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psnet.ahrq.gov/node/46732/psn-pdf
June 07, 2018 - The SAGES Fundamental Use of Surgical Energy program
(FUSE): history, development, and purpose.
June 7, 2018
Fuchshuber P, Schwaitzberg S, Jones D, et al. The SAGES Fundamental Use of Surgical Energy program
(FUSE): history, development, and purpose. Surg Endosc. 2018;32(6):2583-2602. doi:10.1007/s00464-
017-5933-…
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psnet.ahrq.gov/node/45651/psn-pdf
November 16, 2016 - Improving patient safety through the involvement of
patients: development and evaluation of novel
interventions to engage patients in preventing patient
safety incidents and protecting them against unintended
harm.
November 16, 2016
Wright J, Lawton R, O’Hara J, et al. Improving Patient Safety Through The Involve…
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psnet.ahrq.gov/node/867342/psn-pdf
December 11, 2024 - Does one size fit all? Developing an evaluation strategy to
assess large language models for patient safety event
report analysis.
December 11, 2024
Fong A, Adams KT, Boxley C, et al. Does one size fit all? Developing an evaluation strategy to assess
large language models for patient safety event report analysis. …
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psnet.ahrq.gov/node/35969/psn-pdf
August 10, 2010 - Systematic review: impact of health information
technology on quality, efficiency, and costs of medical
care.
August 10, 2010
Chaudhry B, Wang J, Wu S, et al. Systematic review: impact of health information technology on quality,
efficiency, and costs of medical care. Ann Intern Med. 2006;144(10):742-52.
https://…
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psnet.ahrq.gov/node/47537/psn-pdf
November 14, 2018 - Developing a learning health system: insights from a
qualitative process evaluation of a pharmacist-led
electronic audit and feedback intervention to improve
medication safety in primary care.
November 14, 2018
Jeffries M, Keers RN, Phipps D, et al. Developing a learning health system: Insights from a qualitative
…
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psnet.ahrq.gov/node/44774/psn-pdf
June 21, 2016 - Association of safety culture with surgical site infection
outcomes.
June 21, 2016
Fan CJ, Pawlik TM, Daniels T, et al. Association of safety culture with surgical site infection outcomes. J
Am Coll Surg. 2016;222(2):122-128. doi:10.1016/j.jamcollsurg.2015.11.008.
https://psnet.ahrq.gov/issue/association-safety-cu…
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psnet.ahrq.gov/node/45091/psn-pdf
February 14, 2017 - The interplay between teamwork, clinicians' emotional
exhaustion, and clinician-rated patient safety: a
longitudinal study.
February 14, 2017
Welp A, Meier LL, Manser T. The interplay between teamwork, clinicians' emotional exhaustion, and
clinician-rated patient safety: a longitudinal study. Crit Care. 2016;20(1)…
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psnet.ahrq.gov/node/844764/psn-pdf
September 11, 2019 - IV Push Gap Analysis Tool (GAT) helps uncover national
priorities for safe injection practices.
September 11, 2019
ISMP Medication Safety Alert! Acute Care Edition. August 29, 2019;24.
https://psnet.ahrq.gov/issue/iv-push-gap-analysis-tool-gat-helps-uncover-national-priorities-safe-injection-
practices
Mistakes i…
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psnet.ahrq.gov/node/72671/psn-pdf
January 27, 2021 - Will the COVID-19 pandemic transform infection
prevention and control in surgery? Seeking leverage
points for organizational learning.
January 27, 2021
Toccafondi G, Di Marzo F, Sartelli M, et al. Int J Qual Health Care. 2021;33(Supp 1):51-55.
https://psnet.ahrq.gov/issue/will-covid-19-pandemic-…
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psnet.ahrq.gov/node/42980/psn-pdf
February 17, 2017 - Disclosing adverse events to patients: international
norms and trends.
