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441. Five Years of Experience Using Front-line Ownership to Improve Healthcare Quality and Safety. | PSNet
     psnet.ahrq.gov/issue/five-years-experience-using-front-line-ownership-improve-healthcare-quality-and-safety
     March 09, 2016 - Citation Text: Five Years of Experience Using Front-line Ownership to Improve Healthcare Quality and … Patient safety leaders have noted the need to recognize the complexity of health care systems in order … March 9, 2016 Healthcare-Associated Infections. … April 28, 2021 Patient Safety February 26, 2020 Ethical duty of health … care systems to address interfacility medical error discovery.

442. What near misses tell us about risk and safety in mental health care. | PSNet
     psnet.ahrq.gov/issue/what-near-misses-tell-us-about-risk-and-safety-mental-health-care
     October 19, 2022 - Study What near misses tell us about risk and safety in mental health care. … What near misses tell us about risk and safety in mental health care. … What near misses tell us about risk and safety in mental health care. … March 9, 2016 Enabling a learning healthcare system with automated computer protocols … Care Providers Health Care Executives and Administrators Mental Health Care (Psychiatry and Clinical

443. Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R18). | PSNet
     psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care-facilities-r18
     May 30, 2018 - Grant Announcement Making Health Care Safer in Ambulatory Care Settings and Long … Citation Text: Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities ( … January 11, 2023 Making Health Care Safer in Ambulatory Care Settings and Long-term Care … April 20, 2022 Making Health Care Safer in Ambulatory Care Settings and Long-term Care … August 15, 2018 AHRQ Health Services Research Projects: Making Health Care Safer in Ambulatory

444. Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care organizations. | PSNet
     psnet.ahrq.gov/issue/creating-learning-health-system-improving-diagnostic-safety-pragmatic-insights-us-health-care
     May 12, 2021 - care organizations. … March 3, 2021 Development and usability testing of the Agency for Healthcare Research … Care. … January 8, 2020 A learning health care system using computer-aided diagnosis. … June 7, 2006 View More See More About The Topic Health Care Executives

445. Current pulse: can a production system reduce medical errors in health care? | PSNet
     psnet.ahrq.gov/issue/current-pulse-can-production-system-reduce-medical-errors-health-care
     September 09, 2011 - Current pulse: can a production system reduce medical errors in health care? … Qual Manag Health Care. 2007;16(3):226-238. … Qual Manag Health Care . 2007; 16 (3) :226-238 . … Qual Manag Health Care. 2007;16(3):226-238. … September 19, 2016 Toward a safer health care system: the critical need to improve measurement

446. Safety and Ethics in Healthcare: A Guide to Getting it Right. | PSNet
     psnet.ahrq.gov/issue/safety-and-ethics-healthcare-guide-getting-it-right
     May 21, 2019 - Citation Text: Safety and Ethics in Healthcare: A Guide to Getting it Right. … This book provides a four-part treatment on improving health care safety, featuring discussions on the … weaknesses of the health care system, safety basics, error management, and error prevention. … November 10, 2017 Handbook of Human Factors and Ergonomics in Health Care and Patient … March 9, 2018 Leading Health Care Transformation: A Primer for Clinical Leaders.

447. Hospital patients' reports of medical errors and undesirable events in their health care. | PSNet
     psnet.ahrq.gov/issue/hospital-patients-reports-medical-errors-and-undesirable-events-their-health-care
     July 06, 2012 - Hospital patients' reports of medical errors and undesirable events in their health care. … Hospital patients' reports of medical errors and undesirable events in their health care. … December 29, 2014 Patient complaints in healthcare systems: a systematic review and coding … July 23, 2008 View More See More About The Topic Hospitals Health Care … Providers Health Care Executives and Administrators General Internal Medicine Hospital Medicine

448. Patient safety: disclosure of medical errors and risk mitigation. | PSNet
     psnet.ahrq.gov/issue/patient-safety-disclosure-medical-errors-and-risk-mitigation
     June 07, 2017 - Although error disclosure is increasingly encouraged in health care, challenges to achieving transparency … This commentary describes the experiences of two health care systems that have implemented approaches … October 3, 2017 Transparency and public reporting are essential for a safe health care … system. … October 3, 2017 Shining a Light: Safer Health Care Through Transparency.

