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psnet.ahrq.gov/issue/i-had-no-idea-happened-electronic-feedback-clinical-reasoning-hospitalists
February 28, 2024 - Study
“I had no idea this happened”: electronic feedback on clinical reasoning for hospitalists.
Citation Text:
Kotwal S, Udayappan KM, Kutheala N, et al. “I had no idea this happened”: electronic feedback on clinical reasoning for hospitalists. J Gen Intern Med. 2024;39(16):3271-3277. d…
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psnet.ahrq.gov/issue/reconciling-medications-admission-safe-practice-recommendations-and-implementation-strategies
January 02, 2017 - Study
Reconciling medications at admission: safe practice recommendations and implementation strategies.
Citation Text:
Rogers G, Alper E, Brunelle D, et al. Reconciling Medications at Admission: Safe Practice Recommendations and Implementation Strategies. Jt Comm J Qual Patient Saf. 2…
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psnet.ahrq.gov/issue/patient-patient-involvement-strategies-diagnostic-error-mitigation
April 24, 2018 - Review
The patient is in: patient involvement strategies for diagnostic error mitigation.
Citation Text:
McDonald KM, Bryce CL, Graber ML. The patient is in: patient involvement strategies for diagnostic error mitigation. BMJ Qual Saf. 2013;22 Suppl 2:ii33-ii39. doi:10.1136/bmjqs-2012-…
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psnet.ahrq.gov/issue/team-training-safer-birth
July 16, 2013 - Review
Team training for safer birth.
Citation Text:
Cornthwaite K, Alvarez M, Siassakos D. Team training for safer birth. Best Pract Res Clin Obstet Gynaecol. 2015;29(8):1044-1057. doi:10.1016/j.bpobgyn.2015.03.020.
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psnet.ahrq.gov/issue/michigan-health-hospital-association-keystone-obstetrics-statewide-collaborative-perinatal
February 10, 2015 - Study
Michigan Health & Hospital Association Keystone Obstetrics: a statewide collaborative for perinatal patient safety in Michigan.
Citation Text:
Simpson KR, Knox GE, Martin M, et al. Michigan Health & Hospital Association Keystone Obstetrics: A Statewide Collaborative for Perinatal…
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psnet.ahrq.gov/issue/transforming-healthcare-safety-imperative
June 26, 2019 - Commentary
Classic
Transforming healthcare: a safety imperative.
Citation Text:
Leape L, Berwick D, Clancy C, et al. Transforming healthcare: a safety imperative. Qual Saf Health Care. 2009;18(6):424-8. doi:10.1136/qshc.2009.036954.
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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.