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Showing results for "principles".

  1. 'Bad apples': time to redefine as a type of systems problem? | PSNet

    psnet.ahrq.gov/issue/bad-apples-time-redefine-type-systems-problem
    April 19, 2017 - Interview In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles … Perspective High Reliability Organization (HRO) Principles

  2. Near misses: paradoxical realities in everyday clinical practice. | PSNet

    psnet.ahrq.gov/issue/near-misses-paradoxical-realities-everyday-clinical-practice
    May 04, 2012 - Interview In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles … Perspective High Reliability Organization (HRO) Principles

  3. What is learning? A review of the safety literature to define learning from incidents, accidents and disasters. | PSNet

    psnet.ahrq.gov/issue/what-learning-review-safety-literature-define-learning-incidents-accidents-and-disasters
    December 17, 2010 - Interview In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles … Perspective High Reliability Organization (HRO) Principles

  4. Hospital complications: linking payment reduction to preventability. | PSNet

    psnet.ahrq.gov/issue/hospital-complications-linking-payment-reduction-preventability
    July 13, 2010 - March 4, 2011 Building physician work hour regulations from first principles and best … reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles

  5. Disclosing clinical adverse events to patients: can practice inform policy? | PSNet

    psnet.ahrq.gov/issue/disclosing-clinical-adverse-events-patients-can-practice-inform-policy
    September 29, 2017 - In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles … August 28, 2024 Perspective Application of Safety-II Principles

  6. Role of medical students in preventing patient harm and enhancing patient safety. | PSNet

    psnet.ahrq.gov/issue/role-medical-students-preventing-patient-harm-and-enhancing-patient-safety
    July 10, 2008 - Interview In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles … Perspective High Reliability Organization (HRO) Principles

  7. Injury and death associated with incidents reported to the Patient Safety Net. | PSNet

    psnet.ahrq.gov/issue/injury-and-death-associated-incidents-reported-patient-safety-net
    September 08, 2010 - reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles … August 21, 2024 Relationships among psychological safety, the principles of high reliability

  8. Implementation of a colour-coded universal protocol safety initiative in Guatemala. | PSNet

    psnet.ahrq.gov/issue/implementation-colour-coded-universal-protocol-safety-initiative-guatemala
    October 31, 2017 - Interview In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles … Perspective High Reliability Organization (HRO) Principles

  9. Hospitalization-associated disability: "She was probably able to ambulate, but I'm not sure." | PSNet

    psnet.ahrq.gov/issue/hospitalization-associated-disability-she-was-probably-able-ambulate-im-not-sure
    August 04, 2015 - Interview In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles … Perspective High Reliability Organization (HRO) Principles

  10. Some unintended effects of teamwork in healthcare. | PSNet

    psnet.ahrq.gov/issue/some-unintended-effects-teamwork-healthcare
    July 02, 2008 - Interview In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles … Perspective High Reliability Organization (HRO) Principles

  11. Improving the safety of intravenous admixtures: lessons learned from a Pentostam® overdose. | PSNet

    psnet.ahrq.gov/issue/improving-safety-intravenous-admixtures-lessons-learned-pentostamr-overdose
    January 04, 2017 - Interview In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles … Perspective High Reliability Organization (HRO) Principles

  12. Automated electronic reminders to prevent miscommunication among primary medical, surgical and anaesthesia providers: a root cause analysis. | PSNet

    psnet.ahrq.gov/issue/automated-electronic-reminders-prevent-miscommunication-among-primary-medical-surgical-and
    August 16, 2017 - Interview In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles … Perspective High Reliability Organization (HRO) Principles

  13. “Those found responsible have been sacked”: some observations on the usefulness of error. | PSNet

    psnet.ahrq.gov/issue/those-found-responsible-have-been-sacked-some-observations-usefulness-error
    September 28, 2010 - Interview In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles … Perspective High Reliability Organization (HRO) Principles

  14. Impact and implications of disruptive behavior in the perioperative arena. | PSNet

    psnet.ahrq.gov/issue/impact-and-implications-disruptive-behavior-perioperative-arena
    February 03, 2010 - Interview In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles … Perspective High Reliability Organization (HRO) Principles

  15. Measuring faculty reflection on adverse patient events: development and initial validation of a case-based learning system. | PSNet

    psnet.ahrq.gov/issue/measuring-faculty-reflection-adverse-patient-events-development-and-initial-validation-case
    September 20, 2011 - Interview In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles … Perspective High Reliability Organization (HRO) Principles

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43809/psn-pdf
    February 25, 2015 - Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures in the pediatric cardiac operating room. February 25, 2015 Bowermaster R, Miller M, Ashcraft T, et al. Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures in the pedia…

  17. PowerPoint Presentation (ppt file)

    effectivehealthcare.ahrq.gov/sites/default/files/medical-test-reviews-strength-evidence.ppt
    June 01, 2012 - Grading the strength of evidence Challenges specific to diagnostic tests Principles of grading the strength … strength of a body of evidence as it relates to diagnostic tests, and illustrative examples of these principles … Principles of Grading the Strength of a Body of Evidence Singh S, Chang SM, Matchar DB, et al. … Principles of Grading the Strength of a Body of Evidence We suggest five principles to follow when grading … Doing so is consistent with both the EPC and GRADE principles of emphasizing outcomes important to patients

  18. PowerPoint Presentation (ppt file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/medical-test-reviews-strength-evidence.ppt
    June 01, 2012 - Grading the strength of evidence Challenges specific to diagnostic tests Principles of grading the strength … strength of a body of evidence as it relates to diagnostic tests, and illustrative examples of these principles … Principles of Grading the Strength of a Body of Evidence Singh S, Chang SM, Matchar DB, et al. … Principles of Grading the Strength of a Body of Evidence We suggest five principles to follow when grading … Doing so is consistent with both the EPC and GRADE principles of emphasizing outcomes important to patients

  19. DEcIDE DRN Report 2 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/distributed-network-proof_research.pdf
    June 01, 2010 - DEcIDE DRN Report 2 The DEcIDE (Developing Evidence to Inform Decisions about Effectiveness) network is part of AHRQ’s Effective Health Care program. It is a collaborative network of research centers that support the rapid development of new scientific information and analytic tools. The DEcIDE network assist…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44652/psn-pdf
    November 11, 2015 - Developing a principle-based approach to safe medication practices. November 11, 2015 Hallaran A, McNabb A, Anderson J. J Nurs Reg. 2015;6:43-47. https://psnet.ahrq.gov/issue/developing-principle-based-approach-safe-medication-practices This commentary describes the development, implementation, and evaluation of n…
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