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psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-approach
August 30, 2023 - Commentary
The morbidity and mortality meeting: time for a different approach?
Citation Text:
Fraser J. The morbidity and mortality meeting: time for a different approach? Arch Dis Child. 2016;101(1):4-8. doi:10.1136/archdischild-2015-309536.
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psnet.ahrq.gov/issue/examining-attitudes-hospital-pharmacists-reporting-medication-safety-incidents-using-theory
January 16, 2013 - that hospital pharmacist reporting of medication errors was influenced by behavioral norms, and senior
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psnet.ahrq.gov/issue/what-role-individual-accountability-patient-safety-multi-site-ethnographic-study
June 16, 2021 - Senior author Mary Dixon-Woods elaborates on the relationship between individuals and systems in a PSNet
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psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
February 01, 2010 - Nasca, MD, is the executive director and chief executive officer of the Accreditation Council for Graduate … Nasca, a nephrologist, was dean of Jefferson Medical College and Senior Vice President for Academic Affairs … In other words, a PGY1 house officer would require a greater degree of supervision than a senior house … A more seasoned clinician, even at the level of a senior house officer, has an encapsulated frame of … Yet, our senior house officers are off walking around with consultants most of the time.
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psnet.ahrq.gov/issue/patient-safety-climate-us-hospitals-variation-management-level
November 18, 2009 - As documented in prior research , more senior managers generally had better perceptions of safety than
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psnet.ahrq.gov/issue/vhas-movement-change-implementing-high-reliability-principles-and-practices
August 21, 2024 - January 3, 2017
Transition planning for the senior surgeon: guidance and recommendations
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psnet.ahrq.gov/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md
March 30, 2020 - The executive summaries allow readers to access the information quickly, and we’re now providing links … Whatever your focus is, whatever your department in an organization, or whether you have a senior leadership … For example, the PSP summary table included in the Executive Summary has been reformatted to include … Fitall, MPH
Research Associate, IMPAQ Health
IMPAQ International
Washington, DC
Bryan Gale, MA
Senior … [3] Making Healthcare Safer III: Executive Summary.
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psnet.ahrq.gov/node/33625/psn-pdf
January 01, 2006 - important aspect of teamwork is giving junior team members the authority to
question decisions of senior … independently studied.(15) We have found it
useful for measuring the effects of interventions such as executive … The effect of executive walk rounds on
nurse safety climate attitudes.
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psnet.ahrq.gov/issue/learning-no-fault-treatment-injury-claims-improve-safety-older-patients
September 27, 2023 - Study
Learning from no-fault treatment injury claims to improve the safety of older patients.
Citation Text:
Wallis KA. Learning from no-fault treatment injury claims to improve the safety of older patients. Ann Fam Med. 2015;13(5):472-4. doi:10.1370/afm.1810.
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psnet.ahrq.gov/issue/new-recommendations-duty-hours-acgme-task-force
July 14, 2021 - focus more broadly on enhancing supervision for early-stage residents while allowing more autonomy for senior
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psnet.ahrq.gov/issue/predictors-likelihood-speaking-about-safety-concerns-labour-and-delivery
October 19, 2022 - discussed a case of "silence" when members of the operating room team were reluctant to speak up to a senior
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psnet.ahrq.gov/perspective/making-healthcare-safer-iii-report
March 30, 2020 - For example, the PSP summary table included in the Executive Summary has been reformatted to include … Fitall, MPH
Research Associate, IMPAQ Health
IMPAQ International
Washington, DC
Bryan Gale, MA
Senior … [3] Making Healthcare Safer III: Executive Summary. … The executive summaries allow readers to access the information quickly, and we’re now providing links … Whatever your focus is, whatever your department in an organization, or whether you have a senior leadership
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psnet.ahrq.gov/perspective/conversation-maureen-bisognano
February 26, 2025 - feeling overwhelmed by efforts, by measures, by data, by electronic systems that sense making at the senior … level—connecting boards to the senior team and then helping them to strategize so that they have a common … tension I hear is not only overload, but also—as Gary Kaplan said to me recently—that the board and the senior … We have developed a set of safety practices for board members and for senior members that are really … 1) I am ready to hear that quality is not as high as its needs to be now, and (2) it's my job as an executive
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psnet.ahrq.gov/node/49847/psn-pdf
November 01, 2018 - Before leaving for the day,
the primary intern reviewed the overnight plan with his senior resident … The
primary team's senior resident expressed surprise when she was told that IV fluids had been started … After
reviewing the incident, the residency program decided that a senior resident should review the … One
strategy to improve the integrity of the written handoff is to designate a senior team member to
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psnet.ahrq.gov/issue/health-care-quality-and-disparities-lessons-first-national-reports
April 03, 2005 - Special or Theme Issue
Health Care Quality and Disparities: Lessons from the First National Reports.
Citation Text:
Health Care Quality and Disparities: Lessons from the First National Reports. Kelley E, Moy E, Dayton E, et al. Med Care. 2005:43(3):I1-I88.
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psnet.ahrq.gov/issue/error-training-missing-link-surgical-education
December 21, 2014 - February 25, 2015
A surgical simulation curriculum for senior medical students based
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psnet.ahrq.gov/issue/how-not-waste-crisis-qualitative-study-problem-definition-and-its-consequences-three
April 21, 2015 - A PSNet interview with senior author Mary Dixon-Woods expanded on the need to shape culture to foster
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psnet.ahrq.gov/issue/implementing-national-program-reduce-catheter-associated-urinary-tract-infection-quality
June 08, 2016 - Sanjay Saint, the senior author of this article, discussed CAUTI prevention.
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psnet.ahrq.gov/issue/ageing-surgeon-qualitative-study-expert-opinions-assuring-performance-and-supporting-safe
May 05, 2021 - March 9, 2022
Transition planning for the senior surgeon: guidance and recommendations
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psnet.ahrq.gov/issue/factors-influence-expected-length-operation-results-prospective-study
August 11, 2021 - View More
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