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141. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34747/psn-pdf
     August 04, 2009 - The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed. August 4, 2009 Langley GJ, Moen R, Nolan KM, et al. Hoboken, NJ: Jossey-Bass; 2009. ISBN: 9780470430880. https://psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance- 2nd-ed Effec…

142. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34770/psn-pdf
     April 17, 2017 - Clinical Risk Management. Enhancing Patient Safety. 2nd ed. April 17, 2017 Vincent CA, ed. London, UK: BMJ Books; 2001. ISBN: 9780727913920. https://psnet.ahrq.gov/issue/clinical-risk-management-enhancing-patient-safety-2nd-ed Vincent has updated his text on risk management, infusing it with concepts directly rela…

143. Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis | PSNet
     psnet.ahrq.gov/innovation/remote-response-team-and-customized-alert-settings-help-improve-management-sepsis
     February 26, 2025 - To test the idea of a remote monitoring team, WellSpan established a small, 24-hour team of remote nurses

144. In Conversation With... John G. Reiling, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-john-g-reiling-phd
     June 01, 2014 - The first point is that having a quiet environment is a good idea irrespective of how people are organized … I don't see how people can argue that trying to standardize is not a good idea.

145. In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring | PSNet
     psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
     April 26, 2023 - But we now also have antilock brakes that let you maintain control on an icy day, which is the idea of … The idea that someone could die in the hospital, with all the doctors and nurses around, from something … This is the idea of serious but treatable complications, and respiratory arrests due to opioids are a … Susan McGrath: That points back to the idea that it’s a system and has various components, not just … Susan McGrath: I think the idea of having engineers be involved in healthcare system design is very

146. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73622/psn-pdf
     August 25, 2021 - The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis. August 25, 2021 Grailey KE, Murray E, Reader T, et al. The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis. BMC Health Serv Res. 2021;21(1):773. doi:10.1…

147. Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units | PSNet
     psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
     April 26, 2023 - But we now also have antilock brakes that let you maintain control on an icy day, which is the idea of … The idea that someone could die in the hospital, with all the doctors and nurses around, from something … This is the idea of serious but treatable complications, and respiratory arrests due to opioids are a … Susan McGrath: That points back to the idea that it’s a system and has various components, not just … Susan McGrath: I think the idea of having engineers be involved in healthcare system design is very

148. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60865/psn-pdf
     August 31, 2020 - you became interested in understanding the role of a strong culture within an institution and the idea … I use this board to emphasize our commitment and focus on the idea that these patients are all people … KH: That idea really resonates - bringing together the culture and person and family engagement as methods

149. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33638/psn-pdf
     August 01, 2006 - many in the Australian anesthesia community thought not), Jeep conceived the idea of creating a foundation … Crazy idea? Maybe.

150. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44853/psn-pdf
     February 03, 2016 - Aviation and healthcare: a comparative review with implications for patient safety. February 3, 2016 Kapur N, Parand A, Soukup T, et al. Aviation and healthcare: a comparative review with implications for patient safety. JRSM Open. 2016;7(1):2054270415616548. doi:10.1177/2054270415616548. https://psnet.ahrq.gov/is…

151. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46498/psn-pdf
     April 04, 2018 - Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned? April 4, 2018 Romijn A, Teunissen PW, de Bruijne M, et al. Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned? BMJ Qual Saf. 2018;27(4):279-286. doi:10.1136/bmjqs…

152. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34774/psn-pdf
     June 02, 2010 - Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic Illness. June 2, 2010 Sharpe VA, Faden AI. Cambridge NY; Cambridge University Press; 1998. ISBN: 9780521634908 https://psnet.ahrq.gov/issue/medical-harm-historical-conceptual-and-ethical-dimensions-iatrogenic-illness An academic exploration…

153. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33674/psn-pdf
     February 01, 2009 - Robert Wachter: The idea makes a lot of sense. … I actually think the policy is a good idea. … So the idea of a policy that creates skin in the game for hospitals to do the right thing and promotes

154. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33807/psn-pdf
     May 01, 2016 - But none of us had any idea that there were so many alarms. … We're so worried about missing something that the idea that people are going to get 100 false alarms … I've talked to monitor manufacturers about this idea of making it contextual.

155. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44455/psn-pdf
     September 02, 2015 - Finding antecedents of psychological safety: a step toward quality improvement. September 2, 2015 Aranzamendez G, James D, Toms R. Finding Antecedents of Psychological Safety: A Step Toward Quality Improvement. Nurs Forum. 2015;50(3):171-178. doi:10.1111/nuf.12084. https://psnet.ahrq.gov/issue/finding-antecedents-…

156. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47161/psn-pdf
     July 25, 2018 - Quality and the health system: becoming a high reliability organization. July 25, 2018 Gaw M, Rosinia F, Diller T. Quality and the health system: becoming a high reliability organization. Anesthesiol Clin. 2018;36(2):217-226. doi:10.1016/j.anclin.2018.01.010. https://psnet.ahrq.gov/issue/quality-and-health-system-…

157. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46072/psn-pdf
     November 08, 2017 - Repeat prescribing of medications: a system-centred risk management model for primary care organisations. November 8, 2017 Price J, Man SL, Bartlett S, et al. Repeat prescribing of medications: A system-centred risk management model for primary care organisations. J Eval Clin Pract. 2017;23(4):779-796. doi:10.1111/…

158. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43027/psn-pdf
     July 23, 2014 - Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. July 23, 2014 Weller JM, Torrie J, Boyd M, et al. Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. Br J Anaesth. 2014;112(…

159. Lessons from Event Reports. | PSNet
     psnet.ahrq.gov/issue/lessons-event-reports
     January 16, 2025 - Multi-use Website Lessons from Event Reports. Citation Text: Lessons from Event Reports. Patient Safety Authority. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Sav…

160. 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 - The infrastructure of VMPS again helped turned this idea from a provocative question in daily work into … Toyota talks about one of their core pillars being the idea of "respect for people" and realizing that … The idea was that at some periodicity the leader would come out of the office and wander around the floor