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psnet.ahrq.gov/node/43943/psn-pdf
December 04, 2015 - Culture Change in the NHS: Applying the Lessons of the
Francis Inquiries.
December 4, 2015
Department of Health. London, England: Crown Publishing; February 2015. ISBN: 9781474112116.
https://psnet.ahrq.gov/issue/culture-change-nhs-applying-lessons-francis-inquiries
The Francis inquiry uncovered numerous problems …
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psnet.ahrq.gov/node/44002/psn-pdf
March 25, 2015 - Preventing medication errors in transitions of care: a
patient case approach.
March 25, 2015
Johnson A, Guirguis E, Grace Y. Preventing medication errors in transitions of care: A patient case
approach. J Am Pharm Assoc (2003). 2015;55(2):e264-276. doi:10.1331/JAPhA.2015.15509.
https://psnet.ahrq.gov/issue/prevent…
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psnet.ahrq.gov/node/36684/psn-pdf
June 13, 2011 - Implementation of an electronic system for medication
reconciliation.
June 13, 2011
Kramer JS, Hopkins PJ, Rosendale JC, et al. Implementation of an electronic system for medication
reconciliation. Am J Health-Syst Pharm. 2007;64(4):404-422. doi:10.2146/ajhp060506.
https://psnet.ahrq.gov/issue/implementation-elect…
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psnet.ahrq.gov/node/50785/psn-pdf
January 08, 2020 - Moving Measurement into Action: Global Principles for
Measuring Patient Safety.
January 8, 2020
IHI Lucian Leape Institute. Boston, MA: Institute for Healthcare Improvement, Salzburg Global Seminar;
December 2019.
https://psnet.ahrq.gov/issue/moving-measurement-action-global-principles-measuring-patient-safety
Me…
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psnet.ahrq.gov/node/44479/psn-pdf
September 09, 2015 - Health literacy in primary care practice.
September 9, 2015
Hersh L, Salzman B, Snyderman D. Health Literacy in Primary Care Practice. Am Fam Physician.
2015;92(2):118-124.
https://psnet.ahrq.gov/issue/health-literacy-primary-care-practice
Limited health literacy can lead to patients misunderstanding care instruct…
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psnet.ahrq.gov/node/866285/psn-pdf
October 30, 2023 - Executive Order on the Safe, Secure, and Trustworthy
Development and Use of Artificial Intelligence.
October 30, 2023
Washington DC: The White House; October 30, 2023. EO 14110.
https://psnet.ahrq.gov/issue/executive-order-safe-secure-and-trustworthy-development-and-use-artificial-
intelligence
Artificial in…
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psnet.ahrq.gov/node/47011/psn-pdf
June 20, 2018 - Standardized Competencies for Parenteral Nutrition
Administration: the ASPEN Model.
June 20, 2018
Guenter P, Worthington P, Ayers P, et al. Standardized Competencies for Parenteral Nutrition
Administration: The ASPEN Model. Nutr Clin Pract. 2018;33(2):295-304. doi:10.1002/ncp.10055.
https://psnet.ahrq.gov/issue/st…
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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/60669/psn-pdf
July 08, 2020 - Participation in a system-thinking simulation experience
changes adverse event reporting.
July 8, 2020
Sanko JS, Mckay M. Participation in a system-thinking simulation experience changes adverse event
reporting. Simul Healthc. 2020;15(3):167-171. doi:10.1097/sih.0000000000000473.
https://psnet.ahrq.gov/issue/parti…
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psnet.ahrq.gov/node/46254/psn-pdf
October 09, 2017 - Using risk stratification to reduce medical errors in
cervical cancer prevention.
October 9, 2017
Perkins RB, Cain JM, Feldman S. Using Risk Stratification to Reduce Medical Errors in Cervical Cancer
Prevention. JAMA Intern Med. 2017;177(10):1411-1412. doi:10.1001/jamainternmed.2017.3999.
https://psnet.ahrq.gov/is…
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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.