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psnet.ahrq.gov/node/848313/psn-pdf
May 03, 2023 - Listen to the whispers before they become screams:
addressing Black maternal morbidity and mortality in the
United States.
May 3, 2023
Njoku A, Evans M, Nimo-Sefah L, et al. Listen to the whispers before they become screams: addressing
Black maternal morbidity and mortality in the United States. Healthcare. 2023;1…
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psnet.ahrq.gov/node/72544/psn-pdf
December 09, 2020 - Design and implementation of an analgesia, sedation, and
paralysis order set to enhance compliance of pro re nata
medication orders with Joint Commission medication
management standards in a pediatric ICU.
December 9, 2020
Procaccini D, Rapaport R, Petty BG, et al. Design and Implementation of an analgesia, sedati…
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/strategic-planning
January 01, 2023 - Strategic Planning
Examples
Medical Group Management Association. Strategic planning self-assessment questionnaire. 2006 [cited 2009 July 10]; Available from: http://www.mgma.com/WorkArea/DownloadAsset.aspx?id=10364 .
Description
Strategic planning is a method for organizing, identifying,…
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psnet.ahrq.gov/node/60906/psn-pdf
August 18, 2021 - Global Patient Safety Action Plan 2021-2030: Towards
Eliminating Avoidable Harm in Health Care.
August 18, 2021
Geneva, Switzerland: World Health Organization; 2021. ISBN: 9789240032705.
https://psnet.ahrq.gov/issue/global-patient-safety-action-plan-2021-2030-towards-eliminating-avoidable-
harm-health-care
The Wo…
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psnet.ahrq.gov/node/37590/psn-pdf
April 13, 2018 - Just Culture: Restoring Trust and Accountability in Your
Organization, Third Edition.
April 13, 2018
Dekker S. Boca Raton, FL: CRC Press; 2017. ISBN: 9781472475756.
https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition
Although early efforts in the patient saf…
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psnet.ahrq.gov/node/36551/psn-pdf
February 17, 2011 - An intervention to decrease catheter-related bloodstream
infections in the ICU.
February 17, 2011
Pronovost P, Needham DM, Berenholtz SM, et al. An intervention to decrease catheter-related
bloodstream infections in the ICU. N Engl J Med. 2006;355(26):2725-2732.
https://psnet.ahrq.gov/issue/intervention-decrease-c…
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psnet.ahrq.gov/node/47856/psn-pdf
June 02, 2019 - The impact of patient–physician alliance on trust
following an adverse event.
June 2, 2019
Shoemaker K, Smith CP. The impact of patient-physician alliance on trust following an adverse event.
Patient Educ Couns. 2019;102(7):1342-1349. doi:10.1016/j.pec.2019.02.015.
https://psnet.ahrq.gov/issue/impact-patient-physi…
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psnet.ahrq.gov/node/39233/psn-pdf
August 02, 2013 - Rapid response teams: a systematic review and meta-
analysis.
August 2, 2013
Chan PS, Jain R, Nallmothu BK, et al. Rapid Response Teams: A Systematic Review and Meta-analysis.
Arch Intern Med. 2010;170(1):18-26. doi:10.1001/archinternmed.2009.424.
https://psnet.ahrq.gov/issue/rapid-response-teams-systematic-review…
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psnet.ahrq.gov/node/36518/psn-pdf
March 28, 2011 - Nurses' attitudes to a medical emergency team service in
a teaching hospital.
March 28, 2011
Jones D, Baldwin I, McIntyre T, et al. Nurses' attitudes to a medical emergency team service in a teaching
hospital. Qual Saf Health Care. 2006;15(6):427-32.
https://psnet.ahrq.gov/issue/nurses-attitudes-medical-emergency-…
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psnet.ahrq.gov/node/60306/psn-pdf
May 06, 2020 - Medication errors from over-the-counter cough and cold
medications in children.
