018
Reduce readmissions with pharmacy programs that focus on transitions from … November 1, 2017
Death due to pharmacy compounding error reinforces need for safety focus
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psnet.ahrq.gov/issue/implementation-and-adaptation-re-engineered-discharge-red-five-california-hospitals
August 04, 2021 - This qualitative study used participant observation, focus groups, and individual interviews to characterize … Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: focus
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psnet.ahrq.gov/issue/exploring-challenges-quality-and-safety-work-nursing-homes-and-home-care-case-study-basis
August 14, 2019 - Focus groups with managers and employees reported several challenges, including: lack of care continuity … Perceptions of providing safe care for frail older people at home: a qualitative study based on focus
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psnet.ahrq.gov/node/46484/psn-pdf
August 20, 2018 - psnet.ahrq.gov/issue/qualitative-analysis-physician-perspectives-missed-and-delayed-outpatient-diagnosis-focus … psnet.ahrq.gov/issue/qualitative-analysis-physician-perspectives-missed-and-delayed-outpatient-diagnosis-focus
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psnet.ahrq.gov/node/45471/psn-pdf
September 21, 2016 - vital-signs-epidemiology-sepsis-prevalence-health-care-factors-and-
opportunities-prevention
Sepsis has been a significant focus … They concluded that reducing sepsis will
require an ongoing focus on infection prevention.
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psnet.ahrq.gov/node/865570/psn-pdf
April 10, 2024 - The
resulting five high-risk clinical scenarios focus on patients with (1) known or suspected difficult … The NAPSI team constructed this innovation by looking to other fields in which safety is also the focus … Innovation Patient Safety Focus
The innovation was developed from an initial quality improvement project … This
proactive approach permits clinicians to focus on specific patient risk factors and respond with … follows:
Establish and continue to emphasize that risk mitigation requires teamwork, and as such, focus
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psnet.ahrq.gov/node/867652/psn-pdf
February 26, 2025 - methodology
aimed to address the most persistent ineffectual issues with traditional RCA, especially the focus … By shifting focus to systems, RCA2 aims to foster an environment where healthcare professionals can … This prioritization ensures that resources are
used effectively and that investigations focus on incidents … This focus on sustainable change moves RCA beyond a reactive approach, aiming to
create proactive systems … For example, Success
Cause Analysis (SCA) shifts the focus from studying adverse events to examining
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psnet.ahrq.gov/training-catalog/northwest-patient-safety-conference
Event Description: This year’s two, half-day virtual patient safety conference will focus
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psnet.ahrq.gov/training-catalog/sepsis-alliance-antimicrobial-resistance-amr-conference
Sepsis Alliance Institute
Event Description: This two-day virtual conference will 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/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/issue/using-change-packages-support-aim-bundle-implementation
March 22, 2023 - Distinguishing high-performing from low-performing hospitals for severe maternal morbidity: a focus … July 6, 2022
International Comparisons: A Focus on Quality of Care.
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psnet.ahrq.gov/issue/two-effective-initiatives-c-suite-leaders-improve-medication-safety-and-reliability-outcomes
March 14, 2023 - May 31, 2017
Death due to pharmacy compounding error reinforces need for safety focus … Counterpoint, and Areas of Agreement
September 24, 2024
Actions to renew focus
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psnet.ahrq.gov/issue/mistakes-and-disclosure
October 19, 2022 - August 31, 2016
Deprescribing as a clinical improvement focus. … August 16, 2017
Graduate medical education's new focus on resident engagement in quality
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psnet.ahrq.gov/issue/preventing-home-medication-errors
September 15, 2021 - Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus … December 23, 2020
Health literacy and quality: focus on chronic illness care and patient