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psnet.ahrq.gov/node/74704/psn-pdf
January 26, 2022 - improving-self-reported-empathy-and-communication-skills-through-harm-
healthcare-response
Healthcare systems have implemented
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psnet.ahrq.gov/node/73495/psn-pdf
July 14, 2021 - Using
qualitative data, the authors explored how different hospitals implemented one evidence-based
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psnet.ahrq.gov/perspective/conversation-withstephen-hines-phd-and-monika-haugstetter-mha-msn-rn-cphq-about
February 28, 2024 - The program was initially implemented mainly in hospitals, and later it did spread to other healthcare … We do not want TeamSTEPPS to be implemented only after a patient has been harmed. … TeamSTEPPS has been implemented internationally and was recognized by the World Innovation Summit in … TeamSTEPPS has been widely implemented across a variety of healthcare settings. … For organizations that have not yet implemented TeamSTEPPS but are interested in bolstering their safety
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psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork-training
February 28, 2024 - TeamSTEPPS has been implemented internationally and was recognized by the World Innovation Summit in … TeamSTEPPS has been widely implemented across a variety of healthcare settings. … For organizations that have not yet implemented TeamSTEPPS but are interested in bolstering their safety … The program was initially implemented mainly in hospitals, and later it did spread to other healthcare … We do not want TeamSTEPPS to be implemented only after a patient has been harmed.
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psnet.ahrq.gov/node/866902/psn-pdf
October 09, 2024 - under what circumstances unprofessional behavior occurs in acute care and
what interventions have been implemented
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psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
July 08, 2022 - ICU. 9 While there is no consensus on what represents an adequate nurse-to-patient ratio, California implemented … Failure mode and effect analysis should be implemented across all aspects of the BCMA system. … Take-Home Points Policies should be implemented to ensure that medications are verified by a pharmacy … Failure mode and effect analysis should be implemented in the BCMA process to understand potential workarounds
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psnet.ahrq.gov/curated-library/rapid-response-systems
September 15, 2024 - in-hospital patient clinical deterioration), Kaiser Permanente Northern California (KPNC) developed and implemented … in-hospital patient clinical deterioration), Kaiser Permanente Northern California (KPNC) developed and implemented
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psnet.ahrq.gov/primer/checklists
September 15, 2024 - project , a multicenter study in which a checklist of evidence-based infection control interventions was implemented … As checklists have been more widely implemented, it has become clear that their success depends on
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psnet.ahrq.gov/node/857454/psn-pdf
January 01, 2024 - The authors describe ways technology can improve how the measures are
implemented.
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psnet.ahrq.gov/node/36442/psn-pdf
July 23, 2023 - The 3.0 version of the widely implemented program is organized around 5 key
strategies: patient focus
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psnet.ahrq.gov/innovation/adverse-drug-event-ade-surveillance-and-pharmacist-counseling
June 28, 2023 - harm to patients from ADEs after newly initiated medications, the Brigham and Women’s Hospital system implemented … Use By Other Organizations
The innovation team reports other organizations have implemented similar … Date First Implemented
2015
Problem Addressed
Previous research on
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psnet.ahrq.gov/issue/engaging-patients-improving-ambulatory-care
January 17, 2024 - compendium includes strategies and tools to engage patients in health care improvement that have been implemented
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psnet.ahrq.gov/issue/pridx-framework-engage-payers-reducing-diagnostic-errors-healthcare
January 22, 2025 - To improve patient safety, payers such as the Centers for Medicare & Medicaid have implemented policies
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psnet.ahrq.gov/issue/patient-safety-papers-3
November 10, 2010 - This collection of articles shares best practices implemented in Canada to improve patient safety through
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psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
July 23, 2024 - other materials used during surgery is the recommended element in the bundle. 2 The RSI bundle was implemented … Date First Implemented
2020
Problem Addressed
Evidence demonstrates … It was fully implemented in October 2020. 2 Ascension recognized the importance of communicating about … For example, Ascension implemented a Good Catch Award program to reinforce wins in patient safety, storytelling
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psnet.ahrq.gov/issue/sops-health-information-technology-patient-safety-supplemental-item-set-hospital-survey
October 23, 2019 - Organizational culture can affect the use of tools and processes implemented to improve safety.
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psnet.ahrq.gov/node/33578/psn-pdf
September 15, 2024 - In the obstetric example above, the hospital
had implemented a barcode system designed to prevent medication … defibrillator example above) is one basic example, but
standardized processes are increasingly being implemented
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psnet.ahrq.gov/node/33577/psn-pdf
September 15, 2024 - In 2003, the
Accreditation Council for Graduate Medical Education (ACGME) implemented rules limiting … Reviews including data since the 2011 regulations were
implemented have reached similar conclusions.
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psnet.ahrq.gov/curated-library/implementation-patient-safety-projects
April 17, 2025 - In 2017, the National Health Service (NHS) implemented “Learning from Deaths” (LfD) to report, learn … The authors focus their discussion on the widely implemented World Health Organization surgical checklist … detailed information on the organizational change model used as well as the interventions that were implemented … The Safer Patients Initiative was implemented at four United Kingdom sites in 2004 in collaboration with
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psnet.ahrq.gov/perspective/are-residency-duty-hour-rules-improving-patient-safety
April 01, 2013 - Theoretical impact of duty hour rules on patient safety
The duty hour rules were implemented with two … A series of relatively small studies has been done by programs that implemented these types of changes … That said, the changes implemented more recently are pretty substantive, at least with respect to the … Other countries, like New Zealand, years ago implemented resident work hours. … November 26, 2014
Nursing implications of an early warning system implemented to reduce