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psnet.ahrq.gov/node/38676/psn-pdf
January 03, 2017 - psnet.ahrq.gov/issue/developing-and-evaluating-trigger-response-system
This article discusses how one hospital developed
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psnet.ahrq.gov/node/41631/psn-pdf
September 24, 2016 - interruption-handling-strategies-during-paediatric-medication-administration
Through semi-structured interviews, this study identified strategies that pediatric nurses have developed
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psnet.ahrq.gov/node/35576/psn-pdf
December 23, 2012 - ://psnet.ahrq.gov/issue/anatomy-patient-safety-event-pediatric-patient-safety-taxonomy
The authors developed
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psnet.ahrq.gov/node/39969/psn-pdf
October 27, 2010 - preventable-harm-index-effective-motivator-facilitate-drive-zero
This commentary describes how a tool developed
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psnet.ahrq.gov/node/35951/psn-pdf
June 14, 2011 - They identified failure modes and developed an improvement initiative to enhance the accuracy of the
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psnet.ahrq.gov/node/35401/psn-pdf
April 06, 2011 - From the results, the authors developed a definition of prescribing error as well as a list of the
events
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psnet.ahrq.gov/node/34958/psn-pdf
June 14, 2011 - patient-safety-interprofessional-learning-environment
The authors discuss a patient safety–focused, shared learning program developed
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psnet.ahrq.gov/node/47053/psn-pdf
May 23, 2018 - https://psnet.ahrq.gov/issue/teamstepps-canada
The TeamSTEPPS program was developed to support effective
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psnet.ahrq.gov/node/35688/psn-pdf
June 28, 2010 - The
tool was developed at Johns Hopkins and funded by the Agency for Healthcare Research and Quality
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psnet.ahrq.gov/node/39141/psn-pdf
June 27, 2011 - psnet.ahrq.gov/issue/determination-health-care-teamwork-training-competencies-delphi-study
An expert panel developed
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psnet.ahrq.gov/node/41198/psn-pdf
March 07, 2012 - importance of handoff communication in ensuring safe transfers and
recommends that mental models be developed
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psnet.ahrq.gov/node/36778/psn-pdf
August 26, 2011 - discusses the importance of medication reconciliation in the ambulatory environment and
describes a tool developed
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psnet.ahrq.gov/node/38658/psn-pdf
September 27, 2017 - development-and-psychometric-testing-tool-measure-missed-nursing-care
A nursing survey, The Missed Nursing Care Survey [MISSCARE Survey], was developed
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psnet.ahrq.gov/node/39929/psn-pdf
July 31, 2012 - gift-failure-new-approaches-analyzing-and-learning-events-and-near-misses
This special issue discusses how concepts by event analysis pioneer Bernhard Wilpert can be developed
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psnet.ahrq.gov/node/867441/psn-pdf
January 08, 2025 - This review summarizes studies on interventions developed and designed with
consumers to improve medication
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psnet.ahrq.gov/node/49619/psn-pdf
February 01, 2011 - A week later, the patient developed new diffuse chest discomfort that progressed over the ensuing 24 … Later that day, the patient became acutely hypotensive, developed ventricular
tachycardia and pulseless … In this case, an elderly gentleman on warfarin had a pacemaker implanted and subsequently
developed … inaccuracies, we
rely on the bedside clinical examination to detect urgent situations such as the one that developed
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psnet.ahrq.gov/node/49663/psn-pdf
September 01, 2012 - On hospital day 6, the patient developed erythema around the IV site. … Later that day, the patient
developed fever and chills. … or the nurse inspected this patient's catheter site at 96 hours,
but by 144 hours, cellulitis had developed … Case & Commentary—Part 3:
In response to this event, the medical center involved developed a strict … infection; by the time it was recognized on day 6, cellulitis and bloodstream infection had
already developed
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psnet.ahrq.gov/node/36148/psn-pdf
March 03, 2011 - surgical-crisis-management-skills-training-and-assessment-stimulation-based-
approach
The investigators developed
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psnet.ahrq.gov/node/34901/psn-pdf
April 15, 2005 - The practices are derived from a 2003 consensus report developed by
the National Quality Forum.
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psnet.ahrq.gov/node/41487/psn-pdf
June 27, 2012 - investigating-safety-medication-administration-adult-critical-care-settings
This review describes how an organizational safety model developed