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psnet.ahrq.gov/node/39737/psn-pdf
November 30, 2016 - Physician's Guide to Patient Safety Organizations.
November 30, 2016
Chicago, IL: American Medical Association; 2009.
https://psnet.ahrq.gov/issue/physicians-guide-patient-safety-organizations
This guide reviews the Patient Safety Quality and Improvement Act of 2005 and aims to further physician
knowledge of and p…
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psnet.ahrq.gov/node/46397/psn-pdf
August 30, 2017 - Making Dialysis Safer for Patients Coalition.
August 30, 2017
Centers for Disease Control and Prevention.
https://psnet.ahrq.gov/issue/making-dialysis-safer-patients-coalition
Dialysis is a common procedure that carries risks if not performed correctly. This initiative represents a
collective effort that aims to d…
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psnet.ahrq.gov/node/35676/psn-pdf
June 25, 2010 - Implementation of patient centeredness to enhance
patient safety.
June 25, 2010
Berntsen KJ. Implementation of patient centeredness to enhance patient safety. J Nurs Care Qual.
2006;21(1):15-19.
https://psnet.ahrq.gov/issue/implementation-patient-centeredness-enhance-patient-safety
The author reviews the six aims…
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psnet.ahrq.gov/node/60800/psn-pdf
January 01, 2021 - Changing hospital organisational culture for improved
patient outcomes: developing and implementing the
Leadership Saves Lives intervention.
August 12, 2020
Linnander EL, McNatt Z, Boehmer K, et al. Changing hospital organisational culture for improved patient
outcomes: developing and implementing the leadership s…
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psnet.ahrq.gov/node/47708/psn-pdf
February 13, 2019 - The role of purple pens in learning to prescribe.
February 13, 2019
Kinston R, McCarville N, Hassell A. The role of purple pens in learning to prescribe. Clin Teach.
2019;16(6):598-603. doi:10.1111/tct.12991.
https://psnet.ahrq.gov/issue/role-purple-pens-learning-prescribe
Interventions utilizing color as visual c…
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psnet.ahrq.gov/node/74749/psn-pdf
February 09, 2022 - A safety maturity model for technology-induced errors.
February 9, 2022
Borycki EM, Kushniruk AW. A safety maturity model for technology-induced errors. Stud Health Technol
Inform. 2022;289:447-451. doi:10.3233/shti210954.
https://psnet.ahrq.gov/issue/safety-maturity-model-technology-induced-errors
Although health…
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psnet.ahrq.gov/node/73249/psn-pdf
May 12, 2021 - I-PASS handover system: a decade of evidence demands
action.
May 12, 2021
Shahian DM. I-PASS handover system: a decade of evidence demands action. BMJ Qual Saf.
2021;30(10):769-774. doi:10.1136/bmjqs-2021-013314.
https://psnet.ahrq.gov/issue/i-pass-handover-system-decade-evidence-demands-action
The I-PASS structu…
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psnet.ahrq.gov/node/50705/psn-pdf
January 01, 2020 - Closing the loop with ambulatory staff on safety reports.
December 4, 2019
Williams S, Fiumara K, Kachalia A, et al. Closing the Loop with Ambulatory Staff on Safety Reports. Jt
Comm J Qual Saf. 2020;46(1):44-50. doi:10.1016/j.jcjq.2019.09.009.
https://psnet.ahrq.gov/issue/closing-loop-ambulatory-staff-safety-repor…
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psnet.ahrq.gov/node/858167/psn-pdf
December 13, 2023 - A proposed approach to allegations of sexual boundary
violation in health care.
December 13, 2023
Cooper WO, Foster JJ, Hickson GB, et al. A proposed approach to allegations of sexual boundary violation
in health care. Jt Comm J Qual Patient Saf. 2023;49(12):671-679. doi:10.1016/j.jcjq.2023.08.006.
https://psnet.a…
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psnet.ahrq.gov/node/866958/psn-pdf
October 16, 2024 - Beyond error: a qualitative study of human factors in
serious adverse events.
