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psnet.ahrq.gov/node/41303/psn-pdf
March 11, 2013 - Clinical risk management in hospitals: strategy, central
coordination and dialogue as key enablers.
March 11, 2013
Briner M, Manser T, Kessler O. Clinical risk management in hospitals: strategy, central coordination and
dialogue as key enablers. J Eval Clin Pract. 2013;19(2):363-369. doi:10.1111/j.1365-2753.2012.01…
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psnet.ahrq.gov/node/866567/psn-pdf
August 21, 2024 - A daily dose of communication to improve quality and
safety outcomes.
August 21, 2024
Halm MA. A daily dose of communication to improve quality and safety outcomes. Am J Crit Care.
2024;33(4):305-310. doi:10.4037/ajcc2024318.
https://psnet.ahrq.gov/issue/daily-dose-communication-improve-quality-and-safety-outcomes…
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psnet.ahrq.gov/node/73861/psn-pdf
September 22, 2021 - Bringing the clinical laboratory into the strategy to
advance diagnostic excellence.
September 22, 2021
Lubin IM, Astles J R, Shahangian S, et al. Bringing the clinical laboratory into the strategy to advance
diagnostic excellence. Diagnosis (Berl). 2021;8(3):281-294. doi:10.1515/dx-2020-0119.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/45958/psn-pdf
January 01, 2021 - The effects of bar-coding technology on medication
errors: a systematic literature review.
April 19, 2017
Hutton K, Ding Q, Wellman G. The Effects of Bar-coding Technology on Medication Errors: A Systematic
Literature Review. J Patient Saf. 2021;17(3):e192-e206. doi:10.1097/PTS.0000000000000366.
https://psnet.ahrq…
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psnet.ahrq.gov/node/43424/psn-pdf
August 13, 2014 - Office-based anesthesia: safety and outcomes.
August 13, 2014
Shapiro FE, Punwani N, Rosenberg NM, et al. Office-Based Anesthesia. Anesth Analg. 2014;119(2):276-
285. doi:10.1213/ane.0000000000000313.
https://psnet.ahrq.gov/issue/office-based-anesthesia-safety-and-outcomes
Office-based anesthesia has become more w…
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psnet.ahrq.gov/node/38409/psn-pdf
May 21, 2009 - The state of the evidence for computerized provider order
entry: a systematic review and analysis of the quality of
the literature.
May 21, 2009
Weir C, Staggers N, Phansalkar S. The state of the evidence for computerized provider order entry: a
systematic review and analysis of the quality of the literature. Int …
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psnet.ahrq.gov/node/35339/psn-pdf
April 23, 2014 - Disclosing harmful medical errors to patients: a time for
professional action.
April 23, 2014
Gallagher TH, Levinson W. Disclosing Harmful Medical Errors to Patients. Arch Intern Med. 2005;165(16).
doi:10.1001/archinte.165.16.1819.
https://psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-time-profes…
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psnet.ahrq.gov/node/42976/psn-pdf
May 29, 2014 - Quality and safety in pediatric hematology/oncology.
May 29, 2014
Mueller BU. Quality and safety in pediatric hematology/oncology. Pediatr Blood Cancer. 2014;61(6):966-9.
doi:10.1002/pbc.24946.
https://psnet.ahrq.gov/issue/quality-and-safety-pediatric-hematologyoncology
Children with cancer are particularly vulner…
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psnet.ahrq.gov/node/60153/psn-pdf
March 25, 2020 - A protocol for the safe use of hazardous drugs in the OR.
March 25, 2020
Hemingway MW, Meleis L, Oliver J, et al. A protocol for the safe use of hazardous drugs in the OR. AORN
J. 2020;111(3). doi:10.1002/aorn.12960.
https://psnet.ahrq.gov/issue/protocol-safe-use-hazardous-drugs-or
Perioperative personnel often ca…
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psnet.ahrq.gov/node/45526/psn-pdf
January 01, 2019 - Improving incident reporting among physician trainees.
September 28, 2016
Krouss M, Alshaikh J, Croft LD, et al. Improving Incident Reporting Among Physician Trainees. J Patient
Saf. 2019;15(4):308-310. doi:10.1097/PTS.0000000000000325.
https://psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-train…
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digital.ahrq.gov/ahrq-funded-projects/enhancing-medication-cpoe-safety-and-quality-indications-based-prescribing/citation/comparison
January 01, 2023 - Comparison of a prototype for indications-based prescribing with 2 commercial prescribing systems.
