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psnet.ahrq.gov/issue/proposal-surgical-checklist-ambulatory-oral-surgery
January 17, 2012 - December 16, 2011
Executive summary of the American College of Obstetricians and Gynecologists
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psnet.ahrq.gov/issue/lost-translation-medication-labeling-immigrant-families
May 31, 2017 - February 4, 2015
2004 ASHP Leadership Conference on Pharmacy Practice Management Executive … Summary: Improving patient care and medication safety.
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psnet.ahrq.gov/issue/patient-safety-movement-history-and-future-directions
February 21, 2015 - December 2, 2020
Executive summary of the American College of Obstetricians and Gynecologists
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psnet.ahrq.gov/issue/simulated-laparoscopic-operating-room-crisis-approach-enhance-surgical-team-performance
March 28, 2012 - January 20, 2010
Executive summary of the American College of Obstetricians and Gynecologists
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psnet.ahrq.gov/issue/or-and-just-culture
February 01, 2017 - January 28, 2010
Executive summary of the American College of Obstetricians and Gynecologists
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psnet.ahrq.gov/issue/obstetrician-gynecologists-opinions-about-patient-safety-costs-and-liability-remain-problems
November 25, 2009 - August 31, 2011
Executive summary of the American College of Obstetricians and Gynecologists
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psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2011-user-comparative-database-report
September 14, 2011 - January 9, 2024
Promoting Safety and Quality Through Human Resource Practices: Executive … Summary.
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psnet.ahrq.gov/issue/environmental-cleaning-prevention-healthcare-associated-infections-hais
October 02, 2013 - November 30, 2016
Promoting Safety and Quality Through Human Resource Practices: Executive … Summary.
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psnet.ahrq.gov/issue/surviving-sepsis-campaign-international-guidelines-management-sepsis-and-septic-shock-2021
September 25, 2013 - PubMed citation
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Executive summary
2016 Guidence
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psnet.ahrq.gov/issue/multidisciplinary-approaches-reducing-error-and-risk-patient-care-setting
January 05, 2017 - Factors discussed include the role of the patient and family, the need for executive leadership, root … Innovations
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.434_slideshow.ppt
February 01, 2018 - nine hospitals
The bundle was organized around the
I-PASS mnemonic:
I: Illness severity
P: Patient Summary … campaign to support adoption
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Starmer AJ, O'Toole JK, Rosenbluth G, et al; I-PASS Study Education Executive … available to assess quality
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Starmer AJ, Landrigan C, Srivastava R, et al; I-PASS Education Executive … collection and improvement cycles
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Starmer AJ, Landrigan C, Srivastava R, et al; I-PASS Education Executive
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psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
July 23, 2024 - Gain buy-in from executive leadership. … Elements include verification and resolution of incorrect counts; a brief summary of the procedure and … Gain buy-in from executive leadership. … found it essential to measure how the innovation was progressing via monitoring by local and national executive … System Approaches to Social Determinants of Health Screening and Intervention Innovation Summary
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psnet.ahrq.gov/issue/flying-lessons-clinicians-developing-system-2-practice
April 24, 2018 - February 9, 2011
Executive summary of the American College of Obstetricians and Gynecologists
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psnet.ahrq.gov/issue/preoperative-briefing-operating-room-shared-cognition-teamwork-and-patient-safety
May 02, 2012 - January 28, 2010
Executive summary of the American College of Obstetricians and Gynecologists
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psnet.ahrq.gov/issue/evaluation-preoperative-checklist-and-team-briefing-among-surgeons-nurses-and
August 28, 2013 - January 28, 2010
Executive summary of the American College of Obstetricians and Gynecologists
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psnet.ahrq.gov/issue/impact-preoperative-briefings-operating-room-delays
July 28, 2010 - February 17, 2010
Executive summary of the American College of Obstetricians and Gynecologists
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psnet.ahrq.gov/issue/society-critical-care-medicine-guidelines-recognizing-and-responding-clinical-deterioration
April 24, 2018 - PubMed citation
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Executive summary
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psnet.ahrq.gov/issue/documenting-diagnosis-exploring-impact-electronic-health-records-diagnostic-safety
August 16, 2023 - Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary … November 1, 2023
Executive Order on the Safe, Secure, and Trustworthy Development and
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psnet.ahrq.gov/issue/prioritizing-patient-safety-through-quality-measurement
November 14, 2011 - Available at
Webinar Q&A Summary
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Executive Order on the Safe, Secure, and Trustworthy Development and
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psnet.ahrq.gov/issue/summary-and-frequency-barriers-adoption-cpoe-us
March 17, 2021 - Review
Summary and frequency of barriers to adoption of CPOE in the US. … Summary and frequency of barriers to adoption of CPOE in the U.S. … Summary and frequency of barriers to adoption of CPOE in the U.S.