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psnet.ahrq.gov/web-mm/too-tight-control
March 20, 2013 - Increasingly, quality improvement efforts focus on decreasing the extent of "underuse" of effective therapies … However, even as we focus on ensuring that such therapies are uniformly used, we must remember that harm … When our quality and safety improvement projects focus on correcting underuse of particular medications … Like physicians, quality improvement professionals will serve patients best if we focus on the Hippocratic … Quality improvement efforts that focus on increasing use of medications and "tight control" of physiologic
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psnet.ahrq.gov/node/35236/psn-pdf
June 30, 2011 - patient-perspectives-patient-provider-communication-after-adverse-events
The authors conducted four focus
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psnet.ahrq.gov/node/41063/psn-pdf
January 27, 2012 - fatigue and sleep deprivation to augment safety, this perspective
advocates for training programs to focus
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psnet.ahrq.gov/node/45064/psn-pdf
April 20, 2016 - Priorities in Focus. March 2016.
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psnet.ahrq.gov/node/42447/psn-pdf
July 24, 2013 - economic-analysis-medical-malpractice-liability-and-its-reform
This report describes a malpractice liability model to incentivize increased focus
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psnet.ahrq.gov/node/46418/psn-pdf
September 20, 2017 - psnet.ahrq.gov/issue/iatrogenesis-pediatrics
Iatrogenesis—an adverse effect of medical care—is an area of focus
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psnet.ahrq.gov/node/38084/psn-pdf
September 24, 2008 - ://psnet.ahrq.gov/issue/how-patients-perceive-doctors-caring-attitude
This study conducted patient focus
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psnet.ahrq.gov/node/39421/psn-pdf
July 19, 2010 - This focus group study also
explores personal and organizational factors contributing to such incidents
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psnet.ahrq.gov/node/34898/psn-pdf
April 21, 2011 - To support progress,
they suggest a stronger focus on building a blame-free culture of patient safety
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psnet.ahrq.gov/node/35278/psn-pdf
March 04, 2011 - They determined that focus on short-term treatment, passive attitudes
toward learning, and physician-patient
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psnet.ahrq.gov/node/43891/psn-pdf
September 29, 2017 - research regarding the
safe use and implementation of health information technology systems with a focus
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psnet.ahrq.gov/node/39784/psn-pdf
August 25, 2010 - psnet.ahrq.gov/issue/perceptions-effective-and-ineffective-nurse-physician-communication-hospitals
Focus
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psnet.ahrq.gov/node/40065/psn-pdf
January 12, 2012 - psnet.ahrq.gov/issue/possible-solutions-barriers-incident-reporting-residents
This study conducted focus
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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/33775/psn-pdf
December 01, 2014 - "(9)
Second, focus on tangible patient safety improvements in each partnership hospital. … The
initial focus was development and utilization of a patient safety situational analysis tool, to … had been learned through each
partnership.(12) Moreover, local spread was also emphasized, with a focus … At the same time, a WHO
Collaborating Centre in Brazil has announced its focus on utilizing the APPS
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psnet.ahrq.gov/node/33825/psn-pdf
January 01, 2017 - Tools
also tend to focus on a linear or temporal view of an event, rather than a systems
view of events … Poor design and
implementation of risk
controls
Tendency to focus on weak solutions such as reminders … Focus on single
incidents and
institutions
Incidents tend to be investigated in isolation—single events … RCA-derived risk controls tend to focus on solutions that are within the
internal control of the organization
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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/perspective/diagnostic-errors
December 01, 2013 - 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 … The focus of the patient safety field on diagnosis over the past 5 years appears to be bearing fruit. … How do you think about that common question among researchers—the benefits and risks of focus versus
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psnet.ahrq.gov/node/35678/psn-pdf
June 28, 2010 - pharmacist-physician-relationship-detection-ambulatory-medication-errors
The investigators conducted focus