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psnet.ahrq.gov/issue/impact-implementation-family-initiated-escalation-care-deteriorating-patient-hospital
December 21, 2018 - Consumers' perspectives on their involvement in recognizing and responding to patient deterioration—developing … December 4, 2016
Developing and evaluating the success of a family activated medical
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psnet.ahrq.gov/issue/henry-ford-production-system-reduction-surgical-pathology-process-misidentification-defects
July 16, 2013 - RIS
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psnet.ahrq.gov/issue/improving-our-understanding-multi-tasking-healthcare-drawing-together-cognitive-psychology
July 19, 2018 - July 19, 2018
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The Science of Simulation in Healthcare: Defining and Developing Clinical … March 3, 2010
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psnet.ahrq.gov/issue/how-might-health-services-capture-patient-reported-safety-concerns-hospital-setting
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Developing a patient measure of safety (PMOS).
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April 23, 2009 - From good intentions to successful implementation: the
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April 23, 2009
Thomas PG. From good intentions to successful implementation: the case of patient safety in Canada.
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July 22, 2013 - Clinical supervisors: are they the key to making care
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July 22, 2013
Walton M, Barraclough B. Clinical supervisors: are they the key to making care safer? BMJ Qual Saf.
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September 12, 2012 - A root cause analysis project in a medication safety
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September 12, 2012
Schafer JJ. A root cause analysis project in a medication safety course. Am J Pharm Educ.
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https://psnet.ahrq.gov/issue/root-cause-analysis-project-medication-safety-course
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January 31, 2011 - Clinicians in quality improvement: a new career pathway
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Shojania KG, Levinson W. Clinicians in quality improvement: a new career pathway in academic medicine.
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April 17, 2013 - A checklist to improve patient safety in interventional
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Koetser ICJ, de Vries EN, van Delden OM, et al. A checklist to improve patient safety in interventional
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June 30, 2011 - The cost of pneumonia after acute stroke.
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Neglecting measures to prevent pneumonia after str…
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November 05, 2008 - The top 10 list for a safe and effective sign-out.
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Drawing on their personal…
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September 10, 2014 - Surgical 'black box' could reduce errors.
September 10, 2014
Sathya C. CNN. August 22, 2014.
https://psnet.ahrq.gov/issue/surgical-black-box-could-reduce-errors
This news article reports on the development a surgical black box, which includes using cameras and
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February 05, 2019 - Guidelines for Design and Construction.
February 5, 2019
St Louis, Missouri; Facilities Guidelines Institute; 2018.
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These updated guidelines include design changes, such as the adoption of private rooms to reduce
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January 01, 2013 - Ventilator-associated pneumonia—the wrong quality
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Klompas M, Platt R. Ventilator-associated pneumonia—the wrong quality measure for benchmarking. Ann
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January 16, 2010 - Detecting adverse events in dermatologic surgery.
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Pinney D, Pearce DJ, Feldman SR. Detecting adverse events in dermatologic surgery. Dermatol Surg.
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This review identifi…
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May 29, 2013 - Medication reconciliation meets its MATCH.
May 29, 2013
Agency for Healthcare Research and Quality. Research Activities. May 2013:1, 3-4.
https://psnet.ahrq.gov/issue/medication-reconciliation-meets-its-match
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psnet.ahrq.gov/node/46397/psn-pdf
August 30, 2017 - Making Dialysis Safer for Patients Coalition.
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Dialysis is a common procedure that carries risks if not performed correctly. This initiative represents a
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October 25, 2017 - Curing our diagnostic disorder.
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Laposata M. The Pathologist. September 2017;(34):18-27.
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Diagnostic improvement is gaining recognition as an important goal in health care. This magazine article
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June 22, 2009 - Improving hospital performance: culture change is not
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Leggat SG, Dwyer J. Improving hospital performance: culture change is not the answer. Healthc Q.
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The authors suggest that people man…