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psnet.ahrq.gov/node/43347/psn-pdf
September 03, 2014 - POPI (Pediatrics: Omission of Prescriptions and
Inappropriate prescriptions): development of a tool to
identify inappropriate prescribing.
September 3, 2014
Prot-Labarthe S, Weil T, Angoulvant F, et al. POPI (Pediatrics: Omission of Prescriptions and Inappropriate
prescriptions): development of a tool to identify …
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psnet.ahrq.gov/node/41017/psn-pdf
February 01, 2013 - Safe surgery: how accurate are we at predicting intra-
operative blood loss?
February 1, 2013
Solon JG, Egan C, McNamara DA. Safe surgery: how accurate are we at predicting intra-operative blood
loss? J Eval Clin Pract. 2013;19(1):100-5. doi:10.1111/j.1365-2753.2011.01779.x.
https://psnet.ahrq.gov/issue/safe-surge…
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psnet.ahrq.gov/node/42660/psn-pdf
October 16, 2013 - Practice indicators of suboptimal care and avoidable
adverse events: a content analysis of a national qualifying
examination.
October 16, 2013
Bordage G, Meguerditchian A-N, Tamblyn R. Practice indicators of suboptimal care and avoidable adverse
events: a content analysis of a national qualifying examination. Acad…
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psnet.ahrq.gov/node/50867/psn-pdf
February 05, 2020 - Cognitive testing of older clinicians prior to
recredentialing.
February 5, 2020
Cooney L, Balcezak T. Cognitive Testing of Older Clinicians Prior to Recredentialing. JAMA.
2020;323(2):179-180. doi:10.1001/jama.2019.18665.
https://psnet.ahrq.gov/issue/cognitive-testing-older-clinicians-prior-recredentialing
In an…
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psnet.ahrq.gov/node/42248/psn-pdf
June 12, 2013 - Measuring handoff quality in labor and delivery:
development, validation, and application of the
Coordination of Handoff Effectiveness Questionnaire
(CHEQ).
June 12, 2013
Block M, Ehrenworth JF, Cuce VM, et al. Measuring handoff quality in labor and delivery: development,
validation, and application of the Coordi…
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psnet.ahrq.gov/node/44389/psn-pdf
August 19, 2015 - A method of addressing proprietary name similarity for
US prescription drugs.
August 19, 2015
Stockbridge MD, Taylor K. A Method of Addressing Proprietary Name Similarity for US Prescription Drugs.
Ther Innov Regul Sci. 2015;49(4). doi:10.1177/2168479015570331.
https://psnet.ahrq.gov/issue/method-addressing-propri…
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psnet.ahrq.gov/node/45921/psn-pdf
March 08, 2017 - Do hospital boards matter for better, safer, patient care?
March 8, 2017
Mannion R, Davies HTO, Jacobs R, et al. Do Hospital Boards matter for better, safer, patient care? Soc Sci
Med. 2017;177:278-287. doi:10.1016/j.socscimed.2017.01.045.
https://psnet.ahrq.gov/issue/do-hospital-boards-matter-better-safer-patient-…
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psnet.ahrq.gov/node/38059/psn-pdf
September 17, 2008 - Characteristics and outcomes of patients receiving a
medical emergency team review for respiratory distress
or hypotension.
September 17, 2008
Quach J, Downey A, Haase M, et al. Characteristics and outcomes of patients receiving a medical
emergency team review for respiratory distress or hypotension. J Crit Care. …
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psnet.ahrq.gov/node/60815/psn-pdf
August 19, 2020 - Clinical reasoning in the wild: premature closure during
the COVID-19 pandemic.
August 19, 2020
Boyle JG, Walters MR, Jamieson S, et al. Clinical reasoning in the wild: premature closure during the
COVID-19 pandemic. Diagnosis (Berl). 2020;7(3):177-179. doi:10.1515/dx-2020-0061.
https://psnet.ahrq.gov/issue/clinic…
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psnet.ahrq.gov/node/47389/psn-pdf
November 02, 2018 - What 'just culture' doesn't understand about just
punishment.
November 2, 2018
Reis-Dennis S. What 'Just Culture' doesn't understand about just punishment. J Med Ethics.
