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psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
September 01, 2006 - industry.( 5 )
This aspiration has not yet been realized ( 6 ) in health care, partly due to key principles … range of legal protections around the appropriate use of aviation safety data.( 11 ) Such just culture principles … Perspective
High Reliability Organization (HRO) Principles
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
October 01, 2010 - Human factors research stresses the importance of looking beyond a specific technology to the guiding principles … Indeed, use of these principles has led to two strikingly successful and widely discussed medical checklists … Although the developers of the WHO surgical checklist embraced human factors principles, which helped
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psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
June 01, 2003 - In 1999, the American Nurses Association (ANA) introduced a nursing quality report card and the Principles … This dance is guided by the ANA Principles of Safe Nurse Staffing.( 12 ) Staffing plans are developed … ANA Principles of Nurse Staffing. Silver Spring, MD: American Nurses Association; 2009.
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psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
June 01, 2004 - Describe key principles in effective error disclosure. … disclosure process is complex and needs to be customized to the needs of each patient, several key principles … Principles in Preparing for Disclosure Conversations. 1.
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psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
August 01, 2014 - Applying Principles From Inpatient Safety to Ambulatory Safety
What can we expect to discover in this … Or is it different, requiring not just application of already understood principles, but vigorous exploration … Combining good communication and teamwork principles with a robust local error reporting and unit-based … No, it is familiar territory in that there are principles and interventions, based on the evidence for … Perspective
High Reliability Organization (HRO) Principles
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psnet.ahrq.gov/node/867397/psn-pdf
December 18, 2024 - Overview of Methicillin-Resistant Staphylococcus aureus
(MRSA)-Related Adult Inpatient Stays, 2016–2021. HCUP
Statistical Brief #315.
December 18, 2024
Miller MA, Owens P, Kim J, et al. Overview Of Methicillin-Resistant Staphylococcus Aureus (Mrsa)-Related
Adult Inpatient Stays, 2016–2021. Agency for Healthcare Re…
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psnet.ahrq.gov/web-mm/continuity-errors-resident-clinic
October 02, 2019 - in care, a dedicated ambulatory curriculum, and appropriate outpatient supervision are key guiding principles
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psnet.ahrq.gov/node/33572/psn-pdf
December 15, 2024 - Although a seemingly simple intervention, checklists have a sound
theoretical basis in principles of
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psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
April 01, 2015 - Interview
In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles … Perspective
High Reliability Organization (HRO) Principles
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psnet.ahrq.gov/web-mm/do-me-favor
September 12, 2016 - illustrates a failure to return the system to "ready" status and to adhere to appropriate infection control principles … 2021
Perspective
Building a Safety Program Using Principles
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psnet.ahrq.gov/web-mm/adolescent-diabetes-routine-visit
November 18, 2016 - Know the components and basic principles of the adolescent sexual history. … The following principles can help guide discussion of sexuality with an adolescent patient: confidentiality … Principles that facilitate the history include confidentiality, clinician comfort, respect for sexual
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psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
September 24, 2024 - Workforce Safety in Healthcare articulates the importance of establishing a goal of zero harm and shares principles … serious safety events by 89% through implementation of high-reliability and organizational learning principles … In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles
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psnet.ahrq.gov/web-mm/palliative-care-comfort-vs-harm
December 04, 2016 - Describe key principles regarding the use of opioids in palliative care. … Principles of Biomedical Ethics. 7th ed. Oxford: Oxford University Press; 2012.
23.
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psnet.ahrq.gov/node/46766/psn-pdf
January 17, 2018 - What hinders the uptake of computerized decision
support systems in hospitals? A qualitative study and
framework for implementation.
January 17, 2018
Liberati EG, Ruggiero F, Galuppo L, et al. What hinders the uptake of computerized decision support
systems in hospitals? A qualitative study and framework for imple…
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psnet.ahrq.gov/perspective/harm-reduction-strategies-improve-safety-people-who-use-substances
October 30, 2024 - reduction includes using non-stigmatizing and non-judgmental language when working with PWUS and utilizing principles … the healthcare setting, it is critical to train all staff who interact with PWUS in harm reduction principles … Embedding these harm reduction principles into treatment does not mean that abstinence has no place. … about Suicide Prevention
March 24, 2025
Manifestations of high-reliability principles
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psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
January 01, 2015 - There are opportunities to use Lean principles in rearranging the laboratory equipment to reduce turnaround … Lean person as not coming in and telling anyone how to do their job, but rather teaching them Lean principles … pervasive impact on the entire medical center has been the 2002 adoption of the Toyota Production System principles
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psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
January 01, 2015 - pervasive impact on the entire medical center has been the 2002 adoption of the Toyota Production System principles … There are opportunities to use Lean principles in rearranging the laboratory equipment to reduce turnaround … Lean person as not coming in and telling anyone how to do their job, but rather teaching them Lean principles
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psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
August 01, 2010 - needed to understand how to prevent mistakes, and training future generations of clinicians in the principles … Decoding the data, developing observations in the current condition, and then applying these principles … October 30, 2024
Perspective
Application of Safety-II Principles
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psnet.ahrq.gov/issue/medical-liability-and-patient-safety-setting-proper-course
January 12, 2011 - Commentary
Medical liability and patient safety: setting the proper course.
Citation Text:
Pearlman MD, Gluck PA. Medical liability and patient safety: setting the proper course. Obstet Gynecol. 2005;105(5 Pt 1):941-943.
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psnet.ahrq.gov/issue/secondary-care-nursing-perspective-medication-administration-safety
July 23, 2010 - Study
A secondary care nursing perspective on medication administration safety.
Citation Text:
McBride-Henry K, Foureur M. A secondary care nursing perspective on medication administration safety. J Adv Nurs. 2007;60(1):58-66.
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