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psnet.ahrq.gov/node/37567/psn-pdf
February 27, 2008 - 'You have to face your mistakes in the street': the
contextual keys that shape health service access and
health workers' experiences in rural areas.
February 27, 2008
Allan J, Ball P, Alston M. 'You have to face your mistakes in the street': the contextual keys that shape
health service access and health workers' …
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psnet.ahrq.gov/curated-library/medicationdrug-errorsqqrysd
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Last Updated: August 22, 2022
Created By: Dr. Yan Xiao, AHRQ TE…
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psnet.ahrq.gov/curated-library/medicationdrug-errors
March 12, 2021 - Breadcrumb
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Created By: Dr. Yan Xiao, AHRQ TEP Member
Date…
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psnet.ahrq.gov/node/60176/psn-pdf
April 01, 2020 - Health and social care-associated harm amongst
vulnerable children in primary care: mixed methods
analysis of national safety reports.
April 1, 2020
Omar A, Rees P, Cooper A, et al. Health and social care-associated harm amongst vulnerable children in
primary care: mixed methods analysis of national safety reports…
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psnet.ahrq.gov/node/43783/psn-pdf
January 14, 2015 - Improving the quality and safety of care on the medical
ward: a review and synthesis of the evidence base.
January 14, 2015
Pannick S, Beveridge I, Wachter R, et al. Improving the quality and safety of care on the medical ward: A
review and synthesis of the evidence base. Eur J Intern Med. 2014;25(10):874-87.
doi:…
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psnet.ahrq.gov/node/43065/psn-pdf
April 09, 2014 - Multiprofessional team simulation training, based on an
obstetric model, can improve teamwork in other areas of
health care.
April 9, 2014
van der Nelson HA, Siassakos D, Bennett J, et al. Multiprofessional team simulation training, based on an
obstetric model, can improve teamwork in other areas of health care. A…
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psnet.ahrq.gov/node/35909/psn-pdf
October 07, 2008 - Committed to Safety: Ten Case Studies on Reducing
Harm to Patients.
October 7, 2008
McCarthy D, Blumenthal D. New York, NY: Commonwealth Fund; 2006.
https://psnet.ahrq.gov/issue/committed-safety-ten-case-studies-reducing-harm-patients
This report presents ten case studies to illustrate interventions that address p…
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psnet.ahrq.gov/node/46643/psn-pdf
January 10, 2018 - The role of checklists and human factors for improved
patient safety in plastic surgery.
January 10, 2018
Oppikofer C, Schwappach DLB. The Role of Checklists and Human Factors for Improved Patient Safety in
Plastic Surgery. Plast Reconstr Surg. 2017;140(6):812e-817e. doi:10.1097/PRS.0000000000003892.
https://psnet…
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psnet.ahrq.gov/issue/systems-approach-evaluating-ionizing-radiation-six-focus-areas-improve-quality-efficiency-and
March 14, 2016 - Commentary
A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient safety.
Citation Text:
Perlin JB, Mower L, Bushe C. A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient…
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psnet.ahrq.gov/issue/patient-safety-orthopedic-surgery-prioritizing-key-areas-iatrogenic-harm-through-analysis
December 18, 2013 - Study
Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of 48,095 incidents reported to a national database of errors.
Citation Text:
Panesar S, Carson-Stevens A, Salvilla SA, et al. Patient safety in orthopedic surgery: prioritizing ke…
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psnet.ahrq.gov/issue/effects-patient-handoff-characteristics-subsequent-care-systematic-review-and-areas-future
January 19, 2011 - Review
The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research.
Citation Text:
Foster S, Manser T. The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research. Acad Med.…
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psnet.ahrq.gov/perspective/conversation-withjanet-corrigan-phd-mba
April 01, 2010 - identify opportunities to harmonize measures—for example, to make sure that all of the measures in the area … But we also realize that the whole area of measurement and public reporting is moving at a very rapid … it is, and the other thing is that it's not only daunting, but it has made us realize that the whole area … That brings me to another major area of responsibility in the National Quality Forum.
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psnet.ahrq.gov/node/73398/psn-pdf
June 30, 2021 - and standards to create a 14-page checklist on how a community could
evaluate facilities in their area … This is an area where I think there is going
to be greater focus thinking about what can be done to … AJ: I think one area that we haven't talked about is telemedicine and what that means for hospital space
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psnet.ahrq.gov/node/41643/psn-pdf
September 05, 2012 - A Randomized Field Study of a Leadership WalkRounds-
Based Intervention.
September 5, 2012
Tucker AL, Singer SJ. Cambridge, MA: Harvard Business School; June 25, 2012. HBS Working Paper No.
12-113.
https://psnet.ahrq.gov/issue/randomized-field-study-leadership-walkrounds-based-intervention
Leadership WalkRounds h…
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psnet.ahrq.gov/node/853774/psn-pdf
September 27, 2023 - was placed on a hallway
gurney—which should not be considered an appropriate or adequate treatment area—laboratory … patients are heterogenous; identifying low acuity patients with minor complaints and directing them to
an area … may shuttle to and from
the waiting room for testing, or they may be placed in a monitored staging area … normal studies may
be appropriate for Fast Track or expedited discharge by a provider from the triage area … Effects of a fast-track area on emergency department
performance. J Emerg Med. 2006;31(1):117-120.
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psnet.ahrq.gov/perspective/covid-19-and-built-environment
June 30, 2021 - In such a highly trafficked, often overcrowded, area of the hospital, the challenge for healthcare personnel … codes and standards to create a 14-page checklist on how a community could evaluate facilities in their area … This is an area where I think there is going to be greater focus thinking about what can be done to test … AJ: I think one area that we haven't talked about is telemedicine and what that means for hospital space
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psnet.ahrq.gov/issue/get-clue-it-can-be-all-too-easy-make-assessment-errors-field-heres-some-tips-prevent-you
May 01, 2024 - July 13, 2016
Infection prevention in the operating room anesthesia work area.
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psnet.ahrq.gov/issue/cyberloafing-health-care-real-risk-patient-safety
June 19, 2024 - Related Resources
Infection prevention in the operating room anesthesia work area
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psnet.ahrq.gov/issue/patients-role-patient-safety
May 01, 2024 - contextual factors essential to preventing contextual errors: a qualitative study conducted at Chicago area
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psnet.ahrq.gov/node/74252/psn-pdf
January 12, 2022 - The influx of patients also
challenged staffing, which is another area [where] we saw innovation. … Documentation systems were
challenged throughout by setting up new departments or changing area functions … For example, if a post-op
area was changed to a temporary step-down unit, the documentation system that's … pressure injuries for patients in the prone position, staff had to think about how to protect this
area