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psnet.ahrq.gov/node/40105/psn-pdf
December 22, 2010 - Enhancing patient safety in the pediatric emergency
department: teams, communication, and lessons from
crew resource management.
December 22, 2010
Pruitt CM, Liebelt EL. Enhancing patient safety in the pediatric emergency department: teams,
communication, and lessons from crew resource management. Pediatr Emerg Ca…
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psnet.ahrq.gov/node/39042/psn-pdf
July 13, 2010 - Global oximetry: an international anaesthesia quality
improvement project.
July 13, 2010
Walker IA, Merry AF, Wilson IH, et al. Global oximetry: an international anaesthesia quality improvement
project. Anaesthesia. 2009;64(10):1051-60. doi:10.1111/j.1365-2044.2009.06067.x.
https://psnet.ahrq.gov/issue/global-oxim…
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psnet.ahrq.gov/node/45949/psn-pdf
July 11, 2017 - Beyond medication reconciliation: the correct medication
list.
July 11, 2017
Rose AJ, Fischer SH, Paasche-Orlow MK. Beyond Medication Reconciliation: The Correct Medication List.
JAMA. 2017;317(20):2057-2058. doi:10.1001/jama.2017.4628.
https://psnet.ahrq.gov/issue/beyond-medication-reconciliation-correct-medicati…
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psnet.ahrq.gov/node/854834/psn-pdf
January 01, 2024 - Bringing the equity lens to patient safety event reporting.
October 25, 2023
Gandhi TK, Schulson LB, Thomas AD. Bringing the equity lens to patient safety event reporting. Jt Comm J
Qual Patient Saf. 2024;50(1):87-89. doi:10.1016/j.jcjq.2023.09.003.
https://psnet.ahrq.gov/issue/bringing-equity-lens-patient-safety-e…
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psnet.ahrq.gov/node/764411/psn-pdf
March 02, 2022 - Nowhere is safe: record number of patients contracted
Covid in the hospital in January.
March 2, 2022
Levy R, Vestal AJ. Politico. February 19, 2022.
https://psnet.ahrq.gov/issue/nowhere-safe-record-number-patients-contracted-covid-hospital-january
Transmission of COVID-19 in the health care setting continues to b…
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psnet.ahrq.gov/node/865682/psn-pdf
April 24, 2024 - Global Medical Supply Chain Security.
April 24, 2024
Cadwallader AB, ed. AMA J Ethics. 2024;26(4):e275-e359.
https://psnet.ahrq.gov/issue/global-medical-supply-chain-security
Drug shortages are a known problem that gained patient safety prominence during the COVID-19
pandemic. This special issue covers a rang…
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psnet.ahrq.gov/node/853061/psn-pdf
August 30, 2023 - Drug shortages.
August 30, 2023
Aronson JK, Heneghan C, Ferner RE. Br J Clin Pharmacol. 2023;89(10):2950-2963.
https://psnet.ahrq.gov/issue/drug-shortages-0
Addressing drug shortages is a patient safety priority. Part One of this review summarizes existing
definitions for drug shortages and the harms that can occu…
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psnet.ahrq.gov/node/48169/psn-pdf
July 24, 2019 - 50 Years of Inquiries in the National Health Service.
July 24, 2019
Polit Q. 2019;90:177-342.
https://psnet.ahrq.gov/issue/50-years-inquiries-national-health-service
The National Health Service strategy of publishing their inquiries into systematic poor care in the health
service is a model of transparency. Articl…
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psnet.ahrq.gov/node/43440/psn-pdf
August 13, 2014 - Hospital Experiences Using Electronic Health Records to
Support Medication Reconciliation.
August 13, 2014
Grossman JM, Gourevitch R, Cross D. Washington, DC: National Institute for Health Care Reform; July
2014. NIHCR Research Brief No. 17.
https://psnet.ahrq.gov/issue/hospital-experiences-using-electronic-health…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/registry-of-patient-registries_research-2012-2_1.pdf
January 01, 2012 - ................................................................................................ 3
Ensuring … Accuracy of Information in the RoPR System .................................................... 4
Ensuring … Ensuring the Accuracy of Information in the RoPR System
Ensuring the accuracy of information in the … Ensuring Consistency of Terminology Within the RoPR System
Ensuring the consistency of terminology used
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psnet.ahrq.gov/node/49756/psn-pdf
April 01, 2016 - and at present there is no standard approach.(1) The
fundamental objective of a safe ICU transfer is ensuring … in the critical care world (5) and other
specialties (6) has improved patient outcomes, in part by ensuring … communication (Table
).(8) The importance of other factors associated with ICU transfers, such as ensuring
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psnet.ahrq.gov/perspective/weekend-effect
April 01, 2008 - In this case, ensuring that hospitals are consistently staffed at the same level 7 days a week could … In this case, hospitals could improve outcomes by ensuring that personnel and services are available … Interventions to improve outcomes would need to focus on ensuring early access to care for patients who
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psnet.ahrq.gov/issue/action-needed-prevent-dangerous-heparin-insulin-confusion
May 07, 2018 - February 13, 2019
Ensuring competency and safety when onboarding newly hired professional
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psnet.ahrq.gov/issue/patient-safety-20
July 01, 2018 - Patient Safety in Office-Based Care Settings
January 31, 2024
Ensuring
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psnet.ahrq.gov/issue/standardize-4-safety
June 17, 2014 - December 15, 2021
Strategies for Ensuring the Safe Use of Insulin Pens in the Hospital
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psnet.ahrq.gov/issue/compendium-2000-2005
September 06, 2011 - May 16, 2019
To Do No Harm: Ensuring Patient Safety in Health Care Organizations.
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psnet.ahrq.gov/issue/tips-topics-patient-safety
May 24, 2017 - January 17, 2012
Ensuring Correct Surgery.
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psnet.ahrq.gov/issue/doctors-say-im-sorry-see-you-court
February 24, 2010 - February 24, 2010
Ensuring medication reconciliation.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/wRAWvp7P8rdNS25gQLdAht
Clinicians should focus on ensuring that w omen receive adequate screening,
appropriate evaluation
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psnet.ahrq.gov/issue/quick-tips-when-planning-surgery
December 24, 2008 - May 1, 2016
Ensuring Correct Surgery.