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psnet.ahrq.gov/node/33881/psn-pdf
August 01, 2019 - When I was a Professor of Computer Science in Sweden, I was contacted by people in the
university hospital … That means people face even more complexity—and in my view,
unnecessary complexity. … The basic idea is that even when something goes wrong,
people were trying to do what they thought was … Many of the people in charge of managing health care from a distance don't have a
good understanding … The important thing is
to make people realize that there are things that they don't know and things
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psnet.ahrq.gov/node/47878/psn-pdf
June 05, 2019 - Nursing practice with hospitalised older people: safety
and harm. … Nursing practice with hospitalised older people: Safety and harm. … Int J
Older People Nurs. 2019;14(1):e12220. doi:10.1111/opn.12220. … https://psnet.ahrq.gov/issue/nursing-practice-hospitalised-older-people-safety-and-harm
Care for older … https://psnet.ahrq.gov/issue/nursing-practice-hospitalised-older-people-safety-and-harm
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/866358/psn-pdf
July 24, 2024 - To improve health care, focus on fixing systems — not
people. … To improve health care, focus on fixing systems — not people.
Harvard Business Review. … July 12, 2024;
https://psnet.ahrq.gov/issue/improve-health-care-focus-fixing-systems-not-people
While … https://psnet.ahrq.gov/issue/improve-health-care-focus-fixing-systems-not-people
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/838237/psn-pdf
October 05, 2022 - Deprescribing medicines in older people living with
multimorbidity and polypharmacy: the TAILOR evidence … Deprescribing medicines in older people living with multimorbidity and
polypharmacy: the TAILOR evidence … https://psnet.ahrq.gov/issue/deprescribing-medicines-older-people-living-multimorbidity-and-polypharmacy … https://psnet.ahrq.gov/issue/deprescribing-medicines-older-people-living-multimorbidity-and-polypharmacy-tailor-evidence … https://psnet.ahrq.gov/issue/deprescribing-medicines-older-people-living-multimorbidity-and-polypharmacy-tailor-evidence
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psnet.ahrq.gov/node/60716/psn-pdf
July 22, 2020 - A spike in people dying at home suggests coronavirus
deaths in Houston may be higher than reported. … A spike in people dying at home suggests coronavirus deaths in Houston may
be higher than reported. … https://psnet.ahrq.gov/issue/spike-people-dying-home-suggests-coronavirus-deaths-houston-may-be-
higher-reported … https://psnet.ahrq.gov/issue/spike-people-dying-home-suggests-coronavirus-deaths-houston-may-be-higher-reported … https://psnet.ahrq.gov/issue/spike-people-dying-home-suggests-coronavirus-deaths-houston-may-be-higher-reported
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psnet.ahrq.gov/node/851450/psn-pdf
July 19, 2023 - Patient safety for people experiencing advanced dementia
in hospital: a video reflexive ethnography. … Patient safety for people experiencing advanced dementia in
hospital: a video reflexive ethnography. … https://psnet.ahrq.gov/issue/patient-safety-people-experiencing-advanced-dementia-hospital-video-
reflexive-ethnography … https://psnet.ahrq.gov/issue/patient-safety-people-experiencing-advanced-dementia-hospital-video-reflexive-ethnography … https://psnet.ahrq.gov/issue/patient-safety-people-experiencing-advanced-dementia-hospital-video-reflexive-ethnography
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psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma
February 26, 2025 - People might say, "Teamwork's no good in this unit." What does that mean? … Because it starts to shut people down and it drives problems underground. … People start to game the system. They don't give honest responses on surveys. … RW : If you asked people what the largest victory in the last 10 years in the safety field was, people … More and more people saw her talking to me, and they all kind of ganged up.
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psnet.ahrq.gov/node/844536/psn-pdf
February 15, 2023 - Investigating the impact of structural racism on Black
birthing people - associations between racialized … Investigating the impact of structural racism on Black birthing
people - associations between racialized … https://psnet.ahrq.gov/issue/investigating-impact-structural-racism-black-birthing-people-associations … https://psnet.ahrq.gov/issue/investigating-impact-structural-racism-black-birthing-people-associations-between-racialized … https://psnet.ahrq.gov/issue/investigating-impact-structural-racism-black-birthing-people-associations-between-racialized
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psnet.ahrq.gov/node/50535/psn-pdf
October 16, 2019 - Improving the quality of insulin prescribing for people
with diabetes being discharged from hospital … Improving the quality of insulin prescribing for people with diabetes
being discharged from hospital … https://psnet.ahrq.gov/issue/improving-quality-insulin-prescribing-people-diabetes-being-discharged- … https://psnet.ahrq.gov/issue/improving-quality-insulin-prescribing-people-diabetes-being-discharged-hospital … https://psnet.ahrq.gov/issue/improving-quality-insulin-prescribing-people-diabetes-being-discharged-hospital
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psnet.ahrq.gov/node/74062/psn-pdf
January 01, 2022 - Perceptions of providing safe care for frail older people at
home: a qualitative study based on focus … Perceptions of providing safe care for frail older people at home:
a qualitative study based on focus … https://psnet.ahrq.gov/issue/perceptions-providing-safe-care-frail-older-people-home-qualitative-study … https://psnet.ahrq.gov/issue/perceptions-providing-safe-care-frail-older-people-home-qualitative-study-based-focus-group … https://psnet.ahrq.gov/issue/perceptions-providing-safe-care-frail-older-people-home-qualitative-study-based-focus-group
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psnet.ahrq.gov/node/866171/psn-pdf
June 19, 2024 - Keeping Children and Young People with Mental Health
Needs Safe: the Design of the Paediatric Ward. … Services Safety Investigations Body; May 2024
https://psnet.ahrq.gov/issue/keeping-children-and-young-people-mental-health-needs-safe-design … https://psnet.ahrq.gov/issue/keeping-children-and-young-people-mental-health-needs-safe-design-paediatric-ward … https://psnet.ahrq.gov/issue/keeping-children-and-young-people-mental-health-needs-safe-design-paediatric-ward
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psnet.ahrq.gov/node/33589/psn-pdf
September 15, 2024 - Sometimes people interpret high reliability as meaning
effective standardization of health care processes … People understand that
new threats emerge regularly from situations that no one imagined could occur … Reluctance to
Simplify
People resist simplifying their understanding of work processes and how and … People in HROs understand that the work is
complex and dynamic. … Deference to
Expertise
People in HROs appreciate that the people closest to the work are the most
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psnet.ahrq.gov/perspective/conversation-withlucian-leape-md
August 01, 2006 - I'm one of those people who thinks that it's immoral to operate on people and not take care of them afterward … we do have some people problems. … , but in fact there are some "bad" people. … That's exactly what I'm trying to get people to look at. … Because when you're not open and honest with people, you're lying.
