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psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
March 01, 2017 - and surgery departments, the coalition recognized that culture change occurs through enhancing work processes … Through efforts to improve processes, workers experience opportunities to enact the climate they perceive
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psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon-0
October 24, 2021 - In Conversation With… Michael Cohen, RPh, MS, ScD (hon)
October 1, 2018
Citation Text:
In Conversation With… Michael Cohen, RPh, MS, ScD (hon). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …
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psnet.ahrq.gov/web-mm/translating-normal-abnormal
October 02, 2019 - SPOTLIGHT CASE
Translating From Normal to Abnormal
Citation Text:
Turner AM. Translating From Normal to Abnormal. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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Format:
Google Scholar BibT…
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psnet.ahrq.gov/node/850450/psn-pdf
June 14, 2023 - The One That Got Away—Elopement of a Suicidal Patient
in the Emergency Department.
June 14, 2023
Bourgeois JA, Xiong G, Barnes DK, et al. The One That Got Away—Elopement of a Suicidal Patient in the
Emergency Department. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-…
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psnet.ahrq.gov/node/33867/psn-pdf
October 01, 2018 - In Conversation With… Michael Cohen, RPh, MS, ScD
(hon)
October 1, 2018
In Conversation With… Michael Cohen, RPh, MS, ScD (hon). PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon-0
Editor's note: Dr. Cohen is President of the Institute for Safe Medication Practice…
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psnet.ahrq.gov/node/33706/psn-pdf
February 01, 2011 - In Conversation with...Brent C. James, MD, MStat
February 1, 2011
In Conversation with..Brent C. James, MD, MStat. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/conversation-withbrent-c-james-md-mstat
Editor's note: Brent C. James, MD, MStat, is Chief Quality Officer and Executive Director of the Insti…
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psnet.ahrq.gov/node/850675/psn-pdf
June 14, 2023 - The guide emphasizes two care processes in particular when families can impact safety—nurse bedside
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psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
May 19, 2021 - organizations are now under increased pressure to continually assess glycemic control and monitor the processes
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psnet.ahrq.gov/web-mm/more-treatment-better-care
August 11, 2021 - Similarly, performance measures that focus more on outcomes and overuse than on processes and underuse
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psnet.ahrq.gov/node/49639/psn-pdf
November 01, 2011 - They can also
identify recovery strategies that can be incorporated into designing safer care processes
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psnet.ahrq.gov/node/60952/psn-pdf
September 30, 2020 - that the
orthopedics team would be managing the DKA, so it would be important to drill down on the processes
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psnet.ahrq.gov/node/841139/psn-pdf
December 14, 2022 - to report medical
errors; develop systems to monitor patient safety among LEP patients, as well as processes
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psnet.ahrq.gov/node/33768/psn-pdf
June 01, 2014 - learned that if
you understand structural thinking—if you understand feedback loops and the cultural processes
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psnet.ahrq.gov/node/852808/psn-pdf
August 30, 2023 - Measurable processes and outcomes: The team agrees on and implements reliable and timely
feedback on
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psnet.ahrq.gov/sites/default/files/2023-08/spotlight_case_prolonged_dka_in_pregnancy_-_slides_-_revised.pdf
January 01, 2023 - – Measurable processes and outcomes: The team agrees on and implements reliable and
timely feedback
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psnet.ahrq.gov/web-mm/central-line-clot
August 04, 2021 - May 25, 2011
Role of knowledge and reasoning processes as predictors of resident physicians
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psnet.ahrq.gov/perspective/are-we-getting-better-measuring-patient-safety
November 10, 2015 - in part to the difficulty in measuring generic "systems failures" compared with condition-specific processes
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psnet.ahrq.gov/node/73642/psn-pdf
August 25, 2021 - One of the main goals is to understand the healthcare work processes that
could be changed to eliminate
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psnet.ahrq.gov/node/33622/psn-pdf
November 01, 2005 - Everyone here is coached that way, and we have processes in place to try to make that the
case.
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psnet.ahrq.gov/web-mm/delayed-recognition-positive-blood-culture
January 29, 2020 - by infectious disease physicians.( 18-20 ) At one institution, in addition to standard notification processes