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psnet.ahrq.gov/node/48170/psn-pdf
July 31, 2019 - Recommendations focus on the role of leadership in fostering resilience, organizational strategies to
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psnet.ahrq.gov/node/847057/psn-pdf
April 05, 2023 - Recommended areas of focus include reducing emphasis on the “Five Rights” to address system
problems
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psnet.ahrq.gov/node/848384/psn-pdf
May 03, 2023 - https://psnet.ahrq.gov/issue/roadmap-health-care-safety-massachusetts
Collective engagement and focus
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psnet.ahrq.gov/node/836871/psn-pdf
April 06, 2022 - This
commentary discusses changes in medical harm over time and shares five areas of focus to drive
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psnet.ahrq.gov/node/73972/psn-pdf
October 13, 2021 - staffing challenges
affect areas such as diagnosis, infection control, and organizational patient safety focus
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psnet.ahrq.gov/node/60924/psn-pdf
September 16, 2020 - The author describes the importance of staff education and leadership to support the focus of
reporting
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psnet.ahrq.gov/node/50826/psn-pdf
January 22, 2020 - Care management and
adverse incident prevention are two areas of focus explored in the issue.
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psnet.ahrq.gov/node/47978/psn-pdf
May 01, 2019 - This special issue covers areas
of focus for a patient safety curriculum drawn from experience in the
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psnet.ahrq.gov/node/73861/psn-pdf
September 22, 2021 - bringing-clinical-laboratory-strategy-advance-diagnostic-excellence
Diagnostic error reduction continues to be a patient safety focus
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psnet.ahrq.gov/node/47983/psn-pdf
May 01, 2019 - hospital health system successfully applied high reliability principles
to emphasize a zero-tolerance focus
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psnet.ahrq.gov/node/45550/psn-pdf
August 01, 2023 - This annual
award was established to recognize individuals and organizations that focus on developing
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psnet.ahrq.gov/node/73926/psn-pdf
October 06, 2021 - medication-overload-americas-other-drug-problem
https://psnet.ahrq.gov/issue/deprescribing-clinical-improvement-focus
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psnet.ahrq.gov/node/36354/psn-pdf
February 16, 2011 - The human face of simulation: patient-focused simulation
training.
February 16, 2011
Kneebone R, Nestel D, Wetzel C, et al. The human face of simulation: patient-focused simulation training.
Acad Med. 2006;81(10):919-24.
https://psnet.ahrq.gov/issue/human-face-simulation-patient-focused-simulation-training
The au…
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psnet.ahrq.gov/node/37695/psn-pdf
April 11, 2011 - Development, testing, and findings of a pediatric-focused
trigger tool to identify medication-related harm in US
children's hospitals.
April 11, 2011
Takata GS, Mason W, Taketomo C, et al. Development, testing, and findings of a pediatric-focused trigger
tool to identify medication-related harm in US children's ho…
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psnet.ahrq.gov/node/43526/psn-pdf
December 15, 2014 - Achieving a climate for patient safety by focusing on
relationships.
December 15, 2014
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.
https://psnet.ahrq.gov/issue/achieving-climate-pa…
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psnet.ahrq.gov/node/38378/psn-pdf
September 24, 2010 - I-CaRe: a case review tool focused on improving inpatient
care.
September 24, 2010
Lee JH, Vidyarthi A, Sehgal NL, et al. I-CaRe: a case review tool focused on improving inpatient care. Jt
Comm J Qual Patient Saf. 2009;35(2):115-119, 61.
https://psnet.ahrq.gov/issue/i-care-case-review-tool-focused-improving-inpati…
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psnet.ahrq.gov/node/38015/psn-pdf
August 27, 2008 - Impact of electronic prescribing in a hospital setting: a
process-focused evaluation.
August 27, 2008
Cunningham TR, Geller S, Clarke SW. Impact of electronic prescribing in a hospital setting: a process-
focused evaluation. Int J Med Inform. 2008;77(8):546-54.
https://psnet.ahrq.gov/issue/impact-electronic-presc…
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psnet.ahrq.gov/node/36366/psn-pdf
April 11, 2011 - Adverse events in the neonatal intensive care unit:
development, testing, and findings of an NICU-focused
trigger tool to identify harm in North American NICUs.
April 11, 2011
Sharek PJ, Horbar JD, Mason W, et al. Adverse events in the neonatal intensive care unit: development,
testing, and findings of an NICU-foc…
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psnet.ahrq.gov/node/43409/psn-pdf
February 25, 2015 - Evaluating iatrogenic prescribing: development of an
oncology-focused trigger tool.
February 25, 2015
Hébert G, Netzer F, Ferrua M, et al. Evaluating iatrogenic prescribing: development of an oncology-focused
trigger tool. Eur J Cancer. 2015;51(3):427-35. doi:10.1016/j.ejca.2014.12.002.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/47114/psn-pdf
October 13, 2018 - Focused ethnography of diagnosis in academic medical
centers.
October 13, 2018
Chopra V, Harrod M, Winter S, et al. Focused Ethnography of Diagnosis in Academic Medical Centers. J
Hosp Med. 2018;13(10):668-672. doi:10.12788/jhm.2966.
https://psnet.ahrq.gov/issue/focused-ethnography-diagnosis-academic-medical-cente…