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psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-summary
February 26, 2025 - CPRA involves a 4-step process. … assessments and patient safety report data. 2 The innovators note that the keyword search technique, which involves … patient safety reports that fell into each step to quantify where most issues arose. 2 Finally, step 4 involves
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psnet.ahrq.gov/node/39716/psn-pdf
August 09, 2013 - patient-handovers-within-hospital-translating-knowledge-motor-racing-
healthcare
Transfer of patients from the operating room to intensive care involves
-
psnet.ahrq.gov/node/36902/psn-pdf
June 09, 2010 - pit-stop-and-aviation-
models-improve
Transfer of patients from the operating room to intensive care involves
-
psnet.ahrq.gov/node/47282/psn-pdf
August 08, 2018 - making-surgical-wards-safer-patients-diabetes-reducing-hypoglycaemia-and-
insulin-errors
Diabetes care involves
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psnet.ahrq.gov/issue/patient-medical-and-legal-perspectives-unsafe-care
July 20, 2021 - Effective response to medical harm involves a variety of perspectives that are aligned in purpose.
-
psnet.ahrq.gov/node/37687/psn-pdf
February 22, 2011 - use-interactive-telephone-based-self-management-support-program-identify-
adverse-events-among
Chronic disease care increasingly involves
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psnet.ahrq.gov/issue/circle-training
February 22, 2023 - This website highlights a process that involves briefings, supportive conversations , and debriefings
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psnet.ahrq.gov/issue/remembering-learn-overlooked-role-remembrance-safety-improvement
February 28, 2024 - A key activity in patient safety work involves drawing from institutional memory to understand failures
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psnet.ahrq.gov/issue/using-advanced-practice-nursing-model-rapid-response-team
August 18, 2021 - This commentary describes one teaching hospital's rapid response team initiative, which involves a
-
psnet.ahrq.gov/node/39951/psn-pdf
October 27, 2010 - making-inpatient-medication-reconciliation-patient-centered-clinically-relevant-
and
A National Patient Safety Goal (NPSG) since 2005, medication reconciliation involves
-
psnet.ahrq.gov/node/46405/psn-pdf
October 13, 2018 - childrens-hospitals-solutions-patient-safety-collaborative-impact-hospital-
acquired-harm
Improving patient safety often involves
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psnet.ahrq.gov/node/45167/psn-pdf
May 25, 2016 - Traditionally, health systems have disclosed adverse events to patients only through a lengthy process that
involves
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psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2007-comparative-database-report
February 12, 2019 - A key step in improving patient safety involves measurement of the culture of safety at the hospital
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psnet.ahrq.gov/issue/what-cannot-be-said-television-about-health-care
January 10, 2018 - This shift involves increasing recognition that errors do occur and that the health care system is flawed
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psnet.ahrq.gov/issue/prep-stop-block
March 14, 2018 - outlines a three-step process for minimizing the occurrence of wrong-side peripheral nerve blocks that involves
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psnet.ahrq.gov/issue/coaching-debriefer-peer-coaching-improve-debriefing-quality-simulation-programs
July 31, 2019 - A core element of the program involves a peer feedback form that explores 10 elements of debriefing
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psnet.ahrq.gov/issue/reconceptualizing-patient-safety-beyond-harm-insights-mixed-methods-qualitative-inquiry
April 19, 2023 - In this study, patients and care partners report that feeling safe or unsafe involves more than only
-
psnet.ahrq.gov/issue/significant-and-sustained-reduction-chemotherapy-errors-through-improvement-science
October 19, 2022 - Prescribing and administering chemotherapy involves complex processes that are vulnerable to error
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psnet.ahrq.gov/node/864868/psn-pdf
March 27, 2024 - This involves ensuring that patients and families are provided ample time and space to actively participate … Another integral aspect of healthcare’s dedication to achieving quality outcomes involves a focus on … Addressing these risks involves
implementing standardized communication processes, ensuring robust medication
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psnet.ahrq.gov/node/73901/psn-pdf
September 29, 2021 - The program involves physicians and pharmacists reviewing
relevant clinical electronic health record