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psnet.ahrq.gov/node/61109/psn-pdf
November 11, 2020 - making-communication-and-resolution-programmes-mission-critical-
healthcare-organisations
Communication-and-resolution programs … making-communication-and-resolution-programmes-mission-critical-healthcare-organisations
https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
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psnet.ahrq.gov/node/60054/psn-pdf
March 18, 2020 - ensuring-successful-implementation-communication-and-resolution-
programmes
Communication-and-resolution programs … ensuring-successful-implementation-communication-and-resolution-programmes
https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters … https://psnet.ahrq.gov/issue/challenges-implementing-communication-and-resolution-program-where-multiple-organizations
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psnet.ahrq.gov/node/47097/psn-pdf
June 26, 2018 - These results provide insight on how best to use data from prescription drug
monitoring programs, which … triggers-and-trigger-tools
https://psnet.ahrq.gov/issue/implementation-prescription-drug-monitoring-programs-associated-reductions-opioid-related … https://psnet.ahrq.gov/issue/implementation-prescription-drug-monitoring-programs-associated-reductions-opioid-related
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psnet.ahrq.gov/node/33640/psn-pdf
September 01, 2006 - —Starting in the mid-1990s, VA leadership began the External Peer
Review Program (EPRP). … Until the EPRP program, VA clinical
leaders knew little about how their performance compared to others … Were these programs successful? By all accounts, wildly so. … Many of these same programs are now being implemented in the private sector. … Care in U.S. hospitals--the Hospital Quality Alliance program. N Engl
J Med. 2005;353:265-274.
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psnet.ahrq.gov/node/837969/psn-pdf
August 31, 2022 - Results show a wide variety in the way drug product descriptions are entered into e-
prescription programs … Poor standardization
of terminology in e-prescription programs can lead to incorrect medication order
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psnet.ahrq.gov/node/836713/psn-pdf
March 09, 2022 - near misses should be taught to prelicensure nursing students but is not
always included in nursing programs … The findings can be helpful to other
nursing programs to refocus education on medication errors to areas
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psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-tackling-three-tough-cases
December 19, 2018 - Related Resources From the Same Author(s)
Can communication-and-resolution programs … October 16, 2012
How policy makers can smooth the way for communication-and-resolution programs … September 29, 2017
Communication-and-resolution programs: the challenges and lessons … November 20, 2024
Disclosure, apology, and offer programs: stakeholders' views of barriers
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psnet.ahrq.gov/issue/support-methods-healthcare-professionals-who-are-second-victims-integrative-review
April 27, 2022 - integrative review summarizes the importance of organizational safety culture and highlights strategies and programs … (such as the RISE support program and peer support teams ) for supporting healthcare professionals … February 24, 2021
Second victim support programs for healthcare organizations.
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psnet.ahrq.gov/issue/optimising-delivery-remediation-programmes-doctors-realist-review
June 02, 2021 - Remediation programs are used to address unprofessional behavior contributing to adverse events. … This literature review found that remediation programs are effective when a doctor’s insight and motivation … Summary
July 23, 2024
Quality and patient safety metrics: developing a structured program
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psnet.ahrq.gov/issue/malpractice-reform-opportunities-leadership-health-care-institutions-and-liability-insurers
December 19, 2018 - Related Resources From the Same Author(s)
Can communication-and-resolution programs … May 4, 2014
Challenges of implementing a communication-and-resolution program where multiple … regulators to support quality and accountability following medical errors: the communication and resolution program … September 1, 2018
Communication-and-resolution programs: the challenges and lessons learned … October 31, 2014
Disclosure-and-resolution programs that include generous compensation
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psnet.ahrq.gov/node/72836/psn-pdf
January 26, 2021 - clinical decision-making process, but also
to the overarching design and implementation of organizational programs … While the
programs have concluded, the PFE
metrics developed for the Partnership for
Patients (PfP … Accountable Leader of Program Area
4. … However, for organizations that are experienced with PFE or have advanced PFE
programs, PFE measurement … engagement-strategies-and-definitions.pdf
https://psnet.ahrq.gov//#_ednref3
https://pubmed.ncbi.nlm.nih.gov/11032203/
[4] Gateways to PFA Program
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psnet.ahrq.gov/node/846707/psn-pdf
March 29, 2023 - effect-patient-safety-education-interventions-patient-safety-culture-health-care
Health systems seeking to improve patient safety culture (PSC) implement myriad of educational programs … This review identified 16 studies of PSC education programs that included before and after
surveys or
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psnet.ahrq.gov/node/852798/psn-pdf
August 23, 2023 - patient-handoffs-and-multi-specialty-trainee-perspectives-across-institution-
informing
Standardizing handoff training in residency programs … patient-handoff-comprehensive-curricular-blueprint-resident-education-improve-continuity-care
https://psnet.ahrq.gov/issue/resident-shift-handoff-strategies-us-internal-medicine-residency-programs
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psnet.ahrq.gov/issue/are-second-victims-getting-help-they-need
September 13, 2017 - Organizations are increasingly building programs to enable second victims to return to safe and confident … This magazine article highlights factors that contribute to success of second victim support programs … focus on emotional needs rather than skill assessment, and sustained leadership engagement in the program … May 15, 2024
Achieving a successful patient safety program with implementation of a harm
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psnet.ahrq.gov/issue/second-trial
November 08, 2017 - The program builds on the results of the FIRST trial . … The SECOND trial works with programs to design opportunities for improvement. … Environmental assessments sharing program-generated data will inform site specific toolkits and change … March 17, 2021
Graduate Programs in Healthcare Quality and Patient Safety.
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psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
March 01, 2014 - How Does Infection Prevention Fit Into a Safety Program?
Susan S. … How Does Infection Prevention Fit Into a Safety Program?. PSNet [internet]. … How Does Infection Prevention Fit Into a Safety Program?. PSNet [internet]. … Texas Health Care Transformation and Quality Improvement Program. … or an infection prevention program.
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psnet.ahrq.gov/issue/factors-influencing-second-victim-experiences-and-support-needs-obgyn-and-pediatric
January 31, 2024 - pediatric staff at one large academic medical center identified a need for both an immediate support program … (e.g., peer support programs ) as well as long-term support for lingering psychological symptoms. … during COVID-19: a second victim peer support program for healthcare professionals. … Support Tool Survey
December 23, 2020
Evaluation of a second victim peer support program … July 19, 2023
Peer support and second victim programs for anesthesia professionals involved
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psnet.ahrq.gov/node/845473/psn-pdf
March 15, 2023 - to monitor affected patients for COVID symptoms outside
the hospital setting.6,7 These programs were … When designing the
program, organizations must develop clear protocols for identifying appropriate patients … Ideally, thresholds for flagging abnormal results should be individualized for
each patient.9
Program … Successful programs stated that having internal or external dedicated staff to monitor
patient status … Building a real-time remote patient
monitoring patient safety program for COVID-19 patients.
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psnet.ahrq.gov/node/854819/psn-pdf
October 25, 2023 - months to recover or did not recover at all, underscoring the
importance of organizational support programs … second-victims-support-clinicians-involved-errors-and-adverse-events
https://psnet.ahrq.gov/issue/second-victim-support-programs-healthcare-organizations
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psnet.ahrq.gov/issue/collaborative-accountability-and-improvement
August 14, 2018 - Communication-and-resolution programs (CRPs) are a promising strategy to improve respectful and effective … individuals seeks to promote and support multidisciplinary efforts and implement communication-and-resolution programs … May 4, 2015
Getting Started with a Communication and Resolution Program (CRP) Policy