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psnet.ahrq.gov/issue/using-standardized-or-checklists-and-creating-extended-time-out-checklists
February 15, 2011 - Commentary
Using standardized OR checklists and creating extended time-out checklists.
Citation Text:
Hey LA, Turner TC. Using Standardized OR Checklists and Creating Extended Time-Out Checklists. AORN J. 2016;104(3):248-53. doi:10.1016/j.aorn.2016.07.007.
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psnet.ahrq.gov/issue/leder-learning-lives-and-deaths
October 19, 2022 - Multi-use Website
LeDeR - Learning from Lives and Deaths.
Citation Text:
LeDeR - Learning from Lives and Deaths. Norah Frye Centre for Disability Studies; Bristol, England.
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psnet.ahrq.gov/issue/patient-safety-when-are-we-too-old-operate
October 19, 2022 - Commentary
On patient safety: when are we too old to operate?
Citation Text:
Lee MJ. On Patient Safety: When Are We Too Old to Operate? Clin Orthop Relat Res. 2016;474(4):895-8. doi:10.1007/s11999-016-4722-6.
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psnet.ahrq.gov/issue/retractions-medical-literature-how-many-patients-are-put-risk-flawed-research
August 31, 2011 - Study
Retractions in the medical literature: how many patients are put at risk by flawed research?
Citation Text:
Steen G. Retractions in the medical literature: how many patients are put at risk by flawed research? J Med Ethics. 2011;37(11):688-92. doi:10.1136/jme.2011.043133.
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psnet.ahrq.gov/issue/2014-guide-state-adverse-event-reporting-systems
November 29, 2009 - Book/Report
2014 Guide to State Adverse Event Reporting Systems.
Citation Text:
2014 Guide to State Adverse Event Reporting Systems. Hanlon C, Sheedy K, Kniffin T, Rosenthal J. Portland, ME: National Academy for State Health Policy; 2015.
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psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-approach
August 30, 2023 - Commentary
The morbidity and mortality meeting: time for a different approach?
Citation Text:
Fraser J. The morbidity and mortality meeting: time for a different approach? Arch Dis Child. 2016;101(1):4-8. doi:10.1136/archdischild-2015-309536.
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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.