May 6, 2020
Wang GS, Reynolds KM, Banner W, et al. Medication errors from over-the-counter cough and cold
medications in children. Acad Ped. 2020;20(3):327-332. doi:10.1016/j.acap.2019.09.006.
https://psnet.ahrq.gov/issue/medication-er…
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psnet.ahrq.gov/node/837142/psn-pdf
January 01, 2023 - Creating psychological safety in interprofessional
simulation for health professional learners: a scoping
review of the barriers and enablers.
May 18, 2022
Lackie K, Hayward K, Ayn C, et al. Creating psychological safety in interprofessional simulation for health
professional learners: a scoping review of the barr…
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psnet.ahrq.gov/node/45417/psn-pdf
July 01, 2017 - A literature review of the training offered to qualified
prescribers to use electronic prescribing systems: why is
it so important?
July 1, 2017
Brown CL, Reygate K, Slee A, et al. A literature review of the training offered to qualified prescribers to use
electronic prescribing systems: why is it so important? In…
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psnet.ahrq.gov/node/843080/psn-pdf
January 25, 2023 - Bad things can happen: are medical students aware of
patient centered care and safety?
January 25, 2023
Gillissen A, Kochanek T, Zupanic M, et al. Bad things can happen: are medical students aware of patient
centered care and safety? Diagnosis (Berl). 2023;10(2):110-120. doi:10.1515/dx-2022-0072.
https://psnet.ahr…
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psnet.ahrq.gov/node/74718/psn-pdf
February 02, 2022 - Medication-related interventions to improve medication
safety and patient outcomes on transition from adult
intensive care settings: a systematic review and meta-
analysis.
February 2, 2022
Bourne RS, Jennings JK, Panagioti M, et al. Medication-related interventions to improve medication safety
and patient outcom…
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psnet.ahrq.gov/node/46309/psn-pdf
December 22, 2018 - Effects of the I-PASS nursing handoff bundle on
communication quality and workflow.
December 22, 2018
Starmer AJ, Schnock KO, Lyons A, et al. Effects of the I-PASS Nursing Handoff Bundle on communication
quality and workflow. BMJ Qual Saf. 2017;26(12):949-957. doi:10.1136/bmjqs-2016-006224.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/73446/psn-pdf
June 30, 2021 - A comprehensive departmental care review model:
requirements, structure, and flow.
June 30, 2021
Nestler DM, Laack TA, Scanlan-Hanson L, et al. A comprehensive departmental care review model:
requirements, structure, and flow. Jt Comm J Qual Patient Saf. 2021;47(8):503-509.
doi:10.1016/j.jcjq.2021.04.009.
https:/…
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psnet.ahrq.gov/node/73425/psn-pdf
June 23, 2021 - A qualitative study of what care workers do to provide
patient safety at home through telecare.
June 23, 2021
Stokke R, Melby L, Isaksen J, et al. A qualitative study of what care workers do to provide patient safety at
home through telecare. BMC Health Serv Res. 2021;21(1):553. doi:10.1186/s12913-021-06556-4.
htt…
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psnet.ahrq.gov/node/73286/psn-pdf
May 19, 2021 - Engineering care transitions: clinician perceptions of
barriers to safe medication management during
transitions of patient care.
May 19, 2021
Hannum SM, Abebe E, Xiao Y, et al. Engineering care transitions: clinician perceptions of barriers to safe
medication management during transitions of patient care. Appl Er…
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psnet.ahrq.gov/node/50912/psn-pdf
February 26, 2020 - Emotionally evocative patients in the emergency
department: a mixed methods investigation of providers'
reported emotions and implications for patient safety
February 26, 2020
Isbell LM, Tager J, Beals K, et al. Emotionally evocative patients in the emergency department: a mixed
methods investigation of providers’…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/clinical-faqs.html
March 01, 2017 - Appendix F. CAUTI Prevention in Long-Term Care: Frequently Asked Questions
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
The frequently asked questions (FAQs) are intended to support facilities in the implementation of catheter-associated urinary tract infections (CAUTI) and other healthcare-…