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psnet.ahrq.gov/node/47161/psn-pdf
July 25, 2018 - managing-unexpected-sustained-performance-complex-world-3rd-edition
https://psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance
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psnet.ahrq.gov/node/38064/psn-pdf
February 23, 2009 - provider satisfaction with computerized provider order entry systems is influenced as
much by the work structures
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psnet.ahrq.gov/node/43426/psn-pdf
July 03, 2016 - factors that contribute to organizational silence in academic health
centers, such as rigid professional structures
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psnet.ahrq.gov/node/46032/psn-pdf
May 03, 2017 - psnet.ahrq.gov/issue/governing-board-c-suite-and-clinical-management-perceptions-quality-and-safety-structures
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psnet.ahrq.gov/node/42833/psn-pdf
January 08, 2014 - The investigators found no differences between control and
intervention groups in structures and processes
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psnet.ahrq.gov/node/841468/psn-pdf
December 14, 2022 - supraglottic airway
device, can cause injuries to lips, teeth, tongue, tonsils, and other oropharyngeal structures … the integrity of motor pathways during
surgical procedures involving the brain, spine, or paraspinal structures … during this form of neuromonitoring, jaw
muscles can contract forcefully, causing bite injuries of oral structures
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psnet.ahrq.gov/issue/developing-reporting-culture-learning-close-calls-and-hazardous-conditions
February 26, 2025 - leadership buy-in, engaging in systemwide communication, and implementing transparent accountability structures
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psnet.ahrq.gov/node/38504/psn-pdf
September 06, 2011 - The practices are organized into seven content areas:
establishing leadership structures and systems
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psnet.ahrq.gov/web-mm/missing-point-eye-injury
March 01, 2005 - Eyelid lacerations in general are high-risk injuries: eyelids are very thin structures that provide minimal … Failure to visualize these structures completely may result in a missed foreign body or laceration. … In this case, it was unclear if all these structures were visualized when the provider everted the lid … If all structures cannot be visualized due to swelling or other reasons, then the provider should consider
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psnet.ahrq.gov/node/60222/psn-pdf
April 15, 2020 - including SBARs and checklists, and (3) organizational (re)designs, which involves intervening in structures
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psnet.ahrq.gov/node/33923/psn-pdf
June 12, 2018 - organizational literature is reviewed to demonstrate a
need for reexamination of successful group structures
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psnet.ahrq.gov/node/47948/psn-pdf
May 29, 2019 - make several recommendations for helping surgeons after complications, including developing
formal structures
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psnet.ahrq.gov/node/39444/psn-pdf
June 28, 2010 - organizational learning from safety events, and found that hospitals
with stronger safety leadership structures
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psnet.ahrq.gov/node/38935/psn-pdf
March 01, 2017 - establish transparent and fair
policies for addressing errors at the sharp end, and maintain robust structures
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psnet.ahrq.gov/issue/keeping-children-and-young-people-mental-health-needs-safe-design-paediatric-ward
February 21, 2024 - It encourages organizations to explore opportunities to modify hospital and ward structures to design
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psnet.ahrq.gov/node/40448/psn-pdf
September 19, 2016 - things to say (and not to say) in providing such support, and emphasize the importance of
necessary structures
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psnet.ahrq.gov/node/42816/psn-pdf
October 31, 2014 - included team training, standardized communication, electronic documentation,
and new team handoff structures
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psnet.ahrq.gov/node/41942/psn-pdf
July 24, 2017 - diagnostic-errors
https://psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance
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psnet.ahrq.gov/node/44042/psn-pdf
November 03, 2015 - The authors describe the different organizational characteristics and RRT structures at these
hospitals
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psnet.ahrq.gov/node/41298/psn-pdf
November 27, 2012 - established the now classic model for analyzing the quality of care according to
relationships between care structures