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psnet.ahrq.gov/node/43995/psn-pdf
August 02, 2015 - Patient access to electronic health records during
hospitalization.
August 2, 2015
Pell JM, Mancuso M, Limon S, et al. Patient access to electronic health records during hospitalization.
JAMA Intern Med. 2015;175(5):856-858. doi:10.1001/jamainternmed.2015.121.
https://psnet.ahrq.gov/issue/patient-access-electronic…
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psnet.ahrq.gov/node/47642/psn-pdf
April 07, 2019 - Identification of warning signs during selection of
surgical trainees.
April 7, 2019
Hagelsteen K, Johansson B-M, Bergenfelz A, et al. Identification of Warning Signs During Selection of
Surgical Trainees. J Surg Educ. 2019;76(3):684-693. doi:10.1016/j.jsurg.2018.12.002.
https://psnet.ahrq.gov/issue/identification…
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psnet.ahrq.gov/node/39877/psn-pdf
September 29, 2010 - Detection of postoperative respiratory failure: how
predictive is the Agency for Healthcare Research and
Quality's Patient Safety Indicator?
September 29, 2010
Utter GH, Cuny J, Sama P, et al. Detection of postoperative respiratory failure: how predictive is the
Agency for Healthcare Research and Quality's Patient…
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psnet.ahrq.gov/node/40944/psn-pdf
March 06, 2012 - Using the Agency for Healthcare Research and Quality
Patient Safety Indicators for targeting nursing quality
improvement.
March 6, 2012
Zrelak PA, Utter GH, Sadeghi B, et al. Using the Agency for Healthcare Research and Quality patient
safety indicators for targeting nursing quality improvement. J Nurs Care Qual. …
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psnet.ahrq.gov/node/43291/psn-pdf
June 25, 2014 - The interpretability of doctor identification badges in UK
hospitals: a survey of nurses and patients.
June 25, 2014
Hickerton BC, Fitzgerald DJ, Perry E, et al. The interpretability of doctor identification badges in UK
hospitals: a survey of nurses and patients. BMJ Qual Saf. 2014;23(7):543-7. doi:10.1136/bmjqs-2…
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psnet.ahrq.gov/node/46143/psn-pdf
June 14, 2017 - Report of the Announced Inspection of Medication Safety
at the Midland Regional Hospital Tullamore, County
Offaly.
June 14, 2017
Dublin, Ireland: Health Information and Quality Authority; May 2017.
https://psnet.ahrq.gov/issue/report-announced-inspection-medication-safety-midland-regional-hospital-
tullamore-coun…
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psnet.ahrq.gov/node/42122/psn-pdf
May 23, 2013 - High-reliability emergency response teams in the
hospital: improving quality and safety using in situ
simulation training.
May 23, 2013
Wheeler DS, Geis G, Mack EH, et al. High-reliability emergency response teams in the hospital: improving
quality and safety using in situ simulation training. BMJ Qual Saf. 2013;2…
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psnet.ahrq.gov/node/40985/psn-pdf
December 07, 2011 - Implementing the World Health Organization surgical
safety checklist: a model for future perioperative
initiatives.
December 7, 2011
Styer KA, Ashley SW, Schmidt I, et al. Implementing the World Health Organization surgical safety
checklist: a model for future perioperative initiatives. AORN J. 2011;94(6):590-8.
…
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psnet.ahrq.gov/node/42535/psn-pdf
October 16, 2013 - Implementing an interprofessional patient safety learning
initiative: insights from participants, project leads and
steering committee members.
October 16, 2013
Jeffs L, Abramovich IA, Hayes C, et al. Implementing an interprofessional patient safety learning initiative:
insights from participants, project leads an…
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psnet.ahrq.gov/node/72674/psn-pdf
January 27, 2021 - The effect of blue-enriched lighting on medical error rate
in a university hospital ICU.
January 27, 2021
Chen Y, Broman AT, Priest G, et al. The Effect of Blue-Enriched Lighting on Medical Error Rate in a
University Hospital ICU. Jt Comm J Qual Saf. 2021;47(3):165-175. doi:10.1016/j.jcjq.2020.11.007.
https://psne…
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psnet.ahrq.gov/node/43551/psn-pdf
January 22, 2016 - Barriers and enablers affecting patient engagement in
managing medications within specialty hospital settings.