February 17, 2017
Wu AW, McCay L, Levinson W, et al. Disclosing Adverse Events to Patients: International Norms and
Trends. J Patient Saf. 2017;13(1):43-49. doi:10.1097/PTS.0000000000000107.
https://psnet.ahrq.gov/issue/disclosing-adverse-event…
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psnet.ahrq.gov/node/43205/psn-pdf
April 04, 2018 - Placing Diagnosis Errors on the Policy Agenda.
April 4, 2018
Berenson RA, Upadhyay D, Kaye DR. Washington, DC: Urban Institute. Princeton, NJ: Robert Wood
Johnson Foundation; 2014.
https://psnet.ahrq.gov/issue/placing-diagnosis-errors-policy-agenda
This comprehensive policy brief emphasizes the importance of addre…
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psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
September 01, 2011 - Hospitals could turn incident reports into modern tools for enhancing patient safety by, in order of … Clinical Risk Management: Enhancing Patient Safety. 2nd ed. London: BMJ Books; 2001:419-438. … In: Enhancing Patient Safety and Reducing Errors in Health Care, Chicago; 1999.
15.
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psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
September 01, 2011 - Hospitals could turn incident reports into modern tools for enhancing patient safety by, in order of … Clinical Risk Management: Enhancing Patient Safety. 2nd ed. London: BMJ Books; 2001:419-438. … In: Enhancing Patient Safety and Reducing Errors in Health Care, Chicago; 1999.
15.
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psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
February 01, 2010 - recommended reducing fatigue through limiting the length of extended shifts to less than 16 hours, enhancing … Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. … Nasca, MD
February 1, 2010
Resident Duty Hours: Enhancing Sleep, Supervision
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psnet.ahrq.gov/node/44114/psn-pdf
September 27, 2016 - Advancing the future of patient safety in oncology:
implications of patient safety education on cancer care
delivery.
September 27, 2016
James TA, Goedde M, Bertsch T, et al. Advancing the Future of Patient Safety in Oncology: Implications of
Patient Safety Education on Cancer Care Delivery. J Cancer Educ. 2016;31…
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psnet.ahrq.gov/node/45950/psn-pdf
July 18, 2017 - Developing and evaluating an automated all-cause harm
trigger system.
July 18, 2017
Sammer C, Miller S, Jones C, et al. Developing and Evaluating an Automated All-Cause Harm Trigger
System. Jt Comm J Qual Patient Saf. 2017;43(4):155-165. doi:10.1016/j.jcjq.2017.01.004.
https://psnet.ahrq.gov/issue/developing-and-e…
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psnet.ahrq.gov/node/865922/psn-pdf
May 22, 2024 - Pharmacy-driven performance improvement initiative to
increase compliance with intravenous smart pump drug
error reduction systems at a large urban academic
medical center.
May 22, 2024
Abboudi E, Baron SW, Goriacko P, et al. Pharmacy-driven performance improvement initiative to increase
compliance with intraveno…
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psnet.ahrq.gov/node/47207/psn-pdf
July 19, 2018 - National quality program achieves improvements in
safety culture and reduction in preventable harms in
community hospitals.
July 19, 2018
Frush K, Chamness C, Olson B, et al. National Quality Program Achieves Improvements in Safety Culture
and Reduction in Preventable Harms in Community Hospitals. Jt Comm J Qual P…
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psnet.ahrq.gov/node/72468/psn-pdf
November 18, 2020 - Development of rapid response capabilities in a large
COVID-19 alternate care site using Failure Modes and
Effect Analysis with in situ simulation.
November 18, 2020
Levy N, Zucco L, Ehrlichman RJ, et al. Development of rapid response capabilities in a large COVID-19
alternate care site using Failure Modes and Eff…
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psnet.ahrq.gov/node/43190/psn-pdf
September 04, 2015 - Pediatric obesity and safety in inpatient settings: a
systematic literature review.
September 4, 2015
Halvorson EE, Irby MB, Skelton JA. Pediatric obesity and safety in inpatient settings: a systematic literature
review. Clin Pediatr (Phila). 2014;53(10):975-87. doi:10.1177/0009922814533406.
https://psnet.ahrq.gov…