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461. Exploring the Potential Use of Safety Cases in Health Care. | PSNet
     psnet.ahrq.gov/issue/exploring-potential-use-safety-cases-health-care
     May 21, 2016 - Book/Report Exploring the Potential Use of Safety Cases in Health Care. … Citation Text: Exploring the Potential Use of Safety Cases in Health Care. … Care. … Thinking About Learning for Improvement in Health Care. … August 9, 2013 Non-technical Skills and the Future of Teamwork in Healthcare Settings

462. Understanding interdisciplinary health care teams: using simulation design processes from the Air Carrier Advanced Qualification Program to identify and train critical teamwork skills. | PSNet
     psnet.ahrq.gov/issue/understanding-interdisciplinary-health-care-teams-using-simulation-design-processes-air
     November 25, 2009 - Study Understanding interdisciplinary health care teams: using simulation design … Understanding interdisciplinary health care teams: using simulation design processes from the Air Carrier … Understanding interdisciplinary health care teams: using simulation design processes from the Air Carrier … November 16, 2022 The role for leaders of health care organizations in patient safety … November 6, 2015 Health Care Simulation to Advance Safety: Responding to Ebola and Other

463. Practically speaking: rethinking hand hygiene improvement programs in health care settings. | PSNet
     psnet.ahrq.gov/issue/practically-speaking-rethinking-hand-hygiene-improvement-programs-health-care-settings
     September 03, 2011 - care settings. … Practically speaking: Rethinking hand hygiene improvement programs in health care settings. … Practically speaking: Rethinking hand hygiene improvement programs in health care settings. … July 21, 2010 View More See More About The Topic Hospitals Health Care … Providers Health Care Executives and Administrators General Internal Medicine Hospital Medicine

464. Antecedents of willingness to report medical treatment errors in health care organizations: a multilevel theoretical framework. | PSNet
     psnet.ahrq.gov/issue/antecedents-willingness-report-medical-treatment-errors-health-care-organizations-multilevel
     May 06, 2015 - Antecedents of willingness to report medical treatment errors in health care organizations: a multilevel … Health Care Manage Rev. 2014;39(1):21-30. doi:10.1097/HMR.0b013e3182862869. … Health Care Manage Rev . 2014; 39 (1) :21-30 . … Antecedents of willingness to report medical treatment errors in health care organizations: a multilevel … Health Care Manage Rev. 2014;39(1):21-30. doi:10.1097/HMR.0b013e3182862869.

465. The influence of organizational factors on patient safety: examining successful handoffs in health care. | PSNet
     psnet.ahrq.gov/issue/influence-organizational-factors-patient-safety-examining-successful-handoffs-health-care
     November 20, 2015 - The influence of organizational factors on patient safety: Examining successful handoffs in health care … Health Care Manage Rev. 2016;41(1):32-41. doi:10.1097/HMR.0000000000000033. … Health Care Manage Rev . 2016; 41 (1) :32-41 . … Health Care Manage Rev. 2016;41(1):32-41. doi:10.1097/HMR.0000000000000033. … system.

466. Self-reported adverse events in health care that cause harm: a population-based survey. | PSNet
     psnet.ahrq.gov/issue/self-reported-adverse-events-health-care-cause-harm-population-based-survey
     September 20, 2011 - Study Self-reported adverse events in health care that cause harm: a population-based … Self-reported adverse events in health care that cause harm: a population-based survey. … Self-reported adverse events in health care that cause harm: a population-based survey. … September 20, 2011 Seroprevalence of SARS-CoV-2 among frontline health care personnel … March 13, 2013 Enabling a learning healthcare system with automated computer protocols

467. Leading Health Care Transformation: A Primer for Clinical Leaders. | PSNet
     psnet.ahrq.gov/issue/leading-health-care-transformation-primer-clinical-leaders
     April 12, 2017 - Book/Report Leading Health Care Transformation: A Primer for Clinical Leaders. … Citation Text: Leading Health Care Transformation: A Primer for Clinical Leaders. … Leadership can enable the change needed to address health care safety and quality improvement challenges … May 10, 2017 View More Related Resources Resilient Health Care … November 25, 2015 Improving Diagnosis in Health Care.

468. Approach to Improving Patient Safety: Communication | PSNet
     psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
     August 31, 2020 - of healthcare. … Communication throughout a patient’s interaction with the health care system, including during diagnosis … Looking ahead, as health care delivery seeks a better ‘new normal,’ we need to learn more about communication … Int J Qual Health Care . 2020;32(5):342-346. doi: 10.1093/intqhc/mzaa034. [ PSNet ] 2 .   … Care Delivery and Pharmacists During the COVID-19 Pandemic June 29, 2020

469. In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety | PSNet
     psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
     February 26, 2025 - Working in a healthcare delivery system, we collect a ton of data. … We thought we had these high-performing health care systems, but the data did not look like they were … Preventable errors in health care often have common root causes. … to explore the role of AI in health care. … Int J Qual Health Care. 2020;32(4):271-274. Free full text] ImproveCareNow.