January 22, 2016
Manias E, Rixon S, Williams A, et al. Barriers and enablers affecting patient engagement in managing
medications within specialty hospital settings. Health Expect. 2015;18(6):2787-2798.
d…
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psnet.ahrq.gov/node/41536/psn-pdf
December 31, 2014 - Retail pharmacy staff perceptions of design strengths and
weaknesses of electronic prescribing.
December 31, 2014
Odukoya OK, Chui MA. Retail pharmacy staff perceptions of design strengths and weaknesses of
electronic prescribing. J Am Med Inform Assoc. 2012;19(6):1059-65. doi:10.1136/amiajnl-2011-000779.
https://…
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psnet.ahrq.gov/node/40758/psn-pdf
September 07, 2011 - A review of educational strategies to improve nurses'
roles in recognizing and responding to deteriorating
patients.
September 7, 2011
Liaw SY, Scherpbier A, Klainin-Yobas P, et al. A review of educational strategies to improve nurses' roles
in recognizing and responding to deteriorating patients. Int Nurs Rev. 20…
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psnet.ahrq.gov/node/47299/psn-pdf
March 20, 2019 - Unintentionally retained guidewires: a descriptive study
of 73 sentinel events.
March 20, 2019
Steelman VM, Thenuwara K, Shaw C, et al. Unintentionally Retained Guidewires: A Descriptive Study of 73
Sentinel Events. Jt Comm J Qual Saf. 2019;45(2):81-90. doi:10.1016/j.jcjq.2018.08.003.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/47894/psn-pdf
April 03, 2019 - What does safety commitment mean to leaders? A multi-
method investigation.
April 3, 2019
Fruhen LS, Griffin MA, Andrei DM. What does safety commitment mean to leaders? A multi-method
investigation. J Safety Res. 2019;68:203-214. doi:10.1016/j.jsr.2018.12.011.
https://psnet.ahrq.gov/issue/what-does-safety-commitme…
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psnet.ahrq.gov/node/36418/psn-pdf
July 14, 2010 - Application of the IV Medication Harm Index to assess the
nature of harm averted by "smart" infusion safety
systems.
July 14, 2010
Williams CK, Maddox RR, Heape E, et al. Application of the IV Medication Harm Index to Assess the
Nature of Harm Averted by "Smart" Infusion Safety Systems. J Patient Saf. 2008;2(3).
…
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psnet.ahrq.gov/node/38131/psn-pdf
January 02, 2017 - The Team Checkup Tool: evaluating QI team activities and
giving feedback to senior leaders.
January 2, 2017
Lubomski LH, Marsteller JA, Hsu Y-J, et al. The team checkup tool: evaluating QI team activities and giving
feedback to senior leaders. Jt Comm J Qual Patient Saf. 2008;34(10):619-23, 561.
https://psnet.ahrq…
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psnet.ahrq.gov/node/74128/psn-pdf
December 01, 2021 - Call to action: addressing pediatric fall safety in
ambulatory environments.
December 1, 2021
Benning S, Wolfe R, Banes M, et al. Call to action: addressing pediatric fall safety in ambulatory
environments. J Pediatr Nurs. 2021;61:372-377. doi:10.1016/j.pedn.2021.09.012.
https://psnet.ahrq.gov/issue/call-action-ad…
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psnet.ahrq.gov/node/41018/psn-pdf
December 21, 2011 - What stands in the way of technology-mediated patient
safety improvements? A study of facilitators and barriers
to physicians' use of electronic health records.
December 21, 2011
Holden RJ. What stands in the way of technology-mediated patient safety improvements?: a study of
facilitators and barriers to physician…
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psnet.ahrq.gov/node/43461/psn-pdf
April 22, 2015 - Optimizing the patient handoff between EMS and the
emergency department.
April 22, 2015
Meisel ZF, Shea JA, Peacock NJ, et al. Optimizing the patient handoff between emergency medical
services and the emergency department. Ann Emerg Med. 2015;65(3):310-317.e1.
doi:10.1016/j.annemergmed.2014.07.003.
https://psnet.…