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Showing results for "how to do a case study".

1. How PSOs Help Health Care Organizations Improve Patient Safety Culture (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/npsdpatient-safety-culture-brief.pdf
   September 01, 2016 - How PSOs Help Health Care Organizations Improve Patient Safety Culture How PSOs Help Health Care Organizations … Interviews and Key Findings To better understand how PSOs are working with providers to improve patient … through the action planning process but instructs their members on how to debrief staff on their safety … The alerts describe the reported events and provide information on how to prevent similar events. … and the safety culture: a case study from an academic medical center radiation oncology department.

2. Strategies to Improve Patient Safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/strategies-to-improve-patient-safety_draft-report.pdf
   December 21, 2021 - Errors can be prevented by designing systems that make it hard for people to do the wrong thing and … easy for people to do the right thing.”11 Effective strategies to reduce error are those that build … fail to prevent adverse events or to mitigate harm when adverse events do occur. … of HROs is a reluctance to simplify their understanding of work processes and how and why things succeed … as the right thing to do and wanting to join others in improving performance; combining “bottom up”