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psnet.ahrq.gov/node/45112/psn-pdf
July 01, 2016 - Surgical count process for prevention of retained surgical
items: an integrative review.
July 1, 2016
Freitas PS, Silveira RC de CP, Clark AM, et al. Surgical count process for prevention of retained surgical
items: an integrative review. J Clin Nurs. 2016;25(13-14):1835-47. doi:10.1111/jocn.13216.
https://psnet.a…
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psnet.ahrq.gov/node/43516/psn-pdf
June 15, 2017 - Application of failure mode effect analysis to improve the
care of septic patients admitted through the emergency
department.
June 15, 2017
Alamry A, Owais SMA, Marini AM, et al. Application of Failure Mode Effect Analysis to Improve the Care of
Septic Patients Admitted Through the Emergency Department. J Patient …
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psnet.ahrq.gov/node/43715/psn-pdf
November 26, 2014 - An intervention to improve transitions from NICU to
ambulatory care: quasi-experimental study.
November 26, 2014
Moyer VA, Papile L-A, Eichenwald E, et al. An intervention to improve transitions from NICU to ambulatory
care: quasi-experimental study. BMJ Qual Saf. 2014;23(12):e3.
https://psnet.ahrq.gov/issue/inter…
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psnet.ahrq.gov/node/43127/psn-pdf
April 23, 2014 - An interprofessional qualitative study of barriers and
potential solutions for the safe use of insulin in the
hospital setting.
April 23, 2014
Rousseau M-P, Beauchesne M-F, Naud A-S, et al. An interprofessional qualitative study of barriers and
potential solutions for the safe use of insulin in the hospital settin…
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psnet.ahrq.gov/node/34013/psn-pdf
December 22, 2008 - Defining and measuring patient safety.
December 22, 2008
Pronovost P, Thompson DA, Holzmueller CG, et al. Defining and measuring patient safety. Crit Care Clin.
2005;21(1):1-19, vii.
https://psnet.ahrq.gov/issue/defining-and-measuring-patient-safety
This review discusses the increasing demand for improving patient…
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psnet.ahrq.gov/issue/stakeholder-perspectives-handovers-between-hospital-staff-and-general-practitioners
October 03, 2012 - care transitions, including readmissions and adverse events after discharge , understanding of the basic
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psnet.ahrq.gov/issue/national-patient-safety-foundation-agenda-research-and-development-patient-safety
June 16, 2011 - disadvantages of targeted versus investigator-initiated research and balancing emphasis on researching basic
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psnet.ahrq.gov/issue/epistemology-patient-safety-research-framework-study-design-and-interpretation
February 23, 2011 - quality improvement research is a relatively young field, and controversy exists about the most basic
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psnet.ahrq.gov/node/33588/psn-pdf
March 15, 2025 - or department-based event recognition and support by colleagues
and local leaders who have received basic
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psnet.ahrq.gov/node/61083/psn-pdf
October 28, 2020 - In fact, we were having to
bring in fax machines and computers and just some really basic things. … You start to shore up some
of basic systems of care such as strengthening, ambulation, walking, making … Basic
PPE [personal protective equipment] was in very short supply for a while, and in some homes, there
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psnet.ahrq.gov/web-mm/wrong-route-nutrients
September 04, 2010 - This could be in addition to or as a part of their basic training (12 months). … On the other hand, RNs have a foundation in the basic sciences, with chemistry, microbiology, and physiology
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psnet.ahrq.gov/node/45827/psn-pdf
January 24, 2018 - Using failure mode and effects analysis to reduce patient
safety risks related to the dispensing process in the
community pharmacy setting.
January 24, 2018
Stojkovic T, Marinkovic V, Jaehde U, et al. Using Failure mode and Effects Analysis to reduce patient
safety risks related to the dispensing process in the co…
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psnet.ahrq.gov/node/849318/psn-pdf
May 24, 2023 - The impact of a nursing-led intervention bundle with a
bedside checklist to reduce mortality during the initial
COVID-19 pandemic and implications for future
emergencies.
May 24, 2023
Pugh S, Chan F, Han S, et al. The impact of a nursing-led intervention bundle with a bedside checklist to
reduce mortality during …
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psnet.ahrq.gov/issue/distributing-cognition-icu-handoffs-conform-grices-maxims
May 09, 2015 - May 9, 2015
Lessons from the war on cancer: the need for basic research on safety.
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psnet.ahrq.gov/node/45683/psn-pdf
January 23, 2017 - Consensus bundle on prevention of surgical site
infections after major gynecologic surgery.
January 23, 2017
Pellegrini JE, Toledo P, Soper DE, et al. Consensus Bundle on Prevention of Surgical Site Infections After
Major Gynecologic Surgery. Obstet Gynecol. 2017;129(1):50-61. doi:10.1097/AOG.0000000000001751.
htt…
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psnet.ahrq.gov/node/41043/psn-pdf
May 24, 2012 - Toward improving patient safety through voluntary peer-
to-peer assessment.
May 24, 2012
Hudson DW, Holzmueller CG, Pronovost P, et al. Toward improving patient safety through voluntary peer-
to-peer assessment. Am J Med Qual. 2012;27(3):201-9. doi:10.1177/1062860611421981.
https://psnet.ahrq.gov/issue/toward-impr…
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psnet.ahrq.gov/issue/responding-clinicians-who-fail-follow-patient-safety-practices-perceptions-physicians-nurses
February 24, 2011 - students, and inpatients regarding attitudes toward public reporting and penalties for violations of basic
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psnet.ahrq.gov/node/849660/psn-pdf
May 31, 2023 - healthypeople/priority-areas/health-literacy-healthy-people-2030
and found a third of Americans had basic … or below basic levels of health literacy, 53% had an intermediate
level, and only 12% had a proficient
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psnet.ahrq.gov/web-mm/managing-care-challenges-group-home-setting-staffing-adequate-unplanned-incidents
April 27, 2022 - supervision, storage, and distribution of medication along with personal care assistance including basic … Resident assistants also typically require basic training related to assisting residents with ADLs. … considered non-medical facilities, if they obtain an assisted living waiver and admit residents that need basic
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psnet.ahrq.gov/issue/patient-characteristics-and-occurrence-never-events
February 15, 2011 - This study exemplifies research into the "basic science" of patient safety; a prior commentary called