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psnet.ahrq.gov/issue/pursuing-patient-safety-intersection-design-systems-engineering-and-health-care-delivery
June 25, 2018 - patient safety at the intersection of design, systems engineering, and health care delivery research: an ongoing … Patient Safety at the Intersection of Design, Systems Engineering, and Health Care Delivery Research: An Ongoing … Patient Safety at the Intersection of Design, Systems Engineering, and Health Care Delivery Research: An Ongoing
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psnet.ahrq.gov/node/867427/psn-pdf
December 18, 2024 - The Ongoing Journey to Prevent Patient Falls
December 18, 2024
Dykes PC, Sousane Z, Mossburg SE. … The Ongoing Journey to Prevent Patient Falls. PSNet [internet].
2024. … https://psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
Falls are not a new issue, … risk factors and
develop evidence-based prevention strategies, preventing patient falls remains an ongoing … challenge.5
ECRI identified ongoing challenges with preventing patient falls as a top ten patient safety
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psnet.ahrq.gov/sites/default/files/2024-06/spotlight_case_hemorrhagic_shock_slides_final.pptx
January 01, 2024 - conclusion of this educational activity, participants should be able to:
Explain the management of ongoing … or tranexamic acid.
14
Management of Intraoperative Bleeding (4)
15
The surgical management of ongoing … In any case, leaving the bone graft site open and allowing ongoing bleeding from the site at the end … of the patient’s deterioration.
24
Approaches to Improving Patient Safety (7)
25
When there is ongoing … This problem was compounded when they continued to ignore signs of ongoing postoperative bleeding.
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psnet.ahrq.gov/node/866205/psn-pdf
July 10, 2024 - conclusion of this educational activity, participants should be able to:
Explain the management of ongoing … The surgical management of ongoing and unexpected bleeding in the OR is generally discussed in terms … In any case, leaving
the bone graft site open and allowing ongoing bleeding from the site at the end … When there is ongoing bleeding requiring massive transfusion, blood should be transfused in a ratio of … This problem was compounded when they continued to ignore signs of ongoing postoperative
bleeding.
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psnet.ahrq.gov/node/867676/psn-pdf
February 26, 2025 - [Free full text]
Communication and Remediation
Ongoing and timely communication with healthcare staff … It highlights that disclosure is an
ongoing process that starts with an initial conversation after an … Selecting relevant quality measures and ongoing collection, tracking, and evaluation of data to assess … monitor, compare, benchmark, and evaluate patient safety trends helps
sustain improvements and implement ongoing … role-modeling efforts to improve safety, and continually monitoring and disseminating
progress promotes an ongoing
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psnet.ahrq.gov/node/837204/psn-pdf
May 25, 2022 - resident-physicians-advice-seeking-and-error-making-social-networks-
approach
Balancing autonomy and supervision is an ongoing … resident-physicians-advice-seeking-and-error-making-social-networks-approach
https://psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension
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psnet.ahrq.gov/node/863650/psn-pdf
February 28, 2024 - ); (2) continuous compliance
reporting via performance metric tracking through dashboards; and (3) ongoing … It took about four months of ongoing collaboration between data analysts, IT staff, and
clinicians working … data literacy training via an ongoing coaching conversation. … Scripts and tools to facilitate ongoing data literacy training (e.g., daily use of a huddle sheet for … Sustaining This Innovation
Keys to Sustaining This Innovation:
Ongoing practice integration at the
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psnet.ahrq.gov/node/73664/psn-pdf
September 01, 2021 - chief-resident-indirect-supervision-training-safety-study-chief-resident-general-
surgery
Balancing resident autonomy and supervision is an ongoing … chief-resident-indirect-supervision-training-safety-study-chief-resident-general-surgery
https://psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension
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psnet.ahrq.gov/innovation/team-developed-care-plan-and-ongoing-care-management-social-workers-and-nurse
July 23, 2024 - Team-Developed Care Plan and Ongoing Care Management by Social Workers and Nurse Practitioners Result … Team-led implementation, ongoing care coordination, and follow-up: Once approval has been secured, the … support team collaborates with the PCP to implement the plan, including taking charge of ongoing care … Ongoing care coordination and case management: The support team provides ongoing care management and … Seek ongoing funding sources: Although Medicare provides some reimbursement for program services, and
