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psnet.ahrq.gov/issue/implementing-human-factors-approach-rca2-tools-processes-and-strategies
July 21, 2021 - The Root Cause Analysis and Action (RCA2) framework supports the implementation of sustainable systems-based
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psnet.ahrq.gov/issue/nursing-bedside-clinical-handover-integrated-review-issues-and-tools
July 07, 2021 - The evidence supports the use of structured tools in general but does not identify a specific tool
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psnet.ahrq.gov/issue/pharmacists-rounding-teams-reduce-preventable-adverse-drug-events-hospital-general-medicine
October 19, 2022 - This study supports previous research but in a new setting that pharmacist involvement at the time of
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psnet.ahrq.gov/issue/association-between-concurrent-use-prescription-opioids-and-benzodiazepines-and-overdose
November 16, 2022 - This finding supports the recommendation to avoid coprescribing these two medication classes.
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psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance
November 18, 2020 - learning in health organizations occurs through a cyclical, dualistic, and multilevel model that better supports
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psnet.ahrq.gov/issue/exploration-ward-based-nurses-perspectives-their-preparedness-recognize-clinical
December 14, 2022 - This review sought to understand how preparedness of ward-based nurses supports recognition of early
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psnet.ahrq.gov/issue/measuring-and-managing-quality-surgery-statistical-vs-incidental-approaches
August 04, 2021 - complication rates, the authors suggest that greater value exists from the incidental approach that supports
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psnet.ahrq.gov/issue/guardians-grafts-reducing-medication-errors-transplant-recipients
July 17, 2024 - Citation
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psnet.ahrq.gov/issue/medical-gas-containers-and-closures-current-good-manufacturing-practice-requirements
April 24, 2015 - Food and Drug Administration (FDA) guideline supports good manufacturing practices by suggesting several
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psnet.ahrq.gov/issue/daily-goals-communication-sheet-simple-and-novel-tool-improved-communication-and-care
October 14, 2009 - This commentary describes a tool that supports structured communication between clinical care team members
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psnet.ahrq.gov/issue/crossing-safety-transforming-healthcare-organizations-patient-safety
January 05, 2012 - suggest a stronger focus on building a blame-free culture of patient safety, providing leadership that supports
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psnet.ahrq.gov/issue/advancing-nursing-home-quality-through-quality-improvement-itself
November 28, 2018 - This piece emphasizes developing a culture that supports open discussion of problems to enable effective
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psnet.ahrq.gov/issue/textbook-rapid-response-systems-concept-and-implementation
September 30, 2010 - This book supports the implementation and effective use of strategies that support effective rapid response
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psnet.ahrq.gov/issue/implementation-patient-safety-initiatives-us-hospitals
December 12, 2014 - draw from the total quality management (TQM) literature to provide an implementation framework that supports