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psnet.ahrq.gov/node/46097/psn-pdf
August 09, 2017 - Administering and monitoring high-alert medications in
acute care.
August 9, 2017
Cajanding JMR. Administering and monitoring high-alert medications in acute care. Nurs Stand.
2017;31(47):42-52. doi:10.7748/ns.2017.e10849.
https://psnet.ahrq.gov/issue/administering-and-monitoring-high-alert-medications-acute-care
…
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psnet.ahrq.gov/node/854256/psn-pdf
October 04, 2023 - Enhancing safety of a system-wide in situ simulation
program using no-go considerations.
October 4, 2023
Minors AM, Yusaf TC, Bentley SK, et al. Enhancing safety of a system-wide in situ simulation program
using no-go considerations. Simul Healthc. 2023;18(4):226-231. doi:10.1097/sih.0000000000000711.
https://psne…
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psnet.ahrq.gov/node/46784/psn-pdf
January 11, 2023 - Patient Safety Learning Laboratories: Advancing Patient
Safety through Design, Systems Engineering, and Health
Services Research (R18 Clinical Trial Optional).
January 11, 2023
Rockville, MD: Agency for Healthcare Research and Quality. PA-21-266.
https://psnet.ahrq.gov/issue/patient-safety-learning-laboratories-ad…
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psnet.ahrq.gov/node/37911/psn-pdf
July 16, 2008 - Emergency medical services provider perceptions of the
nature of adverse events and near-misses in out-of-
hospital care: an ethnographic view.
July 16, 2008
Fairbanks RJ, Crittenden CN, O’Gara KG, et al. Emergency Medical Services Provider Perceptions of the
Nature of Adverse Events and Near-misses in Out-of-hos…
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psnet.ahrq.gov/node/45161/psn-pdf
September 19, 2016 - Design of an evidence-based "second victim" curriculum
for nurse anesthetists.
September 19, 2016
Daniels RG, McCorkle R. Design of an Evidence-Based "Second Victim" Curriculum for Nurse Anesthetists.
AANA J. 2016;84(2):107-113.
https://psnet.ahrq.gov/issue/design-evidence-based-second-victim-curriculum-nurse-anes…
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psnet.ahrq.gov/node/37981/psn-pdf
June 16, 2011 - Nurses' perceptions of error communication and
reporting in the intensive care unit.
June 16, 2011
Elder NC, Brungs SM, Nagy M, et al. Nurses' Perceptions of Error Communication and Reporting in the
Intensive Care Unit. J Patient Saf. 2008;4(3). doi:10.1097/pts.0b013e3181839b48.
https://psnet.ahrq.gov/issue/nurses…
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psnet.ahrq.gov/node/47976/psn-pdf
July 20, 2019 - Reducing avoidable medication-related harm: what will it
take?
July 20, 2019
Tetteh EK. Reducing avoidable medication-related harm: What will it take? Res Social Adm Pharm.
2019;15(7):827-840. doi:10.1016/j.sapharm.2019.04.002.
https://psnet.ahrq.gov/issue/reducing-avoidable-medication-related-harm-what-will-it-ta…
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psnet.ahrq.gov/node/43139/psn-pdf
April 23, 2014 - Patient safety in obstetrics and obstetric anesthesia.
April 23, 2014
Kung A, Pratt SD. Patient safety in obstetrics and obstetric anesthesia. Int Anesthesiol Clin. 2014;52(2):86-
110. doi:10.1097/AIA.0000000000000017.
https://psnet.ahrq.gov/issue/patient-safety-obstetrics-and-obstetric-anesthesia
Labor and delive…
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psnet.ahrq.gov/node/36265/psn-pdf
April 21, 2015 - "Health courts" and accountability for patient safety.
April 21, 2015
Mello MM, Studdert DM, Kachalia A, et al. "Health courts" and accountability for patient safety. Milbank Q.
2006;84(3):459-92.
https://psnet.ahrq.gov/issue/health-courts-and-accountability-patient-safety
This article provides an overview of "hea…
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psnet.ahrq.gov/node/47931/psn-pdf
January 01, 2020 - Managing risk in hazardous conditions: improvisation is
not enough.
