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psnet.ahrq.gov/node/49847/psn-pdf
November 01, 2018 - "(2)
Regardless of the handoff bundle chosen, institutional leaders must commit to shared cultural and
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psnet.ahrq.gov/node/49574/psn-pdf
November 01, 2008 - Each year, many clinicians and organizational leaders dread this otherwise
lovely month, concerned about
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psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and-intervention-innovation
July 23, 2024 - governance structure is called the Primary Care Improvement Collaborative (PCIC). 3 It consists of leaders
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psnet.ahrq.gov/node/49836/psn-pdf
July 01, 2018 - However, hospital safety leaders realized
that this practice was common for hospitalized patients as
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psnet.ahrq.gov/node/33775/psn-pdf
December 01, 2014 - APPS at WHO—I wondered how we would shape our
response to this clarion call for action from health leaders
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psnet.ahrq.gov/node/853772/psn-pdf
September 27, 2023 - organizations can address patient safety concerns by making
targeted improvements, yet organizational leaders
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psnet.ahrq.gov/web-mm/picture-speaks-1000-words
July 16, 2015 - Hospital and departmental leaders should encourage a culture that allows for open discussion of errors
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psnet.ahrq.gov/web-mm/workaround-error
October 30, 2024 - hospitals should scale back the workload of their staff nurses.( 7 ) In addition, the lack of nursing leaders
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psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
January 01, 2015 - While patient safety leaders pursue strategies addressing these targets, individual clinicians can also
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psnet.ahrq.gov/primer/individual-clinician-performance-issues
September 07, 2019 - Lucian Leape, one of the leaders of the patient safety field, has said, "The single greatest impediment
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psnet.ahrq.gov/web-mm/wrong-route-nutrients
September 04, 2010 - Leaders should be well versed in assessing system issues and individual accountabilities with the capabilities
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psnet.ahrq.gov/node/867656/psn-pdf
February 26, 2025 - top-down, with senior leadership deciding to be a learning health system
resourced and governed by top leaders … Within learning health systems, what roles do different people play (e.g.,
organizational leaders, clinicians
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psnet.ahrq.gov/node/33713/psn-pdf
June 01, 2011 - The Safety of Medical Devices
June 1, 2011
Nemeth CP. The Safety of Medical Devices. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/safety-medical-devices
Perspective
Edward Tenner is right. Technology does have reverberations, including unintended consequences, or
"revenge effects."(1) While such dra…
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psnet.ahrq.gov/node/33641/psn-pdf
November 01, 2006 - Human Factors Engineering Can Teach You How to Be
Surprised Again
November 1, 2006
Gosbee JW. Human Factors Engineering Can Teach You How to Be Surprised Again. PSNet [internet].
2006.
https://psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
Perspective
Certain phrases ar…
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psnet.ahrq.gov/node/72836/psn-pdf
January 26, 2021 - Meaningful Measurement in Patient and Family
Engagement
March 10, 2021
Hoy L, Hoy S, Fitall E, et al. Meaningful Measurement in Patient and Family Engagement. PSNet [internet].
2021.
https://psnet.ahrq.gov/perspective/meaningful-measurement-patient-and-family-engagement
Defining Patient and Family Engagement
Pat…
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psnet.ahrq.gov/node/867004/psn-pdf
October 30, 2024 - Critical Radiology Alert Process
October 30, 2024
https://psnet.ahrq.gov/innovation/critical-radiology-alert-process
Summary
Vanderbilt University Medical Center developed an electronic trigger tool that alerts the care team of
unrelated abnormal findings and provides a companion follow-up process, with the goal o…
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psnet.ahrq.gov/primer/alert-fatigue
September 07, 2019 - Alert Fatigue
Citation Text:
Alert Fatigue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/perspective/safety-dentistry
August 01, 2016 - Leaders of individual practices must not only decide to allocate resources to patient safety activities
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psnet.ahrq.gov/node/848124/psn-pdf
April 26, 2023 - When the system was implemented, George and other leaders, biomedical engineering, and the
manufacturer
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psnet.ahrq.gov/perspective/special-edition-perspective-technology-responses-covid-19
August 31, 2020 - compiles findings and insights into a series of case studies from interviews and written responses from leaders … UC Davis’ Center for Health and Technology leaders hope that greater use of telehealth and remote patient … We have been capitalizing on the leaders in the field, the early adopters.