470. Learning Health Systems for Patient Safety | PSNet
     psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
     February 26, 2025 - Preventable errors in health care often have common root causes. … to explore the role of AI in health care. … Int J Qual Health Care. 2020;32(4):271-274. Free full text] ImproveCareNow. … Working in a healthcare delivery system, we collect a ton of data. … We thought we had these high-performing health care systems, but the data did not look like they were

471. The missing evidence: a systematic review of patients' experiences of adverse events in health care. | PSNet
     psnet.ahrq.gov/issue/missing-evidence-systematic-review-patients-experiences-adverse-events-health-care
     September 06, 2017 - The missing evidence: a systematic review of patients' experiences of adverse events in health care. … Int J Qual Health Care. 2015;27(6):424-42. doi:10.1093/intqhc/mzv075. … Int J Qual Health Care . 2015; 27 (6) :424-42 . … The missing evidence: a systematic review of patients' experiences of adverse events in health care. … Int J Qual Health Care. 2015;27(6):424-42. doi:10.1093/intqhc/mzv075.

472. Reducing harm to patients. Using patient safety dashboards at the board level. | PSNet
     psnet.ahrq.gov/issue/reducing-harm-patients-using-patient-safety-dashboards-board-level
     February 22, 2010 - This commentary describes how hospital and health care system board members can develop facility-specific … December 18, 2013 Enabling a learning healthcare system with automated computer protocols … December 4, 2016 Building a highway to quality health care. … April 1, 2010 Health-care industry agrees on patient safety rules. … November 15, 2006 View More See More About The Topic Health Care Executives

473. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/865308
     January 01, 2024 - Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. … Committee on the Learning Health Care System in America, Institute of Medicine. … care system. … Committee on the Learning Health Care System in America, Institute of Medicine. … care system.

474. Latent risk assessment tool for health care leaders. | PSNet
     psnet.ahrq.gov/issue/latent-risk-assessment-tool-health-care-leaders
     September 05, 2018 - Commentary Latent risk assessment tool for health care leaders. … Latent risk assessment tool for health care leaders. … Health care executives and board members have a key role in safety improvement. … Latent risk assessment tool for health care leaders. … September 14, 2016 Building a highway to quality health care.

475. Health Care–Acquired Urinary Tract Infection: The Problem and Solutions | PSNet
     psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
     November 01, 2008 - Health Care–Acquired Urinary Tract Infection: The Problem and Solutions Lindsay E. … Health Care–Acquired Urinary Tract Infection: The Problem and Solutions. PSNet [internet]. … Health Care–Acquired Urinary Tract Infection: The Problem and Solutions. PSNet [internet]. … Clin Perform Qual Health Care. 1998;6:172-178. [go to PubMed]   16. … Health Care–Acquired Urinary Tract Infection: The Problem and Solutions. PSNet [internet].

476. An innovative mobile approach for patient safety services: the case of a Taiwan health care provider. | PSNet
     psnet.ahrq.gov/issue/innovative-mobile-approach-patient-safety-services-case-taiwan-health-care-provider
     September 27, 2017 - care provider. … An innovative mobile approach for patient safety services: The case of a Taiwan health care provider. … An innovative mobile approach for patient safety services: The case of a Taiwan health care provider. … September 27, 2017 Healthcare failure mode and effect analysis (HFMEA) as an effective … July 30, 2008 View More See More About The Topic Hospitals Health Care

477. Case study research: the view from complexity science. | PSNet
     psnet.ahrq.gov/issue/case-study-research-view-complexity-science
     January 03, 2017 - relationship patterns within a complex adaptive system, is better suited for studying and understanding health … care systems than traditional theoretical models. … November 17, 2015 Health care huddles: managing complexity to achieve high reliability … Patient Safety Organizations: a new paradigm in quality management and communication systems in healthcare

478. An initiative to improve the management of clinically significant test results in a large health care network. | PSNet
     psnet.ahrq.gov/issue/initiative-improve-management-clinically-significant-test-results-large-health-care-network
     November 26, 2014 - care network. … An initiative to improve the management of clinically significant test results in a large health care … An initiative to improve the management of clinically significant test results in a large health care … January 5, 2017 Patient Safety Leadership WalkRounds™ at Partners HealthCare: learning … Care Providers Health Care Executives and Administrators Information Professionals View

479. Is the test result correct? A questionnaire study of blood collection practices in primary health care. | PSNet
     psnet.ahrq.gov/issue/test-result-correct-questionnaire-study-blood-collection-practices-primary-health-care
     February 18, 2009 - A questionnaire study of blood collection practices in primary health care. … A questionnaire study of blood collection practices in primary health care. … A questionnaire study of blood collection practices in primary health care. … care setting. … care setting.

480. Health care work environments, employee satisfaction, and patient safety: care provider perspectives. | PSNet
     psnet.ahrq.gov/issue/health-care-work-environments-employee-satisfaction-and-patient-safety-care-provider
     October 12, 2011 - Study Health care work environments, employee satisfaction, and patient safety: care … Health care work environments, employee satisfaction, and patient safety: care provider perspectives. … Health Care Manage Rev. 2007;32(1):2-11. … Health Care Manage Rev . 2007; 32 (1) :2-11 . … Health Care Manage Rev. 2007;32(1):2-11.