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psnet.ahrq.gov/node/47602/psn-pdf
January 27, 2019 - Participating nurses were asked to report the care they provided, and missed
care was defined as self-reported
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psnet.ahrq.gov/node/45714/psn-pdf
December 20, 2017 - medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults
https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
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psnet.ahrq.gov/node/40600/psn-pdf
September 09, 2011 - make-or-buy-patient-safety-solutions-resource-dependence-and-transaction-
cost-economics
The National Quality Forum first defined
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psnet.ahrq.gov/node/47667/psn-pdf
February 27, 2019 - It is time to define antimicrobial never events.
February 27, 2019
Liu J, Kaye KS, Mercuro NJ, et al. It is time to define antimicrobial never events. Infect Control Hosp
Epidemiol. 2019;40(2):206-207. doi:10.1017/ice.2018.313.
https://psnet.ahrq.gov/issue/it-time-define-antimicrobial-never-events
Never events are…
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psnet.ahrq.gov/node/44340/psn-pdf
October 12, 2015 - Defining attributes of patient safety through a concept
analysis.
October 12, 2015
Kim L, Lyder CH, McNeese-Smith D, et al. Defining attributes of patient safety through a concept analysis.
J Adv Nurs. 2015;71(11):2490-503. doi:10.1111/jan.12715.
https://psnet.ahrq.gov/issue/defining-attributes-patient-safety-thro…
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psnet.ahrq.gov/node/33590/psn-pdf
September 15, 2024 - Research using a variety of methodologies has defined the relationship between leadership
actions and … A 2013 review found that high-performing hospitals—defined as
those ranking highly on objective measures
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psnet.ahrq.gov/issue/defining-health-information-technology-related-errors-new-developments-err-human
December 06, 2023 - Commentary
Classic
Defining health information technology–related errors: new developments since To Err Is Human.
Citation Text:
Sittig DF, Singh H. Defining health information technology-related errors: new developments since to err is human. Arch Intern Med.…
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psnet.ahrq.gov/node/47517/psn-pdf
January 27, 2019 - Defining and classifying terminology for medication
harm: a call for consensus.
January 27, 2019
Falconer N, Barras M, Martin J, et al. Defining and classifying terminology for medication harm: a call for
consensus. Eur J Clin Pharmacol. 2019;75(2):137-145. doi:10.1007/s00228-018-2567-5.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/47278/psn-pdf
August 15, 2018 - Drawing boundaries: the difficulty in defining clinical
reasoning.
August 15, 2018
Young M, Thomas A, Lubarsky S, et al. Drawing Boundaries: The Difficulty in Defining Clinical Reasoning.
Acad Med. 2018;93(7):990-995. doi:10.1097/ACM.0000000000002142.
https://psnet.ahrq.gov/issue/drawing-boundaries-difficulty-defi…
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psnet.ahrq.gov/node/46474/psn-pdf
November 08, 2017 - Clearing the Error: Using Public Deliberation to Define
Patient Roles as Partners in the Diagnostic Process.
November 8, 2017
St. Paul, MN: Society to Improve Diagnosis in Medicine, Maxwell School of Citizenship and Public Affairs at
Syracuse University, and Jefferson Center; 2017.
https://psnet.ahrq.gov/issue/cle…
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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/node/33860/psn-pdf
June 01, 2018 - status), but in general it is preferable
to have basic overall POCUS privileges, with specific scope defined … support of a person who has the responsibility
for overseeing POCUS implementation and use within a defined
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psnet.ahrq.gov/issue/uptake-pharmacist-recommendations-patients-after-discharge-implementation-study-patient
December 14, 2016 - Potentially inappropriate medications ( PIM) and polypharmacy , defined as taking 5 or more medications
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psnet.ahrq.gov/issue/pipc-study-development-indicators-potentially-inappropriate-prescribing-children-pipc-primary
December 05, 2018 - Although certain medication classes pose increased risks to children, well-defined criteria for potentially
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psnet.ahrq.gov/issue/analysis-medication-prescribing-errors-critically-ill-children
March 28, 2012 - This study also defined several risk factors for prescribing errors in these patients and analyzed the
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psnet.ahrq.gov/issue/effect-facility-complexity-perceptions-safety-climate-operating-room-size-matters
December 21, 2014 - This study found that caregiver perceptions of safety climate vary by facility complexity, which is defined
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psnet.ahrq.gov/issue/cost-opioid-related-adverse-drug-events
August 30, 2017 - This review defined the substantial economic impact of adverse events resulting from opioids, finding
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psnet.ahrq.gov/issue/comparing-measures-patient-safety-inpatient-care-provided-veterans-within-and-outside-va
March 04, 2011 - PSIs, particularly around whether they should be applied to a health care system, a geographically defined
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psnet.ahrq.gov/issue/improving-nurse-patient-staffing-ratios-cost-effective-safety-intervention
May 14, 2008 - The authors conclude that defined nurse staffing ratios provide an opportunity for a cost-effective patient
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psnet.ahrq.gov/issue/reframing-morbidity-and-mortality-conference-impact-just-culture
November 15, 2018 - should have a robust case selection process with a focus on system errors , a clear structure, and defined