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psnet.ahrq.gov/node/45046/psn-pdf
July 05, 2016 - Diagnosing sepsis is subjective and highly variable: a
survey of intensivists using case vignettes.
July 5, 2016
Rhee C, Kadri SS, Danner RL, et al. Diagnosing sepsis is subjective and highly variable: a survey of
intensivists using case vignettes. Crit Care. 2016;20:89. doi:10.1186/s13054-016-1266-9.
https://psne…
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psnet.ahrq.gov/node/43465/psn-pdf
February 18, 2015 - Hospital Readmissions Reduction Program: implications
for pharmacy.
February 18, 2015
Boesen KAG, Leal S, Sheehan VC, et al. Hospital Readmissions Reduction Program: implications for
pharmacy. Am J Health Syst Pharm. 2015;72(3):237-44. doi:10.2146/ajhp140177.
https://psnet.ahrq.gov/issue/hospital-readmissions-redu…
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psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
September 28, 2022 - For example, if a patient receives the correct medications for a particular condition (effectiveness aim … met), but they stop taking the medications because of side effects (patient-centered aim not met), their … health may then be negatively affected (safety aim not met). … Aims of Quality Healthcare Ultimate Potential Implications for Patient Safety if Quality Healthcare Aim … healthcare providers how to integrate population health into primary care to achieve the quintuple aim
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psnet.ahrq.gov/node/867082/psn-pdf
November 06, 2024 - Learning in radiation oncology: 12-month experience with
a new incident learning system.
November 6, 2024
Crouch K, Adamson L, Beldham?Collins R, et al. Learning in radiation oncology: 12?month experience with
a new incident learning system. J Med Radiat Sci. 2024;Epub Sep 15. doi:10.1002/jmrs.823.
https://psnet.a…
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psnet.ahrq.gov/node/867087/psn-pdf
January 01, 2025 - The impact of surgical complications on obstetricians'
and gynecologists' wellbeing and coping mechanisms as
second victims.
November 6, 2024
Collings R, Potter C, Gebski V, et al. The impact of surgical complications on obstetricians’ and
gynecologists’ well-being and coping mechanisms as second victims. Am J Obs…
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psnet.ahrq.gov/node/866643/psn-pdf
September 04, 2024 - Three scans are better than two for follow-up: an
automatic method for finding missed and misidentified
lesions in cross-sectional follow-up of oncology patients.
September 4, 2024
Joskowicz L, Di Veroli B, Lederman R, et al. Three scans are better than two for follow-up: an automatic
method for finding missed and…
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psnet.ahrq.gov/node/866584/psn-pdf
August 28, 2024 - Raising the barcode: improving medication safety
behaviours through a behavioural science-informed
feedback intervention. A quality improvement project and
difference-in-difference analysis.
August 28, 2024
Grailey K, Brazier A, Franklin BD, et al. Raising the barcode: improving medication safety behaviours
throu…
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psnet.ahrq.gov/node/867443/psn-pdf
January 08, 2025 - Investigating the impact of a pharmacist intervention on
inappropriate prescribing practices at hospital admission
and discharge in older patients: a secondary outcome
analysis from a randomized controlled trial.
January 8, 2025
Garcia BH, Omma KK, Småbrekke L, et al. Investigating the impact of a pharmacist inter…
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psnet.ahrq.gov/periodic-issue/periodic-issue-401
July 31, 2023 - improvement initiative, including the implementation of the Alliance for Innovation of Maternal Health (AIM … improvement initiative, including the implementation of the Alliance for Innovation of Maternal Health (AIM
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psnet.ahrq.gov/node/35990/psn-pdf
September 17, 2010 - Misunderstanding of prescription drug warning labels
among patients with low literacy.
September 17, 2010
Wolf MS, Davis TC, Tilson HH, et al. Misunderstanding of prescription drug warning labels among patients
with low literacy. Am J Health Syst Pharm. 2006;63(11):1048-55.
https://psnet.ahrq.gov/issue/misundersta…
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psnet.ahrq.gov/node/34812/psn-pdf
March 05, 2008 - The critical incident technique.
