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psnet.ahrq.gov/issue/rural-hospital-information-technology-implementation-safety-and-quality-improvement-lessons
April 24, 2018 - learning lessons about working in rural health systems, how best to utilize IT, and the importance of focusing
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psnet.ahrq.gov/issue/systems-thinking-managing-covid-19-health-care-systems-seven-key-messages
October 21, 2015 - Focusing on nurses and nurse educators, this article emphasizes systems thinking (a way of viewing,
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psnet.ahrq.gov/issue/certain-uncertainties-modes-patient-safety-healthcare
April 04, 2011 - Questioning the wisdom of focusing on error counting as a marker of progress in patient safety, this
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psnet.ahrq.gov/issue/epidemiology-adverse-events-air-medical-transport
July 03, 2014 - Communication problems were most frequently identified, and focusing on improving communication during
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psnet.ahrq.gov/issue/executive-leadership-and-physician-well-being-nine-organizational-strategies-promote
September 26, 2018 - This review suggests that focusing solely on individual behaviors is insufficient to reduce burnout in
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psnet.ahrq.gov/issue/stop-using-these-adult-bed-rails-warns-consumer-product-safety-commission
June 21, 2023 - January 31, 2024
Some doctors are ditching the scale, saying focusing on weight drives
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psnet.ahrq.gov/issue/special-issue-medication-safety
June 26, 2019 - October 5, 2011
Effect of a pharmacist-led multicomponent intervention focusing on the
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psnet.ahrq.gov/issue/abortion-bans-have-consequences-wanted-pregnancies-too
August 16, 2023 - January 31, 2024
Some doctors are ditching the scale, saying focusing on weight drives
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psnet.ahrq.gov/issue/eliminating-unintentionally-retained-surgical-items-special-report
December 07, 2022 - May 20, 2009
Focusing on Medical Errors.
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psnet.ahrq.gov/issue/european-union-network-patient-safety-and-quality-care
August 04, 2021 - January 22, 2019
Patient Safety Culture Report: Focusing on Indicators.
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psnet.ahrq.gov/issue/patient-safety-crossroads
March 18, 2019 - Focusing on the recommendation that leadership establish and sustain a culture of safety , the authors
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psnet.ahrq.gov/issue/reducing-adverse-drug-events
August 09, 2017 - provides the results of the Institute for Healthcare Improvement (IHI) Breakthrough Series program focusing
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psnet.ahrq.gov/node/33825/psn-pdf
January 01, 2017 - This limits opportunity for understanding recurrence vulnerability and
may lead to focusing resources … Focusing more specifically on problems with RCA tools and techniques, Card described "the problem with … redesigning the process and tools used, ensuring the active involvement of organizational
leadership, focusing
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psnet.ahrq.gov/node/40186/psn-pdf
April 21, 2011 - Research
focusing on different eHealth strategies, such as computerized provider order entry, electronic
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psnet.ahrq.gov/issue/cognitive-factors-health-care
November 19, 2014 - November 26, 2014
Focusing on Medical Errors.
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psnet.ahrq.gov/primer/root-cause-analysis
March 30, 2022 - is to identify underlying problems that increase the likelihood of errors while avoiding the trap of focusing … involvement of organizational leadership, training of specialized teams with expertise in safety science, focusing
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psnet.ahrq.gov/issue/what-can-patient-safety-teach-us-about-clinician-burnout
January 07, 2011 - Lessons include (1) focusing on systems-level factors, (2) institutional and leadership commitment to
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psnet.ahrq.gov/issue/organizational-costs-preventable-medical-errors
April 01, 2010 - The authors outline direct, indirect, and long-term costs and advocate for focusing on the long-term
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psnet.ahrq.gov/issue/understanding-patient-safety-performance-and-educational-needs-using-safety-ii-approach
September 28, 2016 - The authors recommend focusing on both what went wrong and excellent performance to inform patient
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psnet.ahrq.gov/issue/sentinel-events-memory-ben-case-study
July 01, 2016 - Without focusing on the details of the error, the author describes the investigative process that uncovered