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psnet.ahrq.gov/node/838258/psn-pdf
October 05, 2022 - Solutions from Professional Regulation and Beyond.
October 5, 2022
Safer Care for All. London, England: Professional Standards Authority for Health and Social Care;
2022.
https://psnet.ahrq.gov/issue/solutions-professional-regulation-and-beyond
Dedicated leadership is an important component to examine and ad…
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psnet.ahrq.gov/node/74167/psn-pdf
December 08, 2021 - National Patient Safety Board Advocacy Coalition.
December 8, 2021
EQT Plaza, 625 Liberty Ave, Ste. 2500, Pittsburgh, PA 15222.
https://psnet.ahrq.gov/issue/national-patient-safety-board-advocacy-coalition
Centralized reporting and analysis of adverse events in health care is a safety improvement model from the
av…
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psnet.ahrq.gov/node/45550/psn-pdf
August 01, 2023 - Leape Ahead Award.
August 1, 2023
American Association for Physician Leadership.
https://psnet.ahrq.gov/issue/leape-ahead-award
Efforts to incorporate respect and patient safety concepts into medical training have been inspired by the
work and leadership of Dr. Lucian Leape, founding chairman of the Lucian Leape I…
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psnet.ahrq.gov/node/72685/psn-pdf
January 27, 2021 - Human Factors and Ergonomics in Healthcare.
January 27, 2021
Carayon P, Hignett S, Albolino S eds. Int J Qual Health Care. 2021;33(Supp1):1-71.
https://psnet.ahrq.gov/issue/human-factors-and-ergonomics-healthcare
Human factors approaches have been identified as one of the primary vehicles to create las…
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psnet.ahrq.gov/node/845079/psn-pdf
February 22, 2023 - Pump up the volume: how to prioritize events and analyze
error data.
February 22, 2023
ISMP Medication Safety Alert! Acute care edition. February 9, 2023;28(3):1-4.
https://psnet.ahrq.gov/issue/pump-volume-how-prioritize-events-and-analyze-error-data
Patient safety event reporting is an established component of a …
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psnet.ahrq.gov/issue/perceptions-pediatric-hospital-safety-culture-united-states-analysis-2016-hospital-survey
January 19, 2022 - Study
Perceptions of pediatric hospital safety culture in the United States: an analysis of the 2016 Hospital Survey on Patient Safety Culture.
Citation Text:
Gampetro PJ, Segvich JP, Jordan N, et al. Perceptions of Pediatric Hospital Safety Culture in the United States: An Analysis of t…
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psnet.ahrq.gov/node/35170/psn-pdf
October 07, 2016 - Center for Patient Safety.
October 7, 2016
Missouri State Medical Association; Missouri Hospital Association; Primaris
https://psnet.ahrq.gov/issue/center-patient-safety
The Missouri Center for Patient Safety is dedicated to improving patient safety in Missouri by applying
evidence-based methods and best practices…
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psnet.ahrq.gov/node/38086/psn-pdf
May 05, 2018 - Don't underestimate the impact of change on risk
potential.
May 5, 2018
ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3.
https://psnet.ahrq.gov/issue/dont-underestimate-impact-change-risk-potential
This article discusses a medication error associated with a new smart pump system and des…
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psnet.ahrq.gov/node/36918/psn-pdf
September 01, 2011 - Developing a culture of safety in ambulatory care
settings.
September 1, 2011
Shostek K. Developing a culture of safety in ambulatory care settings. J Ambul Care Manage.
2007;30(2):105-13.
https://psnet.ahrq.gov/issue/developing-culture-safety-ambulatory-care-settings
The author discusses the issues involved in e…
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psnet.ahrq.gov/node/33945/psn-pdf
March 17, 2011 - Massachusetts Coalition for the Prevention of Medical
Errors.
March 17, 2011
Massachusetts Coalition for the Prevention of Medical Errors
https://psnet.ahrq.gov/issue/massachusetts-coalition-prevention-medical-errors
The Massachusetts Coalition for the Prevention of Medical Errors was established to improve patien…
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psnet.ahrq.gov/issue/visual-medication-schedule-improve-anticoagulation-control-randomized-controlled-trial
October 21, 2010 - Study
A visual medication schedule to improve anticoagulation control: a randomized, controlled trial.
