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psnet.ahrq.gov/issue/who-patient-safety
July 14, 2021 - Reducing accidents and the risk of error requires a significant and sustained response at national and
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psnet.ahrq.gov/node/33584/psn-pdf
March 15, 2025 - The dynamic environment in which health care is delivered requires clinicians to maintain situational … In a clinical context, maintaining situational awareness requires information
sharing and open dialogue
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psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve
March 01, 2017 - Establishing a strong culture of safety and learning requires deep engagement with the unique overall … Creating a culture of safety requires leading differently. … Culture change requires profound transformation in the way people in organizations think and feel. … Effective coaching requires respectful interaction that guides (rather than tells or criticizes) and
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psnet.ahrq.gov/node/33860/psn-pdf
June 01, 2018 - determinations regarding valvular pathology.(9,11) Defining and implementing scope of practice for
POCUS requires … resources for
asynchronous teaching and evaluation, but curation and monitoring of these resources requires … To do this correctly of course requires some resources—to ensure that the person providing oversight … Building a POCUS program that optimizes patient safety and patient-centered
outcomes requires judgment
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psnet.ahrq.gov/node/50576/psn-pdf
October 23, 2019 - breakdowns-initial-patient-provider-encounter-are-frequent-source-diagnostic-
error-among
Ischemic stroke, which often presents with non-specific symptoms and requires
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psnet.ahrq.gov/node/73363/psn-pdf
June 09, 2021 - shift-shift-nursing-handover-interventions-associated-improved-inpatient-
outcomes-falls
Safe patient handover from one nursing shift to the next requires
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psnet.ahrq.gov/node/47896/psn-pdf
July 10, 2019 - engaging-patients-and-informal-caregivers-improve-safety-and-facilitate-
person-and-family
Hospital discharge is a complex process that requires
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psnet.ahrq.gov/node/844758/psn-pdf
September 18, 2019 - A WebM&M commentary highlighted how early recognition of
patient deterioration requires not only medical
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psnet.ahrq.gov/node/842764/psn-pdf
January 18, 2023 - /psnet.ahrq.gov/issue/fda-identifies-harm-reported-sudden-discontinuation-opioid-pain-medicines-and-requires-label
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psnet.ahrq.gov/node/854626/psn-pdf
October 18, 2023 - developing-surgical-and-anesthesia-resident-patient-safety-competencies-
through-systems-based
The Accreditation Council for Graduate Medical Education (ACGME) requires
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psnet.ahrq.gov/issue/patient-safety-incident-response-framework
October 20, 2021 - Effective response to medical error requires a comprehensive systemic and process-focused incident examination
-
psnet.ahrq.gov/issue/safe-and-equitable-pediatric-clinical-use-ai
February 26, 2025 - submits that the use of artificial intelligence (AI) to support equitable health care for children requires
-
psnet.ahrq.gov/issue/actionable-patient-safety-solutions-apss-creating-foundation-safe-and-reliable-care
June 01, 2023 - Patient safety success requires leadership, resources, and a strategic approach.
-
psnet.ahrq.gov/node/47348/psn-pdf
September 05, 2018 - psnet.ahrq.gov/issue/hospital-acquired-condition-hac-reduction-program
Eliminating hospital-acquired harm requires
-
psnet.ahrq.gov/node/33952/psn-pdf
July 16, 2009 - bar-code-label-requirement-human-drug-products-and-biological-products
The US Food and Drug Administration (FDA) requires
-
psnet.ahrq.gov/node/844991/psn-pdf
February 22, 2023 - In 2017, England’s National Health Service (NHS) implemented the Learning from Deaths program which
requires
-
psnet.ahrq.gov/node/849129/psn-pdf
November 01, 2023 - patient-safety-trends-2022-analysis-256679-serious-events-and-incidents-
nations-largest-event
Pennsylvania requires
-
psnet.ahrq.gov/node/40474/psn-pdf
July 02, 2011 - medicine physician leaders found that more than 10% were unaware that the
Universal Protocol, which requires
-
psnet.ahrq.gov/issue/national-healthcare-system-action-alliance-advance-patient-safety
April 01, 2024 - The large system change required to reduce patient harm requires multi-stakeholder engagement and sustained
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psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
April 01, 2005 - Resources Used and Skills Needed
The intervention requires both physician and non-physician resources … For non-physician resources, the intervention requires a project manager who does not need a clinical … The innovation requires the ability to create the electronic review tool, which standardizes the manual … Resources Used and Skills Needed
The intervention requires both physician and non-physician resources … For non-physician resources, the intervention requires a project manager who does not need a clinical