October 16, 2024
Mujuru C, Peisah C. Beyond error: a qualitative study of human factors in serious adverse events. J
Healthc Risk Manag. 2024;44(2):7-13. doi:10.1002/jhrm.21583.
https://psnet.ahrq.gov/issue/beyond-error-qualitative-study…
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psnet.ahrq.gov/node/49698/psn-pdf
December 01, 2013 - Taking advantage of the opportunities will help us meet the goals of the "triple aim":
improved care … The triple aim: a golden opportunity for geriatrics. J Am Geriatr Soc. 2013;61:1808-
1809.
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psnet.ahrq.gov/node/40773/psn-pdf
January 04, 2012 - Complementary telephone strategies to improve
postdischarge communication.
January 4, 2012
Rennke S, Kesh S, Neeman N, et al. Complementary telephone strategies to improve postdischarge
communication. Am J Med. 2012;125(1):28-30. doi:10.1016/j.amjmed.2011.05.011.
https://psnet.ahrq.gov/issue/complementary-telephon…
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psnet.ahrq.gov/node/43318/psn-pdf
July 02, 2014 - Sign up to Safety.
July 2, 2014
National Health Service.
https://psnet.ahrq.gov/issue/sign-safety
Through a coordinated effort to set goals and devise plans to improve safety in hospitals, the Sign up to
Safety campaign aims to prevent 6000 patient deaths in the next 3 years in National Health Service
facilities.…
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psnet.ahrq.gov/node/857450/psn-pdf
January 01, 2024 - Transforming team performance through
reimplementation of the surgical safety checklist.
December 6, 2023
Etheridge JC, Moyal-Smith R, Yong TT, et al. Transforming team performance through reimplementation of
the surgical safety checklist. JAMA Surg. 2024;159(1):78-86. doi:10.1001/jamasurg.2023.5400.
https://psnet…
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psnet.ahrq.gov/node/47763/psn-pdf
February 13, 2019 - Priorities for pediatric patient safety research.
February 13, 2019
Hoffman JM, Keeling NJ, Forrest CB, et al. Priorities for Pediatric Patient Safety Research. Pediatrics.
2019;143(2). doi:10.1542/peds.2018-0496.
https://psnet.ahrq.gov/issue/priorities-pediatric-patient-safety-research
This study aimed to priorit…
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psnet.ahrq.gov/node/50557/psn-pdf
October 16, 2019 - Effect of an Electronic Medication Reconciliation
Intervention on Adverse Drug Events: A Cluster
Randomized Trial
October 16, 2019
Tamblyn R, Abrahamowicz M, Buckeridge DL, et al. Effect of an Electronic Medication Reconciliation
Intervention on Adverse Drug Events: A Cluster Randomized Trial. JAMA Netw Open. 2019…
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psnet.ahrq.gov/node/74032/psn-pdf
November 03, 2021 - Patient, surgeon, and health care worker safety during the
COVID-19 pandemic.
November 3, 2021
Hölscher AH. Patient, surgeon, and health care worker safety during the COVID-19 pandemic. Ann Surg.
2021;274(5):681-687. doi:10.1097/sla.0000000000005124.
https://psnet.ahrq.gov/issue/patient-surgeon-and-health-care-wor…
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psnet.ahrq.gov/node/37087/psn-pdf
October 03, 2011 - Improving patient safety in the ED waiting room.
October 3, 2011
Blank FSJ, Santoro J, Maynard AM, et al. Improving patient safety in the ED waiting room. Journal of
emergency nursing: JEN : official publication of the Emergency Department Nurses Association.
2007;33(4):331-5.
https://psnet.ahrq.gov/issue/improvin…
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psnet.ahrq.gov/node/39982/psn-pdf
January 17, 2012 - Hand-off Communications.
January 17, 2012
DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the VA
National Center for Patient Safety's prospective risk analysis system.
https://psnet.ahrq.gov/issue/hand-communications
The Joint Commission Center for Transforming Hea…
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psnet.ahrq.gov/node/35985/psn-pdf
January 02, 2017 - The Sorry Works! Coalition: making the case for full
disclosure.
January 2, 2017
Wojcieszak D, Banja J, Houk C. The Sorry Works! Coalition: Making the Case for Full Disclosure. The Joint
Commission Journal on Quality and Patient Safety. 2016;32(6). doi:10.1016/s1553-7250(06)32044-2.
https://psnet.ahrq.gov/issue/so…