2018;44(11):739-742. doi:10.1136/medethics-2018-104911.
https://psnet.ahrq.gov/issue/what-just-culture-doesnt-understand-about-just-punishment
T…
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psnet.ahrq.gov/node/44333/psn-pdf
July 15, 2015 - One hospital's initiatives to encourage safe opioid use.
July 15, 2015
Surprise JK, Simpson MH. One Hospital's Initiatives to Encourage Safe Opioid Use. J Infus Nurs.
2015;38(4):278-83. doi:10.1097/NAN.0000000000000110.
https://psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use
This commentar…
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psnet.ahrq.gov/node/47906/psn-pdf
August 21, 2019 - Creating a just culture: the Ottawa Hospital's experience.
August 21, 2019
Forster AJ, Hamilton S, Hayes T, et al. Creating a Just Culture: The Ottawa Hospital's experience. Healthc
Manage Forum. 2019;32(5):266-271. doi:10.1177/0840470419853303.
https://psnet.ahrq.gov/issue/creating-just-culture-ottawa-hospitals-ex…
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psnet.ahrq.gov/node/40237/psn-pdf
February 23, 2011 - The impact of the medical emergency team on the
resuscitation practice of critical care nurses.
February 23, 2011
Santiano N, Young L, Baramy LS, et al. The impact of the medical emergency team on the resuscitation
practice of critical care nurses. BMJ Qual Saf. 2011;20(2):115-20. doi:10.1136/bmjqs.2008.029876.
ht…
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psnet.ahrq.gov/node/41648/psn-pdf
September 30, 2012 - Using an objective structured clinical examination to test
adherence to Joint Commission National Patient Safety
Goal–associated behaviors.
September 30, 2012
Pernar LIM, Shaw T, Pozner CN, et al. Using an Objective Structured Clinical Examination to test
adherence to Joint Commission National Patient Safety Goal-…
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psnet.ahrq.gov/node/46349/psn-pdf
August 16, 2017 - Health Literacy Tools for Providers of Medication Therapy
Management.
August 16, 2017
Rockville, MD: Agency for Healthcare Research and Quality; July 2017.
https://psnet.ahrq.gov/issue/health-literacy-tools-providers-medication-therapy-management
Health literacy is important for effective care communications and s…
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psnet.ahrq.gov/node/60285/psn-pdf
April 29, 2020 - How Collective Design Triumphed Over Competition in
the Fight Against HAIs.
April 29, 2020
Wilson T. St Louis, MO; Facilities Guidelines Institute; 2020.
https://psnet.ahrq.gov/issue/how-collective-design-triumphed-over-competition-fight-against-hais
Health care environment design can affect safety. This report sh…
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psnet.ahrq.gov/node/837192/psn-pdf
May 25, 2022 - Declaration to Advance Patient Safety.
May 25, 2022
National Steering Committee for Patient Safety. Boston, MA: Institute for Healthcare Improvement; May
2022.
https://psnet.ahrq.gov/issue/declaration-advance-patient-safety
Leadership commitment is crucial to attaining sustainable improvement in patient safety. Th…
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psnet.ahrq.gov/node/45496/psn-pdf
May 09, 2017 - The application of the Global Trigger Tool: a systematic
review.
May 9, 2017
Hibbert PD, Molloy CJ, Hooper TD, et al. The application of the Global Trigger Tool: a systematic review.
Int J Qual Health Care. 2016;28(6):640-649. doi:10.1093/intqhc/mzw115.
https://psnet.ahrq.gov/issue/application-global-trigger-tool-…
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psnet.ahrq.gov/node/73613/psn-pdf
August 18, 2021 - Implementing universal suicide risk screening in a
pediatric hospital.
August 18, 2021
Sullivant SA, Brookstein D, Camerer M, et al. Implementing universal suicide risk screening in a pediatric
hospital. Jt Comm J Qual Patient Saf. 2021;47(8):496-502. doi:10.1016/j.jcjq.2021.05.001.
https://psnet.ahrq.gov/issue/im…
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psnet.ahrq.gov/node/60065/psn-pdf
March 18, 2020 - Safety in Numbers: Hospital Performance on Leapfrog’s
Surgical Volume Standard Based on Results of the 2019
Leapfrog Hospital Survey.
March 18, 2020
Washington DC: Leapfrog Group; 2020.
https://psnet.ahrq.gov/issue/safety-numbers-hospital-performance-leapfrogs-surgical-volume-standard-
based-results-2019
Surgica…