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psnet.ahrq.gov/issue/patient-safety-curriculum
March 27, 2005 - Multi-use Website
Patient Safety Curriculum.
Citation Text:
Patient Safety Curriculum. Ann Arbor, MI: National Center for Patient Safety.
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psnet.ahrq.gov/issue/ismp-survey-high-alert-medications-acute-care-settings
January 26, 2023 - Measurement Tool/Indicator
ISMP Survey on High-Alert Medications in Acute Care Settings.
Citation Text:
ISMP Survey on High-Alert Medications in Acute Care Settings. Plymouth Meeting, PA: Institute for Safe Medication Practices; 2023.
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psnet.ahrq.gov/issue/transformation-through-collaboration-2018-2019-mha-keystone-center-annual-report
September 26, 2016 - Book/Report
MHA and MHA Keystone Center Annual Reports.
Citation Text:
MHA and MHA Keystone Center Annual Reports. Okemos, MI: Michigan Health & Hospital Association.
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psnet.ahrq.gov/issue/patient-safety-essentials-toolkit
January 08, 2020 - Toolkit
Patient Safety Essentials Toolkit.
Citation Text:
Patient Safety Essentials Toolkit. Boston, MA: Institute for Healthcare Improvement; 2019.
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psnet.ahrq.gov/issue/differences-between-professionals-views-patient-safety-culture-long-term-and-acute-care-cross
June 24, 2020 - Study
Differences between professionals' views on patient safety culture in long-term and acute care? A cross-sectional study.
Citation Text:
Liukka M, Hupli M, Turunen H. Differences between professionals’ views on patient safety culture in long-term and acute care? A cross-sectional st…
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psnet.ahrq.gov/issue/assessment-health-information-technology-related-outpatient-diagnostic-delays-us-veterans
June 24, 2020 - Study
Assessment of health information technology-related outpatient diagnostic delays in the US Veterans Affairs health care system: a qualitative study of aggregated root cause analysis data.
Citation Text:
Powell L, Sittig DF, Chrouser K, et al. Assessment of health information techno…
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psnet.ahrq.gov/issue/providing-feedback-following-leadership-walkrounds-associated-better-patient-safety-culture
February 01, 2023 - Study
Classic
Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout.
Citation Text:
Sexton B, Adair KC, Leonard MW, et al. Providing feedback following Leadership WalkRou…
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psnet.ahrq.gov/node/40519/psn-pdf
June 08, 2011 - A public health approach to patient safety reporting
systems is urgently needed.
June 8, 2011
Noble DJ, Panesar S, Pronovost P. A public health approach to patient safety reporting systems is urgently
needed. J Patient Saf. 2011;7(2):109-12. doi:10.1097/PTS.0b013e31821b8a6c.
https://psnet.ahrq.gov/issue/public-hea…
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psnet.ahrq.gov/node/39865/psn-pdf
May 28, 2014 - Failure Mode and Effects Analysis in Health Care:
Proactive Risk Reduction, Third Edition.
May 28, 2014
Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404066.
https://psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-health-care-proactive-risk-reduction-third-
edition
This publication p…
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psnet.ahrq.gov/node/37913/psn-pdf
July 31, 2008 - Reliability of a revised NOTECHS scale for use in surgical
teams.
July 31, 2008
Sevdalis N, Davis R, Koutantji M, et al. Reliability of a revised NOTECHS scale for use in surgical teams.
Am J Surg. 2008;196(2):184-90. doi:10.1016/j.amjsurg.2007.08.070.
https://psnet.ahrq.gov/issue/reliability-revised-notechs-scale…
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psnet.ahrq.gov/node/856641/psn-pdf
January 01, 2009 - WebAIRS Anesthesia Incident Reporting System.
January 1, 2009
Australian and New Zealand Tripartite Anaesthetic Data Committee.
https://psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system
Reporting errors in anesthesiology practice can motivate and inform safety improvement work. This website
serves …
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psnet.ahrq.gov/node/40564/psn-pdf
September 25, 2011 - Teamwork and team performance in multidisciplinary
cancer teams: development and evaluation of an
observational assessment tool.
September 25, 2011
Lamb BW, Vincent CA, Green JSA, et al. Teamwork and team performance in multidisciplinary cancer
teams: development and evaluation of an observational assessment tool.…
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psnet.ahrq.gov/node/50577/psn-pdf
October 23, 2019 - Medicare's Oversight of Ambulatory Surgery Centers
Report.
October 23, 2019
Washington, DC: Office of the Inspector General; September 2019. Report No. OEI-01-15-00400.
https://psnet.ahrq.gov/issue/medicares-oversight-ambulatory-surgery-centers-report
Ambulatory surgery centers (ASC) play an increasing role in com…
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psnet.ahrq.gov/node/73327/psn-pdf
January 25, 2022 - ISMP Medication Safety Self Assessment® for
Perioperative Settings.
January 25, 2022
Institute for Safe Medication Practices
https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessmentr-perioperative-settings
The perioperative setting is a high-risk area for medication errors, should they occur. This asses…
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psnet.ahrq.gov/sites/default/files/2022-02/final_cme_reviewed_spotlight_loss_of_trust_and_a_missed_diagnosis_02.14.20221_-_clean_-_revised.pdf
January 01, 2022 - weakness, muscle spasm, or sensory abnormalities; and
– Appointments moved to virtual visits, which made assessments
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psnet.ahrq.gov/node/49849/psn-pdf
January 01, 2019 - Inpatient diagnostic assessments: 1. accuracy of
structured vs. unstructured interviews.
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psnet.ahrq.gov/node/33742/psn-pdf
December 01, 2012 - we're
going to have standardized measures of delirium across the board, and they're doing cognitive
assessments
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psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
June 28, 2023 - A physician and respiratory therapist performed intake assessments, but their documentation only addressed
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psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
May 01, 2005 - categories for the breast imager to properly use... there is considerable interobserver variability in the assessments
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psnet.ahrq.gov/web-mm/another-fall
June 01, 2010 - end of the spectrum are multifactorial interventions involving comprehensive structured individual assessments