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psnet.ahrq.gov/node/841771/psn-pdf
December 21, 2022 - How safe do dying people feel at home? … How safe do dying people feel at home? … https://psnet.ahrq.gov/issue/how-safe-do-dying-people-feel-home-patients-perception-safety-while-
receiving-specialist … https://psnet.ahrq.gov/issue/how-safe-do-dying-people-feel-home-patients-perception-safety-while-receiving-specialist … https://psnet.ahrq.gov/issue/how-safe-do-dying-people-feel-home-patients-perception-safety-while-receiving-specialist
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psnet.ahrq.gov/issue/medication-administration-errors-older-people-long-term-residential-care
June 26, 2019 - Study
Medication administration errors for older people in long-term residential … Medication administration errors for older people in long-term residential care. … Medication administration errors for older people in long-term residential care. … formulation and medicine delivery system on medication administration errors in care homes for older people
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psnet.ahrq.gov/issue/investigating-impact-structural-racism-black-birthing-people-associations-between-racialized
June 16, 2021 - Study
Investigating the impact of structural racism on Black birthing people - associations … Investigating the impact of structural racism on Black birthing people - associations between racialized … Investigating the impact of structural racism on Black birthing people - associations between racialized … pharmacist-led multidisciplinary medication review on the safety and medication cost of the elderly people
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psnet.ahrq.gov/node/866992/psn-pdf
May 29, 2024 - Harm Reduction Strategies to Improve Safety for People
Who Use Substances
October 30, 2024
Salisbury-Afshar … Harm Reduction Strategies to Improve Safety for People Who
Use Substances . … https://psnet.ahrq.gov/perspective/harm-reduction-strategies-improve-safety-people-who-use-substances … In 2023, 48.5 million people (17.1% of the population) were estimated to have a substance use
disorder … https://psnet.ahrq.gov/perspective/harm-reduction-strategies-improve-safety-people-who-use-substances
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psnet.ahrq.gov/node/844992/psn-pdf
February 22, 2023 - The role of bias in clinical decision-making of people with
serious mental illness and medical co-morbidities … The role of bias in clinical decision-making of people with
serious mental illness and medical co-morbidities … https://psnet.ahrq.gov/issue/role-bias-clinical-decision-making-people-serious-mental-illness-and-medical … https://psnet.ahrq.gov/issue/role-bias-clinical-decision-making-people-serious-mental-illness-and-medical-co-morbidities … https://psnet.ahrq.gov/issue/role-bias-clinical-decision-making-people-serious-mental-illness-and-medical-co-morbidities
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psnet.ahrq.gov/node/74833/psn-pdf
February 16, 2022 - Performance of a trigger tool for detecting drug-related
hospital admissions in older people: analysis … Performance of a trigger tool for detecting drug-related hospital
admissions in older people: analysis … ://psnet.ahrq.gov/issue/performance-trigger-tool-detecting-drug-related-hospital-admissions-older-
people-analysis … https://psnet.ahrq.gov/issue/performance-trigger-tool-detecting-drug-related-hospital-admissions-older-people-analysis … https://psnet.ahrq.gov/issue/performance-trigger-tool-detecting-drug-related-hospital-admissions-older-people-analysis
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psnet.ahrq.gov/node/60335/psn-pdf
May 13, 2020 - There is a vulnerable group we must not leave behind in
our response to COVID-19: people who are dependent … There is a vulnerable group we must not leave behind in our response to COVID-19: people
who are dependent … https://psnet.ahrq.gov/issue/there-vulnerable-group-we-must-not-leave-behind-our-response-covid-19-
people-who-are … https://psnet.ahrq.gov/issue/there-vulnerable-group-we-must-not-leave-behind-our-response-covid-19-people-who-are … https://psnet.ahrq.gov/issue/there-vulnerable-group-we-must-not-leave-behind-our-response-covid-19-people-who-are