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psnet.ahrq.gov/node/47653/psn-pdf
January 16, 2019 - Exploring pharmacist experiences of delivering
individualised prescribing error feedback in an acute
hospital setting.
January 16, 2019
Lloyd M, Watmough SD, O'Brien S, et al. Exploring pharmacist experiences of delivering individualised
prescribing error feedback in an acute hospital setting. Res Social Adm Pharm…
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psnet.ahrq.gov/node/44654/psn-pdf
November 11, 2015 - Reduction in chemotherapy order errors with
computerised physician order entry and clinical decision
support systems.
November 11, 2015
Reduction in chemotherapy order errors with computerised physician order entry and clinical decision
support systems. HIM J. 2015;44.
https://psnet.ahrq.gov/issue/reduction-chemo…
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psnet.ahrq.gov/node/864866/psn-pdf
March 20, 2024 - 2024 National Impact Assessment of the Centers for
Medicare & Medicaid Services (CMS) Quality Measures
Report.
March 20, 2024
Baltimore, MD: US Department of Health and Human Services; 2024.
https://psnet.ahrq.gov/issue/2024-national-impact-assessment-centers-medicare-medicaid-services-cms-
quality-measures
Data…
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psnet.ahrq.gov/node/45673/psn-pdf
December 07, 2016 - Report on the Safe Use of Pick Lists in Ambulatory Care
Settings.
December 7, 2016
Rizk S, Oguntebi G, Graber ML, Johnston D. Research Triangle Park, NC: RTI International; 2016.
https://psnet.ahrq.gov/issue/report-safe-use-pick-lists-ambulatory-care-settings
Standard term selection tools—like pick lists or drop-d…
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psnet.ahrq.gov/node/41917/psn-pdf
May 04, 2022 - ISMP Guidelines for Sterile Compounding and the Safe
Use of Sterile Compounding Technology.
May 4, 2022
Plymouth Meeting, PA: Institute for Safe Medication Practices; 2022.
https://psnet.ahrq.gov/issue/ismp-guidelines-sterile-compounding-and-safe-use-sterile-compounding-
technology
This updated report describes b…
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psnet.ahrq.gov/node/73298/psn-pdf
May 19, 2021 - The Future of Nursing 2020-2030: Charting a Path to
Achieve Health Equity.
May 19, 2021
National Academies of Sciences, Engineering, and Medicine. Washington DC: National
Academies Press; 2021. ISBN: 9780309685061.
https://psnet.ahrq.gov/issue/future-nursing-2020-2030-charting-path-achieve-he…
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psnet.ahrq.gov/node/45896/psn-pdf
March 15, 2017 - Medication governance: preventing errors and promoting
patient safety.
March 15, 2017
Kavanagh C. Medication governance: preventing errors and promoting patient safety. Br J Nurs.
2017;26(3):159-165. doi:10.12968/bjon.2017.26.3.159.
https://psnet.ahrq.gov/issue/medication-governance-preventing-errors-and-promoting…
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psnet.ahrq.gov/node/44918/psn-pdf
April 13, 2016 - National Reporting and Learning System Research and
Development.
April 13, 2016
Mayer E, Flott K, Callahan R, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research
Centre; 2016.
https://psnet.ahrq.gov/issue/national-reporting-and-learning-system-research-and-development
Incident reporting has a…
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psnet.ahrq.gov/node/44967/psn-pdf
March 16, 2016 - Wrong site surgery: a critical incident analysis of a near
miss.
March 16, 2016
Tichanow S. Wrong site surgery: A critical incident analysis of a near miss. J Perioper Pract. 2016;26(1-
2):11-5.
https://psnet.ahrq.gov/issue/wrong-site-surgery-critical-incident-analysis-near-miss
Despite efforts to prevent wrong-s…
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psnet.ahrq.gov/issue/what-has-been-impact-covid-19-safety-culture-case-study-large-metropolitan-teaching-hospital
May 05, 2021 - Study
What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust.
