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psnet.ahrq.gov/web-mm/delayed-management-necrotizing-soft-tissue-infection-who-does-patient-belong
March 31, 2021 - Delayed Management of Necrotizing Soft Tissue Infection – Who does the Patient Belong To?
Citation Text:
Rinderknecht T, Utter GH. Delayed Management of Necrotizing Soft Tissue Infection – Who does the Patient Belong To?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Depar…
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psnet.ahrq.gov/web-mm/speaking-patient-safety-what-they-dont-tell-you-training-about-feedback-and-burnout
January 22, 2020 - Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout
Citation Text:
Adair KC, Frankel A, Sexton B. Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and …
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psnet.ahrq.gov/node/73163/psn-pdf
April 21, 2021 - Implicit bias in healthcare: clinical practice, research and
decision making.
April 21, 2021
Gopal DP, Chetty U, O'Donnell P, et al. Implicit bias in healthcare: clinical practice, research and decision
making. Future Healthc J. 2021;8(1):40-48. doi:10.7861/fhj.2020-0233.
https://psnet.ahrq.gov/issue/implicit-bias…
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psnet.ahrq.gov/node/48078/psn-pdf
August 14, 2019 - Prompting rounding teams to address a daily best
practice checklist in a pediatric intensive care unit.
August 14, 2019
Cifra CL, Houston M, Otto A, et al. Prompting rounding teams to address a daily best practice checklist in a
pediatric intensive care unit. Jt Comm J Qual Patient Saf. 2019;45(8):543-551.
doi:10.…
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psnet.ahrq.gov/node/47379/psn-pdf
November 14, 2018 - Analysis of medication therapy discontinuation orders in
new electronic prescriptions and opportunities for
implementing CancelRx.
November 14, 2018
Yang Y, Ward-Charlerie S, Kashyap N, et al. Analysis of medication therapy discontinuation orders in new
electronic prescriptions and opportunities for implementing C…
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psnet.ahrq.gov/node/61109/psn-pdf
November 11, 2020 - Making communication and resolution programmes
mission critical in healthcare organisations.
November 11, 2020
Gallagher TH, Boothman RC, Schweitzer L, et al. Making communication and resolution programmes
mission critical in healthcare organisations. BMJ Qual Saf. 2020;29(11):875-878. doi:10.1136/bmjqs-2020-
0108…
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psnet.ahrq.gov/node/837972/psn-pdf
September 01, 2022 - Patient safety: where to aim when zero harm is not the
target-a case for learning and resilience.
September 1, 2022
Stockwell DC, Kayes DC, Thomas EJ. Patient safety: where to aim when zero harm is not the target-a case
for learning and resilience. J Patient Saf. 2022;18(5):e877-e882. doi:10.1097/pts.00000000000009…
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psnet.ahrq.gov/node/837034/psn-pdf
May 04, 2022 - Understanding the link between burnout and sub-optimal
care: why should healthcare education be interested in
employee silence?
May 4, 2022
Montgomery A, Lainidi O. Understanding the link between burnout and sub-optimal care: why should
healthcare education be interested in employee silence? Front Psychiatry. 2022…
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psnet.ahrq.gov/node/38268/psn-pdf
December 03, 2008 - Anticoagulant safety practices call for pharmacist
supervision.
December 3, 2008
Scott A.
https://psnet.ahrq.gov/issue/anticoagulant-safety-practices-call-pharmacist-supervision
This article discusses hospital efforts to respond to the Joint Commission sentinel event alert regarding
anticoagulants and highlights …
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psnet.ahrq.gov/node/39307/psn-pdf
February 24, 2010 - Intimidation: a concept analysis.
February 24, 2010
Lamontagne C. Intimidation: a concept analysis. Nurs Forum. 2010;45(1):54-65. doi:10.1111/j.1744-
6198.2009.00162.x.
https://psnet.ahrq.gov/issue/intimidation-concept-analysis
This piece discusses intimidation and its relationship to medical errors and patient sa…
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psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
June 15, 2024 - Inpatient Transitions of Care: Challenges and Safety Practices
Citation Text:
Satake A, McElroy V. Inpatient Transitions of Care: Challenges and Safety Practices. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
Copy Citation
…
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psnet.ahrq.gov/node/36818/psn-pdf
August 26, 2011 - Patient safety in women's health care: a framework for
progress.
August 26, 2011
Gluck PA. Patient safety in women's health care: a framework for progress. Best Pract Res Clin Obstet
Gynaecol. 2007;21(4):525-36.
https://psnet.ahrq.gov/issue/patient-safety-womens-health-care-framework-progress
The author provides …
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psnet.ahrq.gov/node/48181/psn-pdf
August 07, 2019 - Managing the risks of direct oral anticoagulants.
August 7, 2019
Sentinel Event Alert. July 30, 2019;(61):1-5.
https://psnet.ahrq.gov/issue/managing-risks-direct-oral-anticoagulants
Anticoagulant medications are known to be high-risk for adverse drug events. Although direct oral
anticoagulants (DOACs) require less…
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psnet.ahrq.gov/primer/clinical-decision-support-systems
December 15, 2024 - New
Clinical Decision Support Systems
Citation Text:
Clinical Decision Support Systems. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…
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psnet.ahrq.gov/node/36984/psn-pdf
September 14, 2011 - TeamSTEPPS: assuring optimal teamwork in clinical
settings.
September 14, 2011
Clancy CM, Tornberg DN. TeamSTEPPS: assuring optimal teamwork in clinical settings. Am J Med Qual.
2007;22(3):214-7.
https://psnet.ahrq.gov/issue/teamstepps-assuring-optimal-teamwork-clinical-settings
The authors discuss the TeamSTEPPS…
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psnet.ahrq.gov/perspective/patient-safety-primary-care
January 31, 2020 - Annual Perspective
Patient Safety in Primary Care
February 21, 2020
View more articles from the same authors.
Citation Text:
Schiff G, Hall KK, Fitall E. Patient Safety in Primary Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qua…
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psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
March 01, 2019 - experience with a system that has taken advantage of your tools to see whether it made a difference in their discussions
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psnet.ahrq.gov/node/838238/psn-pdf
October 05, 2022 - Spreading a strategy to prevent suicide after psychiatric
hospitalization: results of a quality improvement spread
initiative.
October 5, 2022
Riblet NB, Varela M, Ashby W, et al. Spreading a strategy to prevent suicide after psychiatric
hospitalization: results of a quality improvement spread initiative. Jt Comm …
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psnet.ahrq.gov/node/47262/psn-pdf
August 22, 2018 - The Case for Medication Safety Officers (MSO).
August 22, 2018
Horsham, PA: Institute for Safe Medication Practices; 2018.
https://psnet.ahrq.gov/issue/case-medication-safety-officers-mso
Medication safety is a concern in various settings across an organization. This white paper discusses the
role of a medication …
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psnet.ahrq.gov/node/41120/psn-pdf
September 08, 2016 - The impact of anti-infective drug shortages on hospitals
in the United States: trends and causes.
September 8, 2016
Griffith MM, Gross AE, Sutton SH, et al. The impact of anti-infective drug shortages on hospitals in the
United States: trends and causes. Clin Infect Dis. 2012;54(5):684-91. doi:10.1093/cid/cir954.
…