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psnet.ahrq.gov/node/46740/psn-pdf
January 01, 2021 - High-alert medication stratification tool-revised: an
exploratory study of an objective, standardized
medication safety tool.
March 28, 2018
Washburn NC, Dossett HA, Fritschle AC, et al. High-Alert Medication Stratification Tool-Revised: An
Exploratory Study of an Objective, Standardized Medication Safety Tool. J …
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psnet.ahrq.gov/node/837418/psn-pdf
June 15, 2022 - Diagnostic trajectories in primary care at 12 months: an
observational cohort study.
June 15, 2022
Fontil V, Khoong EC, Lyles C, et al. Diagnostic trajectories in primary care at 12 months: an observational
cohort study. Jt Comm J Qual Patient Saf. 2022;48(8):395-402. doi:10.1016/j.jcjq.2022.04.010.
https://psnet.…
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psnet.ahrq.gov/node/847729/psn-pdf
April 19, 2023 - STAMP: a 5-year project to reduce paediatric prescribing
errors.
April 19, 2023
Trivedi A, Ajitsaria R, Bate T. STAMP: a 5-year project to reduce paediatric prescribing errors. Arch Dis
Child Educ Pract Ed. 2022;108(2):115-119. doi:10.1136/archdischild-2021-323192.
https://psnet.ahrq.gov/issue/stamp-5-year-project…
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psnet.ahrq.gov/node/836725/psn-pdf
March 09, 2022 - Caring for Those Who Care: Guide for the Development
and Implementation of Occupational Health and Safety
Programmes for Health Workers.
March 9, 2022
Geneva, Switzerland: World Health Organization and International Labour Organization; 2022. ISBN
9789240040779.
https://psnet.ahrq.gov/issue/caring-those-who-care-…
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psnet.ahrq.gov/node/837419/psn-pdf
June 15, 2022 - Implicit racial bias in pediatric orthopaedic surgery.
June 15, 2022
Guzek R, Goodbody CM, Jia L, et al. Implicit racial bias in pediatric orthopaedic surgery. J Pediatr Orthop.
2022;42(7):393-399. doi:10.1097/bpo.0000000000002170.
https://psnet.ahrq.gov/issue/implicit-racial-bias-pediatric-orthopaedic-surgery
Res…
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psnet.ahrq.gov/node/44623/psn-pdf
November 11, 2015 - Quality, Safety, and Noninterpretive Skills.
November 11, 2015
Kruskal JB, Kung JW, eds. Radiographics. 2015;35(6):1627-1848.
https://psnet.ahrq.gov/issue/quality-safety-and-noninterpretive-skills
Increased radiation exposure has emerged as a patient safety problem, with the potential to result in harm
for provide…
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psnet.ahrq.gov/node/33922/psn-pdf
August 05, 2009 - The importance of cognitive errors in diagnosis and
strategies to minimize them.
August 5, 2009
Croskerry P. The importance of cognitive errors in diagnosis and strategies to minimize them. Acad Med.
2003;78(8):775-780.
https://psnet.ahrq.gov/issue/importance-cognitive-errors-diagnosis-and-strategies-minimize-them…
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psnet.ahrq.gov/node/35852/psn-pdf
April 12, 2006 - Mirror, Mirror on the Wall: An Update on the Quality of
American Health Care Through the Patient's Lens.
April 12, 2006
Davis K, Schoen S, Schoenbaum SC, et al. New York, NY: The Commonwealth Fund; 2006.
https://psnet.ahrq.gov/issue/mirror-mirror-wall-update-quality-american-health-care-through-patients-lens
This …
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psnet.ahrq.gov/node/43877/psn-pdf
February 25, 2015 - Training situational awareness to reduce surgical errors
in the operating room.
February 25, 2015
Graafland M, Schraagen JMC, Boermeester MA, et al. Training situational awareness to reduce surgical
errors in the operating room. Br J Surg. 2015;102(1):16-23. doi:10.1002/bjs.9643.
https://psnet.ahrq.gov/issue/train…
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psnet.ahrq.gov/curated-library/maternal-safety
January 31, 2024 - Numerous maternal safety initiatives aim to prevent errors and harm, while enhancing readiness to address … Numerous maternal safety initiatives aim to prevent errors and harm, while enhancing readiness to address
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psnet.ahrq.gov/node/72635/psn-pdf
January 13, 2021 - Conducting safety research safely: a policy-based
approach for conducting research with peer review
protected material.
