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psnet.ahrq.gov/issue/reframing-morbidity-and-mortality-conference-impact-just-culture
November 15, 2018 - have a robust case selection process with a focus on system errors , a clear structure, and defined goals … to optimise morbidity and mortality rounds to serve contemporary quality improvement and educational goals
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psnet.ahrq.gov/node/39002/psn-pdf
January 03, 2017 - importance of patient engagement was elevated
by its introduction into the National Patient Safety Goals … health-care-consumers-inclination-engage-selected-patient-safety-practices-survey-adults
https://psnet.ahrq.gov/issue/national-patient-safety-goals
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psnet.ahrq.gov/node/38558/psn-pdf
February 18, 2011 - medication
reconciliation for long-term care facilities as part of the 2009 National Patient Safety Goals … psnet.ahrq.gov/primer/medication-reconciliation
https://psnet.ahrq.gov/issue/national-patient-safety-goals
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psnet.ahrq.gov/node/39405/psn-pdf
March 31, 2010 - Overcrowding was one factor cited as a major barrier to implementing the
National Patient Safety Goals … barriers-emergency-departments-adherence-four-medication-safety-related-joint-commission
https://psnet.ahrq.gov/issue/national-patient-safety-goals
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psnet.ahrq.gov/node/44847/psn-pdf
May 09, 2017 - hospital discharge, insufficient
communication with outpatient providers, failure to discuss care goals … deficits-communication-and-information-transfer-between-hospital-based-and-primary-care
https://psnet.ahrq.gov/issue/avoiding-iatrogenic-harm-patient-and-family-while-discussing-goals-care-near-end-life
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psnet.ahrq.gov/node/866847/psn-pdf
September 25, 2024 - Sarah Mossburg: Could you speak to why you think zero harm is an important goal? … evidence-based process bundle, units and organizations began tracking “days since last VAP” and setting
goals … Setting the aspirational goal of zero harm rather than incremental goals makes you
think differently … Progress doesn’t result
from not setting a goal because we might not achieve it. … some of the time, but all the time, and it needs to be reflected in the vision, mission, strategy, goals
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psnet.ahrq.gov/node/867427/psn-pdf
December 18, 2024 - concern for
2024, and the Joint Commission lists preventing falls as a 2024 National Patient Safety Goal … psnet.ahrq.gov/issue/top-10-patient-safety-concerns
https://psnet.ahrq.gov/primer/national-patient-safety-goals … National Patient Safety Goals. The Joint Commission. Published 2024. … https://www.jointcommission.org/standards/national-patient-safety-goals/
7. Bergen G, Shakya I. … Falls%20are%20the%20second%20leading
https://www.jointcommission.org/standards/national-patient-safety-goals
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psnet.ahrq.gov/issue/national-patient-safety-goal-improve-health-care-equity
September 11, 2019 - Newspaper/Magazine Article
National patient safety goal to improve health care equity … Citation Text:
National patient safety goal to improve health care equity. R3 Report. … shares the Joint Commission strategy for embedding equity improvement into the National Patient Safety Goal … Cite
Citation
Citation Text:
National patient safety goal
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psnet.ahrq.gov/node/49560/psn-pdf
April 01, 2008 - Rather, health care providers need to be trained in a goal-based
approach to advance care planning in … Smith, your goal is to focus on your comfort, not interventions that would prolong your life." … A 3-step goal-
based approach to advance care planning listens to where the patient is in living with … Key parts of this plan include taking steps to ensure that the goals of care are
communicated across … Medical care inconsistent with patients'
treatment goals: association with 1-year Medicare resource
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psnet.ahrq.gov/node/39176/psn-pdf
December 16, 2009 - maintain a
system for rapid evaluation of unstable patients as one of the National Patient Safety Goals … relationship-between-early-emergency-team-calls-and-serious-adverse-events
https://psnet.ahrq.gov/issue/national-patient-safety-goals
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psnet.ahrq.gov/node/33694/psn-pdf
April 01, 2010 - What we have essentially done with those priorities and goals is to identify "high-leverage" areas—by … By setting national priorities and goals, we are also trying to
set performance expectations at such … The National Priorities
Partnership has identified priorities and goals in six areas—population health … Eliminating health disparities is
a cross-cutting goal that should be addressed in each of the six priority … The goals in most of these areas are stretch goals—ones that are challenging to achieve, but have great
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psnet.ahrq.gov/node/43224/psn-pdf
June 11, 2014 - mandates that hospitals
have systems for preventing these errors as part of its National Patient Safety Goals … psnet.ahrq.gov/issue/ismps-list-confused-drug-names
https://psnet.ahrq.gov/issue/national-patient-safety-goals
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psnet.ahrq.gov/node/39566/psn-pdf
January 03, 2017 - conducted in a surgical inpatient unit at an academic hospital,
included implementation of a daily goals … reporting-patient-safety-events
https://psnet.ahrq.gov/issue/improving-communication-icu-using-daily-goals
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psnet.ahrq.gov/taxonomy/term/3440
April 10, 2025 - stress among team members (including oneself), environmental threats to safety, appropriate immediate goals
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psnet.ahrq.gov/issue/understanding-multidimensional-effects-resident-duty-hours-restrictions-thematic-analysis
July 03, 2016 - The authors found that duty hour restrictions have fallen short of their goals, discuss unintended consequences … The ritualisation of the surgical safety checklist and its decoupling from patient safety goals
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psnet.ahrq.gov/issue/zero-preventable-deaths-after-traumatic-injury-achievable-goal
March 24, 2021 - Commentary
Zero preventable deaths after traumatic injury: an achievable goal.
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psnet.ahrq.gov/node/60363/psn-pdf
March 01, 2021 - Calls focus on reviewing
the patient's progress toward established goals, discussing any encounters … patient's and caregiver's questions and concerns in preparation for the next
encounter
Patient's goal … The patient's progress toward a personal health goal and
activation along the four pillars are all that … progress against
established goals for the coaches. … Patients’ and family caregivers’ goals for care during transitions out of the
hospital.
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psnet.ahrq.gov/issue/targeting-zero-harm-stretch-goal-risks-breaking-spring
December 01, 2021 - Commentary
Targeting zero harm: a stretch goal that risks breaking the spring. … Targeting zero harm: a stretch goal that risks breaking the spring. … Targeting zero harm: a stretch goal that risks breaking the spring.
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psnet.ahrq.gov/node/60858/psn-pdf
August 26, 2020 - After discussion of goals of care with the
family and patient during the second admission, the patient … associated with the Meds-to-Beds program, and lack of knowledge of patient wishes, abilities, and goals … management with the medications, oxygen usage, and smoking cessation as well as the
discussion of goals … Goals of care and advance directives are key elements that can
guide care during care transitions. … Patient empowerment and discussions of patient goals for care facilitate communication with the
patient
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psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
May 16, 2022 - After discussion of goals of care with the family and patient during the second admission, the patient … issues associated with the Meds-to-Beds program, and lack of knowledge of patient wishes, abilities, and goals … focus on communication that should also include eliciting the patient’s preferences, abilities, and goals … Goals of care and advance directives are key elements that can guide care during care transitions. … Patient empowerment and discussions of patient goals for care facilitate communication with the patient