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41. Disclosure of medical injury to patients: an improbable risk management strategy. | PSNet
    psnet.ahrq.gov/issue/disclosure-medical-injury-patients-improbable-risk-management-strategy
    February 17, 2011 - Classic Disclosure of medical injury to patients: an improbable risk management strategy … Disclosure of medical injury to patients: an improbable risk management strategy. … Disclosure of medical injury to patients: an improbable risk management strategy.

42. Promoting a culture of safety as a patient safety strategy: a systematic review. | PSNet
    psnet.ahrq.gov/issue/promoting-culture-safety-patient-safety-strategy-systematic-review
    January 06, 2018 - Review Promoting a culture of safety as a patient safety strategy: a systematic review … Promoting a culture of safety as a patient safety strategy: a systematic review. … Promoting a culture of safety as a patient safety strategy: a systematic review. … January 6, 2018 Rapid response systems as a patient safety strategy: a systematic review

43. Empowering informal caregivers with health information: OpenNotes as a safety strategy. | PSNet
    psnet.ahrq.gov/issue/empowering-informal-caregivers-health-information-opennotes-safety-strategy
    June 06, 2018 - Study Empowering informal caregivers with health information: OpenNotes as a safety strategy … Empowering Informal Caregivers with Health Information: OpenNotes as a Safety Strategy. … Empowering Informal Caregivers with Health Information: OpenNotes as a Safety Strategy.

44. Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. | PSNet
    psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
    January 06, 2018 - Review Preventing in-facility pressure ulcers as a patient safety strategy: a systematic … Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. … Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. … March 13, 2013 In-facility delirium programs as a patient safety strategy: a systematic … December 21, 2014 Inpatient fall prevention programs as a patient safety strategy: a

45. The Emergence of the Trigger Tool as the Premier Measurement Strategy for Patient Safety | PSNet
    psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
    May 01, 2012 - The Emergence of the Trigger Tool as the Premier Measurement Strategy for Patient Safety Paul J. … The Emergence of the Trigger Tool as the Premier Measurement Strategy for Patient Safety. … The Emergence of the Trigger Tool as the Premier Measurement Strategy for Patient Safety. … This identification strategy suffers from several problems: inconsistency in defining adverse events; … The Emergence of the Trigger Tool as the Premier Measurement Strategy for Patient Safety.

46. An implementation strategy for a multicenter pediatric rapid response system in Ontario. | PSNet
    psnet.ahrq.gov/issue/implementation-strategy-multicenter-pediatric-rapid-response-system-ontario
    September 09, 2015 - Commentary An implementation strategy for a multicenter pediatric rapid response

47. Experiences with Lean Six Sigma as improvement strategy to reduce parenteral medication administration errors and associated potential risk of harm. | PSNet
    psnet.ahrq.gov/issue/experiences-lean-six-sigma-improvement-strategy-reduce-parenteral-medication-administration
    October 13, 2021 - Commentary Experiences with Lean Six Sigma as improvement strategy to reduce parenteral … Experiences with Lean Six Sigma as improvement strategy to reduce parenteral medication administration … Experiences with Lean Six Sigma as improvement strategy to reduce parenteral medication administration

48. Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. | PSNet
    psnet.ahrq.gov/issue/medication-reconciliation-during-transitions-care-patient-safety-strategy-systematic-review
    January 12, 2022 - Review Medication reconciliation during transitions of care as a patient safety strategy … Medication reconciliation during transitions of care as a patient safety strategy: a systematic review … Medication reconciliation during transitions of care as a patient safety strategy: a systematic review

49. Evaluation of patient and family outpatient complaints as a strategy to prioritize efforts to improve cancer care delivery. | PSNet
    psnet.ahrq.gov/issue/evaluation-patient-and-family-outpatient-complaints-strategy-prioritize-efforts-improve
    November 16, 2022 - Study Evaluation of patient and family outpatient complaints as a strategy to prioritize … Evaluation of Patient and Family Outpatient Complaints as a Strategy to Prioritize Efforts to Improve … Evaluation of Patient and Family Outpatient Complaints as a Strategy to Prioritize Efforts to Improve

50. A high-reliability organization framework for health care: a multiyear implementation strategy and associated outcomes. | PSNet
    psnet.ahrq.gov/issue/high-reliability-organization-framework-health-care-multiyear-implementation-strategy-and
    November 17, 2021 - A high-reliability organization framework for health care: a multiyear implementation strategy … A high-reliability organization framework for health care: a multiyear implementation strategy and associated … A high-reliability organization framework for health care: a multiyear implementation strategy and associated

51. Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. | PSNet
    psnet.ahrq.gov/issue/use-audit-feedback-implementation-strategy-promote-medication-error-reporting-nurses
    March 24, 2021 - Study Use of an audit with feedback implementation strategy to promote medication … Use of an audit with feedback implementation strategy to promote medication error reporting by nurses … Use of an audit with feedback implementation strategy to promote medication error reporting by nurses

52. A Call to Action: Experience in Adopting the ENFit System to Guard Against Accidental Tubing Misconnections. | PSNet
    psnet.ahrq.gov/issue/call-action-experience-adopting-enfit-system-guard-against-accidental-tubing-misconnections
    February 03, 2021 - Print Catheter misconnections  can be addressed through  device re-engineering and design  but this strategy … these  wrong-route errors  to motivate organizational commitment to their adoption as a patient safety strategy

53. Inpatient fall prevention programs as a patient safety strategy: a systematic review. | PSNet
    psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
    May 26, 2016 - Review Inpatient fall prevention programs as a patient safety strategy: a systematic … Inpatient fall prevention programs as a patient safety strategy: a systematic review. … Inpatient fall prevention programs as a patient safety strategy: a systematic review. … May 26, 2016 Sitters as a patient safety strategy to reduce hospital falls: a systematic … October 5, 2015 Preventing in-facility pressure ulcers as a patient safety strategy:

54. Towards high-reliability organising in healthcare: a strategy for building organisational capacity. | PSNet
    psnet.ahrq.gov/issue/towards-high-reliability-organising-healthcare-strategy-building-organisational-capacity
    January 06, 2016 - Commentary Towards high-reliability organising in healthcare: a strategy for building … Towards high-reliability organising in healthcare: a strategy for building organisational capacity. … Towards high-reliability organising in healthcare: a strategy for building organisational capacity.

55. A multicomponent fall prevention strategy reduces falls at an academic medical center. | PSNet
    psnet.ahrq.gov/issue/multicomponent-fall-prevention-strategy-reduces-falls-academic-medical-center
    June 27, 2018 - Study A multicomponent fall prevention strategy reduces falls at an academic medical … A Multicomponent Fall Prevention Strategy Reduces Falls at an Academic Medical Center. … A Multicomponent Fall Prevention Strategy Reduces Falls at an Academic Medical Center.

56. Instituting vincristine minibag administration: an innovative strategy using simulation to enhance chemotherapy safety. | PSNet
    psnet.ahrq.gov/issue/instituting-vincristine-minibag-administration-innovative-strategy-using-simulation-enhance
    April 24, 2018 - Commentary Instituting vincristine minibag administration: an innovative strategy … Instituting Vincristine Minibag Administration: An Innovative Strategy Using Simulation to Enhance Chemotherapy … Instituting Vincristine Minibag Administration: An Innovative Strategy Using Simulation to Enhance Chemotherapy

57. Educational strategy to reduce medication errors in a neonatal intensive care unit. | PSNet
    psnet.ahrq.gov/issue/educational-strategy-reduce-medication-errors-neonatal-intensive-care-unit
    November 03, 2008 - Study Educational strategy to reduce medication errors in a neonatal intensive care … Educational strategy to reduce medication errors in a neonatal intensive care unit. … Educational strategy to reduce medication errors in a neonatal intensive care unit.

58. Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting. | PSNet
    psnet.ahrq.gov/issue/leading-clinical-handover-improvement-change-strategy-implement-best-practices-acute-care
    May 18, 2022 - Commentary Leading clinical handover improvement: a change strategy to implement

59. In Conversation With... Dr. Michelle Schreiber on Measuring Patient Safety | PSNet
    psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
    December 14, 2022 - The last goal of the CMS National Quality Strategy is alignment. … We are very excited about the CMS National Quality Strategy. We introduced it in April. … Thank you so much for walking us through CMS’ National Quality Strategy. … and how it is transforming into a digital strategy. … The same is true when it comes to a digital strategy.

60. VHA's movement for change: implementing high-reliability principles and practices. | PSNet
    psnet.ahrq.gov/issue/vhas-movement-change-implementing-high-reliability-principles-and-practices
    August 21, 2024 - This commentary describes the VHA's implementation strategy and progress since 2019 at the patient, employee … The three pillars of the VHA's HRO strategy are leadership commitment, a culture of safety, and continuous