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psnet.ahrq.gov/node/854848/psn-pdf
October 31, 2023 - Association of Directors of Anatomic and Surgical Pathology
(ADASP) and CAP also encourage healthcare organizations … cross-
coverage and patient care handoff needs that must be anticipated and accounted for by the
organization
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psnet.ahrq.gov/perspective/connies-story-nurses-personal-experience-mrsa
June 29, 2023 - That organization has courageously shown this video several times to its employees and leaders—a powerful
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psnet.ahrq.gov/issue/single-room-hospital-accommodation-associated-differences-healthcare-associated-infection
June 21, 2016 - 2023
Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization
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psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
November 21, 2021 - Lapse in Antibiotics Leads to Sepsis
Citation Text:
Levy MM. Lapse in Antibiotics Leads to Sepsis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/web-mm/hiding-plain-sight
April 24, 2019 - Hiding in Plain Sight
Citation Text:
Weinberg JM. Hiding in Plain Sight. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/node/72911/psn-pdf
March 15, 2021 - to ineffective transitions of patient care, and these root causes often differ from one
healthcare organization … Healthcare providers can also attend training on cultural competence and cultural humility through an
organization … How Can Organizations, Communities, and Individuals Improve Health.”
2021, Centers for Disease Control
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psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
July 22, 2020 - Patient Safety Adopt and maintain a safety culture Medication safety involves both the individual and the organization … improve high-quality, safe patient care, integrating human factor methodologies in its design. 17 Organizations … Education and Safety
November 15, 2023
Factors causing variation in World Health Organization
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psnet.ahrq.gov/node/49720/psn-pdf
December 01, 2014 - States.(14) Various state-based agencies, the
Healthcare Facilities Accreditation Program, and other organizations
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psnet.ahrq.gov/web-mm/hidden-mystery
December 01, 2011 - Organizations that care for obese patients must approach this population in an organized, thoughtful,
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psnet.ahrq.gov/node/49474/psn-pdf
March 01, 2005 - Organizations that care for obese patients must approach this population in an organized, thoughtful,
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psnet.ahrq.gov/node/49648/psn-pdf
March 01, 2012 - Hospitals and
health care organizations therefore have considerable incentives to improve transitions
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psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
August 20, 2018 - implementing a comprehensive corrective action plan after each sentinel event. 4 Accordingly, health care organizations
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psnet.ahrq.gov/web-mm/picture-speaks-1000-words
July 16, 2015 - that they have made the system better, thus, the issue is never addressed at a higher level in the organization … greatly improved their system, it is not clear whether addressing the problem at a higher level of the organization
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psnet.ahrq.gov/node/49847/psn-pdf
November 01, 2018 - The use of structured handoff frameworks, such as I-PASS, provide organization and consistency in both … psnet.ahrq.gov//#references
Structured handoff frameworks, like the I-PASS Handoff Bundle, provide organization
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psnet.ahrq.gov/node/74242/psn-pdf
January 07, 2022 - These universal checklists are recommended by the World Health Organization and required
by the Joint … Geneva: World Health
Organization; 2009. [Available at]
14.
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psnet.ahrq.gov/node/73549/psn-pdf
July 28, 2021 - In
2009, the World Health Organization (WHO) published guidelines for safe surgery,8 which recommended … World Health Organization. WHO Guidelines for Safe Surgery 2009.
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psnet.ahrq.gov/issue/nurse-staffing-standards-hospital-patient-safety-and-quality-care-act-2023
August 09, 2024 - Legislation/Regulation
Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023.
Citation Text:
Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2023. 118th Cong (2023-2024).
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psnet.ahrq.gov/issue/perioperative-handoffs
October 04, 2017 - Special or Theme Issue
Perioperative Handoffs.
Citation Text:
Perioperative Handoffs. Abraham J, Rosen M, Greilich PE eds. Jt Comm J Qual Patient Saf. 2023;49(8):341-434.
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psnet.ahrq.gov/issue/avoid-punitive-approach-your-safety-event-reporting
October 23, 2019 - Newspaper/Magazine Article
Avoid punitive approach to your safety event reporting,
Citation Text:
Avoid punitive approach to your safety event reporting, Cheney C. HealthLeaders. September 4, 2020.
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psnet.ahrq.gov/issue/optimal-resources-surgical-quality-and-safety
September 29, 2017 - Book/Report
Optimal Resources for Surgical Quality and Safety.
Citation Text:
Optimal Resources for Surgical Quality and Safety. Hoyt DB, Ko CY, eds. Chicago, IL: American College of Surgeons; 2017. ISBN: 9780996826242.
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