January 13, 2021
Myers LC, Blumenthal K, Phadke NA, et al. Conducting Safety Research Safely: A Policy-Based Approach
for Conducting Research with Peer Review Protected Material. Jt Comm J Qual P…
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psnet.ahrq.gov/node/843052/psn-pdf
January 25, 2023 - Improving communication from hospital to skilled nursing
facility through standardized hand-off: a quality
improvement project.
January 25, 2023
Baluyot A, McNeill C, Wiers S. Improving communication from hospital to skilled nursing facility through
standardized hand-off: a quality improvement project. Patient Saf…
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psnet.ahrq.gov/node/840478/psn-pdf
November 30, 2022 - Interventions into reliability-seeking health care
organizations: a systematic review of their goals and
measuring methods.
November 30, 2022
Auschra C, Asaad E, Sydow J, et al. Interventions into reliability-seeking health care organizations: a
systematic review of their goals and measuring methods. J Patient Saf…
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psnet.ahrq.gov/node/74034/psn-pdf
November 03, 2021 - Adaptation and implementation of the WHO Safe
Childbirth Checklist around the world.
November 3, 2021
Molina RL, Benski A-C, Bobanski L, et al. Adaptation and implementation of the WHO Safe Childbirth
Checklist around the world. Implement Sci Commun. 2021;2(1):76. doi:10.1186/s43058-021-00176-z.
https://psnet.ahrq…
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psnet.ahrq.gov/node/836918/psn-pdf
April 13, 2022 - How to scale up quality and safety program with the home
care accreditation.
April 13, 2022
Brunelli L, Cristofori V, Battistella C, et al. How to scale up quality and safety program with the home care
accreditation. Int J Integr Care. 2022;22(1):19. doi:10.5334/ijic.5698.
https://psnet.ahrq.gov/issue/how-scale-qu…
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psnet.ahrq.gov/node/50834/psn-pdf
January 29, 2020 - Medication reconciliation improvement utilizing process
redesign and clinical decision support.
January 29, 2020
Rungvivatjarus T, Kuelbs CL, Miller L, et al. Medication Reconciliation Improvement Utilizing Process
Redesign and Clinical Decision Support. Jt Comm J Qual Patient Saf. 2020;46(1):27-36.
doi:10.1016/j.…
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psnet.ahrq.gov/node/47926/psn-pdf
May 22, 2019 - The Canadian Quality and Patient Safety Framework for
Health and Social Services.
May 22, 2019
Canadian Patient Safety Institute and Health Standards Organization.
https://psnet.ahrq.gov/issue/canadian-quality-and-patient-safety-framework-health-and-social-services
This 5-year framework aims to guide the activitie…
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psnet.ahrq.gov/node/60532/psn-pdf
May 27, 2020 - Improving timely recognition and treatment of sepsis in
the pediatric ICU.
May 27, 2020
Vidrine R, Zackoff M, Paff Z, et al. Improving timely recognition and treatment of sepsis in the pediatric ICU.
Jt Comm J Qual Patient Saf. 2020;46(5):299-307. doi:10.1016/j.jcjq.2020.02.005.
https://psnet.ahrq.gov/issue/improv…
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psnet.ahrq.gov/node/851356/psn-pdf
July 12, 2023 - Leveraging the science of teamwork to sustain handoff
improvements in cardiovascular surgery.
July 12, 2023
Keebler JR, Lynch I, Ngo F, et al. Leveraging the science of teamwork to sustain handoff improvements in
cardiovascular surgery. Jt Comm J Qual Patient Saf. 2023;49(8):373-383. doi:10.1016/j.jcjq.2023.05.006.…
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psnet.ahrq.gov/node/866562/psn-pdf
January 01, 2025 - Understanding the challenges and successes of
implementing 'hybrid' interventions in healthcare
settings: findings from a process evaluation of a patient
involvement trial.
August 21, 2024
Hampton S, Murray J, Lawton R, et al. Understanding the challenges and successes of implementing
‘hybrid’ interventions in he…