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psnet.ahrq.gov/node/44611/psn-pdf
November 04, 2015 - Enhancing patient safety in pediatric primary care:
implementing a patient safety curriculum.
November 4, 2015
Zenlea IS, Scheff E, Szeidler B, et al. Enhancing Patient Safety in Pediatric Primary Care: Implementing a
Patient Safety Curriculum. Clin Pediatr (Phila). 2015;54(11):1094-101. doi:10.1177/000992281558492…
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psnet.ahrq.gov/node/44185/psn-pdf
September 29, 2017 - Diagnostic errors that lead to inappropriate antimicrobial
use.
September 29, 2017
Filice GA, Drekonja DM, Thurn JR, et al. Diagnostic Errors that Lead to Inappropriate Antimicrobial Use.
Infect Control Hosp Epidemiol. 2015;36(8):949-56. doi:10.1017/ice.2015.113.
https://psnet.ahrq.gov/issue/diagnostic-errors-lead…
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psnet.ahrq.gov/node/44059/psn-pdf
April 22, 2015 - ASHP guidelines on preventing medication errors with
chemotherapy and biotherapy.
April 22, 2015
Goldspiel B, Hoffman JM, Griffith NL, et al. ASHP guidelines on preventing medication errors with
chemotherapy and biotherapy. Am J Health Syst Pharm. 2015;72(8):e6-e35. doi:10.2146/sp150001.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/43616/psn-pdf
October 29, 2014 - Preventing Healthcare-Associated Infections: Results and
Lessons Learned from AHRQ's HAI Program.
October 29, 2014
Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Infect Control Hosp Epidemiol. 2014;35(suppl 3):S1-
S141.
https://psnet.ahrq.gov/issue/preventing-healthcare-associated-infections-results-and-lesson…
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psnet.ahrq.gov/node/839835/psn-pdf
November 09, 2022 - Healthcare Quality and Safety Workforce Report: New
Imperatives for Quality and Safety Mean New Imperatives
for Workforce Development.
November 9, 2022
Chicago, IL: The National Association for Healthcare Quality; 2022.
https://psnet.ahrq.gov/issue/healthcare-quality-and-safety-workforce-report-new-imperatives-qua…
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psnet.ahrq.gov/node/45403/psn-pdf
September 21, 2016 - 'Superbug' scourge spreads as U.S. fails to track rising
human toll.
September 21, 2016
McNeill R, Nelson DJ, Abutaleb Y. Reuters Investigation. September 7, 2016.
https://psnet.ahrq.gov/issue/superbug-scourge-spreads-us-fails-track-rising-human-toll
Antimicrobial resistance is a pervasive threat to patient safety…
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psnet.ahrq.gov/node/46390/psn-pdf
October 29, 2017 - Using data to enhance performance and improve quality
and safety in surgery.
October 29, 2017
Goldenberg MG, Jung JJ, Grantcharov T. Using Data to Enhance Performance and Improve Quality and
Safety in Surgery. JAMA Surg. 2017;152(10):972-973. doi:10.1001/jamasurg.2017.2888.
https://psnet.ahrq.gov/issue/using-data-…
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psnet.ahrq.gov/node/44735/psn-pdf
January 06, 2016 - Quality and patient safety teams in the perioperative
setting.
January 6, 2016
Serino MF. Quality and Patient Safety Teams in the Perioperative Setting. AORN J. 2015;102(6):617-28.
doi:10.1016/j.aorn.2015.10.006.
https://psnet.ahrq.gov/issue/quality-and-patient-safety-teams-perioperative-setting
Team effectivenes…
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psnet.ahrq.gov/node/43361/psn-pdf
July 16, 2014 - An Avoidable Death of a Three-year-old Child from
Sepsis.
July 16, 2014
London, UK: Parliamentary and Health Service Ombudsman; June 2014.
https://psnet.ahrq.gov/issue/avoidable-death-three-year-old-child-sepsis
This investigation outlines how inadequate care contributed to the death of a child who developed sepsi…
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psnet.ahrq.gov/node/43498/psn-pdf
October 06, 2016 - Creating a distraction simulation for safe medication
administration.
October 6, 2016
Thomas CM, McIntosh CE, Allen R. Creating a Distraction Simulation for Safe Medication Administration.
Clin Simul Nurs. 2014;10(8). doi:10.1016/j.ecns.2014.03.004.
https://psnet.ahrq.gov/issue/creating-distraction-simulation-safe…
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psnet.ahrq.gov/node/841488/psn-pdf
December 14, 2022 - ASHP Guidelines on Preventing Diversion of Controlled
Substances.
