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psnet.ahrq.gov/node/44515/psn-pdf
February 23, 2018 - texas-health-presbyterian-hospital-ebola-crisis-perfect-storm-human-errors-system-failures
https://psnet.ahrq.gov/issue/dallas-ebola-case-shows-even-sound-plans-can-fail-spectacularly
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psnet.ahrq.gov/node/43651/psn-pdf
November 18, 2016 - defining-health-information-technology-related-errors-new-developments-err-human
https://psnet.ahrq.gov/issue/dallas-ebola-case-shows-even-sound-plans-can-fail-spectacularly
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psnet.ahrq.gov/node/43764/psn-pdf
July 03, 2016 - The authors provide information drawn from their evaluation of the
program and discuss plans for further
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psnet.ahrq.gov/node/36348/psn-pdf
March 09, 2009 - The article
extensively reviews the challenges of implementing the program and future plans for disseminating
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psnet.ahrq.gov/issue/wristband-standardization-initiative
January 08, 2020 - Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans
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psnet.ahrq.gov/issue/diagnostic-excellence-improving-experience-and-outcomes-patient-care
October 06, 2022 - funding, the foundation hopes to stimulate novel approaches to measuring diagnostic performance and plans
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psnet.ahrq.gov/issue/johns-hopkins-receives-10-million-open-patient-safety-institute
August 06, 2014 - This newspaper article reports on plans to develop the Armstrong Institute for Patient Safety and Quality
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psnet.ahrq.gov/web-mm/discharge-fumbles
September 09, 2009 - might be important are reconciling pre- and post-hospital medication profiles, going over follow-up plans … diagnosis, the results of important tests, the medications prescribed at discharge, or the follow-up plans … They must understand their follow-up plans. … need to anticipate the opportunities for post-discharge adverse events and put in place appropriate plans … Make telephone contact with primary care physician prior to discharge Follow-up plans
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psnet.ahrq.gov/node/43090/psn-pdf
November 23, 2016 - Patients are encouraged to feel
empowered to ask questions and to actively participate in their care plans
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psnet.ahrq.gov/node/33567/psn-pdf
June 15, 2024 - to-do items to be completed by the clinician receiving signout
Situation awareness and contingency plans … should include content such as illness assessment, patient summary, to-do action list, and
contingency plans
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psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
August 30, 2023 - Literacy Environment of Hospitals and Health Centers [HLE2] 7 ) Develop organizational health literacy plans … Improve Spoken Communication: Organizations’ health literacy plans include processes to ensure clear … Support Patients’ Health Management Efforts: Have processes in place for providers to develop action plans
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psnet.ahrq.gov/issue/hemolyzed-physical-examination-situational-challenges-accurate-bedside-diagnosis
May 31, 2023 - Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans
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psnet.ahrq.gov/node/35494/psn-pdf
May 27, 2011 - participating hospitals demonstrated that while only 3.7% use fully implemented
systems, 92% shared plans
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psnet.ahrq.gov/node/36200/psn-pdf
February 15, 2011 - Approximately
half of respondents declined to explain how the error occurred or discuss specific plans
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psnet.ahrq.gov/issue/governor-signs-executive-order-creating-new-division-patient-safety
October 25, 2023 - Linkedin
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July 26, 2006
This news release announces the governor's plans
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psnet.ahrq.gov/issue/listening-what-matters-avoiding-contextual-errors-health-care
February 03, 2016 - by taking patients' lives, circumstances, and preferences into consideration when designing care plans
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psnet.ahrq.gov/issue/review-quality-care-and-treatment-provided-14-hospital-trusts-england-overview-report
August 02, 2023 - June 13, 2012
Critical Incident Reviews, Significant Adverse Event Reports and Action Plans
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psnet.ahrq.gov/issue/family-centered-multidisciplinary-rounds-enhance-team-approach-pediatrics
November 21, 2021 - a pediatric unit had a positive effect on staff satisfaction and actively engaged families in care plans
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psnet.ahrq.gov/issue/patient-safety-what-about-patient
January 22, 2025 - acknowledged and dealt with appropriately, including honest disclosure, apology, continued support, and plans
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psnet.ahrq.gov/node/35748/psn-pdf
February 02, 2011 - discusses the broader certification issue, calling for greater collaboration among hospitals, health plans