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psnet.ahrq.gov/node/33722/psn-pdf
December 01, 2011 - President of Clinical Excellence Operations and
Executive Director of the Ascension Health Patient Safety Organization
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psnet.ahrq.gov/web-mm/one-dose-fifty-pills
January 13, 2021 - Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organization
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psnet.ahrq.gov/perspective/conversation-withpat-croskerry-md-phd
June 01, 2010 - Unfortunately, despite growing evidence of the risks of ED boarding, patient safety regulatory organizations
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psnet.ahrq.gov/perspective/conversation-withdean-schillinger-md
March 01, 2009 - billion annually.( 5 )
Despite the high prevalence and ramifications, few health care providers or organizations
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psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
October 01, 2008 - fraction of that—one fiftieth or one hundredth of that when you look at the budget of AHRQ and other organizations
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psnet.ahrq.gov/perspective/conversation-jose-morfin-md-fasn
April 28, 2021 - KH : When you're working with these organizations, what is your role within the in-center program?
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psnet.ahrq.gov/node/837784/psn-pdf
August 05, 2022 - they should consider key questions: Is it supported by scientific evidence or
nationally accredited organizations
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psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
March 22, 2009 - billion annually.( 5 )
Despite the high prevalence and ramifications, few health care providers or organizations
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psnet.ahrq.gov/perspective/conversation-barbara-drew-rn-phd
May 01, 2016 - Joint Commission on Accreditation of Healthcare Organizations.
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psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
January 01, 2023 - used in
healthcare.20
• One well-studied example of a patient care checklist is the World Health
Organization … communication.42
44
Approaches to Improving Patient Safety: Medication Error
Reporting (1)
• The safest organizations
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psnet.ahrq.gov/node/60220/psn-pdf
April 29, 2020 - Implicit Biases, Interprofessional Communication, and
Power Dynamics
April 29, 2020
Sanchez ES, Tran-Reina M, Ackerman-Barger K, et al. Implicit Biases, Interprofessional Communication,
and Power Dynamics. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/implicit-biases-interprofessional-communication-and-pow…
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psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix
September 01, 2007 - Rediscovering the Power of the Surgical M&M Conference: The M+M Matrix
Leo A. Gordon, MD | September 1, 2007
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Gordon LA. Rediscovering the Power of the Surgical M&M Conference: The…
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psnet.ahrq.gov/web-mm/code-status-vs-care-status
September 30, 2020 - Interview
In Conversation with Timothy Vogus about High Reliability Organization … February 26, 2025
Perspective
High Reliability Organization
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psnet.ahrq.gov/periodic-issue/periodic-issue-280
February 10, 2021 - This organization works to improve health system and clinician response to harmed patients.
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psnet.ahrq.gov/periodic-issue/periodic-issue-345
May 16, 2022 - In her professional role, she provides strategic direction for the research mission of the organization
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psnet.ahrq.gov/issue/patient-safety-and-systematic-reviews-finding-papers-indexed-medline-embase-and-cinahl
August 04, 2021 - May 20, 2020
Implementation of the World Health Organization Trauma Care Checklist Program
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psnet.ahrq.gov/issue/reporting-clinical-adverse-events-scale-measure-doctor-and-nurse-attitudes-adverse-event
November 12, 2014 - 2022
Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization
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psnet.ahrq.gov/issue/risk-propensity-and-safe-medication-administration
December 08, 2010 - Untenable expectations: nurses' work in the context of medication administration, error, and the organization
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psnet.ahrq.gov/issue/incidence-and-causes-critical-incidents-emergency-departments-comparison-and-root-cause
January 18, 2023 - March 14, 2022
Effects of healthcare organization actions and policies related to COVID
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psnet.ahrq.gov/issue/parents-perceptions-pediatric-day-surgery-risks-unforeseeable-complications-or-avoidable
September 11, 2019 - May 10, 2023
Adopting high reliability organization principles to lead a large scale