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psnet.ahrq.gov/node/33586/psn-pdf
December 15, 2024 - A quality improvement program in the Veterans Affairs system that incorporated the above principles and
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psnet.ahrq.gov/node/49623/psn-pdf
March 01, 2011 - this study found that
only 41% of the RNs reported having a comprehensive transition program that incorporated
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psnet.ahrq.gov/issue/rise-human-factors-optimising-performance-individuals-and-teams-improve-patients-outcomes
July 10, 2024 - Commentary
The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes.
Citation Text:
Casali G, Cullen W, Lock G. The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes. J Thorac Dis. 2019;11(…
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psnet.ahrq.gov/node/49868/psn-pdf
July 02, 2019 - example, if a medication requires a prescriber or patient to be enrolled in a REMS program, it can be
incorporated
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psnet.ahrq.gov/perspective/update-patient-engagement-safety
January 01, 2017 - Patient input was incorporated into process and system redesign.
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psnet.ahrq.gov/node/60172/psn-pdf
March 01, 2021 - photographs was not fully implemented until the end of 2011, not all patients that year had their
photograph incorporated
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psnet.ahrq.gov/node/50858/psn-pdf
January 31, 2020 - Once incorporated, the image can then be used
alongside patient clinical data and medical history in
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psnet.ahrq.gov/node/33594/psn-pdf
November 18, 2021 - AHRQ has long incorporated clinical event debriefing into the TeamSTEPPS team training program. … summarize the main learning
points, connect them with real-world thinking, and consider how they can be incorporated
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psnet.ahrq.gov/issue/getting-rid-never-events-hospitals
April 25, 2016 - Commentary
Getting rid of "never events" in hospitals.
Citation Text:
Getting rid of "never events" in hospitals. Morgenthaler T; Harper CM.
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psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-reduces-errors
October 30, 2024 - photographs was not fully implemented until the end of 2011, not all patients that year had their photograph incorporated
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psnet.ahrq.gov/issue/integrating-simulation-surgery-teaching-tool-and-credentialing-standard
July 02, 2008 - Commentary
Integrating simulation in surgery as a teaching tool and credentialing standard.
Citation Text:
Rehrig ST, Powers K, Jones DB. Integrating simulation in surgery as a teaching tool and credentialing standard. J Gastrointest Surg. 2008;12(2):222-33.
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psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-approach
August 30, 2023 - Commentary
The morbidity and mortality meeting: time for a different approach?
Citation Text:
Fraser J. The morbidity and mortality meeting: time for a different approach? Arch Dis Child. 2016;101(1):4-8. doi:10.1136/archdischild-2015-309536.
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DOI Googl…
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psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast
November 16, 2022 - , this study found that only 41% of the RNs reported having a comprehensive transition program that incorporated
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psnet.ahrq.gov/issue/piloting-patient-safety-and-quality-improvement-co-curriculum
March 22, 2023 - Commentary
Piloting a patient safety and quality improvement co-curriculum.
Citation Text:
Kroker-Bode C, Whicker SA, Pline ER, et al. Piloting a patient safety and quality improvement co-curriculum. J Community Hosp Intern Med Perspect. 2017;7(6):351-357. doi:10.1080/20009666.2017.14038…
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psnet.ahrq.gov/issue/teaching-quality-improvement-and-patient-safety-residency-education-strategies-meaningful
September 23, 2020 - Commentary
Teaching quality improvement and patient safety in residency education: strategies for meaningful resident quality and safety initiatives.
Citation Text:
Morrison RJ, Bowe SN, Brenner MJ. Teaching Quality Improvement and Patient Safety in Residency Education: Strategies for Me…
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psnet.ahrq.gov/web-mm/case-mistaken-intubation
July 01, 2016 - electronic evidence [ 8 ]) for these documents and an identified "point person" to ensure they are incorporated … should have a standard protocol to ensure written advance directives or POLST forms are efficiently incorporated
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psnet.ahrq.gov/node/74226/psn-pdf
February 01, 2019 - With these aims, the STORM team incorporated data from the VHA EHR and more
sophisticated and rapid … updates, such as
when medical coding systems change, when new clinical practice guidelines need to be incorporated
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psnet.ahrq.gov/primer/debriefing-clinical-learning
September 15, 2024 - AHRQ has long incorporated clinical event debriefing into the TeamSTEPPS team training program. … summarize the main learning points, connect them with real-world thinking, and consider how they can be incorporated
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psnet.ahrq.gov/issue/medical-morbidity-and-mortality-conferences-past-present-and-future
November 30, 2022 - Review
Medical morbidity and mortality conferences: past, present and future.
Citation Text:
George J. Medical morbidity and mortality conferences: past, present and future. Postgrad Med J. 2017;93(1097):148-152. doi:10.1136/postgradmedj-2016-134103.
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D…
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psnet.ahrq.gov/issue/comparison-military-and-civilian-methods-determining-potentially-preventable-deaths
October 19, 2022 - Review
Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review.
Citation Text:
Janak JC, Sosnov JA, Bares JM, et al. Comparison of Military and Civilian Methods for Determining Potentially Preventable Deaths: A Systematic Review. JA…