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psnet.ahrq.gov/issue/primer-pdsa-executing-plan-do-study-act-cycles-practice-not-just-name
December 04, 2016 - Review
A primer on PDSA: executing plan–do–study–act cycles in practice, not just … A primer on PDSA: executing plan-do-study-act cycles in practice, not just in name. … Although plan–do–study–act (PDSA) cycles were promoted as an in-depth rapid-cycle improvement mechanism … A primer on PDSA: executing plan-do-study-act cycles in practice, not just in name.
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psnet.ahrq.gov/issue/analysis-academic-medical-centers-corrective-action-plan-response-fatal-medication-error
February 21, 2018 - Commentary
Analysis of an academic medical center’s corrective action plan in response … Analysis of an academic medical center’s corrective action plan in response to fatal medication error … This study evaluates the proposed action plan of an academic medical center following a fatal medication … Analysis of an academic medical center’s corrective action plan in response to fatal medication error
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psnet.ahrq.gov/issue/plans-are-worthless-planning-everything-advancing-patient-safety-better-managing-paradox
September 23, 2020 - Commentary
"Plans are worthless, but planning is everything": advancing patient safety by better managing the paradox of planning versus adaptation.
Citation Text:
Call RC, Espiritu SG, Barrows DA. “Plans are worthless, but planning is everything”: advancing patient safety by better mana…
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psnet.ahrq.gov/node/844988/psn-pdf
February 22, 2023 - record
(EHR) review, this study examined patient understanding about their inpatient care and discharge plan … the majority of patients (>90%) felt confident in their knowledge of their diagnosis and treatment
plan … only 43% to 64% correctly recalled details about their diagnosis, treatment,
post-discharge treatment plan … role-health-literacy-patient-safety
https://psnet.ahrq.gov/issue/hospitalized-patients-understanding-their-plan-care … https://psnet.ahrq.gov/issue/daily-plan-including-patients-safetys-sake
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psnet.ahrq.gov/issue/assessment-patient-retention-inpatient-care-information-post-hospitalization
June 01, 2022 - Ensuring patients have an understanding of their diagnoses and care plan is a critical component … record (EHR) review, this study examined patient understanding about their inpatient care and discharge plan … the majority of patients (>90%) felt confident in their knowledge of their diagnosis and treatment plan … only 43% to 64% correctly recalled details about their diagnosis, treatment, post-discharge treatment plan
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psnet.ahrq.gov/issue/who-global-report-patient-safety
May 01, 2024 - This report uses the seven objectives of the Global Patient Safety Action Plan 2021–2030 to examine … the impact of unsafe care worldwide and the status of plan objective implementation in the six regions … October 7, 2020
Global Patient Safety Action Plan 2021-2030: Towards Eliminating Avoidable
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psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition
January 27, 2016 - white paper encourages hospitals to proactively develop and integrate a clinical crisis management plan … leadership in developing a culture of safety, and the need for organizations to have a comprehensive crisis plan … The article provides a checklist and work plan for organizations to use in developing their plan, emphasizing … Health Care Executives and Administrators
Second victims
Institutional Patient Safety Plan
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psnet.ahrq.gov/issue/health-plan-members-views-about-disclosure-medical-errors
November 15, 2011 - Study
Classic
Health plan members' views about disclosure … Health plan members' views about disclosure of medical errors. … Health plan members' views about disclosure of medical errors. … September 29, 2017
Disclosing medical mistakes: a communication management plan for physicians
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psnet.ahrq.gov/issue/geisinger-health-systems-plan-fix-americas-health-care
October 18, 2017 - Newspaper/Magazine Article
Geisinger Health System's plan to fix America's health … Citation Text:
Geisinger Health System's plan to fix America's health care. Carbonara P. … Cite
Citation
Citation Text:
Geisinger Health System's plan
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psnet.ahrq.gov/node/60929/psn-pdf
September 16, 2020 - Safer Together: A National Action Plan to Advance Patient
Safety. …
https://psnet.ahrq.gov/issue/national-action-plan-advance-patient-safety
This National … Action Plan developed by the National Steering Committee for Patient Safety – a group of 27
national … and adapt effective tactics and supportive actions to establish
the recommendations laid out in the plan … https://psnet.ahrq.gov/issue/national-action-plan-advance-patient-safety
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/node/853438/psn-pdf
September 13, 2023 - In search of an international multidimensional action plan
for second victim support: a narrative review … In search of an international multidimensional action plan for second
victim support: a narrative review … https://psnet.ahrq.gov/issue/search-international-multidimensional-action-plan-second-victim-support- … https://psnet.ahrq.gov/issue/search-international-multidimensional-action-plan-second-victim-support-narrative-review … https://psnet.ahrq.gov/issue/search-international-multidimensional-action-plan-second-victim-support-narrative-review
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psnet.ahrq.gov/node/838195/psn-pdf
September 28, 2022 - National Plan for Health Workforce Well-Being. … https://psnet.ahrq.gov/issue/national-plan-health-workforce-well-being
Concerted effort has been undertaken … This
report represents the culmination of a six-year effort to design a national multidisciplinary plan … The plan highlights 7 priorities to focus effort to
installing and sustaining workplace environments … https://psnet.ahrq.gov/issue/national-plan-health-workforce-well-being
https://psnet.ahrq.gov/issue/care-human-collectively-confronting-clinician-burnout-crisis
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psnet.ahrq.gov/issue/advancing-safety-acute-pain-management
January 08, 2020 - management include obtaining commitment, convening a multidisciplinary working group, developing a plan … , and executing the plan. … May 25, 2022
Safer Together: A National Action Plan to Advance Patient Safety.
