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psnet.ahrq.gov/node/45489/psn-pdf
October 24, 2018 - The authors advocate for educators to encourage
transparency about uncertainty and focus discussions
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psnet.ahrq.gov/node/47334/psn-pdf
November 14, 2018 - Safety work and risk management as burdens of
treatment in primary care: insights from a focused
ethnographic study of patients with multimorbidity.
November 14, 2018
Daker-White G, Hays R, Blakeman T, et al. Safety work and risk management as burdens of treatment in
primary care: insights from a focused ethnograp…
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psnet.ahrq.gov/node/36931/psn-pdf
September 09, 2011 - Customer focused incident monitoring in anaesthesia.
September 9, 2011
Khan FA, Khimani S. Customer focused incident monitoring in anaesthesia. Anaesthesia. 2007;62(6):586-
90.
https://psnet.ahrq.gov/issue/customer-focused-incident-monitoring-anaesthesia
The authors studied anesthesia-related incident reports at o…
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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/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/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…
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psnet.ahrq.gov/node/45228/psn-pdf
June 29, 2016 - An innovative approach to the surgical time out: a patient-
focused model.
June 29, 2016
Kozusko SD, Elkwood L, Gaynor D, et al. An Innovative Approach to the Surgical Time Out: A Patient-
Focused Model. AORN J. 2016;103(6):617-22. doi:10.1016/j.aorn.2016.04.001.
https://psnet.ahrq.gov/issue/innovative-approach-su…
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psnet.ahrq.gov/node/44125/psn-pdf
May 28, 2015 - AHRQ focuses on ambulatory patient safety.
May 28, 2015
Ricciardi R. AHRQ Focuses on Ambulatory Patient Safety. J Nurs Care Qual. 2015;30(3):193-6.
doi:10.1097/NCQ.0000000000000124.
https://psnet.ahrq.gov/issue/ahrq-focuses-ambulatory-patient-safety
AHRQ has generated funding and educational opportunities toward u…
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psnet.ahrq.gov/node/36455/psn-pdf
December 22, 2010 - Changing the work environment in ICUs to achieve
patient-focused care: the time has come.
December 22, 2010
McCauley K, Irwin RS. Changing the work environment in ICUs to achieve patient-focused care: the time
has come. Chest. 2006;130(5):1571-8.
https://psnet.ahrq.gov/issue/changing-work-environment-icus-achieve-…
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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/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…