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psnet.ahrq.gov/issue/errors-medicine-and-law
August 06, 2016 - suggest that most errors are due to systems factors, not moral lapses, and thus the tort system, which focuses
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psnet.ahrq.gov/issue/national-center-patient-safety-ncps
March 27, 2005 - It focuses on prevention rather than punishment by applying human factors analysis and the safety research
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psnet.ahrq.gov/issue/achieving-safe-health-care-delivery-safe-patient-care-baylor-scott-white-health
October 11, 2016 - This book examines one hospital's approach that focuses on safety culture , process improvement , and
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digital.ahrq.gov/program-overview/research-reports/2022-year-review/executive-summary
January 01, 2022 - Our portfolio focuses on three themes of vital importance to our program’s strategy for putting technology
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integrationacademy.ahrq.gov/bhi-directory
September 08, 2025 - The BPC focuses on fostering collaboration and finding practical, common-sense solutions to improve the … CHCS focuses on integrating mental health and substance use services with other healthcare services, … CHCS focuses on integrating mental health and substance use services with other healthcare services, … CHCS focuses on integrating mental health and substance use services with other healthcare services,
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psnet.ahrq.gov/issue/beyond-corrective-action-hierarchy-systems-approach-organizational-change
March 10, 2021 - discusses the action hierarchy, which is a tool for generating corrective actions to improve safety and focuses
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psnet.ahrq.gov/issue/nurses-and-nursing-students-second-victims-scoping-review
March 08, 2023 - scoping review found that majority of the literature on nurses and nursing students as second victims focuses
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psnet.ahrq.gov/issue/safety-ii-behavior-pediatric-intensive-care-unit
January 12, 2022 - Safety-II is characterized by a more proactive approach that focuses on ensuring actions go as planned
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psnet.ahrq.gov/issue/humanizing-harm-using-restorative-approach-heal-and-learn-adverse-events
November 30, 2022 - A restorative approach focuses on (1) who has been hurt and their needs, and who is responsible for addressing
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psnet.ahrq.gov/issue/effectiveness-tele-triage-during-covid-19-pandemic-systematic-review-and-narrative-synthesis
February 01, 2023 - This review of remote triage focuses exclusively on tele-triage studies conducted during the COVID-
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psnet.ahrq.gov/issue/design-evidence-based-second-victim-curriculum-nurse-anesthetists
February 15, 2023 - anesthetists , this commentary describes the development of a curriculum for this specialty group which focuses
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psnet.ahrq.gov/issue/how-physicians-think-case-based-diagnostic-simulation-exercise
August 14, 2019 - achieved the correct diagnosis (herpes zoster) utilized systems-based or anatomic approaches, rather than focuses
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psnet.ahrq.gov/issue/plans-are-worthless-planning-everything-advancing-patient-safety-better-managing-paradox
September 23, 2020 - The Safety-II principle focuses on learning from what goes right in the healthcare system.
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psnet.ahrq.gov/issue/redesigning-rounds-towards-more-purposeful-approach-inpatient-teaching-and-learning
February 02, 2022 - This commentary describes a rounding process that focuses on enhancing safety culture , engaging patients
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psnet.ahrq.gov/issue/lessons-learned-national-hospital-antibiotic-stewardship-implementation-project
July 20, 2022 - This article focuses on the implementation of AHRQ’s Safety Program for Improving Antibiotic Use in
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psnet.ahrq.gov/issue/healthcare-resilience-meta-narrative-systematic-review-and-synthesis-reviews
June 10, 2020 - Resilience in healthcare focuses on enabling individuals and teams to respond to emergent problems
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psnet.ahrq.gov/issue/characteristics-healthcare-organisations-struggling-improve-quality-results-systematic-review
August 14, 2019 - The literature on effective approaches to improving quality and safety generally focuses on high reliability
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psnet.ahrq.gov/issue/measuring-and-improving-diagnostic-safety-primary-care-addressing-twin-pandemics-diagnostic
September 07, 2022 - The framework focuses on three measurable components – do not miss diagnoses, red flags, and diagnostic
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psnet.ahrq.gov/issue/positive-approaches-safety-learning-what-we-do-well
September 15, 2021 - Safety-I focuses on identifying factors that contribute to incidents or errors .
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psnet.ahrq.gov/issue/disciplinary-action-medical-boards-and-prior-behavior-medical-schools
October 19, 2022 - While patient safety focuses on the role systems play in poor patient outcomes, an ongoing dialogue exists