Citation
Garabedian PM, Wright A, Newbury I, Volk LA, Salazar A, Amato MG, Nathan AW, Forsythe KJ, Galanter WL, Kron K, Myers S, Abraham J, McCord SK, Eguale T, Bates DW, Schiff GD. Comparison of a prot…
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digital.ahrq.gov/ahrq-funded-projects/mobile-app-enhance-smoking-cessation-shared-decision-making-primary-care/citation/challenges
January 01, 2023 - Challenges in the development of e-Quit worRx: an iPad app for smoking cessation counseling and shared decision making in primary care.
Citation
Doarn CR, Vonder Meulen MB, Pallerla H, Acquavita SP, Regan S, Elder N, Tubb MR. Challenges in the development of e-Quit worRx: an iPad app for smoking cess…
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digital.ahrq.gov/organization/university-kentucky
January 01, 2023 - University of Kentucky
Disseminating and Implementing MedSMA℞T Families in Emergency Departments: A Randomized Control Trial to Assess Effectiveness of an Evidence-Based Gaming Intervention to Reduce Opioid Misuse
Description
This research tests the effectiveness of MedSMA℞T M…
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psnet.ahrq.gov/node/73971/psn-pdf
October 13, 2021 - Safety culture as a patient safety practice for alarm
fatigue.
October 13, 2021
Winters BD, Slota JM, Bilimoria KY. Safety culture as a patient safety practice for alarm fatigue. JAMA.
2021;326(12):1207-1208. doi:10.1001/jama.2021.8316.
https://psnet.ahrq.gov/issue/safety-culture-patient-safety-practice-alarm-fati…
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psnet.ahrq.gov/node/74166/psn-pdf
March 14, 2022 - Preventing home medication administration errors.
March 14, 2022
Yin HS, Neuspiel DR, Paul IM, et al. Preventing home medication administration errors. Pediatrics.
2021;148(6):e2021054666. doi:10.1542/peds.2021-054666.
https://psnet.ahrq.gov/issue/preventing-home-medication-administration-errors
Children with comp…
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psnet.ahrq.gov/node/840168/psn-pdf
January 01, 2023 - The debrief imperative: building teaming competencies
and team effectiveness.
November 16, 2022
Tannenbaum SI, Greilich PE. The debrief imperative: building teaming competencies and team
effectiveness. BMJ Qual Saf. 2023;32(3):125-128. doi:10.1136/bmjqs-2022-015259.
https://psnet.ahrq.gov/issue/debrief-imperative-…
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psnet.ahrq.gov/node/60672/psn-pdf
July 08, 2020 - The Care We Need
July 8, 2020
Washington DC: National Quality Forum; 2020.
https://psnet.ahrq.gov/issue/care-we-need
This report builds on the legacy of To Err is Human and Crossing the Quality Chasm to outline an approach
to improve the US health care system. Five strategic objectives are provided--one of which f…
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psnet.ahrq.gov/node/43334/psn-pdf
July 16, 2014 - Changing our culture: adopting the military aviation
safety system.
July 16, 2014
Kerber CW. Changing our culture: adopting the military aviation safety system. J Neurointerv Surg.
2014;6(5):332-41. doi:10.1136/neurintsurg-2013-011070.
https://psnet.ahrq.gov/issue/changing-our-culture-adopting-military-aviation-sa…
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digital.ahrq.gov/ahrq-funded-projects/evaluating-and-enhancing-health-information-technology-covid-19-response/citation/navigating
January 01, 2023 - Navigating infection control processes in a COVID-19 only safety-net hospital at the height of the pandemic.
Citation
Kaufman DR, Senathirajah Y, Cato K, Kushniruk A, Borycki E, Minshal S, Roblin P, Daniel P. Navigating infection control processes in a COVID-19 only safety-net hospital at the height o…
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psnet.ahrq.gov/node/42089/psn-pdf
March 06, 2013 - Organizational culture: an important context for
addressing and improving hospital to community patient
discharge.
March 6, 2013
Hesselink G, Vernooij-Dassen M, Pijnenborg L, et al. Organizational culture: an important context for
addressing and improving hospital to community patient discharge. Med Care. 2013;51(…