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psnet.ahrq.gov/node/39605/psn-pdf
December 17, 2010 - The effect of facility complexity on perceptions of safety
climate in the operating room: size matters.
December 17, 2010
Carney BT, West P, Neily J, et al. The effect of facility complexity on perceptions of safety climate in the
operating room: size matters. Am J Med Qual. 2010;25(6):457-61. doi:10.1177/106286061…
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psnet.ahrq.gov/node/34755/psn-pdf
September 06, 2011 - Safe Practices for Better Healthcare: 2006 Update.
September 6, 2011
Washington DC: National Quality Forum; 2007.
https://psnet.ahrq.gov/issue/safe-practices-better-healthcare-2006-update
The National Quality Forum used expert consensus and evidence review to identify 30 health care “safe
practices” that should be…
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psnet.ahrq.gov/node/47612/psn-pdf
February 27, 2019 - The impact of computerised physician order entry and
clinical decision support on pharmacist–physician
communication in the hospital setting: a qualitative study.
February 27, 2019
Pontefract SK, Coleman JJ, Vallance HK, et al. The impact of computerised physician order entry and
clinical decision support on pharm…
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psnet.ahrq.gov/node/73517/psn-pdf
July 21, 2021 - Disparate perspectives: exploring healthcare
professionals' misaligned mental models of older adults'
transitions of care between the emergency department
and skilled nursing facility.
July 21, 2021
Werner NE, Rutkowski RA, Krause S, et al. Disparate perspectives: exploring healthcare professionals'
misaligned me…
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psnet.ahrq.gov/node/60049/psn-pdf
March 18, 2020 - Who gets the benefit of the doubt? Performance
evaluations, medical errors, and the production of gender
inequality in emergency medical education.
March 18, 2020
Brewer A, Osborne M, Mueller AS, et al. Who Gets the Benefit of the Doubt? Performance Evaluations,
Medical Errors, and the Production of Gender Inequal…
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psnet.ahrq.gov/node/73128/psn-pdf
July 01, 2022 - failure or COPD), the capacity to implement the program (does the site have established home healthcare
capabilities … Assess current capabilities: Would-be adopters ideally should care for a large senior population,
have … Expand capacity as program grows: Nurse staffing, physician time and home health capabilities
must
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psnet.ahrq.gov/node/43925/psn-pdf
December 04, 2015 - More than just crushing: a prospective pre-post
intervention study to reduce drug preparation errors in
patients with feeding tubes.
December 4, 2015
Lohmann K, Gartner D, Kurze R, et al. More than just crushing: a prospective pre-post intervention study to
reduce drug preparation errors in patients with feeding t…
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psnet.ahrq.gov/node/60721/psn-pdf
July 21, 2020 - physicians now connect with patients remotely for
outpatient and office-based appointments,2,[3] telehealth capabilities … Center (GBMC) provide three different examples of how
healthcare systems have expanded their telehealth capabilities … There are still instances, of course, where patients may not have video
capabilities, cellular phones … How do you help them with equipment and other technologies to optimize their telehealth
capabilities … highlighted in this Perspective demonstrate innovative ways that health systems are
using their telehealth capabilities
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psnet.ahrq.gov/node/34916/psn-pdf
March 09, 2009 - Using a claims data-based sentinel system to improve
compliance with clinical guidelines: results of a
randomized prospective study.
March 9, 2009
Javitt JC, Steinberg G, Locke T, et al. Using a claims data-based sentinel system to improve compliance
with clinical guidelines: results of a randomized prospective st…
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psnet.ahrq.gov/node/74258/psn-pdf
January 19, 2022 - Care quality, patient safety, and nurse outcomes at
hospitals serving economically disadvantaged patients: a
case for investment in nursing.
January 19, 2022
Viscardi MK, French R, Brom H, et al. Care quality, patient safety, and nurse outcomes at hospitals serving
economically disadvantaged patients: a case for i…
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psnet.ahrq.gov/node/865374/psn-pdf
March 27, 2024 - issue/detecting-patient-deterioration-using-artificial-intelligence-rapid-response-system
predicting capabilities … While some non-AI clinical
decision support systems already exist, integrating AI can enhance their capabilities
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psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels-and-effective
February 26, 2025 - Technical resources such as real-time data monitoring capabilities and conducting remote tele-consults … Technical resources such as real-time data monitoring capabilities and conducting remote tele-consults
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psnet.ahrq.gov/node/45350/psn-pdf
October 21, 2016 - A National Trauma Care System: Integrating Military and
Civilian Trauma Systems to Achieve Zero Preventable
Deaths After Injury.
October 21, 2016
National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press;
2016.
https://psnet.ahrq.gov/issue/national-trauma-care-system-inte…
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psnet.ahrq.gov/node/837499/psn-pdf
June 22, 2022 - Relationships between pediatric safety indicators across
a national sample of pediatric hospitals: dispelling the
myth of the "safest" hospital.
June 22, 2022
Milliren CE, Bailey G, Graham DA, et al. Relationships between pediatric safety indicators across a national
sample of pediatric hospitals: dispelling the m…
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psnet.ahrq.gov/sites/default/files/2020-04/spotlight-slides-wright-schiff.pdf
January 01, 2020 - which would have been a
good solution for this patient
• Institutions need to
– Improve ordering capabilities
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psnet.ahrq.gov/innovation/hospital-homesm-care-reduces-costs-readmissions-and-complications-and-enhances
November 15, 2023 - failure or COPD), the capacity to implement the program (does the site have established home healthcare capabilities … Assess current capabilities: Would-be adopters ideally should care for a large senior population, have … Expand capacity as program grows: Nurse staffing, physician time and home health capabilities must grow
-
psnet.ahrq.gov/node/49576/psn-pdf
January 01, 2009 - EMS may have
considered Hospital Y the closest appropriate facility because it had better capabilities … For "unstable" patients, EMS policies are designed to match
hospital capabilities with patient complaints
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psnet.ahrq.gov/node/41884/psn-pdf
December 21, 2014 - Supratherapeutic dosing of acetaminophen among
hospitalized patients.
December 21, 2014
Zhou L, Maviglia SM, Mahoney LM, et al. Supratherapeutic dosing of acetaminophen among hospitalized
patients. Arch Intern Med. 2012;172(22):1721-8.
https://psnet.ahrq.gov/issue/supratherapeutic-dosing-acetaminophen-among-hospit…
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psnet.ahrq.gov/node/33809/psn-pdf
June 01, 2016 - As we try to build up our capabilities in patient safety, we need to have a qualified workforce. … in patient safety to see that a certain group has demonstrated that they have this broad range of
capabilities
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psnet.ahrq.gov/perspective/special-edition-perspective-technology-responses-covid-19
August 31, 2020 - now connect with patients remotely for outpatient and office-based appointments, 2 , [3] telehealth capabilities … Center (GBMC) provide three different examples of how healthcare systems have expanded their telehealth capabilities … There are still instances, of course, where patients may not have video capabilities, cellular phones … How do you help them with equipment and other technologies to optimize their telehealth capabilities? … highlighted in this Perspective demonstrate innovative ways that health systems are using their telehealth capabilities