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psnet.ahrq.gov/print/pdf/node/848754
January 01, 2025 - The first, called quality
by inspection, is a system based on the belief that quality is best achieved … The first, called quality
by inspection, is a system based on the belief that quality is best achieved
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psnet.ahrq.gov/node/39001/psn-pdf
April 04, 2011 - Timely follow-up of abnormal diagnostic imaging test
results in an outpatient setting: are electronic medical
records achieving their potential?
April 4, 2011
Singh H, Thomas EJ, Mani S, et al. Timely follow-up of abnormal diagnostic imaging test results in an
outpatient setting: are electronic medical records ach…
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psnet.ahrq.gov/node/33718/psn-pdf
October 01, 2011 - regulate that it be done in all 6300 health care facilities if it turns out that it can't be
well achieved
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psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
January 01, 2024 - If water-tight dural closure is not achieved, the risk of postoperative CSF leak is increased. … If watertight closure of dura is not achieved, then firm fascial closure may reduce the risk of CSF leak … In cases where a watertight closure is not achieved, or if a durotomy goes unnoticed and the patient
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psnet.ahrq.gov/print/pdf/node/845971
January 01, 2024 - Progress has been achieved in several areas of patient safety, but the cost-effectiveness of successful … Progress has been achieved in several areas of patient safety, but the cost-effectiveness of successful
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psnet.ahrq.gov/node/33804/psn-pdf
March 03, 2016 - It's obvious
from the enrollment numbers that we achieved large enrollment.
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psnet.ahrq.gov/node/47392/psn-pdf
January 23, 2019 - Effects of a multifaceted medication reconciliation quality
improvement intervention on patient safety: final results
of the MARQUIS study.
January 23, 2019
Schnipper JL, Mixon A, Stein J, et al. Effects of a multifaceted medication reconciliation quality
improvement intervention on patient safety: final results o…
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psnet.ahrq.gov/issue/how-guiding-coalitions-promote-positive-culture-change-hospitals-longitudinal-mixed-methods
February 21, 2018 - Study
How guiding coalitions promote positive culture change in hospitals: a longitudinal mixed methods interventional study.
Citation Text:
Bradley EH, Brewster AL, McNatt Z, et al. How guiding coalitions promote positive culture change in hospitals: a longitudinal mixed methods interve…
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psnet.ahrq.gov/issue/influencing-organisational-culture-improve-hospital-performance-care-patients-acute
February 21, 2018 - Study
Influencing organisational culture to improve hospital performance in care of patients with acute myocardial infarction: a mixed-methods intervention study.
Citation Text:
Curry LA, Brault MA, Linnander EL, et al. Influencing organisational culture to improve hospital performance i…
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psnet.ahrq.gov/issue/make-safety-priority-create-and-maintain-culture-safety
February 25, 2013 - Newspaper/Magazine Article
Make safety a priority: create and maintain a culture of safety.
Citation Text:
Make safety a priority: create and maintain a culture of safety. Leonard M; Frankel A.
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psnet.ahrq.gov/issue/handoff-communication
October 16, 2019 - Special or Theme Issue
Handoff Communication.
Citation Text:
Handoff Communication. APSF Newsletter. October 2017;32:29-56.
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psnet.ahrq.gov/issue/apsf-20-year-anniversary-first-patient-safety-organization-past-present-future
October 26, 2022 - Newspaper/Magazine Article
The APSF: 20-year anniversary of the first patient safety organization: past, present & future.
Citation Text:
The APSF: 20-year anniversary of the first patient safety organization: past, present & future. Cooper JB. APSF Newsletter. 2007;22(1):1,3.
Cop…
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psnet.ahrq.gov/issue/perfecting-detection-understanding-source-harm
May 27, 2020 - Book/Report
Safer Together Annual Report.
Citation Text:
Safer Together Annual Report. Child Health Patient Safety Organization. Washington, DC: Children's Hospital Association.
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psnet.ahrq.gov/issue/harms-promoting-zero-harm
February 12, 2020 - Commentary
Emerging Classic
The harms of promoting 'Zero Harm'.
Citation Text:
Thomas EJ. The harms of promoting ‘Zero Harm’. BMJ Qual Saf. 2019;29(1):4-6. doi:10.1136/bmjqs-2019-009703.
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DOI Google Scholar BibTeX EndNote X3 XM…
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psnet.ahrq.gov/node/49781/psn-pdf
January 01, 2017 - Hazards of Loading Doses
January 1, 2017
Mucksavage JJ, Tesoro EP. Hazards of Loading Doses. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/hazards-loading-doses
The Case
A 40-year-old woman was recently discharged after a prolonged hospitalization for seizures and a cardiac
arrest. Two days after discharg…
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psnet.ahrq.gov/issue/optimizing-patient-safety-through-system-strategies-and-patient-engagement
June 22, 2016 - Newspaper/Magazine Article
Optimizing patient safety through system strategies and patient engagement.
Citation Text:
Optimizing patient safety through system strategies and patient engagement. Rooprai P, Mistry N. Patient Saf Qual Healthc. June 23, 2020.
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psnet.ahrq.gov/issue/leadership-guide-patient-safety-resources-and-tools-establishing-and-maintaining-patient
November 18, 2011 - Book/Report
Leadership Guide to Patient Safety: Resources and Tools for Establishing and Maintaining Patient Safety.
Citation Text:
Leadership Guide to Patient Safety: Resources and Tools for Establishing and Maintaining Patient Safety. Botwinick L, Bisognano M, Haraden C. Cambr…
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psnet.ahrq.gov/issue/solutions-professional-regulation-and-beyond
December 09, 2020 - Book/Report
Solutions from Professional Regulation and Beyond.
Citation Text:
Solutions from Professional Regulation and Beyond. Safer Care for All. London, England: Professional Standards Authority for Health and Social Care; 2022.
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psnet.ahrq.gov/issue/lessons-learned-covid-19-pandemic-improve-diagnosis-proceedings-workshop-brief
April 20, 2022 - Book/Report
Lessons Learned from the COVID-19 Pandemic to Improve Diagnosis. Proceedings of a Workshop–in Brief.
Citation Text:
Lessons Learned from the COVID-19 Pandemic to Improve Diagnosis. Proceedings of a Workshop–in Brief. National Academies of Sciences, Engineering, and Medicine. …
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psnet.ahrq.gov/issue/high-reliability-organizations-healthcare-handbook-patient-safety-quality
July 31, 2019 - Book/Report
High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality.
Citation Text:
High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. Oster C, Braaten J, eds. Indianapolis, IN: Sigma Theta Tau International; 2016. ISBN: 9781940…