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psnet.ahrq.gov/issue/next-organizational-challenge-finding-and-addressing-diagnostic-error
November 16, 2022 - Although diagnostic errors cause considerable morbidity and mortality, thus far organizations have focused … These mainly focused on ensuring appropriate follow-up of abnormal lab tests (particularly cancer screening
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psnet.ahrq.gov/issue/struggling-invent-high-reliability-organizations-health-care-settings-insights-field
October 02, 2019 - Although all organizations had many culture-, technology-, and system-focused patient safety projects … November 18, 2009
Improving patient safety: patient-focused, high-reliability team training
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psnet.ahrq.gov/issue/analysis-suicides-reported-adverse-events-psychiatry-resulted-nine-quality-improvement
October 21, 2020 - The authors outline quality improvement recommendations focused on improving documentation, suicide assessment … View More
Related Resources
Implementing and evaluating patient-focused
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psnet.ahrq.gov/issue/veterans-affairs-root-cause-analysis-system-action
June 22, 2022 - The authors review current monitoring efforts and contrast the RCA process with the now-replaced focused … comparison study demonstrated greater efficacy of RCA in providing more lessons and better information than focused
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psnet.ahrq.gov/issue/interventions-reliability-seeking-health-care-organizations-systematic-review-their-goals-and
October 19, 2022 - Most studies focused solely or in part on safety; only ten focused solely on one of the other five goals
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psnet.ahrq.gov/issue/using-health-information-technology-residential-aged-care-homes-integrative-review-identify
July 06, 2022 - Most papers focused on usability and implementation of technology and the perceptions of staff. … Fewer focused on patient quality or safety outcomes.
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psnet.ahrq.gov/issue/physicians-experiences-mistreatment-and-discrimination-patients-families-and-visitors-and
October 26, 2022 - Earlier studies have focused on the association of burnout with the electronic medical record and the … This study focused on the association of physician burnout and mistreatment by patients, families and
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psnet.ahrq.gov/issue/systematic-review-trauma-crew-resource-management-training-what-can-united-states-and-united
July 14, 2021 - CRM in the United Kingdom had an emphasis on physicians and focused on skills outcomes using pre- and … post-training questionnaires, whereas CRM in the United States focused on behavior outcomes and nontechnical
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psnet.ahrq.gov/issue/safety-fragile-conflict-affected-and-vulnerable-settings-evidence-scanning-approach
January 12, 2022 - This literature review explored patient safety interventions focused on people living in fragile, conflict-affected … Studies were generally from lower and lower-middle income countries and focused primarily on strengthening
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psnet.ahrq.gov/issue/ahrq-safety-program-mrsa-prevention
December 24, 2008 - A second toolkit focused on high-risk surgical services is planned for spring 2025, and a third toolkit … focused on long-term care settings is anticipated in fall 2025.
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psnet.ahrq.gov/node/33606/psn-pdf
December 15, 2024 - Interventions to Improve Opioid Safety
Current efforts to improve the safety of opioids have primarily focused … opioid
prescribing and fall into three categories: policy and regulatory interventions, clinician-focused … interventions, and patient-focused interventions. … Clinician-focused interventions have pinpointed improving education around opioid prescribing and harmful … Patient-focused interventions have centered around mitigating the harm of
opioids through increasing
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psnet.ahrq.gov/node/35044/psn-pdf
September 27, 2017 - While clinicians focused on clinical and human
factors, biomedical engineers focused on device-related
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psnet.ahrq.gov/node/44076/psn-pdf
May 19, 2018 - trigger-tool-method-measure-harmful-medication-errors-children
This study compared the performance of a pediatric medication-focused … trigger-tool-method-measure-harmful-medication-errors-children
https://psnet.ahrq.gov/issue/development-testing-and-findings-pediatric-focused-trigger-tool-identify-medication-related
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psnet.ahrq.gov/node/38044/psn-pdf
September 10, 2008 - Comparative issues in aviation and surgical crew
resource management: (1) are we too solution focused … COMPARATIVE ISSUES IN AVIATION AND SURGICAL CREW RESOURCE
MANAGEMENT: (1) ARE WE TOO SOLUTION FOCUSED
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psnet.ahrq.gov/node/49834/psn-pdf
July 01, 2018 - using a
portable ultrasound machine, typically used when a health care provider seeks to answer a focused … Goal-directed focused ultrasound milestones revised: a
multiorganizational consensus. … Point-of-care focused cardiac
ultrasound for the assessment of thoracic aortic dimensions, dilation, … Emergency physician focused cardiac ultrasound improves diagnosis of
ascending aortic dissection. … Focused cardiac ultrasound:
recommendations from the American Society of Echocardiography.
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psnet.ahrq.gov/node/39746/psn-pdf
August 11, 2010 - pediatric surgery using
criteria validated from the adult population: justifying the
need for pediatric-focused … pediatric surgery using criteria
validated from the adult population: justifying the need for pediatric-focused
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psnet.ahrq.gov/issue/what-us-hospitals-are-currently-doing-prevent-common-device-associated-infections-results
June 21, 2023 - This study focused on three types of device-associated infections: catheter-associated urinary tract … October 17, 2017
Focused ethnography of diagnosis in academic medical centers.
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psnet.ahrq.gov/issue/patient-identification-diagnostic-safety-blindspots-and-participation-good-catches-through
October 27, 2021 - This study focused on patient-identified diagnostic safety blind spots in ambulatory care clinical notes … April 13, 2022
Comparison of a focused family cancer history questionnaire to family
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psnet.ahrq.gov/issue/american-college-endocrinology-and-american-association-clinical-endocrinologists-position
August 20, 2018 - The authors report on the results of a consensus conference that focused on safety for patients with … August 20, 2018
Handoffs in the era of duty hours reform: a focused review and strategy
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psnet.ahrq.gov/issue/multidisciplinary-teamwork-training-program-triad-optimal-patient-safety-tops-experience
February 12, 2018 - The intervention focused on developing teamwork skills and communication techniques , based on interactive … March 23, 2011
Handoffs in the era of duty hours reform: a focused review and strategy