July 24, 2019
Amalberti R, Vincent CA. Managing risk in hazardous conditions: improvisation is not enough. BMJ Qual
Saf. 2020;29(1):60-63. doi:10.1136/bmjqs-2019-009443.
https://psnet.ahrq.gov/issue/managing-risk-hazardous-conditions-improvisation…
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section9.html
October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections
Plan To Help Incorporate the Role of Champions for Resident Physicians
Previous Page Next Page
Table of Contents
Resident Physicians as Champions in Preventing Device-Associated Infections
Preamble and Summary
Epidemiolo…
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psnet.ahrq.gov/node/35038/psn-pdf
January 02, 2017 - Using Six Sigma to reduce medication errors in a home-
delivery pharmacy service.
January 2, 2017
Castle L, Franzblau-Isaac E, Paulsen J. Using Six Sigma to reduce medication errors in a home-delivery
pharmacy service. Jt Comm J Qual Patient Saf. 2005;31(6):319-24.
https://psnet.ahrq.gov/issue/using-six-sigma-redu…
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psnet.ahrq.gov/node/46694/psn-pdf
December 20, 2017 - False dawns and new horizons in patient safety research
and practice.
December 20, 2017
Mannion R, Braithwaite J. False Dawns and New Horizons in Patient Safety Research and Practice. Int J
Health Policy Manag. 2017;6(12). doi:10.15171/ijhpm.2017.115.
https://psnet.ahrq.gov/issue/false-dawns-and-new-horizons-patie…
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psnet.ahrq.gov/node/44735/psn-pdf
January 06, 2016 - Quality and patient safety teams in the perioperative
setting.
January 6, 2016
Serino MF. Quality and Patient Safety Teams in the Perioperative Setting. AORN J. 2015;102(6):617-28.
doi:10.1016/j.aorn.2015.10.006.
https://psnet.ahrq.gov/issue/quality-and-patient-safety-teams-perioperative-setting
Team effectivenes…
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psnet.ahrq.gov/node/45331/psn-pdf
August 03, 2016 - Health information technologies: from hazardous to the
dark side.
August 3, 2016
Saunders C, Rutkowski AF, Pluyter J, et al. Health information technologies: From hazardous to the dark
side. J Assoc Inf Sci Technol. 2016;67(7). doi:10.1002/asi.23671.
https://psnet.ahrq.gov/issue/health-information-technologies-haz…
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psnet.ahrq.gov/node/46317/psn-pdf
October 11, 2017 - A communication training program to encourage
speaking-up behavior in surgical oncology.
October 11, 2017
D'Agostino TA, Bialer PA, Walters CB, et al. A Communication Training Program to Encourage Speaking-
Up Behavior in Surgical Oncology. AORN J. 2017;106(4):295-305. doi:10.1016/j.aorn.2017.08.003.
https://psnet…
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psnet.ahrq.gov/node/38333/psn-pdf
January 14, 2009 - Adverse Events in Hospitals: Overview of Key Issues.
January 14, 2009
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector
General; December 2008. Report No. OEI-06-07-00470.
https://psnet.ahrq.gov/issue/adverse-events-hospitals-overview-key-issues
The Tax Relief and Hea…
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psnet.ahrq.gov/node/841488/psn-pdf
December 14, 2022 - ASHP Guidelines on Preventing Diversion of Controlled
Substances.
December 14, 2022
Clark J, Fera T, Fortier CR, et al. ASHP Guidelines on Preventing Diversion of Controlled Substances. Am
J Health Syst Pharm. 2022;79(24):2279-2306. doi:10.1093/ajhp/zxac246.
https://psnet.ahrq.gov/issue/ashp-guidelines-preventing-…
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psnet.ahrq.gov/node/46693/psn-pdf
December 20, 2017 - Coupling policymaking with evaluation—the case of the
opioid crisis.
December 20, 2017
Barnett ML, Gray J, Zink A, et al. Coupling Policymaking with Evaluation - The Case of the Opioid Crisis.
New Engl J Med. 2017;377(24):2306-2309. doi:10.1056/NEJMp1710014.
https://psnet.ahrq.gov/issue/coupling-policymaking-evalu…
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psnet.ahrq.gov/node/74164/psn-pdf
March 20, 2013 - Racial differences in antibiotic prescribing by primary
care pediatricians.
March 20, 2013
Gerber JS, Prasad PA, Localio AR, et al. Racial differences in antibiotic prescribing by primary care
pediatricians. Pediatrics. 2013;131(4):677-684. doi:10.1542/peds.2012-2500.
https://psnet.ahrq.gov/issue/racial-difference…