Citation Text:
Machtinger EL, Wang F, Chen L-L, et al. A visual medication schedule to improve anticoagulation control: a randomized, controlled trial. Jt Comm J Qual Patient Saf. 2007;…
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psnet.ahrq.gov/issue/persistent-next-day-effects-excessive-alcohol-consumption-laparoscopic-surgical-performance
August 25, 2011 - Study
Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance.
Citation Text:
Gallagher AG, Boyle E, Toner P, et al. Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance. Arch Surg. 2011;146(4):419-26.…
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psnet.ahrq.gov/issue/use-medical-emergency-teams-medical-and-surgical-patients-impact-patient-nurse-and
November 09, 2011 - Study
The use of medical emergency teams in medical and surgical patients: impact of patient, nurse and organisational characteristics.
Citation Text:
Schmid-Mazzoccoli A, Hoffman LA, Wolf GA, et al. The use of medical emergency teams in medical and surgical patients: impact of patient,…
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psnet.ahrq.gov/node/847057/psn-pdf
April 05, 2023 - Implement strategies to prevent persistent medication
errors and hazards.
April 5, 2023
ISMP Medication Safety Alert! Acute care edition. March 23, 2023;28(6):1-4.
https://psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards
Medication mistakes are recognized contributors to p…
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psnet.ahrq.gov/node/845080/psn-pdf
February 22, 2023 - A high-reliability organization mindset.
February 22, 2023
Merchant NB, O’Neal J, Dealino-Perez C, et al. A high-reliability organization mindset. Am J Med Qual.
2022;37(6):504-510. doi:10.1097/jmq.0000000000000086.
https://psnet.ahrq.gov/issue/high-reliability-organization-mindset
The goal for health care organiz…
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psnet.ahrq.gov/node/848044/psn-pdf
April 26, 2023 - Effect of a hospital command centre on patient safety: an
interrupted time series study.
April 26, 2023
Mebrahtu TF, McInerney CD, Benn J, et al. BMJ Health Care Inform. 2023;30(1):e100653.
https://psnet.ahrq.gov/issue/effect-hospital-command-centre-patient-safety-interrupted-time-series-study
Command centers…
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psnet.ahrq.gov/node/47940/psn-pdf
May 01, 2019 - Validation of the Primary Care Patient Measure of Safety
(PC PMOS) questionnaire.
May 1, 2019
Giles SJ, Parveen S, Hernan AL. Validation of the Primary Care Patient Measure of Safety (PC PMOS)
questionnaire. BMJ Qual Saf. 2019;28(5):389-396. doi:10.1136/bmjqs-2018-007988.
https://psnet.ahrq.gov/issue/validation-pr…
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psnet.ahrq.gov/node/37552/psn-pdf
April 01, 2010 - Hospital responses to the Leapfrog Group in local
markets.
April 1, 2010
Scanlon D, Christianson JB, Ford E. Hospital responses to the leapfrog group in local markets. Med Care
Res Rev. 2008;65(2):207-31. doi:10.1177/1077558707312499.
https://psnet.ahrq.gov/issue/hospital-responses-leapfrog-group-local-markets
Th…
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psnet.ahrq.gov/node/34002/psn-pdf
March 17, 2011 - Utah DoH Patient Safety Initiatives.
March 17, 2011
Center for Health Data, Utah Department of Health, PO Box 144004, Salt Lake City, UT 84114.
https://psnet.ahrq.gov/issue/utah-doh-patient-safety-initiatives
Utah established a number of collaborative initiatives to understand the nature and occurrence of adverse
…
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psnet.ahrq.gov/node/38979/psn-pdf
October 14, 2009 - Active learning: when is more better? The case of
resident physicians' medical errors.
October 14, 2009
Katz-Navon T; Naveh E; Stern Z.
https://psnet.ahrq.gov/issue/active-learning-when-more-better-case-resident-physicians-medical-errors
Establishing an active learning climate, in which resident physicians are enc…