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psnet.ahrq.gov/node/49784/psn-pdf
February 01, 2017 - error taxonomy (
9,10) and subsequent modifications and adaptations (11-13) introduced features that helped
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psnet.ahrq.gov/web-mm/delayed-clozapine-prescription-elderly-man-dementia
August 06, 2014 - Routine REMS program updates and education could have also helped to prevent this error.
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psnet.ahrq.gov/innovation/missouri-quality-initiative-moqi-reduces-hospitalizations-among-nursing-home-residents
July 23, 2024 - Lessons learned from other initiatives have helped to inform the approach for the MOQI.
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psnet.ahrq.gov/issue/are-second-victims-getting-help-they-need
September 13, 2017 - Newspaper/Magazine Article
Are second victims getting the help they need?
Citation Text:
Are second victims getting the help they need? Headley M. Patient Saf Qual Healthc. May/June 2018.
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psnet.ahrq.gov/node/72618/psn-pdf
December 23, 2020 - Regular
crowd sourcing has helped to identify low-cost workflow or behavioral interventions as frontline
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psnet.ahrq.gov/web-mm/danger-disruption
July 29, 2020 - The nurse caring for her that day was expert, had worked on that unit for years, and had helped write
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psnet.ahrq.gov/node/33881/psn-pdf
August 01, 2019 - In Sweden, people were allowed to meet every day briefly and talk, and we helped them with the structured
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psnet.ahrq.gov/web-mm/misdiagnosis-pelvic-mass-versus-pregnancy
November 25, 2020 - adequate review of decisions made by less experienced team members, like interns in the ED, could have helped
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psnet.ahrq.gov/issue/20-tips-help-prevent-medical-errors
December 24, 2008 - Government Resource
20 Tips to Help Prevent Medical Errors.
Citation Text:
20 Tips to Help Prevent Medical Errors. Agency for Healthcare Research and Quality; AHRQ.
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psnet.ahrq.gov/perspective/conversation-erik-hollnagel-phd
February 26, 2025 - In Sweden, people were allowed to meet every day briefly and talk, and we helped them with the structured
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psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma
February 26, 2025 - The reaction to it has helped to reassure the facilities.
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psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
July 23, 2024 - Regular crowd sourcing has helped to identify low-cost workflow or behavioral interventions as frontline
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psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
September 15, 2024 - infection-control guidelines, customized equipment and specialized facilities for the management of COVID‑19 helped
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psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
January 01, 2015 - kaizen events and rapid process improvement workshops (multidisciplinary improvement team efforts) helped … The infrastructure of VMPS again helped turned this idea from a provocative question in daily work into
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psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
January 01, 2015 - kaizen events and rapid process improvement workshops (multidisciplinary improvement team efforts) helped … The infrastructure of VMPS again helped turned this idea from a provocative question in daily work into
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psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
June 01, 2005 - the SBAR format may have provided a framework for the nurse to report all relevant information and helped
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psnet.ahrq.gov/web-mm/too-tight-control
March 20, 2013 - insulin drips, and standardization of glucose monitoring in patients on IV insulin drips might have helped
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psnet.ahrq.gov/node/49495/psn-pdf
December 01, 2005 - We have
documented one case in which this dynamic helped lead to a patient’s cardiac resuscitation being
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psnet.ahrq.gov/node/33645/psn-pdf
February 01, 2007 - She took some Mylanta, which helped a
little bit.
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psnet.ahrq.gov/node/49432/psn-pdf
February 09, 2004 - At our
institution, we have adopted several venues for error reporting that have helped the program