December 14, 2022
Clark J, Fera T, Fortier CR, et al. ASHP Guidelines on Preventing Diversion of Controlled Substances. Am
J Health Syst Pharm. 2022;79(24):2279-2306. doi:10.1093/ajhp/zxac246.
https://psnet.ahrq.gov/issue/ashp-guidelines-preventing-…
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psnet.ahrq.gov/node/50907/psn-pdf
February 19, 2020 - Oral chemotherapy: a home safety educational framework
for healthcare providers, patients, and caregivers.
February 19, 2020
Huff C. Oral chemotherapy: A home safety educational framework for healthcare providers, patients, and
caregivers. Clin J Oncol Nurs. 2020;24(1):22-30. doi:10.1188/20.cjon.22-30.
https://psn…
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psnet.ahrq.gov/node/74721/psn-pdf
February 02, 2022 - Hospital at Home: setting a regulatory course to ensure
safe, high-quality care.
February 2, 2022
DeCherrie LV, Leff B, Levine DM, et al. Hospital at Home: setting a regulatory course to ensure safe, high-
quality care. Jt Comm J Qual Patient Saf. 2022;48(3):180-184. doi:10.1016/j.jcjq.2021.12.003.
https://psnet.a…
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psnet.ahrq.gov/node/45161/psn-pdf
September 19, 2016 - Design of an evidence-based "second victim" curriculum
for nurse anesthetists.
September 19, 2016
Daniels RG, McCorkle R. Design of an Evidence-Based "Second Victim" Curriculum for Nurse Anesthetists.
AANA J. 2016;84(2):107-113.
https://psnet.ahrq.gov/issue/design-evidence-based-second-victim-curriculum-nurse-anes…
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psnet.ahrq.gov/node/47724/psn-pdf
March 20, 2019 - Understanding patient safety and quality outcome data.
March 20, 2019
Easter K, Tamburri LM. Understanding Patient Safety and Quality Outcome Data. Crit Care Nurse.
2018;38(6):58-66. doi:10.4037/ccn2018979.
https://psnet.ahrq.gov/issue/understanding-patient-safety-and-quality-outcome-data
Public reporting of safet…
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psnet.ahrq.gov/node/47205/psn-pdf
July 25, 2018 - Teamwork and Teamwork Training in Healthcare.
July 25, 2018
Teamwork and Teamwork Training in Health care: An Integration and a Path Forward. Buljac-Samardzic M,
Dekker-van Doorn C, Maynard MT, eds. Group Org Manag. 2018;43(3):351-527.
doi:10.1177/1059601118774669.
https://psnet.ahrq.gov/issue/teamwork-and-teamwor…
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psnet.ahrq.gov/node/47963/psn-pdf
June 02, 2019 - Evidence and efficacy: time to think beyond the
traditional randomised controlled trial in patient safety
studies.
June 2, 2019
Webster CS. Evidence and efficacy: time to think beyond the traditional randomised controlled trial in
patient safety studies. Br J Anaesth. 2019;122(6):723-725. doi:10.1016/j.bja.2019.02…
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psnet.ahrq.gov/node/44196/psn-pdf
March 27, 2017 - Patient Safety in Ambulance Services: A Scoping Review.
March 27, 2017
Patient Safety In Ambulance Services: A Scoping Review.
https://psnet.ahrq.gov/issue/patient-safety-ambulance-services-scoping-review
The safety of emergency medical care delivered in conjunction with ambulance services has not been
studied in …
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psnet.ahrq.gov/node/44149/psn-pdf
June 03, 2015 - Patient safety in home hemodialysis: quality assurance
and serious adverse events in the home setting.
June 3, 2015
Pauly RP, Eastwood DO, Marshall MR. Patient safety in home hemodialysis: quality assurance and serious
adverse events in the home setting. Hemodial Int. 2015;19 Suppl 1:S59-70. doi:10.1111/hdi.12248.
…
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psnet.ahrq.gov/node/37298/psn-pdf
December 14, 2016 - Enhancing pediatric safety: using simulation to assess
radiology resident preparedness for anaphylaxis
from intravenous contrast media.
December 14, 2016
Gaca AM, Frush DP, Hohenhaus SM, et al. Enhancing pediatric safety: using simulation to assess
radiology resident preparedness for anaphylaxis from intravenous c…