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201. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35120/psn-pdf
     November 03, 2015 - /clinical-impact-associated-corrected-results-clinical-microbiology-testing The authors describe a strategy … They conclude that this strategy is effective for identifying preventable adverse events.

202. Pandemic presents new hurdles, and hope, for people struggling with addiction. | PSNet
     psnet.ahrq.gov/issue/pandemic-presents-new-hurdles-and-hope-people-struggling-addiction
     September 01, 2016 - Physical distancing as a COVID-19 prevention strategy has had a range  of unintended consequences on … August 5, 2020 Preventing a parallel pandemic - a national strategy to protect clinicians

203. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45064/psn-pdf
     April 20, 2016 - https://psnet.ahrq.gov/issue/making-care-safer The National Quality Strategy is part of AHRQ's ongoing … Patients program and other initiatives working toward achieving the goals of the National Quality Strategy

204. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42256/psn-pdf
     May 10, 2013 - rapid-response-systems-should-we-still-question-their-implementation This commentary examines the evidence on rapid response systems as a strategy … rapid-response-systems-should-we-still-question-their-implementation https://psnet.ahrq.gov/issue/rapid-response-systems-patient-safety-strategy-systematic-review

205. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865570/psn-pdf
     April 10, 2024 - Society of Anesthesiologists (ASA), and (5) high risk for an operating room fire.1 A risk mitigation strategy … Preparing a detailed risk mitigation strategy per the institution’s policy.1 After reviewing these best … the five clinical risk scenarios and trained the clinicians to deploy a recommended risk mitigation strategy … Consulting with a second clinician is a strategy to avoid these biases.1 The red team/blue team method … When a positive screen occurs, documentation of whether or not the mitigation strategy was applied.

206. Why July matters. | PSNet
     psnet.ahrq.gov/issue/why-july-matters
     October 13, 2018 - from aviation to augment teamwork between interns and residents could be an effective improvement strategy … November 26, 2014 Handoffs in the era of duty hours reform: a focused review and strategy

207. Disclosing harmful medical errors to patients: a time for professional action. | PSNet
     psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-time-professional-action
     June 01, 2004 - advocate for a proactive approach to managing these tensions both as a professional responsibility and a strategy … January 2, 2017 Disclosure of medical injury to patients: an improbable risk management strategy

208. Critical conversations: a call for a nonprocedural "time out." | PSNet
     psnet.ahrq.gov/issue/critical-conversations-call-nonprocedural-time-out
     February 18, 2011 - This commentary describes a structured communication strategy that targets discussions at time of admission … May 25, 2011 Leading clinical handover improvement: a change strategy to implement best

209. Textbook of Rapid Response Systems: Concept and Implementation. | PSNet
     psnet.ahrq.gov/issue/textbook-rapid-response-systems-concept-and-implementation
     September 30, 2010 - Rapid response systems are a core strategy to ensure safe care for hospitalized patients should unexpected … February 15, 2011 Medical emergency teams: a strategy for improving patient care and

210. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. | PSNet
     psnet.ahrq.gov/issue/redesign-health-care-systems-reduce-diagnostic-errors-leveraging-human-experience-and
     December 04, 2016 - This article encourages a comprehensive strategy combining human (patient) experience and artificial … Key to this strategy is open communication between patients and providers, patient involvement in AI

211. Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement. | PSNet
     psnet.ahrq.gov/issue/integrating-ethics-and-patient-safety-role-clinical-ethics-consultants-quality-improvement
     October 04, 2011 - The authors suggest a systems-oriented framework for clinical ethics consultation as a strategy to … November 4, 2015 Developing a medication patient safety program — infrastructure and strategy

212. The effectiveness of root cause analysis: what does the literature tell us? | PSNet
     psnet.ahrq.gov/issue/effectiveness-root-cause-analysis-what-does-literature-tell-us
     February 11, 2013 - available research on  root cause analysis (RCA) substantiates its effectiveness as an improvement strategy … July 22, 2009 Spreading a strategy to prevent suicide after psychiatric hospitalization

213. Safety Assurance Factors for EHR Resilience: SAFER Guides. | PSNet
     psnet.ahrq.gov/issue/safety-assurance-factors-ehr-resilience-safer-guides
     January 10, 2007 - May 13, 2015 Strategy on Reducing Regulatory and Administrative Burden Relating to the … July 29, 2015 FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based … May 1, 2015 FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based

214. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40577/psn-pdf
     July 06, 2011 - errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy … errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy

215. Hospitals slow to adopt patient apology policies. | PSNet
     psnet.ahrq.gov/issue/hospitals-slow-adopt-patient-apology-policies
     April 22, 2016 - article discusses why, despite documented success, the implementation of this apology and compensation strategy … December 4, 2016 Why empathy may be the best risk management strategy.

216. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841567/psn-pdf
     December 14, 2022 - As a part of the CMS National Quality Strategy, CMS emphasizes the need to promote safety and highlights … www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/CMS-Quality-Strategy … www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/CMS-Quality-Strategy … The CMS National Quality Strategy: A Person-Centered Approach to Improving Quality. June 6, 2022. … https://www.cms.gov/blog/cms-national-quality-strategy-person-centered-approach-improving-quality 11

217. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47233/psn-pdf
     November 02, 2018 - This commentary describes one health system's multimodal strategy to enhance staff understanding of … responsibility-quality-improvement-and-patient-safety-hospital-board-and-medical-staff https://psnet.ahrq.gov/issue/patient-safety-rounds-description-inexpensive-important-strategy-improve-safety-culture

218. 'Clean Care is Safer Care': the Global Patient Safety Challenge 2005-2006. | PSNet
     psnet.ahrq.gov/issue/clean-care-safer-care-global-patient-safety-challenge-2005-2006
     November 13, 2024 - November 13, 2024 Patient empowerment and multimodal hand hygiene promotion: a win–win strategy … Status of the implementation of the World Health Organization multimodal hand hygiene strategy

219. Missing clinical and behavioral health data in a large electronic health record (EHR) system. | PSNet
     psnet.ahrq.gov/issue/missing-clinical-and-behavioral-health-data-large-electronic-health-record-ehr-system
     July 19, 2023 - Electronic health records (EHRs) were promoted as a patient safety improvement strategy, but their promise … January 12, 2022 A randomized trial of a multifactorial strategy to prevent serious fall

220. Medical errors and quality of care: from control to commitment. | PSNet
     psnet.ahrq.gov/issue/medical-errors-and-quality-care-control-commitment
     July 15, 2020 - They propose that a commitment-based strategy is necessary in health care, whereas current paradigms … Teamwork Training February 28, 2024 Preventing a parallel pandemic - a national strategy