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psnet.ahrq.gov/node/49613/psn-pdf
November 01, 2010 - A prevalent health care practice is to "name, blame" and hold accountable the person closest to the error … This "person" approach results in a reactive risk management solution. … Two RNs or an RN
and another person visually and/or verbally verify the accuracy of the breast-milk
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psnet.ahrq.gov/node/33642/psn-pdf
November 01, 2006 - understanding the thing they're designing too well, in that
they can no longer really understand how a new person … Therefore, if someone makes a
mistake, it's assumed that it was because that person wasn't good enough … Therefore, if somebody makes a mistake we either cover it up, refuse to admit it, or punish the person
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psnet.ahrq.gov/web-mm/infused-not-ingested
February 01, 2017 - Each staff person assigned to an area, temporarily or permanently, is expected to have the required competencies … In this case, it is not clear whether such a person had been assigned, or whether the culture was one … float to an area in which they are unqualified and their request for an orientation and/or resource person
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psnet.ahrq.gov/issue/flaws-clinical-reasoning-common-cause-diagnostic-error
September 30, 2012 - June 14, 2017
The last person you'd expect to die in childbirth.
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psnet.ahrq.gov/issue/physician-quality-officer-new-model-engaging-physicians-quality-improvement
May 03, 2017 - February 26, 2020
Infusion medication error reduction by two-person verification: a quality
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psnet.ahrq.gov/issue/new-horizons-patient-safety-safe-communication-evidence-based-core-competencies-case-studies
November 19, 2018 - November 18, 2020
Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care
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psnet.ahrq.gov/issue/health-literacy-americas-adults-results-2003-national-assessment-adult-literacy
January 16, 2019 - August 20, 2018
Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered
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psnet.ahrq.gov/issue/cultural-diversity-what-role-does-it-play-patient-safety
June 15, 2011 - 20, 2020
Engaging patients and informal caregivers to improve safety and facilitate person
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psnet.ahrq.gov/issue/addressing-medication-errors-role-undergraduate-nurse-education
October 29, 2014 - Re-finding the 'human side' of human factors in nursing: helping student nurses to combine person-centred
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psnet.ahrq.gov/issue/losing-moment-understanding-interruptions-nurses-work
September 19, 2012 - January 18, 2011
Nurses' harm prevention practices during admission of an older person
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psnet.ahrq.gov/issue/determining-state-knowledge-implementing-universal-protocol-recommendations-integrative
March 15, 2016 - form as an alternative to the Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Person
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psnet.ahrq.gov/issue/ensuring-staff-safety-when-treating-potentially-violent-patients
July 14, 2010 - Suicide Prevention in an Emergency Department Population: ED-SAFE
April 24, 2024
Person-first
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psnet.ahrq.gov/issue/first-do-no-harm-lost-concept-medical-education
December 01, 2004 - Re-finding the 'human side' of human factors in nursing: helping student nurses to combine person-centred
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psnet.ahrq.gov/issue/expanded-surgical-time-out-key-real-time-data-collection-and-quality-improvement
March 02, 2010 - January 17, 2019
Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person
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psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-25-pioneering-success-safety-25th-anniversary-provokes
January 01, 2015 - Related Resources
Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person
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psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition
January 27, 2016 - November 21, 2016
Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care
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psnet.ahrq.gov/issue/engineering-learning-healthcare-system-look-future-workshop-summary
June 15, 2011 - April 1, 2019
Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered
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psnet.ahrq.gov/issue/duplication-surgical-site-marking
November 18, 2016 - form as an alternative to the Universal Protocol for Preventing Wrong Site, Wrong Procedure and Wrong Person
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psnet.ahrq.gov/issue/management-difficult-airway-closed-claims-analysis
July 13, 2010 - Related Resources
Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person
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psnet.ahrq.gov/issue/resident-safety-practices-nursing-home-settings
July 27, 2018 - July 27, 2018
Designing and Delivering Whole-Person Transitional Care: Hospital Guide