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psnet.ahrq.gov/node/47806/psn-pdf
January 01, 2021 - safety at the intersection of design,
systems engineering, and health care delivery research:
an ongoing … Patient Safety at the Intersection of Design, Systems
Engineering, and Health Care Delivery Research: An Ongoing
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psnet.ahrq.gov/issue/ce-nursings-evolving-role-patient-safety
July 19, 2023 - recent evidence that shows increased emphasis on systems concerns and the importance of providing ongoing … evaluation of a multifaceted intervention to improve outcomes in intensive care: the Promoting Respect and Ongoing
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psnet.ahrq.gov/sites/default/files/2021-09/Roll-out%20diagram%20generic.pdf
January 01, 2021 - Consultant facilitates
Anticipate and Plan
stress inoculation
discussions with dept/
unit members
(ongoing … Mental Health
Consultant is available
to department/unit
staff seeking individual
support (ongoing
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psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
October 31, 2023 - conclusion of this educational activity, participants should be able to: Explain the management of ongoing … The surgical management of ongoing and unexpected bleeding in the OR is generally discussed in terms … In any case, leaving the bone graft site open and allowing ongoing bleeding from the site at the end … When there is ongoing bleeding requiring massive transfusion, blood should be transfused in a ratio of … This problem was compounded when they continued to ignore signs of ongoing postoperative bleeding.
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psnet.ahrq.gov/innovation/university-michigan-emergency-critical-care-center-ec3-provides-timely-intensive-care
October 30, 2024 - Prior to opening EC3, all ED patients requiring ongoing critical care were evaluated and treated by the … Space and appropriate equipment in the ED to deliver ongoing critical care Substantial financial investment … EC3 is also a site for multidisciplinary research on emergency critical care delivery and has an ongoing … Ongoing research endeavors include patient outcomes research; research on novel patient care diagnostics … Space and appropriate equipment in the ED to deliver ongoing critical care Substantial financial investment
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psnet.ahrq.gov/primer/responding-patient-safety-events
October 18, 2023 - Qual Saf Health Care . 2010;19(6):e11. [ Free full text ] Communication and Remediation Ongoing and timely … It highlights that disclosure is an ongoing process that starts with an initial conversation after an … Selecting relevant quality measures and ongoing collection, tracking, and evaluation of data to assess … monitor, compare, benchmark, and evaluate patient safety trends helps sustain improvements and implement ongoing … role-modeling efforts to improve safety, and continually monitoring and disseminating progress promotes an ongoing
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psnet.ahrq.gov/issue/struggling-invent-high-reliability-organizations-health-care-settings-insights-field
October 02, 2019 - interviews was to identify organizational needs when implementing patient safety efforts and summarize ongoing … patient safety at the intersection of design, systems engineering, and health care delivery research: an ongoing
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psnet.ahrq.gov/issue/evaluation-patient-and-family-outpatient-complaints-strategy-prioritize-efforts-improve
November 16, 2022 - The authors suggest ongoing, systematic analysis of patient complaints in order to identify suboptimal … evaluation of a multifaceted intervention to improve outcomes in intensive care: the Promoting Respect and Ongoing
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psnet.ahrq.gov/issue/application-electronic-trigger-tools-identify-targets-improving-diagnostic-safety
January 26, 2022 - Identifying and measuring diagnostic error remains an ongoing challenge. … A past PSNet perspective discussed ongoing challenges associated with diagnostic error.
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psnet.ahrq.gov/issue/nurses-and-patients-natural-partners-advance-patient-safety
July 11, 2018 - patient safety at the intersection of design, systems engineering, and health care delivery research: an ongoing … View More
Related Resources
Perspective
The Ongoing … Interview
In Conversation with Patricia Dykes about The Ongoing
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psnet.ahrq.gov/node/35365/psn-pdf
February 17, 2011 - The authors describe the notion
of preventable deaths as a focus of ongoing safety interventions. … improvement, greater adoption of safety efforts as a part of quality rather than a competitor of it, and
ongoing