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psnet.ahrq.gov/issue/2010-john-m-eisenberg-patient-safety-and-quality-award-recipients
May 28, 2014 - Press Release/Announcement
2010 John M. Eisenberg Patient Safety and Quality Award Recipients.
Citation Text:
2010 John M. Eisenberg Patient Safety and Quality Award Recipients. Joint Commission. January 12, 2011.
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psnet.ahrq.gov/issue/promise-learn-commitment-act-improving-safety-patients-england
June 17, 2014 - Book/Report
A Promise to Learn—a Commitment to Act: Improving the Safety of Patients in England.
Citation Text:
A Promise to Learn—a Commitment to Act: Improving the Safety of Patients in England. National Advisory Group on the Safety of Patients in England. London, England: Crown …
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psnet.ahrq.gov/issue/understanding-models-error-and-how-they-apply-clinical-practice
October 11, 2016 - Commentary
Understanding models of error and how they apply in clinical practice.
Citation Text:
Understanding models of error and how they apply in clinical practice. Garfield S, Franklin BD. Pharm J. June 14, 2016.
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psnet.ahrq.gov/issue/transforming-health-care-compendium-reports-national-patient-safety-foundations-lucian-leape
November 23, 2016 - Book/Report
Transforming Health Care: A Compendium of Reports From the National Patient Safety Foundation's Lucian Leape Institute.
Citation Text:
Transforming Health Care: A Compendium of Reports From the National Patient Safety Foundation's Lucian Leape Institute. Boston, MA: National …
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psnet.ahrq.gov/issue/doctors-learn-say-im-sorry
August 17, 2016 - Newspaper/Magazine Article
Doctors learn to say 'I'm Sorry.'
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May 4, 2015
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psnet.ahrq.gov/node/47008/psn-pdf
October 13, 2018 - Impact of a commercial order entry system on prescribing
errors amenable to computerised decision support in the
hospital setting: a prospective pre–post study.
October 13, 2018
Pontefract SK, Hodson J, Slee A, et al. Impact of a commercial order entry system on prescribing errors
amenable to computerised decision…
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psnet.ahrq.gov/node/43953/psn-pdf
March 04, 2015 - Psychological safety and error reporting within Veterans
Health Administration hospitals.
March 4, 2015
Derickson R, Fishman J, Osatuke K, et al. Psychological safety and error reporting within Veterans Health
Administration hospitals. J Patient Saf. 2015;11(1):60-66. doi:10.1097/PTS.0000000000000082.
https://psne…
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psnet.ahrq.gov/issue/spread-remains-challenge-patient-safety-improvement
January 23, 2019 - Newspaper/Magazine Article
'Spread' remains challenge in patient safety improvement.
Citation Text:
'Spread' remains challenge in patient safety improvement. Healthcare benchmarks and quality improvement. 2011;18(5):49-52.
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psnet.ahrq.gov/issue/patient-safety-6
July 21, 2021 - Multi-use Website
Patient Safety.
Citation Text:
Patient Safety. American Hospital Association; AHA Quality Center.
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psnet.ahrq.gov/node/50860/psn-pdf
February 05, 2020 - Does team reflexivity impact teamwork and
communication in interprofessional hospital-based
healthcare teams? A systematic review and narrative
synthesis.
February 5, 2020
McHugh SK, Lawton R, O'Hara JK, et al. Does team reflexivity impact teamwork and communication in
interprofessional hospital-based healthcare …
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psnet.ahrq.gov/node/859302/psn-pdf
December 20, 2023 - Drivers of unprofessional behaviour between staff in
acute care hospitals: a realist review.
December 20, 2023
Aunger JA, Maben J, Abrams R, et al. Drivers of unprofessional behaviour between staff in acute care
hospitals: a realist review. BMC Health Serv Res. 2023;23(1):1326. doi:10.1186/s12913-023-10291-3.
http…
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psnet.ahrq.gov/node/40045/psn-pdf
May 25, 2011 - Evaluation of an evidence-based, nurse-driven checklist
to prevent hospital-acquired catheter-associated urinary
tract infections in intensive care units.
May 25, 2011
Fuchs MA, Sexton DJ, Thornlow D, et al. Evaluation of an evidence-based, nurse-driven checklist to
prevent hospital-acquired catheter-associated ur…
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psnet.ahrq.gov/node/837039/psn-pdf
May 04, 2022 - The Joint Commission's new and revised workplace
violence prevention standards for hospitals: a major step
forward toward improved quality and safety.
May 4, 2022
Arnetz JE. The Joint Commission's new and revised workplace violence prevention standards for hospitals:
a major step forward toward improved quality an…
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psnet.ahrq.gov/node/34829/psn-pdf
April 06, 2011 - Use of medical emergency team responses to reduce
hospital cardiopulmonary arrests.
April 6, 2011
Devita MA, Braithwaite RS, Mahidhara R, et al. Use of medical emergency team responses to reduce
hospital cardiopulmonary arrests. Qual Saf Health Care. 2004;13(4):251-4.
https://psnet.ahrq.gov/issue/use-medical-emerg…
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psnet.ahrq.gov/node/845304/psn-pdf
March 01, 2023 - For children admitted to hospital, what interventions
improve medication safety on ward rounds?
March 1, 2023
King C, Dudley J, Mee A, et al. For children admitted to hospital, what interventions improve medication
safety on ward rounds? A systematic review. Arch Dis Child. 2023;108(7):583-588.
doi:10.1136/archdis…
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psnet.ahrq.gov/node/43416/psn-pdf
August 13, 2014 - Compliance with a time-out procedure intended to
prevent wrong surgery in hospitals: results of a national
patient safety programme in the Netherlands.
August 13, 2014
van Schoten SM, Kop V, de Blok C, et al. Compliance with a time-out procedure intended to prevent wrong
surgery in hospitals: results of a national…
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psnet.ahrq.gov/node/73444/psn-pdf
June 30, 2021 - Exploring patient safety outcomes for people with
learning disabilities in acute hospital settings: a scoping
review.
June 30, 2021
Louch G, Albutt AK, Harlow-Trigg J, et al. Exploring patient safety outcomes for people with learning
disabilities in acute hospital settings: a scoping review. BMJ Open. 2021;11(5):e…
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psnet.ahrq.gov/node/38517/psn-pdf
February 17, 2011 - Use of electronic health records in US hospitals.
February 17, 2011
Jha AK, DesRoches CM, Campbell EG, et al. Use of electronic health records in U.S. hospitals.
doi:10.1056/NEJMsa0900592.
https://psnet.ahrq.gov/issue/use-electronic-health-records-us-hospitals
Increasing the use of electronic health records (EHRs)…
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psnet.ahrq.gov/node/38054/psn-pdf
July 05, 2013 - Ticket to ride: reducing handoff risk during hospital
patient transport.
July 5, 2013
Pesanka DA, Greenhouse PK, Rack LL, et al. Ticket to ride: reducing handoff risk during hospital patient
transport. J Nurs Care Qual. 2009;24(2):109-15. doi:10.1097/01.NCQ.0000347446.98299.b5.
https://psnet.ahrq.gov/issue/ticket-…
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psnet.ahrq.gov/node/865927/psn-pdf
May 22, 2024 - Organizational learning starting points and
presuppositions: a case study from a hospital’s surgical
department.
May 22, 2024
Jaakkola M, Lemmetty S, Collin K, et al. Organizational learning starting points and presuppositions: a case
study from a hospital’s surgical department. Learn Org. 2024;31(3):337-357. doi:…