March 5, 2008
FLANAGAN JC. The critical incident technique. Psychol Bull. 1954;51(4):327-358.
https://psnet.ahrq.gov/issue/critical-incident-technique
This review details the background of a methodology aimed to record specific behaviors, rather than
opinions or estimates, in evalu…
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psnet.ahrq.gov/node/36529/psn-pdf
August 09, 2011 - 5 Million Lives Campaign.
August 9, 2011
Institute for Healthcare Improvement; IHI
https://psnet.ahrq.gov/issue/5-million-lives-campaign
The Institute for Healthcare Improvement's 100,000 Lives Campaign successfully engaged more than
3,000 US hospitals in a coordinated effort to reduce preventable inpatient deaths…
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psnet.ahrq.gov/node/43970/psn-pdf
May 19, 2015 - Organisational reporting and learning systems:
innovating inside and outside of the box.
May 19, 2015
Sujan M, Furniss D. Organisational reporting and learning systems: Innovating inside and outside of the
box. Clin Risk. 2015;21(1):7-12. doi:10.1177/1356262215574203.
https://psnet.ahrq.gov/issue/organisational-re…
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psnet.ahrq.gov/node/846446/psn-pdf
March 22, 2023 - The accuracy of the Global Trigger Tool is higher for the
identification of adverse events of greater harm: a
diagnostic test study.
March 22, 2023
Moraes SM, Ferrari TCA, Beleigoli A. The accuracy of the Global Trigger Tool is higher for the identification
of adverse events of greater harm: a diagnostic test stud…
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psnet.ahrq.gov/node/60580/psn-pdf
January 01, 2022 - Sustaining the gains: a 7-year follow-through of a
hospital-wide patient safety improvement project on
hospital-wide adverse event outcomes and patient safety
culture.
June 10, 2020
Sim MA, Ti LK, Mujumdar S, et al. Sustaining the gains: a 7-year follow-through of a hospital-wide patient
safety improvement projec…
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psnet.ahrq.gov/node/837761/psn-pdf
August 03, 2022 - The effectiveness of improving healthcare teams' human
factor skills using simulation-based training: a systematic
review.
August 3, 2022
Abildgren L, Lebahn-Hadidi M, Mogensen CB, et al. The effectiveness of improving healthcare teams’
human factor skills using simulation-based training: a systematic review. Adv …
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psnet.ahrq.gov/node/73608/psn-pdf
January 01, 2022 - Pharmacist-led intervention on the reduction of
inappropriate medication use in patients with heart
failure: a systematic review of randomized trials and non-
randomized intervention studies.
August 18, 2021
Hernández-Prats C, López-Pintor E, Lumbreras B. Pharmacist-led intervention on the reduction of
inappropri…
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psnet.ahrq.gov/node/847048/psn-pdf
April 05, 2023 - Comparison of health care worker satisfaction before vs
after implementation of a communication and optimal
resolution program in acute care hospitals.
April 5, 2023
Friedson AI, Humphreys A, LeCraw F, et al. Comparison of health care worker satisfaction before vs after
implementation of a communication and optima…
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psnet.ahrq.gov/node/73363/psn-pdf
June 09, 2021 - Shift-to-shift nursing handover interventions associated
with improved inpatient outcomes - falls, pressure
injuries and medication administration errors: an
integrative review.
June 9, 2021
Hada A, Coyer F. Shift?to?shift nursing handover interventions associated with improved inpatient
outcomes—falls, pressure …
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psnet.ahrq.gov/node/60051/psn-pdf
March 18, 2020 - Enhancing teamwork communication and patient safety
responsiveness in a paediatric intensive care unit using
the daily safety huddle tool.
March 18, 2020
Aldawood F, Kazzaz Y, AlShehri A, et al. Enhancing teamwork communication and patient safety
responsiveness in a paediatric intensive care unit using the daily s…