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psnet.ahrq.gov/node/865296/psn-pdf
March 27, 2024 - The World Health Organization’s
Global Patient Safety Action Plan is a framework that was adopted by … The Plan emphasizes actions at the policy and
leadership level, in addition to steps at the point of … The Plan
contains 17 recommendations to improve patient safety in the areas of developing a culture … Healthcare organizations can use the National Action Plan along with its
companion Self-Assessment Tool … https://psnet.ahrq.gov/issue/national-action-plan-advance-patient-safety
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psnet.ahrq.gov/issue/advancing-medication-safety-establishing-national-action-plan-adverse-drug-event-prevention
September 29, 2017 - Commentary
Advancing medication safety: establishing a National Action Plan for Adverse … Advancing Medication Safety: Establishing a National Action Plan for Adverse Drug Event Prevention. … Advancing Medication Safety: Establishing a National Action Plan for Adverse Drug Event Prevention. … Download Citation
Related Resources From the Same Author(s)
National Action Plan … Request for comments on the proposed measures and 2020 targets for the National Action Plan
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psnet.ahrq.gov/issue/action-planning-tool-ahrq-surveys-patient-safety-culture
February 12, 2019 - users of the AHRQ safety culture surveys , this updated tool will help organizations develop an action plan … revision is structured around a 3-step process that focuses on areas to improve, initiative planning, and plan … The kit now includes an action plan template .
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psnet.ahrq.gov/node/841467/psn-pdf
December 14, 2022 - s choice, but
rather because of the multi-layer nature of decision-making about the patient’s care plan … When implementation of an established care plan is being blocked, as in this case, a strategy for … Check for understanding of and consensus about the care plan among care team members, family
members … At this step, it is also valuable to double-check that the care plan is justified by
sound PP, SOC, … If consensus about a care plan exists, and
implementation of the care plan is still being blocked, or
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psnet.ahrq.gov/node/842775/psn-pdf
January 18, 2023 - Steering Committee for Patient Safety (NSC) was formed to engage with the health care
community to plan … from the field to determine current interest and status in efforts aligned with the National Action
Plan … prioritising-recommendations-following-analyses-adverse-events-healthcare-systematic-review
https://psnet.ahrq.gov/issue/national-action-plan-advance-patient-safety … https://psnet.ahrq.gov/issue/national-action-plan-advance-patient-safety
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psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
November 30, 2023 - ’s choice, but rather because of the multi-layer nature of decision-making about the patient’s care plan … When implementation of an established care plan is being blocked, as in this case, a strategy for … If consensus about a care plan exists, and implementation of the care plan is still being blocked, or … No clinician should be able to halt the implementation of a care plan by saying “I’m not comfortable … When a clinician refuses to follow a care plan, the following strategy may be effective in overcoming
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psnet.ahrq.gov/issue/rx-medication-errors
July 19, 2023 - A patient medication safety plan can help prevent the cascade of devastating and preventable complications … article discussing medication errors in the context of ambulatory care and provides a medication safety plan … A patient medication safety plan can help prevent the cascade of devastating and preventable complications