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psnet.ahrq.gov/node/35423/psn-pdf
June 16, 2019 - The primary focus of this segment is safety issues associated with the diabetic therapy Symlin.
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psnet.ahrq.gov/node/44345/psn-pdf
October 05, 2015 - Apologies following an adverse medical event: the
importance of focusing on the consumer's needs.
October 5, 2015
Allan A, McKillop D, Dooley J, et al. Apologies following an adverse medical event: The importance of
focusing on the consumer's needs. Patient Educ Couns. 2015;98(9):1058-62.
doi:10.1016/j.pec.2015.06…
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psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive-approach-data
February 26, 2025 - 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 … 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 … follows:
Establish and continue to emphasize that risk mitigation requires teamwork, and as such, focus
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psnet.ahrq.gov/node/45578/psn-pdf
January 23, 2017 - S-TEAMS: a truly multiprofessional course focusing on
nontechnical skills to improve patient safety in the
operating theater.
January 23, 2017
Stewart-Parker E, Galloway R, Vig S. S-TEAMS: A Truly Multiprofessional Course Focusing on
Nontechnical Skills to Improve Patient Safety in the Operating Theater. J Surg Ed…
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psnet.ahrq.gov/training-catalog/anesthesiology-2024
January 01, 2024 - It also offers the opportunity for attendees to submit abstracts for presentations that focus on improving
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psnet.ahrq.gov/node/72539/psn-pdf
December 02, 2020 - https://psnet.ahrq.gov/issue/diagnostic-excellence-video-series
Diagnostic reliability is a primary focus
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psnet.ahrq.gov/node/35315/psn-pdf
April 12, 2019 - institute-safe-medication-practices
The Institute for Safe Medication Practices (ISMP) is a nonprofit organization whose focus
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psnet.ahrq.gov/primer/national-patient-safety-goals
January 16, 2025 - Health systems nationally had to focus on mitigating severe shortages in health care staffing, widening … As health systems address these critical issues, a renewed focus on national action plans for patient … improvement framework to enable organizations, especially those accredited by The Joint Commission, to focus … There is substantial overlap of goals between settings, and they focus on a range of areas including
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psnet.ahrq.gov/node/73078/psn-pdf
September 19, 2024 - This session will focus on the value of communication both
across, and within, health care settings
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psnet.ahrq.gov/issue/patient-perceptions-misdiagnosis-endometriosis-results-online-national-survey
February 05, 2020 - Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus … Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus
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psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect-patients
August 05, 2020 - Strengths and weaknesses of working with the Global Trigger Tool method for retrospective record review: focus … 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/35723/psn-pdf
March 28, 2011 - Impact of nursing on hospital patient mortality: a focused
review and related policy implications.
March 28, 2011
Tourangeau AE, Cranley LA, Jeffs L. Impact of nursing on hospital patient mortality: a focused review and
related policy implications. Qual Saf Health Care. 2006;15(1):4-8.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/38324/psn-pdf
January 14, 2009 - Effectiveness of random and focused review in detecting
surgical pathology error.
January 14, 2009
Raab SS, Grzybicki DM, Mahood LK, et al. Effectiveness of random and focused review in detecting
surgical pathology error. Am J Clin Pathol. 2008;130(6):905-12. doi:10.1309/AJCPPIA5D7MYKDWF.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/854263/psn-pdf
November 03, 2023 - diagnostic-safety-and-quality-webinar-series-overview-and-implications-
hospitals
Diagnostic errors in hospitals are the focus
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psnet.ahrq.gov/web-mm/feeling-no-pain
August 30, 2023 - The nurse’s focus appears to be on the means of providing care, the PCA pump, and ensuring that the patient … If that focus were on the patient—with the PCA pump considered merely as a means to an end—she would … That tends to minimize the vital focus on listening to the patient and following up on her complaints … Factors identified as contributing to error are the focus for such actions. … Keynote address to: The conference on Minimizing the risk of medical errors: focus on the system; November
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psnet.ahrq.gov/node/849326/psn-pdf
May 24, 2023 - Proactive patient safety: focusing on what goes right in
the perioperative environment.
May 24, 2023
Duffy C, Menon N, Horak D, et al. Proactive patient safety: focusing on what goes right in the perioperative
environment. J Patient Saf. 2023;19(4):281-286. doi:10.1097/pts.0000000000001113.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/61104/psn-pdf
March 03, 2025 - nam-scholars-diagnostic-excellence-program
Diagnostic error reduction is gaining momentum as a primary focus
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psnet.ahrq.gov/node/45793/psn-pdf
July 19, 2024 - The 2023 report recommends enhancing focus on patient identification errors and the effect of
staffing
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psnet.ahrq.gov/node/33895/psn-pdf
April 01, 2024 - Reports discussing the results are segmented into
specific areas of focus such as health care-associated
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psnet.ahrq.gov/node/38055/psn-pdf
January 12, 2009 - Improving patient safety: patient-focused, high-reliability
team training.
January 12, 2009
McKeon LM, Cunningham PD, Oswaks JSD. Improving patient safety: patient-focused, high-reliability team
training. J Nurs Care Qual. 2009;24(1):76-82. doi:10.1097/NCQ.0b013e31818f5595.
https://psnet.ahrq.gov/issue/improving-p…