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Showing results for "focusing".

2761. Fires during surgeries a bigger risk than thought. | PSNet
      psnet.ahrq.gov/issue/fires-during-surgeries-bigger-risk-thought
      August 24, 2016 - Newspaper/Magazine Article Fires during surgeries a bigger risk than thought. Citation Text: Fires during surgeries a bigger risk than thought. Kowalczyk L. Boston Globe. November 7, 2007 Copy Citation Save Save to your library Print Download PDF …

2762. Learning to Use Patient Stories. | PSNet
      psnet.ahrq.gov/issue/learning-use-patient-stories
      July 18, 2018 - Book/Report Learning to Use Patient Stories. Citation Text: Learning to Use Patient Stories. Cardiff, UK: NHS Wales; April 2010. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy…

2763. In response to “Getting to the Root of the Matter” (June 2005) | PSNet
      psnet.ahrq.gov/perspective/response-getting-root-matter-june-2005
      June 01, 2005 - that individuals involved in the error can have a hard time separating themselves from the error and focusing

2764. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33590/psn-pdf
      September 15, 2024 - included explicitly using quality and safety performance in the evaluation of high-level executives and focusing

2765. PSNet Curated Library (pdf file)
      psnet.ahrq.gov/print/pdf/node/865308
      January 01, 2024 - This commentary presents a model to help organizations learn from system failures through focusing on … This commentary presents a model to help organizations learn from system failures through focusing on

2766. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852698/psn-pdf
      August 30, 2023 - Many methods of reducing diagnostic error focus on individual factors and single cases, instead of focusing … eB seeks to improve the systems that cause diagnostic errors and patient safety events rather than focusing

2767. Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet
      psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
      September 24, 2024 - harm is thought to arise from linear, repeated processes that can be reliably improved, can result in focusing … Instead, with “Safety II,” risk reduction can motivate improvements in patient safety by focusing on … They become good by focusing on improvement and getting better. … is these small things that you focus on daily that create excellence and improvement over time, not focusing

2768. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33616/psn-pdf
      August 01, 2005 - A strong evidence base suggests that focusing on nursing would improve patient safety.

2769. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.37_slideshow.ppt
      November 01, 2003 - CRM training programs for health care providers Focusing on information sharing, inquiry, and assertion

2770. In Conversation with... Ellen Deutsch, MD, MS, FACS, FAAP, FSSH, CPPS | PSNet
      psnet.ahrq.gov/perspective/conversation-ellen-deutsch-md-ms-facs-faap-fssh-cpps
      December 14, 2022 - By focusing on developing capacities that enable care teams to respond to emergent problems, resilient … Instead of focusing on adherence to protocols and individual failures, resilient healthcare sees healthcare … Safety-II perspective should begin by looking for what goes right, and the greatest benefit may arise from focusing

2771. Resilient Healthcare and the Safety-I and Safety-II Frameworks | PSNet
      psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
      December 14, 2022 - By focusing on developing capacities that enable care teams to respond to emergent problems, resilient … Instead of focusing on adherence to protocols and individual failures, resilient healthcare sees healthcare … Safety-II perspective should begin by looking for what goes right, and the greatest benefit may arise from focusing

2772. Focus on Patient Safety. | PSNet
      psnet.ahrq.gov/issue/focus-patient-safety
      January 23, 2008 - Book/Report Focus on Patient Safety. Citation Text: Focus on Patient Safety. Annu Rev Nurs Res. 2006;24:1-331. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

2773. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33809/psn-pdf
      June 01, 2016 - Working on culture without focusing on burnout and joy and meaning will not give us the results we need … Just focusing on joy and meaning without really looking at culture and leadership is also going to be

2774. A Double “Never Event”: Wrong Patient and Wrong Side. | PSNet
      psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
      August 20, 2018 - The second skill is team leadership, focusing on maximizing every team member's potential, which is particularly … TeamSTEPPS provides a helpful framework for creating effective teams focusing on communication, leadership

2775. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33668/psn-pdf
      May 01, 2008 - RW: So, if you were trying to accelerate this pace, would you be focusing on creating a business case … RW: When David Brailer became the IT czar, I think he surprised some outsiders by focusing so strongly

2776. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33696/psn-pdf
      June 01, 2010 - RW: You ended up focusing on cognitive errors and diagnostic errors. … So we turned our M&M rounds around, focusing on cognitive errors, affective errors, biases, distortions

2777. Technical Expert Panel | PSNet
      psnet.ahrq.gov/Information/Panel
      January 01, 2012 - She has directed projects with multiple stakeholders focusing on Medicare Part D Medication Therapy Management … the Director of Medical Education Research and Innovation in the Medical Education Outcomes Center, focusing

2778. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33671/psn-pdf
      July 01, 2008 - Although caregiver collaboration is improving and organizations are focusing less on individual blame

2779. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33647/psn-pdf
      March 01, 2007 - For example, the physician-patient mentioned above tried to engage senior leadership in focusing the

2780. In Conversation With… Richard Kronick, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-richard-kronick-phd
      February 01, 2014 - working on accelerating patient safety improvement in nursing homes and in ambulatory care—particularly focusing … Our research is focusing on how health IT can be designed and used to improve care, particularly looking … We are constantly focusing on how to make sure that what we do changes policy and practice.