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psnet.ahrq.gov/issue/national-pediatric-anesthesia-safety-quality-improvement-program-united-states
March 03, 2011 - The program, which currently includes 19 participating institutions, focuses on identifying adverse events
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psnet.ahrq.gov/issue/ethical-considerations-disclosure-when-medical-error-discovered-during-medicolegal-death
December 14, 2016 - This case report focuses on ethical considerations when forensic pathologists discover a medical error
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psnet.ahrq.gov/issue/homenet-ensuring-patient-safety-medical-device-use-home
June 18, 2014 - This article surveys the main concerns in using medical devices at home and focuses on two initiatives
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psnet.ahrq.gov/issue/team-based-care-changing-face-cardiothoracic-surgery
October 07, 2013 - This review focuses on cardiothoracic surgery and the need for team approaches to enhance the safety
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psnet.ahrq.gov/issue/evaluating-physician-performance-individualizing-care-pilot-study-tracking-contextual-errors
September 20, 2011 - This study describes a methodology for measuring physician performance and focuses on the ability to
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psnet.ahrq.gov/issue/best-practices-patient-safety-2nd-global-ministerial-summit-patient-safety
June 27, 2018 - The publication focuses on the economy and efficiency of best practices, patient safety measures , medication
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psnet.ahrq.gov/issue/blaming-others-threatening-events
November 25, 2009 - on their assessment that these explanations fall short, the authors present a different model that focuses
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psnet.ahrq.gov/issue/veterans-affairs-root-cause-analysis-system-action
June 22, 2022 - This article focuses on the application of root cause analysis (RCA) and the relationship between the
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psnet.ahrq.gov/issue/diagnosing-crime-and-diagnosing-disease-part-1-and-part-2
December 05, 2018 - The second review focuses on visual processing and how context can help with debiasing to reduce
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psnet.ahrq.gov/issue/national-reporting-and-learning-system-research-and-development
April 06, 2016 - This publication discusses reporting initiatives in the National Health Service and focuses on the
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psnet.ahrq.gov/node/836812/psn-pdf
March 30, 2022 - the
number of events reported to system-level changes, organizations can promote a just culture that focuses … mitigated and prevented.3
Rather than simply reacting to adverse events after they have occurred, FMEA focuses
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psnet.ahrq.gov/node/841306/psn-pdf
December 14, 2022 - In healthcare,
resilient engineering focuses on the everyday work of healthcare staff who successfully … As
opposed to Safety-I, Safety-II focuses on understanding why most healthcare delivery processes are
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psnet.ahrq.gov/issue/moving-patient-safety-ambulatory-settings-and-beyond
October 02, 2019 - Richard Ricciardi about Office-Based Patient Safety
January 31, 2024
AHRQ focuses
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psnet.ahrq.gov/issue/checklist-manifesto-how-get-things-right
February 06, 2018 - In health care, he focuses on the Michigan Keystone Project , in which the use of checklists led to
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psnet.ahrq.gov/issue/teamwork-operating-room-frontline-perspectives-among-hospitals-and-operating-room-personnel
February 10, 2015 - Commission on Accreditation of Healthcare Organizations' (JCAHO) 2007 National Patient Safety Goals focuses
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psnet.ahrq.gov/issue/using-six-sigma-reduce-medication-errors-home-delivery-pharmacy-service
November 18, 2015 - Using the Six Sigma methodology, a measurement-based strategy that focuses on process improvement and
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psnet.ahrq.gov/issue/learning-samples-one-or-fewer
December 21, 2017 - The authors review two strategies for learning from rare events: one that focuses on experiencing the
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psnet.ahrq.gov/issue/predictors-patient-safety-culture-hospital-setting-systematic-review
March 05, 2014 - The authors also note that most research on PSC focuses on an organizational/managerial approach.
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psnet.ahrq.gov/issue/food-and-drug-administrations-initiative-safe-design-and-effective-use-home-medical-equipment
August 18, 2010 - FDA efforts intended to enhance safety of medical equipment use at home , including a guidance which focuses
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psnet.ahrq.gov/issue/human-error-models-and-management
November 18, 2015 - The person approach focuses on blaming individuals, whereas the system approach concentrates on the conditions