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psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
December 15, 2024 - the use of data-driven goals to guide design of deprescribing interventions will ultimately lead to improvements
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psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
August 28, 2024 - Its purpose should remain relentlessly focused on how to make improvements, and how to make them in the
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psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur
May 26, 2021 - Davis, Health must ensure balance, independence and objectivity in all its CME activities to promote improvements
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psnet.ahrq.gov/web-mm/emergency-error
January 18, 2013 - Improvements have been directed at the admission of patients, ward-based care, and the operating room
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psnet.ahrq.gov/node/33583/psn-pdf
March 01, 2023 - training programs in health care found that technology-enhanced simulation training was associated with
improvements
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psnet.ahrq.gov/web-mm/clostridium-difficile-relapse-secondary-medication-access-issue
October 01, 2015 - that vancomycin and metronidazole were equivalent for mild disease, but vancomycin was associated with improvements
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psnet.ahrq.gov/web-mm/good-catch-operating-room
August 27, 2017 - Administration, the widespread implementation of a medical team training program has resulted in several improvements
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psnet.ahrq.gov/node/841469/psn-pdf
December 14, 2022 - Davis, Health must ensure
balance, independence and objectivity in all its CME activities to promote improvements
-
psnet.ahrq.gov/web-mm/one-dose-two-errors
September 29, 2017 - through improved antimicrobial use is lacking, although EHRs with integrated CDSSs have demonstrated improvements
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psnet.ahrq.gov/node/861880/psn-pdf
January 31, 2024 - type of communication failure, like miscommunications during handoff, have demonstrated substantial
improvements
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psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis
October 26, 2022 - model and metacognition, guided reflection, and other methods of changing thinking habits, system-based improvements
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psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency
February 21, 2024 - April 24, 2024
Leveraging the science of teamwork to sustain handoff improvements
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psnet.ahrq.gov/node/73434/psn-pdf
June 30, 2021 - Davis, Health must ensure
balance, independence and objectivity in all its CME activities to promote improvements
-
psnet.ahrq.gov/node/61078/psn-pdf
October 28, 2020 - Davis, Health must ensure balance,
independence and objectivity in all its CME activities to promote improvements
-
psnet.ahrq.gov/node/838855/psn-pdf
October 27, 2022 - Davis, Health must ensure
balance, independence and objectivity in all its CME activities to promote improvements
-
psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
August 01, 2018 - Getting back to your prior question, in terms of other improvements, video graphics have finally started … simulation to analyze systems, model proposed changes, then study whether those changes really made the improvements
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psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
November 16, 2022 - The data required to create improvements is collected through multiple methods, including observation … Improvements included the redesign of tubing and catheters so that clinicians were physically incapable
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psnet.ahrq.gov/perspective/evolution-root-cause-analysis
February 26, 2025 - With these improvements, RCA can be a powerful, enduring tool for advancing patient safety and strengthening … resources tailored to their specific needs, ensuring that the analysis leads to meaningful and sustainable improvements
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psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
February 26, 2025 - With these improvements, RCA can be a powerful, enduring tool for advancing patient safety and strengthening … resources tailored to their specific needs, ensuring that the analysis leads to meaningful and sustainable improvements
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psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit
October 30, 2019 - long-term neurodevelopmental outcomes. (1)
Newborn intensive care has delivered incremental but steady improvements … in outcomes over the past few decades. (2) These improvements have led many NICUs to actively provide