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psnet.ahrq.gov/issue/observational-assessment-surgical-teamwork-feasibility-study
August 18, 2017 - Study
Observational assessment of surgical teamwork: a feasibility study.
Citation Text:
Undre S, Healey A, Darzi A, et al. Observational assessment of surgical teamwork: a feasibility study. World J Surg. 2006;30(10):1774-83.
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psnet.ahrq.gov/issue/setting-priorities-patient-safety-ethics-accountability-and-public-engagement
September 29, 2017 - Commentary
Setting priorities for patient safety: ethics, accountability, and public engagement.
Citation Text:
Pronovost P, Faden RR. Setting priorities for patient safety: ethics, accountability, and public engagement. JAMA. 2009;302(8):890-1. doi:10.1001/jama.2009.1177.
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psnet.ahrq.gov/issue/acog-committee-opinion-730-fatigue-and-patient-safety
July 26, 2017 - Commentary
ACOG Committee Opinion #730: fatigue and patient safety.
Citation Text:
ACOG Committee Opinion #730: fatigue and patient safety. ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2018;131(2):e78-e81.
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psnet.ahrq.gov/issue/safety-cultural-preconditions-organizational-learning-high-risk-organizations
June 17, 2009 - Commentary
Safety cultural preconditions for organizational learning in high-risk organizations.
Citation Text:
Naevestad T-O. Safety Cultural Preconditions for Organizational Learning in High-Risk Organizations. J Contingencies Crisis Manage. 2008;16(3):154-163. doi:10.1111/j.1468-5973.…
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psnet.ahrq.gov/issue/moving-patient-safety-ambulatory-settings-and-beyond
October 02, 2019 - Commentary
Moving patient safety into ambulatory settings and beyond.
Citation Text:
Ricciardi R, Shofer M. Moving Patient Safety Into Ambulatory Settings and Beyond. J Nurs Care Qual. 2018;33(3):195-199. doi:10.1097/NCQ.0000000000000329.
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psnet.ahrq.gov/issue/common-body-care-ethics-and-politics-teamwork-operating-theater-are-inseparable
September 27, 2016 - Commentary
A common body of care: the ethics and politics of teamwork in the operating theater are inseparable.
Citation Text:
Bleakley A. A common body of care: the ethics and politics of teamwork in the operating theater are inseparable. J Med Philos. 2006;31(3):305-22.
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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
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psnet.ahrq.gov/node/33616/psn-pdf
August 01, 2005 - A strong evidence base suggests that focusing on nursing would improve patient safety.
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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
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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
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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
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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.
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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
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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
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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
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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
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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
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psnet.ahrq.gov/node/33671/psn-pdf
July 01, 2008 - Although caregiver collaboration is improving and organizations are focusing less on individual blame
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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
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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.