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Total Results: 9,165 records

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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45789/psn-pdf
    January 11, 2017 - Areas of concern identified by the investigation include a lack of available data on the patient outcomes
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44270/psn-pdf
    July 01, 2015 - Lessons learned include the value of engaging leadership, utilizing debriefing as a learning mechanism
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46081/psn-pdf
    April 19, 2017 - Strategies discussed include reducing variation on measures collected and developing a culture of reporting
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35193/psn-pdf
    July 10, 2008 - These include system-related problems such as inefficient processes and cognitive problems such as failure
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42925/psn-pdf
    February 05, 2014 - Design interventions described include air filtration systems, decontamination of water sources, and
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34659/psn-pdf
    April 07, 2010 - These mistakes include not establishing a great enough sense of urgency, not creating a powerful enough
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47246/psn-pdf
    September 19, 2018 - Strategies to enhance teamwork and consequently clinician well-being include improvements in workflow
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47827/psn-pdf
    February 27, 2019 - Topics covered include usability, implementation, interoperability, and policy.
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43827/psn-pdf
    January 14, 2015 - for patients and families to build relationships and enable partnerships to help ensure safe care include
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35228/psn-pdf
    March 04, 2011 - Results include examination of current recommendations and data that address those consensus-driven
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35415/psn-pdf
    December 21, 2008 - Topics covered through the series include leadership, culture, performance improvement, information
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46352/psn-pdf
    October 15, 2018 - Topics covered include high reliability, teamwork, communication, and patient-centered culture.
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44785/psn-pdf
    January 27, 2016 - Highlighted recommendations include strategies to assess processes, identify best practices, and engage
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45318/psn-pdf
    September 28, 2016 - The author proposes several tactics to promote safe medication practices by parents which include picture-based
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44386/psn-pdf
    August 12, 2015 - using-simulation-improve-systems Safety approaches from aviation that can be applied to health care include
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44082/psn-pdf
    April 22, 2015 - impact-including-readmissions-qualifying-events-patient-safety-indicators The AHRQ Patient Safety Indicators (PSIs) do not include
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43030/psn-pdf
    March 26, 2014 - Tips include establishing protocols for commonly used vaccines, requiring periodic training for staff
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45756/psn-pdf
    December 21, 2016 - Recommendations to reduce risks include communicating during transitions, safe storage, and immediate
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46931/psn-pdf
    January 15, 2019 - Specific tactics discussed include proactive problem identification, medication reconciliation, high-alert
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43449/psn-pdf
    September 03, 2014 - Some of the most promising interventions thus far include smart pumps and computerized provider order

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