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6441. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35875/psn-pdf
      May 21, 2013 - Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. May 21, 2013 The Joint Commission. https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person- surgery According to an AHRQ-supported study, wrong-site surgery occurred at a rate of approxi…

6442. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47760/psn-pdf
      February 06, 2019 - AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017. February 6, 2019 Rockville, MD: Agency for Healthcare Research and Quality; January 2019. https://psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates- and-…

6443. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42230/psn-pdf
      October 06, 2016 - Using Lean to improve medication administration safety: in search of the "perfect dose." October 6, 2016 Ching JM, Long C, Williams BL, et al. Using lean to improve medication administration safety: in search of the "perfect dose". Jt Comm J Qual Patient Saf. 2013;39(5):195-204. https://psnet.ahrq.gov/issue/using-…

6444. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47467/psn-pdf
      January 21, 2019 - Application of electronic trigger tools to identify targets for improving diagnostic safety. January 21, 2019 Murphy DR, Meyer AN, Sittig DF, et al. Application of electronic trigger tools to identify targets for improving diagnostic safety. BMJ Qual Saf. 2019;28(2):151-159. doi:10.1136/bmjqs-2018-008086. https://…

6445. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851053/psn-pdf
      June 28, 2023 - In situ simulation as a quality improvement tool to identify and mitigate latent safety threats for emergency department SARS-CoV-2 airway management: a multi- institutional initiative. June 28, 2023 Yang CJ, Saggar V, Seneviratne N, et al. In situ simulation as a quality improvement tool to identify and mitigate…

6446. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45488/psn-pdf
      April 24, 2018 - National trends in safety performance of electronic health record systems in children's hospitals. April 24, 2018 Chaparro JD, Classen D, Danforth M, et al. National trends in safety performance of electronic health record systems in children's hospitals. J Am Med Inform Assoc. 2017;24(2):268-274. doi:10.1093/jami…

6447. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44376/psn-pdf
      October 08, 2016 - Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis. October 8, 2016 Hogan H, Zipfel R, Neuburger J, et al. Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review…

6448. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41935/psn-pdf
      December 19, 2012 - Results of an effort to integrate quality and safety into medical and nursing school curricula and foster joint learning. December 19, 2012 Headrick LA, Barton AJ, Ogrinc G, et al. Results of an effort to integrate quality and safety into medical and nursing school curricula and foster joint learning. Health Aff (…

6449. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39813/psn-pdf
      October 11, 2010 - Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training Program improves the cardiopulmonary resuscitation code process. October 11, 2010 Percarpio KB, Harris FS, Hatfield BA, et al. Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training program improves the c…

6450. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38743/psn-pdf
      January 03, 2017 - Refocusing the lens: patient safety in ambulatory chronic disease care. January 3, 2017 Sarkar U, Wachter R, Schroeder SA, et al. Refocusing the lens: patient safety in ambulatory chronic disease care. Jt Comm J Qual Patient Saf. 2009;35(7):377-83, 341. https://psnet.ahrq.gov/issue/refocusing-lens-patient-safety-a…

6451. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73109/psn-pdf
      April 07, 2021 - Common general surgical never events: analysis of NHS England never event data. April 7, 2021 Omar I, Singhal R, Wilson M, et al. Common general surgical never events: analysis of NHS England never event data. Int J Qual Health Care. 2021;33(1):mzab045. doi:10.1093/intqhc/mzab045. https://psnet.ahrq.gov/issue/comm…

6452. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44826/psn-pdf
      February 14, 2017 - Validity of the Agency for Healthcare Research and Quality Patient Safety Indicators and the Centers for Medicare and Medicaid Hospital-acquired Conditions: a systematic review and meta-analysis. February 14, 2017 Winters BD, Bharmal A, Wilson RF, et al. Validity of the Agency for Health Care Research and Quality …

6453. African Partnerships for Patient Safety. | PSNet
      psnet.ahrq.gov/issue/african-partnerships-patient-safety
      April 30, 2024 - Multi-use Website African Partnerships for Patient Safety. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL November 11, 2009 This Web site establishes a forum for hospitals in E…

6454. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39499/psn-pdf
      January 03, 2017 - Caring for our own: deploying a systemwide second victim rapid response team. January 3, 2017 Scott SD, Hirschinger LE, Cox KR, et al. Caring for our own: deploying a systemwide second victim rapid response team. Jt Comm J Qual Saf. 2010;36(5):233-240. https://psnet.ahrq.gov/issue/caring-our-own-deploying-systemwi…

6455. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40673/psn-pdf
      September 03, 2011 - Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units. September 3, 2011 Mayer CM, Cluff L, Lin W-T, et al. Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units. Jt Comm J Qual Patient Saf. 2011;37(8):365-374. htt…

6456. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45067/psn-pdf
      May 11, 2016 - Hospital Survey on Patient Safety Culture: 2016 User Comparative Database Report. May 11, 2016 Famolaro T, Yount ND, Burns W, Flashner E, Liu H, Sorra J. Rockville, MD: Agency for Healthcare Research and Quality; March 2016. AHRQ Publication No. 16-00121-EF. https://psnet.ahrq.gov/issue/hospital-survey-patient-saf…

6457. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39396/psn-pdf
      November 02, 2014 - Unmet Needs: Teaching Physicians to Provide Safe Patient Care. November 2, 2014 Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; March 2010. https://psnet.ahrq.gov/issue/unmet-needs-teaching-physicians-provide-safe-patient-care Medical schools face an urgent need to transform their cur…

6458. ISMP Announces 11th Annual Cheers Awards Recipients. | PSNet
      psnet.ahrq.gov/issue/ismp-announces-11th-annual-cheers-awards-recipients
      February 01, 2023 - Award Recipient ISMP Announces 11th Annual Cheers Awards Recipients. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL December 17, 2008 The Cheers awards annually recognize lead…

6459. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37961/psn-pdf
      May 05, 2010 - Does the Leapfrog program help identify high-quality hospitals? May 5, 2010 Jha AK, Orav J, Ridgway AB, et al. Does the Leapfrog program help identify high-quality hospitals? Jt Comm J Qual Patient Saf. 2008;34(6):318-325. https://psnet.ahrq.gov/issue/does-leapfrog-program-help-identify-high-quality-hospitals The…

6460. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40842/psn-pdf
      September 24, 2016 - A systematic review of the psychological literature on interruption and its patient safety implications. September 24, 2016 Li SYW, Magrabi F, Coiera E. A systematic review of the psychological literature on interruption and its patient safety implications. J Am Med Inform Assoc. 2012;19(1):6-12. doi:10.1136/amiajn…