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psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm
June 21, 2016 - The document provides strategies for applying efficient and effective RCAs, and it includes tools for
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psnet.ahrq.gov/issue/cognitive-errors-diagnosis-instantiation-classification-and-consequences
June 21, 2016 - Discussion includes detailed examples of each cognitive error type to better illustrate the results,
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psnet.ahrq.gov/issue/patient-safety-dermatology-ten-year-update
February 17, 2010 - In addition to topics covered in the 2010 article, this article also includes diagnostic errors related
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psnet.ahrq.gov/issue/ahrq-communication-and-optimal-resolution-candor-toolkit
May 25, 2016 - The toolkit includes videos, slides, gap analysis assessments and teaching materials.
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psnet.ahrq.gov/node/33591/psn-pdf
March 15, 2025 - The GTT includes 53 different triggers, some applicable to all patients and
some inappropriate for certain … The GTT is practical for routine
improvement efforts and not just research studies, and it includes
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psnet.ahrq.gov/basic-page/ucd-cmeceu-trainee-certification
November 01, 2019 - How to Obtain MOC
Consent to MOC credit and successful completion of this CME activity, which includes … Successful completion of this CME activity, which includes participation in the evaluation component,
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psnet.ahrq.gov/training-catalog/ihi-patient-safety-and-quality-emerging-leaders
March 03, 2025 - This comprehensive program includes nine self-directed modules and six live sessions, providing a blend
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psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2016-user-comparative-database-report
November 30, 2016 - The 2016 report includes data from 680 hospitals.
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psnet.ahrq.gov/issue/patient-safety-concerns-arising-test-results-return-after-hospital-discharge
January 17, 2012 - Discussion also includes survey findings from inpatient providers, which demonstrated poor awareness
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psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit
April 08, 2011 - authors found a rate of 11.3 AEs per 1000 patient-days, consistent with prior research , although this includes
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psnet.ahrq.gov/issue/medication-safety-neonatal-care-review-medication-errors-among-neonates
August 15, 2016 - authors provide recommendations to improve medication safety for this vulnerable population, which includes
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psnet.ahrq.gov/issue/development-icu-safety-reporting-system
May 27, 2011 - Discussion includes details of the design features, a table of the system-based factors contributing
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psnet.ahrq.gov/issue/situation-awareness-errors-anesthesia-and-critical-care-200-cases-critical-incident-reporting
August 03, 2017 - This study includes detailed examples and analyses of these errors, providing useful insights into lapses
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psnet.ahrq.gov/issue/failure-medication-delivery-system-how-disclosure-and-systems-investigation-improve-patient
April 03, 2005 - The action plan proposed by this project includes ensuring a just culture so staff feel empowered to
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psnet.ahrq.gov/issue/charter-physician-well-being
May 25, 2016 - The charter includes elements known to contribute to safety, such as a positive work culture and leadership
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psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture-2016-user-comparative-database-report
November 23, 2016 - The 2016 User Comparative Database includes data from more than 25,000 respondents across 1,528 medical
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psnet.ahrq.gov/issue/suicide-and-suicide-attempts-hospital-grounds-and-clinic-areas
October 29, 2017 - The paper includes recommended actions to address the root causes of attempted and completed patient
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psnet.ahrq.gov/issue/patients-views-adverse-events-primary-and-ambulatory-care-systematic-review-assess-methods
December 18, 2017 - Researchers found that patients seem to take a broad view of patient safety that includes concerns related
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psnet.ahrq.gov/issue/shining-light-safer-health-care-through-transparency
November 23, 2016 - The report includes a series of specific recommendations for clinicians, health care organizations, and
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psnet.ahrq.gov/node/74165/psn-pdf
December 08, 2021 - commentary outlines how a
diagnostician can enfold patient centeredness into their practice, which includes