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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.203_slideshow.ppt
August 01, 2009 - Washington, DC: American Organization of Nurse Executives (AONE) 2005. http://www.aone.org/aone/advocacy
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psnet.ahrq.gov/node/49488/psn-pdf
August 21, 2005 - instead of scrolling to select the correct value.(12-14)
In 1997, ECRI, a nonprofit health research organization
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psnet.ahrq.gov/node/867845/psn-pdf
February 26, 2025 - Innovation Snapshot
Risk assessment is an important tool a healthcare organization may use to prevent
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psnet.ahrq.gov/perspective/patient-engagement-safety
January 01, 2018 - Engagement should also be tailored to the specific problems a health care organization would like to
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psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd
February 01, 2014 - Often people who study organizations talk about tacit knowledge, which is the knowledge on how to get
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psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph
August 22, 2014 - I also think ACOs [accountable care organizations] provide a way of aligning across the spectrum of care … Interview
In Conversation with Timothy Vogus about High Reliability Organization
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psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
August 01, 2014 - I also think ACOs [accountable care organizations] provide a way of aligning across the spectrum of care … February 26, 2025
Perspective
High Reliability Organization
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psnet.ahrq.gov/node/866217/psn-pdf
July 10, 2024 - population health officer at Commonwealth Care Alliance, which is
a mission-driven healthcare services organization
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psnet.ahrq.gov/node/49510/psn-pdf
May 01, 2006 - The traditional organization of
nursing clinical instruction dictates close one-on-one supervision of
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psnet.ahrq.gov/node/49634/psn-pdf
September 01, 2011 - This principle is commonly utilized to ensure
temporal coordination within an organization, thereby
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psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-summary
February 26, 2025 - Innovation Snapshot
Risk assessment is an important tool a healthcare organization may use to prevent
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psnet.ahrq.gov/node/843736/psn-pdf
February 01, 2023 - available in the operating room can save valuable time and
improve patient outcomes; however, the organization
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psnet.ahrq.gov/node/33579/psn-pdf
September 15, 2024 - By contrast, latent errors are literally
accidents waiting to happen—failures of organization or design
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psnet.ahrq.gov/node/33812/psn-pdf
August 01, 2016 - A dental team is much smaller, and usually the
person in charge of the organization of care and the
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psnet.ahrq.gov/Webmm/submit-case-info
August 10, 2025 - AHRQ’s PSNet is not a confidential patient safety reporting system or a patient safety organization.
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psnet.ahrq.gov/topics-0
March 03, 2025 - Patient Safety Plan Go to this topic
Just Culture Go to this topic
Learning Organization
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psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_latex_allergies-slides.pdf
January 01, 2022 - 1990’s, latex became the leading cause of perioperative allergic reactions
• In response, health care organizations
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psnet.ahrq.gov/node/848108/psn-pdf
April 26, 2023 - increasingly used in healthcare.20 One well-studied example
of a patient care checklist is the World Health Organization … back-basics-checklists-aviation-and-healthcare
https://psnet.ahrq.gov//#20
https://psnet.ahrq.gov/issue/impact-world-health-organization-surgical-safety-checklist-patient-safety … significant increase in the use of closed-loop communication.
42
Medication error reporting
The safest organizations
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psnet.ahrq.gov/web-mm/antibiotics-urisinusitis-simple-decision-gone-bad
January 01, 2014 - SPOTLIGHT CASE
Antibiotics for URI/Sinusitis—A Simple Decision Gone Bad
Citation Text:
Ranji SR. Antibiotics for URI/Sinusitis—A Simple Decision Gone Bad. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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psnet.ahrq.gov/web-mm/blind-spot
July 30, 2020 - Blind Spot
Citation Text:
Lee LA. Blind Spot. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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