449. Health care workers as second victims of medical errors. | PSNet
     psnet.ahrq.gov/issue/health-care-workers-second-victims-medical-errors
     April 07, 2021 - Study Health care workers as second victims of medical errors. … Health care workers as second victims of medical errors. Pol Arch Med Wewn. 2011;121(4):101-108. … Health care workers as second victims of medical errors. … April 7, 2021 Supporting the emotional well-being of health care workers during the COVID … Care Providers Health Care Executives and Administrators Organizational Behaviorists General

450. What are the critical success factors for team training in health care? | PSNet
     psnet.ahrq.gov/issue/what-are-critical-success-factors-team-training-health-care
     March 21, 2017 - Commentary What are the critical success factors for team training in health care … What are the critical success factors for team training in health care? … What are the critical success factors for team training in health care? … January 6, 2017 The anatomy of health care team training and the state of practice: a … August 21, 2013 Non-technical Skills and the Future of Teamwork in Healthcare Settings

451. High-Performance Work Systems in Health Care Management: Parts 1-5. | PSNet
     psnet.ahrq.gov/issue/high-performance-work-systems-health-care-management-part-1-and-part-2
     March 22, 2017 - Special or Theme Issue High-Performance Work Systems in Health Care Management: Parts … Citation Text: High-Performance Work Systems in Health Care Management: Parts 1-5. … Health Care Manag Rev. 2011-2020. … Health Care Manag Rev. 2011-2020. View more articles from the same authors. … Health Care Manag Rev. 2011-2020.

452. Quality and the health system: becoming a high reliability organization. | PSNet
     psnet.ahrq.gov/issue/quality-and-health-system-becoming-high-reliability-organization
     November 16, 2022 - care. … high reliability organization and suggests these ideas still need to be implemented throughout the health … care system at the organizational and team levels. … June 29, 2022 A high-reliability organization framework for health care: a multiyear … July 18, 2012 Enabling a learning healthcare system with automated computer protocols

453. Joint Commission offers warnings, advice on adopting new health care IT systems. | PSNet
     psnet.ahrq.gov/issue/joint-commission-offers-warnings-advice-adopting-new-health-care-it-systems
     September 12, 2016 - care IT systems. … Joint commission offers warnings, advice on adopting new health care IT systems. … Joint commission offers warnings, advice on adopting new health care IT systems. … March 26, 2014 Can wearable tech prevent healthcare errors? … December 17, 2008 View More See More About The Topic Health Care Executives

454. In Conversation With… Sigall K. Bell, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-sigall-k-bell-md
     February 26, 2025 - Her research focuses on transparency in health care delivery systems and partnering with patients to … I started working with Patient and Family Advisory Councils (PFACs), clinicians, and health care systems … If we apply that principle of looking through the patients' eyes to design a health care system that … care provider or a health care system. … Health care systems will need ways to create a "learning EHR."

455. Listening to women: recommendations from women of color to improve experiences in pregnancy and birth care. | PSNet
     psnet.ahrq.gov/issue/listening-women-recommendations-women-color-improve-experiences-pregnancy-and-birth-care
     August 12, 2019 - Recommendations for health care systems include implicit bias training and education to reduce judgment … care providers in pregnancy and birth. … May 29, 2024 Seroprevalence of SARS-CoV-2 among frontline health care personnel in a … Delivery and Outcomes. … care providers in pregnancy and birth.

456. The role of South--North partnerships in promoting shared learning and knowledge transfer. | PSNet
     psnet.ahrq.gov/issue/role-south-north-partnerships-promoting-shared-learning-and-knowledge-transfer
     July 29, 2020 - goals of global patient safety and highlights experiences in Africa that demonstrate how high-income health … care systems can learn from low-income hospitals. … October 14, 2020 Time for transparent standards in quality reporting by health care organizations … February 12, 2020 Secure text messaging in healthcare: latent threats and opportunities … May 11, 2014 View More See More About The Topic Hospitals Health Care

457. Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health Care | PSNet
     psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
     January 01, 2015 - Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health Care Paul … Introduction Virginia Mason Medical Center is a nonprofit regional health care system in the Seattle … Standard work is a particularly troublesome concept to many health care professionals. … We're well past the point where people can say Lean does not work in health care. … Care Providers Health Care Executives and Administrators Policy Makers Gynecology View

458. Organizational Learning | PSNet
     psnet.ahrq.gov/curated-library/organizational-learning
     November 03, 2025 - Committee on the Learning Health Care System in America, Institute of Medicine. … Systems. … Committee on the Learning Health Care System in America, Institute of Medicine. … care system. … It emphasizes the importance of continuous learning—not only from high performing health care systems

459. Complexity science: the challenge of complexity in health care. | PSNet
     psnet.ahrq.gov/issue/complexity-science-challenge-complexity-health-care
     March 13, 2013 - care. … Complexity science: The challenge of complexity in health care. BMJ. 2001;323(7313):625-628. … Drawing from a literature largely from outside health care, the authors discuss the roles of self-adjusting … Complexity science: The challenge of complexity in health care. BMJ. 2001;323(7313):625-628. … January 2, 2013 Addressing healthcare-associated infections and antimicrobial resistance

460. Creating high reliability in health care organizations. | PSNet
     psnet.ahrq.gov/issue/creating-high-reliability-health-care-organizations
     September 20, 2011 - Commentary Creating high reliability in health care organizations. … Creating high reliability in health care organizations. … Creating high reliability in health care organizations. … catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare … Care Executives and Administrators View More