-
psnet.ahrq.gov/node/46557/psn-pdf
November 22, 2017 - Safe handover.
November 22, 2017
Merten H, van Galen LS, Wagner C. Safe handover. BMJ. 2017;359:j4328. doi:10.1136/bmj.j4328.
https://psnet.ahrq.gov/issue/safe-handover
Patient handovers between clinical teams are a common point of information exchange that can be
challenging to perform due to interruptions, produ…
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psnet.ahrq.gov/node/44329/psn-pdf
September 04, 2016 - Electronic medication reconciliation and medication
errors.
September 4, 2016
Hron JD, Manzi S, Dionne R, et al. Electronic medication reconciliation and medication errors. Int J Qual
Health Care. 2015;27(4):314-9. doi:10.1093/intqhc/mzv046.
https://psnet.ahrq.gov/issue/electronic-medication-reconciliation-and-med…
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psnet.ahrq.gov/node/47821/psn-pdf
May 22, 2019 - Patient Safety.
May 22, 2019
National Pharmacy Association; NPA.
https://psnet.ahrq.gov/issue/patient-safety-15
This website for independent community pharmacy owners across the United Kingdom features both free
and members-only guidance, reporting platforms, and document templates to support patient safety. It
i…
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psnet.ahrq.gov/node/837076/psn-pdf
May 11, 2022 - AHRQ Challenge on Innovative Solutions To Update or
Re-Create TeamSTEPPS Videos.
May 11, 2022
Rockville, MD; Agency for Healthcare Research and Quality: April 2022.
https://psnet.ahrq.gov/issue/ahrq-challenge-innovative-solutions-update-or-re-create-teamstepps-videos
TeamSTEPPS promotes effective teamwork, collabo…
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psnet.ahrq.gov/node/44240/psn-pdf
June 23, 2015 - Risks are high at low-volume hospitals.
June 23, 2015
Sternberg S; Dougherty G.
https://psnet.ahrq.gov/issue/risks-are-high-low-volume-hospitals
This news article reports an independent analysis of patient risk at hospitals that provide surgeries they
infrequently perform, highlighting how high procedure volume an…
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psnet.ahrq.gov/node/43984/psn-pdf
November 16, 2015 - Improving resident handoffs for children transitioning
from the intensive care unit.
November 16, 2015
Warrick D, Gonzalez-del-Rey J, Hall D, et al. Improving resident handoffs for children transitioning from the
intensive care unit. Hosp Pediatr. 2015;5(3):127-33. doi:10.1542/hpeds.2014-0067.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/44237/psn-pdf
November 03, 2015 - Consistent with prior studies, the authors
recommend enhancing communication among team members to augment
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psnet.ahrq.gov/node/38193/psn-pdf
November 05, 2008 - hospital-finances-and-patient-safety-outcomes
https://psnet.ahrq.gov/issue/drive-toward-transparency-enhancing-openness-and-accountability
-
psnet.ahrq.gov/node/39745/psn-pdf
September 09, 2010 - duty-hours-emergency-medicine-balancing-patient-safety-resident-wellness-and-resident
https://psnet.ahrq.gov/issue/resident-duty-hours-enhancing-sleep-supervision-and-safety
-
psnet.ahrq.gov/node/47035/psn-pdf
April 18, 2018 - should take to
improve diagnosis in primary care, such as leading efforts to reduce diagnostic error, enhancing
-
psnet.ahrq.gov/node/36804/psn-pdf
August 26, 2011 - analysis-surgical-errors-closed-malpractice-claims-4-liability-insurers
https://psnet.ahrq.gov/issue/enhancing-patient-safety-during-hand-offs-standardized-communication-and-teamwork-using-sbar
-
psnet.ahrq.gov/node/42619/psn-pdf
January 23, 2019 - organizational safety and reliability from other
industries, the authors identify three key domains critical to enhancing
-
psnet.ahrq.gov/node/40364/psn-pdf
July 01, 2011 - psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance
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psnet.ahrq.gov/node/40859/psn-pdf
October 19, 2011 - issue/why-patient-summaries-electronic-health-records-do-not-provide-cognitive-
support-necessary
By enhancing
-
psnet.ahrq.gov/node/43764/psn-pdf
July 03, 2016 - This
commentary describes a rounding process that focuses on enhancing safety culture, engaging patients
-
psnet.ahrq.gov/node/39197/psn-pdf
January 06, 2010 - root-cause-analysis
https://psnet.ahrq.gov/primer/never-events
https://psnet.ahrq.gov/issue/resident-duty-hours-enhancing-sleep-supervision-and-safety
-
psnet.ahrq.gov/node/43027/psn-pdf
July 23, 2014 - improving-team-information-sharing-structured-call-out-anaesthetic-emergencies-randomized
https://psnet.ahrq.gov/issue/enhancing-patient-safety-during-hand-offs-standardized-communication-and-teamwork-using-sbar
-
psnet.ahrq.gov/node/44513/psn-pdf
September 23, 2015 - recommendations to improve diagnosis, including promoting teamwork among interdisciplinary health care
teams, enhancing
-
psnet.ahrq.gov/node/47516/psn-pdf
December 19, 2018 - Diverse stakeholders in Australia established an agenda for enhancing test result management,
which
-
psnet.ahrq.gov/node/44819/psn-pdf
June 21, 2016 - notes the lack of systems to ensure clinicians' awareness of patients' opioid
overdoses and recommends enhancing