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Nursing strategies to increase medication safety in inpatient settings. | PSNet

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September 21, 2016 - Study Nursing strategies to increase medication safety in inpatient settings. Citation Text: Bravo K, Cochran GL, Barrett R. Nursing Strategies to Increase Medication Safety in Inpatient Settings. J Nurs Care Qual. 2016;31(4):335-41. doi:10.1097/NCQ.0000000000000181. Copy Citation …

The Report of the Manitoba Pediatric Cardiac Surgery Inquest: An Inquiry into Twelve Deaths at the Winnipeg Health Sciences Center in 1994. | PSNet

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October 05, 2022 - Book/Report The Report of the Manitoba Pediatric Cardiac Surgery Inquest: An Inquiry into Twelve Deaths at the Winnipeg Health Sciences Center in 1994. Citation Text: The Report of the Manitoba Pediatric Cardiac Surgery Inquest: An Inquiry into Twelve Deaths at the Winnipeg Health Scienc…

An evaluation of a collaborative, safety focused, nurse–pharmacist intervention for improving the accuracy of the medication history. | PSNet

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April 28, 2010 - Study An evaluation of a collaborative, safety focused, nurse–pharmacist intervention for improving the accuracy of the medication history. Citation Text: Henneman EA, Tessier EG, Nathanson BH, et al. An evaluation of a collaborative, safety focused, nurse-pharmacist intervention for imp…

Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. | PSNet

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December 02, 2020 - Commentary Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. Citation Text: Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. Kirby J, Cannon C, Darrah …

Impact of high-reliability education on adverse event reporting by registered nurses. | PSNet

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January 07, 2011 - Study Impact of high-reliability education on adverse event reporting by registered nurses. Citation Text: McFarland DM, Doucette JN. Impact of High-Reliability Education on Adverse Event Reporting by Registered Nurses. J Nurs Care Qual. 2018;33(3):285-290. doi:10.1097/NCQ.00000000000002…

Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. | PSNet

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January 17, 2024 - Special or Theme Issue Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. Citation Text: Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. Auerbach AD, Bates DW, Rao JK, et al, ed…

To do no harm - and the most good - with AI in health care. | PSNet

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March 19, 2019 - Commentary To do no harm - and the most good - with AI in health care. Citation Text: Goldberg CB, Adams L, Blumenthal D, et al. To do no harm - and the most good - with AI in health care. NEJM AI. 2024;1(3). doi:10.1056/aip2400036. Copy Citation Format: DOI Google Scholar …

Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy implications. | PSNet

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July 14, 2010 - Study Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy implications. Citation Text: Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy implications. Akins RB, Cole BR. J Patient …

Enhancing the effectiveness of team debriefings in medical simulation: more best practices. | PSNet

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March 17, 2021 - Commentary Enhancing the effectiveness of team debriefings in medical simulation: more best practices. Citation Text: Lyons R, Lazzara EH, Benishek LE, et al. Enhancing the effectiveness of team debriefings in medical simulation: more best practices. Jt Comm J Qual Patient Saf. 2015;41(3…

Critical conversations: a call for a nonprocedural "time out." | PSNet

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February 18, 2011 - Commentary Critical conversations: a call for a nonprocedural "time out." Citation Text: Sehgal NL, Fox M, Sharpe B, et al. Critical conversations: a call for a nonprocedural "time out". J Hosp Med. 2011;6(4):225-30. doi:10.1002/jhm.853. Copy Citation Format: DOI Google Sch…

Vital Signs: Core Metrics for Health and Health Care Progress. | PSNet

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November 24, 2021 - Book/Report Vital Signs: Core Metrics for Health and Health Care Progress. Citation Text: Vital Signs: Core Metrics for Health and Health Care Progress. Blumenthal D, Malphrus E, McGinnis JM, eds. Committee on Core Metrics for Better Health at Lower Cost, Institute of Medicine. Washingto…

Burnout Among Health Care Professionals. A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care. | PSNet

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November 11, 2020 - Book/Report Burnout Among Health Care Professionals. A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care. Citation Text: Burnout Among Health Care Professionals. A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care. Dyrbye …

Rapid response systems as a patient safety strategy: a systematic review. | PSNet

psnet.ahrq.gov/issue/rapid-response-systems-patient-safety-strategy-systematic-review

March 20, 2013 - Review Rapid response systems as a patient safety strategy: a systematic review. Citation Text: Winters BD, Weaver SJ, Pfoh ER, et al. Rapid-response systems as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):417-25. doi:10.7326/0003-4819-158-5-201303051…

The 100,000 Lives Campaign: setting a goal and a deadline for improving health care quality. | PSNet

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February 29, 2012 - Commentary The 100,000 Lives Campaign: setting a goal and a deadline for improving health care quality. Citation Text: Berwick DM, Calkins DR, McCannon CJ, et al. The 100 000 Lives Campaign. JAMA. 2006;295(3). doi:10.1001/jama.295.3.324. Copy Citation Format: DOI Google S…

Nurse staffing levels and patient-reported missed nursing care. | PSNet

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September 27, 2017 - Study Nurse staffing levels and patient-reported missed nursing care. Citation Text: Dabney BW, Kalisch BJ. Nurse Staffing Levels and Patient-Reported Missed Nursing Care. J Nurs Care Qual. 2015;30(4):306-12. doi:10.1097/NCQ.0000000000000123. Copy Citation Format: DOI Googl…

Making polypharmacy safer for children with medical complexity. | PSNet

psnet.ahrq.gov/issue/making-polypharmacy-safer-children-medical-complexity

May 11, 2019 - Commentary Making polypharmacy safer for children with medical complexity. Citation Text: Feinstein JA, Orth LE. Making polypharmacy safer for children with medical complexity. J Pediatr. 2023;254:4-10. doi:10.1016/j.jpeds.2022.10.012. Copy Citation Format: DOI Google Schol…

Communication failures: an insidious contributor to medical mishaps. | PSNet

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February 24, 2011 - Study Classic Communication failures: an insidious contributor to medical mishaps. Citation Text: Sutcliffe K, Lewton E, Rosenthal M. Communication failures: an insidious contributor to medical mishaps. Acad Med. 2004;79(2):186-194. Copy Citation Format:…

In Conversation with...J. Bryan Sexton, PhD, MA | PSNet

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December 01, 2006 - In Conversation with...J. Bryan Sexton, PhD, MA December 1, 2006 Also Read an Essay Citation Text: In Conversation with..J. Bryan Sexton, PhD, MA. PSNet [internet]. 2006.In Conversation with...J. Bryan Sexton, PhD, MA. PSNet [internet]. Rockville (MD): Agency for…

Ebola: Are We Ready? | PSNet

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July 01, 2012 - Ebola: Are We Ready? Citation Text: Barsuk JH, Barnard C. Ebola: Are We Ready?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

Signout Fallout | PSNet

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November 16, 2022 - SPOTLIGHT CASE Signout Fallout Citation Text: Starmer AJ, Landrigan CP. Signout Fallout. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote…

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