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221. 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

222. Towards international consensus on patient harm: perspectives on pressure injury policy. | PSNet
     psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury-policy
     September 27, 2016 - This review highlights the need for improved data collection, evidence-based policy , and strategy implementation … February 3, 2015 Preventing in-facility pressure ulcers as a patient safety strategy:

223. 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

224. 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

225. 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

226. 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

227. 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

228. Health IT Safety Center Roadmap. | PSNet
     psnet.ahrq.gov/issue/health-it-safety-center-roadmap
     June 29, 2016 - May 1, 2015 Strategy on Reducing Regulatory and Administrative Burden Relating to the … February 20, 2019 FDASIA Health IT Report: Proposed Strategy and Recommendations for … July 5, 2016 View More Related Resources Strategy on Reducing Regulatory

229. 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.

230. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45811/psn-pdf
     May 08, 2017 - This webinar discussed voice-generated electronic records as a strategy to augment clinical documentation … and highlight natural language processing technologies as a component of this strategy.

231. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44981/psn-pdf
     June 07, 2016 - simulation-based-training-missing-link-lastingly-improved-patient-safety-and- health Simulation has been increasingly accepted as a training strategy … systematic-review-simulation-multidisciplinary-team-training-operating-rooms https://psnet.ahrq.gov/issue/simulation-exercises-patient-safety-strategy-systematic-review

232. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45202/psn-pdf
     October 08, 2016 - This review highlights the need for improved data collection, evidence-based policy, and strategy implementation … towards-international-consensus-patient-harm-perspectives-pressure-injury-policy https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

233. 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

234. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45649/psn-pdf
     November 30, 2016 - Displaying radiation exposure and cost information at order entry for outpatient diagnostic imaging: a strategy … Displaying radiation exposure and cost information at order entry for outpatient diagnostic imaging: a strategy

235. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42918/psn-pdf
     February 05, 2014 - disclosure of medical errors has been described as both a great idea and an impractical risk management strategy … full-disclosure-and-apology-idea-whose-time-has-come https://psnet.ahrq.gov/issue/disclosure-medical-injury-patients-improbable-risk-management-strategy

236. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46575/psn-pdf
     December 13, 2017 - economic-evaluation-pharmacist-led-medication-reviews-residential-aged- care-facilities Pharmacist oversight of medication prescribing is an established safety strategy … inappropriate polypharmacy in aged care facilities and the cost- effectiveness of this risk management strategy

237. '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

238. Assessing and monitoring override medications in automated dispensing devices. | PSNet
     psnet.ahrq.gov/issue/assessing-and-monitoring-override-medications-automated-dispensing-devices
     May 06, 2009 - May 6, 2009 Designing a strategy to promote safe, innovative off-label use of medications … September 29, 2010 Developing a medication patient safety program — infrastructure and strategy … December 30, 2014 A randomized trial of a multifactorial strategy to prevent serious

239. Reducing diagnostic errors worldwide through diagnostic management teams. | PSNet
     psnet.ahrq.gov/issue/reducing-diagnostic-errors-worldwide-through-diagnostic-management-teams
     May 23, 2018 - The authors highlight the potential to apply this strategy to health systems worldwide to enhance communication … View More Related Resources Bringing the clinical laboratory into the strategy

240. The tension between promoting mobility and preventing falls in the hospital. | PSNet
     psnet.ahrq.gov/issue/tension-between-promoting-mobility-and-preventing-falls-hospital
     April 24, 2018 - This commentary discusses unintended consequences of the well-intentioned strategy of keeping older … June 21, 2015 Inpatient fall prevention programs as a patient safety strategy: a systematic