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psnet.ahrq.gov/node/49699/psn-pdf
February 01, 2014 - Systems Approach to Medication Errors
The goal of a system-based analysis of errors is to discover underlying
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psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
August 30, 2023 - Learnings from Events
A culture of safety is a culture of continuous learning and improvement with the goal
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psnet.ahrq.gov/node/33702/psn-pdf
November 01, 2010 - Initially, the goal was to create the indicators and to put them through an expert panel process.
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psnet.ahrq.gov/node/49702/psn-pdf
March 01, 2014 - With this as the goal, the suspected error should be reported to
organizational leadership and then
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psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
September 15, 2024 - pandemic, promoting a culture in which care team members are encouraged to voice their concerns is a goal
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psnet.ahrq.gov/primer/burnout
November 20, 2024 - ongoing research to best identify areas for interventions at the personal and system level with the goal
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psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
August 28, 2024 - the investigation and the mechanisms through which the proposed actions would lead to the ultimate goal
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psnet.ahrq.gov/web-mm/inside-time-out
March 01, 2004 - In 2003, the Joint Commission made the elimination of wrong site surgeries a National Patient Safety Goal
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psnet.ahrq.gov/web-mm/worst-headache
July 01, 2016 - The clinician's principal goal is to distinguish between the 95% of patients with self-limiting headache
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psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
November 15, 2023 - instance, the nurse's aide hypothetically would be re-educated to be more careful and attentive, with the goal
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psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-postoperative-cervical-hematoma
August 14, 2024 - intubation if the airway is too constricted to accommodate an endotracheal tube. 21 The surgeon’s goals
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psnet.ahrq.gov/node/49759/psn-pdf
May 01, 2016 - Hospital: 2016 National Patient Safety Goals. Oakbrook Terrace, IL: Joint Commission.
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psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
January 01, 2023 - participatory process, practical evidence-based
interventions, and pragmatic measures of progress towards goals
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psnet.ahrq.gov/web-mm/room-without-orders
September 01, 2011 - to be completed (such a review should also ensure that those activities align with the patient's own goals
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psnet.ahrq.gov/node/867359/psn-pdf
December 18, 2024 - Facts About Nationwide Breastfeeding Goals. Centers for Disease Control and Prevention.
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psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
April 01, 2006 - reasons: There is significant interpatient variability in the dosages needed to achieve the twin goals
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psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-consortium-hms-finds-infectious-diseases-id-physician
July 23, 2024 - clinician buy-in (e.g., through sharing concerning statistics on inappropriate PICC use) Establishing goals
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psnet.ahrq.gov/node/846171/psn-pdf
July 26, 2022 - consultation with the patient’s family, it was determined that emergency surgery was not consistent with his
goals
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psnet.ahrq.gov/issue/deficits-discharge-documentation-patients-transferred-rehabilitation-facilities
October 28, 2009 - Ensuring the safety of anticoagulant therapy is a Joint Commission National Patient Safety Goal . … September 1, 2016
Anticoagulation patient safety goal compliance at a university health … system: methods for achieving the goal.
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psnet.ahrq.gov/node/40674/psn-pdf
October 16, 2012 - care-transitions-intervention-translating-efficacy-effectiveness
The Partnership for Patients has set a goal … This goal was achieved by the landmark care transitions study.