Citation Text:
Denning M, Goh ET, Scott A, et al. What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust. Int J …
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psnet.ahrq.gov/node/49521/psn-pdf
September 12, 2006 - A Troubling Amine
September 1, 2006
Flynn EA. A Troubling Amine. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/troubling-amine
The Case
A 43-year-old woman was admitted to the intensive care unit for symptoms of heart and respiratory failure.
She was found to have severe mitral and tricuspid valve regurgi…
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psnet.ahrq.gov/node/33856/psn-pdf
April 01, 2018 - Many institutions have developed multipronged approaches to enhancing postdischarge care.
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psnet.ahrq.gov/training-catalog/ihi-patient-safety-and-quality-emerging-leaders
March 03, 2025 - IHI Patient Safety and Quality for Emerging Leaders
Save
Save to your library
Print
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Organization:
Organization
Institute for Healthcare Improvement (IHI)
…
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psnet.ahrq.gov/node/44597/psn-pdf
October 28, 2015 - Smarter clinical checklists: how to minimize checklist
fatigue and maximize clinician performance.
October 28, 2015
Grigg EB. Smarter Clinical Checklists: How to Minimize Checklist Fatigue and Maximize Clinician
Performance. Anesth Analg. 2015;121(2):570-3. doi:10.1213/ANE.0000000000000352.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/45034/psn-pdf
February 25, 2019 - Future directions for diagnostic decision support.
February 25, 2019
Carr S. ImproveDx. April 2016;3:1-3.
https://psnet.ahrq.gov/issue/future-directions-diagnostic-decision-support
Clinical decision support systems are tools being used to augment clinical reasoning and diagnostic
accuracy. This newsletter article …
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psnet.ahrq.gov/node/857457/psn-pdf
December 06, 2023 - 'Corridor care' in the emergency department: managing
patient care in non-clinical areas safely and efficiently.
December 6, 2023
Williams C. ‘Corridor care’ in the emergency department: managing patient care in non-clinical areas safely
and efficiently. Emerg Nurse. 2023;31(6):34-41. doi:10.7748/en.2023.e2187.
ht…
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psnet.ahrq.gov/node/74721/psn-pdf
February 02, 2022 - Hospital at Home: setting a regulatory course to ensure
safe, high-quality care.
February 2, 2022
DeCherrie LV, Leff B, Levine DM, et al. Hospital at Home: setting a regulatory course to ensure safe, high-
quality care. Jt Comm J Qual Patient Saf. 2022;48(3):180-184. doi:10.1016/j.jcjq.2021.12.003.
https://psnet.a…
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psnet.ahrq.gov/node/45073/psn-pdf
May 11, 2016 - Promoting patient safety: results of a TeamSTEPPS
initiative.
May 11, 2016
Gaston T, Short N, Ralyea C, et al. Promoting patient safety: results of a TeamSTEPPS initiative. J Nurs
Adm. 2016;46(4):201-207. doi:10.1097/nna.0000000000000333.
https://psnet.ahrq.gov/issue/promoting-patient-safety-results-teamstepps-ini…
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psnet.ahrq.gov/node/73170/psn-pdf
April 21, 2021 - Sentinel Event Alert 63: optimizing smart infusion pump
safety with DERS.
April 21, 2021
Sentinel Event Alert 63: Optimizing Smart Infusion Pump Safety with DERS. Jt Comm J Qual Patient Saf.
2021;47(6):394-397. doi:10.1016/j.jcjq.2021.03.013.
https://psnet.ahrq.gov/issue/sentinel-event-alert-63-optimizing-smart-in…
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psnet.ahrq.gov/node/44234/psn-pdf
September 09, 2015 - Improving the reliability of verbal communication between
primary care physicians and pediatric hospitalists at
hospital discharge.
September 9, 2015
Mussman GM, Vossmeyer MT, Brady PW, et al. Improving the reliability of verbal communication between
primary care physicians and pediatric hospitalists at hospital d…