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psnet.ahrq.gov/node/45569/psn-pdf
January 23, 2017 - patient-experience-must-move-beyond-bad-apples
Patient safety leaders have long advocated for research to focus
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psnet.ahrq.gov/node/44509/psn-pdf
October 07, 2015 - Improvement efforts should focus on individualized ready-to-deliver medications as an error reduction
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psnet.ahrq.gov/node/34021/psn-pdf
March 07, 2005 - Focusing on Medical Errors.
March 7, 2005
Temple WJ, ed. J Surg Oncol. 2004;88(3):111-199.
https://psnet.ahrq.gov/issue/focusing-medical-errors
This issue provides a review of medical error from a variety of perspectives, including pediatrics,
anesthesiology, pharmacy, pathology, laboratory medicine, and insurers.…
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psnet.ahrq.gov/node/34022/psn-pdf
March 07, 2005 - Focusing on Health Care Safety.
March 7, 2005
IEEE Transactions on Systems, Man, and Cybernetics, Part A: Systems and Humans. 2004;34(601):689-
778.
https://psnet.ahrq.gov/issue/focusing-health-care-safety
This special issue covers concepts of cognition, the use of planning and protocols, communication
patterns, …
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psnet.ahrq.gov/node/39703/psn-pdf
March 18, 2016 - Patient Safety Culture Report: Focusing on Indicators.
March 18, 2016
Utrecht, Netherlands: European Network for Patient Safety; 2010.
https://psnet.ahrq.gov/issue/patient-safety-culture-report-focusing-indicators
This report identifies care process and outcome indicators in the European Union and describes how the…
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psnet.ahrq.gov/node/38169/psn-pdf
June 11, 2018 - Collaboration focused on priority issues promotes safety.
June 11, 2018
ISMP Medication Safety Alert! Acute Care Edition. October 10, 2008;13:1-3.
https://psnet.ahrq.gov/issue/collaboration-focused-priority-issues-promotes-safety
Reporting that recalled medications were found in hospital pharmacies, this article
d…
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psnet.ahrq.gov/node/35186/psn-pdf
July 13, 2005 - on the six practices promoted by the
campaign, it reviews the progress to date, with a particular focus
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psnet.ahrq.gov/node/38970/psn-pdf
July 05, 2013 - Mark Chassin, The Joint
Commission launched this Center, which will focus on applying rigorous QI methods
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psnet.ahrq.gov/perspective/conversation-charles-ornstein
October 01, 2009 - I think as you begin covering health care more, you probably have areas that you want to focus on. … A couple of things happened in the summer of 2003 that caused us to focus on King/Drew. … The problem of patient safety needed to be brought into sharper focus if it was going to receive the … This focus was provided in large measure by the media. … And the focus on teaching hospitals creates disproportionate public anxiety about being cared for by
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psnet.ahrq.gov/perspective/media-essential-if-sometimes-arbitrary-promoter-patient-safety
October 01, 2009 - The problem of patient safety needed to be brought into sharper focus if it was going to receive the … This focus was provided in large measure by the media. … And the focus on teaching hospitals creates disproportionate public anxiety about being cared for by … I think as you begin covering health care more, you probably have areas that you want to focus on. … A couple of things happened in the summer of 2003 that caused us to focus on King/Drew.
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psnet.ahrq.gov/node/33649/psn-pdf
May 01, 2007 - We need to have competent, well-trained,
conscientious individuals; we also need to focus on system … Air crashes are so rare now, because they do tend to focus on casual and poor practices,
which may signal … RW: When you think about beginning your crusade, particularly as a focus on patient safety, what about … All the difficulties that people focus on, all the
criticisms, all the reasons why we shouldn't do things … On the international front, there really isn't such a
focus on difficulties and impediments to change
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psnet.ahrq.gov/node/34802/psn-pdf
January 01, 2016 - The Veterans Affairs root cause analysis system in action.
September 3, 2015
Bagian JP, Gosbee JW, Lee CZ, et al. The Veterans Affairs Root Cause Analysis System in Action. Jt
Comm J Qual Improv. 2016;28(10):531-545. doi:10.1016/s1070-3241(02)28057-8.
https://psnet.ahrq.gov/issue/veterans-affairs-root-cause-analysi…
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psnet.ahrq.gov/node/33651/psn-pdf
June 01, 2007 - where there are x number of events per x number of patient days or
admissions, as well as keeping the focus … In certain communities, there's a
concern that the local paper is going to focus on you or target you … So we feel like we're really able to focus on
what's causing these events, what's being learned from … that struggle to find out what to focus on. … body, to be the one
collecting information and to try to convince people that we were really going to focus
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psnet.ahrq.gov/node/34658/psn-pdf
March 07, 2005 - Rasmussen presents the concept of human error, and how complex and dynamic
environments should shift the focus
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psnet.ahrq.gov/node/44016/psn-pdf
November 21, 2016 - This guide provides a framework to help hospitals
develop partnership initiatives that focus on advisor
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psnet.ahrq.gov/node/44629/psn-pdf
December 09, 2015 - The toolkit includes
modules that focus on implementation, sustainability, and resources to help hospitals
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psnet.ahrq.gov/node/39278/psn-pdf
March 05, 2010 - issue/ask-or-not-ask-results-formative-assessment-video-empowering-patients-ask-
their-health-care
Focus
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psnet.ahrq.gov/node/46524/psn-pdf
October 18, 2017 - Areas of focus include change management and best practices.
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psnet.ahrq.gov/node/38225/psn-pdf
February 16, 2011 - psnet.ahrq.gov/issue/changing-conversations-teaching-safety-and-quality-residency-training
Despite increased focus
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psnet.ahrq.gov/node/45531/psn-pdf
December 14, 2016 - role-safety-culture-influencing-provider-perceptions-patient-safety
Improving safety culture is an important area of focus