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psnet.ahrq.gov/node/39020/psn-pdf
October 14, 2009 - how systems thinking components can be applied to risk analysis in clinical
medicine and illustrates gaps
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psnet.ahrq.gov/node/36450/psn-pdf
December 22, 2010 - The
investigation identified contributing factors such as an inexperienced caregiver, supervision gaps
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psnet.ahrq.gov/node/866104/psn-pdf
June 12, 2024 - Many hospitals use agency, or temporary, staff to fill these gaps.
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psnet.ahrq.gov/issue/bridging-gap-between-work-imagined-and-work-done
July 18, 2018 - Newspaper/Magazine Article
Bridging the gap between work-as-imagined and work-as-done.
Citation Text:
Bridging the gap between work-as-imagined and work-as-done. Deutsch ES. PA-PSRS Patient Saf Advis. June 2017;14:80-83.
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psnet.ahrq.gov/issue/mind-implementation-gap-persistence-avoidable-harm-nhs
March 04, 2010 - Book/Report
Mind the Implementation Gap. The Persistence of Avoidable Harm in the NHS.
Citation Text:
Mind the Implementation Gap. The Persistence of Avoidable Harm in the NHS. London UK: Patient Safety Learning: 2022.
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psnet.ahrq.gov/issue/sages-fuse-program-bridging-patient-safety-gap
April 05, 2017 - Commentary
The SAGES FUSE program: bridging a patient safety gap.
Citation Text:
Fuchshuber PR, Robinson TN, Feldman LS, et al. The SAGES FUSE program: bridging a patient safety gap. Bull Am Coll Surg. 2014;99(9):18-27.
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psnet.ahrq.gov/issue/gap-assessment-hospitals-adoption-just-culture-principles
September 21, 2005 - Newspaper/Magazine Article
Gap assessment of hospitals' adoption of the just culture principles.
Citation Text:
Gap assessment of hospitals' adoption of the just culture principles. Barger DM; Marella W; Charney FJ.
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psnet.ahrq.gov/issue/organisation-losing-its-memory-patient-safety-alerts-implementation-monitoring-and-regulation
March 17, 2011 - The authors share 4 primary concerns and recommendations to address the alert compliance gaps that
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psnet.ahrq.gov/node/853961/psn-pdf
September 27, 2023 - identified threats involved equipment, structural
or layout issues, resource concerns, and knowledge gaps
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psnet.ahrq.gov/node/72709/psn-pdf
February 03, 2021 - patients-hospitalized-large-us-academic-medical-center
https://psnet.ahrq.gov/issue/covid-19-exposes-potential-gaps-ppe-training-effectiveness
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psnet.ahrq.gov/node/50427/psn-pdf
September 04, 2019 - doing-well-doing-good-evaluating-influence-patient-safety-performance-hospital-financial
https://psnet.ahrq.gov/issue/accurate-measurement-californias-safety-net-health-systems-has-gaps-and-barriers
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psnet.ahrq.gov/node/60520/psn-pdf
May 27, 2020 - occurrence-prevention-and-management-psychological-effects-emerging-virus-outbreaks
https://psnet.ahrq.gov/issue/covid-19-exposes-potential-gaps-ppe-training-effectiveness
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psnet.ahrq.gov/primer/national-patient-safety-goals
January 16, 2025 - strategies to enhance patient safety and reduce preventable harm in healthcare settings, there are gaps … United States over the past two decades, the COVID-19 pandemic uncovered and worsened significant gaps … Action Plan along with its companion Self-Assessment Tool and Implementation Resource Guide to analyze gaps
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psnet.ahrq.gov/node/39491/psn-pdf
March 22, 2011 - published-literature-handoffs-hospitals-deficiencies-identified-extensive-review
This review highlights gaps
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psnet.ahrq.gov/node/42533/psn-pdf
October 24, 2013 - health-information-technology-and-hospital-patient-safety-conceptual-model-
guide-research
This study revealed major gaps
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psnet.ahrq.gov/node/46634/psn-pdf
November 22, 2017 - initiative supporting expert review of current
metrics, including prioritizing measures and identifying gaps
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psnet.ahrq.gov/node/46521/psn-pdf
December 18, 2017 - https://psnet.ahrq.gov/issue/saying-goodbye
Handoffs can result in miscommunications and gaps in continuity
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psnet.ahrq.gov/node/43282/psn-pdf
April 25, 2016 - Examining concerns about resident duty-hours restrictions in Canada, this interview study found that gaps
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psnet.ahrq.gov/node/43887/psn-pdf
April 08, 2018 - The most common sources of error were clinician knowledge gaps, which accounted for nearly
half of all
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psnet.ahrq.gov/node/42031/psn-pdf
February 06, 2013 - This commentary highlights the need to evaluate diagnostic reasoning in emergency medicine to address
gaps