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  1. In Conversation With... Edwin Loftin, DNP, MBA, RN, NEA-BC-FACHE | PSNet

    psnet.ahrq.gov/perspective/conversation-edwin-loftin-dnp-mba-rn-nea-bc-fache
    August 31, 2020 - how 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

  2. Safety Across The Board | PSNet

    psnet.ahrq.gov/perspective/safety-across-board
    August 31, 2020 - how 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

  3. Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations | PSNet

    psnet.ahrq.gov/issue/health-informatics-healthcare-quality-and-safety-and-healthcare-simulation-new-triad-advance
    April 28, 2021 - Special or Theme Issue Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations Citation Text: Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations …

  4. Clinical Risk Management. Enhancing Patient Safety. 2nd ed. | PSNet

    psnet.ahrq.gov/issue/clinical-risk-management-enhancing-patient-safety-2nd-ed
    May 20, 2019 - Book/Report Classic Clinical Risk Management. Enhancing Patient Safety. 2nd ed. Citation Text: Clinical Risk Management. Enhancing Patient Safety. 2nd ed. Vincent CA, ed. London, UK: BMJ Books; 2001. ISBN: 9780727913920. Copy Citation Save …

  5. Anesthesia Patient Safety Foundation. | PSNet

    psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation
    January 02, 2011 - Multi-use Website Anesthesia Patient Safety Foundation. Citation Text: Anesthesia Patient Safety Foundation. P.O. Box 6668, Rochester, MN 55903. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Lin…

  6. In Conversation With… Karl Bilimoria, MD, MS | PSNet

    psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms
    April 19, 2023 - The ACGME became very willing to entertain the idea that evidence could help them draft better policy … We proposed the idea of a national cluster randomized trial , a pragmatic trial that leveraged the existing

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841305/psn-pdf
    January 27, 2023 - It’s the idea that we think that work—like providing healthcare—will happen a certain way, but when … “Work-as-abstracted” explores the idea that we can aggregate data from patient encounters and find patterns

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33839/psn-pdf
    August 01, 2017 - The ACGME became very willing to entertain the idea that evidence could help them draft better policy … We proposed the idea of a national cluster randomized trial , a pragmatic trial that leveraged the existing

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33754/psn-pdf
    September 01, 2013 - This happened in aviation in the 1970s and 1980s, when pilots resisted the idea of the importance of … That's a bit hyperbolic, but essentially the idea that it's okay for me to choose not to follow a safety

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33644/psn-pdf
    December 01, 2006 - Researchers, managers, and policy makers have grown enamored with the abstract idea of the safety culture

  11. Promoting safety through well-being: an experience in healthcare. | PSNet

    psnet.ahrq.gov/issue/promoting-safety-through-well-being-experience-healthcare
    November 11, 2020 - Commentary Promoting safety through well-being: an experience in healthcare. Citation Text: Bruno A, Bracco F. Promoting Safety through Well-Being: An Experience in Healthcare. Front Psychol. 2016;7:1208. doi:10.3389/fpsyg.2016.01208. Copy Citation Format: DOI Google Schola…

  12. How can the principles of complexity science be applied to improve the coordination of care for complex pediatric patients? | PSNet

    psnet.ahrq.gov/issue/how-can-principles-complexity-science-be-applied-improve-coordination-care-complex-pediatric
    October 19, 2022 - Commentary How can the principles of complexity science be applied to improve the coordination of care for complex pediatric patients? Citation Text: Matlow AG, Wright JG, Zimmerman B, et al. How can the principles of complexity science be applied to improve the coordination of care fo…

  13. Reducing Adverse Drug Events. | PSNet

    psnet.ahrq.gov/issue/reducing-adverse-drug-events
    August 09, 2017 - Book/Report Classic Reducing Adverse Drug Events. Citation Text: Reducing Adverse Drug Events. Leape LL, Kabcenell A, Berwick DM et al. Boston, MA: Institute for Healthcare Improvement; 1998. Copy Citation Save Save to your library …

  14. The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth. | PSNet

    psnet.ahrq.gov/issue/fearless-organization-creating-psychological-safety-workplace-learning-innovation-and-growth
    May 16, 2012 - Book/Report Classic The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth. Citation Text: The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth. Edm…

  15. The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed. | PSNet

    psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance-2nd-ed
    November 29, 2017 - Book/Report Classic The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed. Citation Text: The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed. Langley GJ, Moen R, Nolan KM, et al. Ho…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867850/psn-pdf
    February 26, 2025 - In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety February 26, 2025 Vogus T, Lee M, Mossburg SE. In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety. PSNet [internet]. 2025. https://psnet.ahrq.gov/persp…

  17. Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic Illness. | PSNet

    psnet.ahrq.gov/issue/medical-harm-historical-conceptual-and-ethical-dimensions-iatrogenic-illness
    May 13, 2020 - Book/Report Classic Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic Illness. Citation Text: Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic Illness. Sharpe VA, Faden AI. Cambridge NY; Cambridge University…

  18. What have we learned about interventions to reduce medical errors? | PSNet

    psnet.ahrq.gov/issue/what-have-we-learned-about-interventions-reduce-medical-errors
    June 26, 2019 - Review What have we learned about interventions to reduce medical errors? Citation Text: Woodward HI, Mytton OT, Lemer C, et al. What have we learned about interventions to reduce medical errors? Annu Rev Public Health. 2010;31:479-97 1 p following 497. doi:10.1146/annurev.publhealth.0…

  19. Why patients need leaders: introducing a ward safety checklist. | PSNet

    psnet.ahrq.gov/issue/why-patients-need-leaders-introducing-ward-safety-checklist
    October 28, 2020 - Commentary Why patients need leaders: introducing a ward safety checklist. Citation Text: Amin Y, Grewcock D, Andrews S, et al. Why patients need leaders: introducing a ward safety checklist. J R Soc Med. 2012;105(9):377-83. doi:10.1258/jrsm.2012.120098. Copy Citation Format: …

  20. In Conversation With… Enrico Coiera, MB, BS, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd
    February 01, 2014 - EC : That's a good idea, but it's too late if you begin to actively engage with the interruption task … They are very focused around the idea that the clinical record is primary and therefore all work needs … But that's a broken idea—technology demanding that work fits around its limitations. … The idea that I can put on a set of spectacles that display task-specific information as I walk through
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