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psnet.ahrq.gov/node/46995/psn-pdf
January 01, 2021 - primer/reporting-patient-safety-events
https://psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
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psnet.ahrq.gov/issue/call-action-safeguarding-integrity-healthcare-quality-and-safety-systems
November 09, 2022 - describes a framework to ensure the quality of reporting patient safety concerns and that organizations respond
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psnet.ahrq.gov/issue/patient-safety-spring-2019-final-cdp-report
October 28, 2020 - This report contributes to a long-standing initiative to define an evolving set of measures to respond
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psnet.ahrq.gov/issue/when-doctors-make-mistakes-1
May 01, 2013 - The piece highlights the need for effective support of physicians-in-training to manage and respond
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psnet.ahrq.gov/node/44742/psn-pdf
January 06, 2016 - The authors discuss how residents respond to
errors and describe how reactions from supervisors can
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psnet.ahrq.gov/node/37292/psn-pdf
May 24, 2015 - an important and challenging practice, with a past report providing
thoughtful guidance on how to respond
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psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive-approach-data
February 26, 2025 - The NAPSI team created a detailed program for providers to respond to each of the five scenarios. … of noticing high-risk clinical scenarios prior to patients undergoing a procedure wherein clinicians respond … This proactive approach permits clinicians to focus on specific patient risk factors and respond with
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psnet.ahrq.gov/issue/preventing-medical-errors-how-proceed-caution
January 24, 2024 - The author reviews steps individual clinicians can take to respond to errors and malpractice claims
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psnet.ahrq.gov/node/47949/psn-pdf
July 10, 2019 - psnet.ahrq.gov/web-mm/do-not-disturb
https://psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
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psnet.ahrq.gov/issue/isqua-networks
January 29, 2021 - October 23, 2019
Training of Hospital Staff To Respond to a Mass Casualty Incident.
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psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
April 26, 2023 - We are able to respond immediately when we see significant changes. … In the critical care setting, there’s a resource available to respond anytime that there’s an alarm. … They’re close to the bedside all the time, and they can respond and adjust the monitoring system so that … We had a system that escalated from the primary nurse, and if they didn’t respond, to the charge nurse … This means that the charge nurse can no longer respond as a backup to the primary nurse if an alarm goes
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psnet.ahrq.gov/issue/science-safety-trustees-can-play-crucial-role-fostering-safety-culture-their-hospitals
January 24, 2018 - Newspaper/Magazine Article
Harmful errors: how will your facility respond?
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psnet.ahrq.gov/node/37022/psn-pdf
September 24, 2010 - The Joint
Commission's 2008 National Patient Safety Goals require hospitals to develop a system to respond
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psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
April 26, 2023 - hospital bed, it is critical that the clinicians on the unit recognize it as quickly as possible and respond … The real-time nature of continuous surveillance monitoring enables clinicians to respond to a deteriorating … We are able to respond immediately when we see significant changes. … In the critical care setting, there’s a resource available to respond anytime that there’s an alarm. … We had a system that escalated from the primary nurse, and if they didn’t respond, to the charge nurse
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psnet.ahrq.gov/issue/virtual-caring-caregiver-rise
May 11, 2011 - This virtual session presents RISE implementation education and orientation for staff to respond when
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psnet.ahrq.gov/node/46031/psn-pdf
April 12, 2017 - hospital-wide morbidity and mortality conferences,
mock root cause analyses, and a feedback mechanism to respond
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psnet.ahrq.gov/issue/piece-my-mind-changing-narrative
December 13, 2023 - collegial relationships and enhance empathy within teams and among peers to improve how clinicians respond
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psnet.ahrq.gov/issue/lessons-learned-about-human-fallibility-system-design-and-justice-aftermath-fatal-medication
November 16, 2022 - Organizational factors can contribute to the occurrence of patient safety events and how health systems respond
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psnet.ahrq.gov/issue/health-care-management-during-covid-19-insights-complexity-science
July 22, 2020 - The authors also describe how to apply that experience to learn from crisis situations to better respond
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psnet.ahrq.gov/issue/resilient-health-care-series
October 25, 2018 - Resilience in health care focuses on developing systems that enable care teams to respond to emergent