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psnet.ahrq.gov/node/50689/psn-pdf
November 20, 2019 - States Targeting Reduction in Infections via Engagement
(STRIVE).
November 20, 2019
Ann Intern Med. 2019;171(7_Suppl):s1-s82.
https://psnet.ahrq.gov/issue/states-targeting-reduction-infections-engagement-strive
The States Targeting Reduction in Infections via Engagement (STRIVE) initiative was 3-year hospital-
ba…
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psnet.ahrq.gov/issue/biopsy-site-selfies-quality-improvement-pilot-study-assist-correct-surgical-site
August 02, 2015 - Study
Biopsy site selfies—a quality improvement pilot study to assist with correct surgical site identification.
Citation Text:
Nijhawan RI, Lee EH, Nehal KS. Biopsy site selfies--a quality improvement pilot study to assist with correct surgical site identification. Dermatol Surg. 2015;4…
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psnet.ahrq.gov/issue/leadership-strategies-medical-school-deans-promote-quality-and-safety
August 10, 2022 - Commentary
Leadership strategies of medical school deans to promote quality and safety.
Citation Text:
Griner PF. Leadership strategies of medical school deans to promote quality and safety. Jt Comm J Qual Patient Saf. 2007;33(2):63-72.
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psnet.ahrq.gov/issue/managing-safety-perioperative-settings-strategies-meso-level-nurse-leaders
April 06, 2011 - Study
Managing safety in perioperative settings: strategies of meso-level nurse leaders.
Citation Text:
Brooks JV, Nelson-Brantley H. Managing safety in perioperative settings: strategies of meso-level nurse leaders. Health Care Manage Rev. 2023;48(2):175-184. doi:10.1097/hmr.00000000000…
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psnet.ahrq.gov/issue/rapid-response-systems-identification-and-management-prearrest-state
May 18, 2022 - Review
Rapid response systems: identification and management of the "prearrest state."
Citation Text:
McCurdy MT, Wood SL. Rapid response systems: identification and management of the "prearrest state". Emerg Med Clin North Am. 2012;30(1):141-52. doi:10.1016/j.emc.2011.09.012.
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psnet.ahrq.gov/issue/right-medication-right-dose-right-patient-right-time-and-right-route-how-do-we-select-right
March 02, 2016 - Commentary
Right medication, right dose, right patient, right time, and right route: how do we select the right patient-controlled analgesia (PCA) device?
Citation Text:
Ladak SSJ, Chan VWS, Easty T, et al. Right medication, right dose, right patient, right time, and right route: how d…
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psnet.ahrq.gov/issue/patient-safety-people-experiencing-advanced-dementia-hospital-video-reflexive-ethnography
November 16, 2022 - Study
Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography.
Citation Text:
Dadich A, Rodrigues J, De Bellis A, et al. Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography. Dementia (London). 202…
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psnet.ahrq.gov/issue/predicting-patient-complaints-hospital-settings
February 27, 2008 - Study
Predicting patient complaints in hospital settings.
Citation Text:
Kline TJB, Willness C, Ghali WA. Predicting patient complaints in hospital settings. Qual Saf Health Care. 2008;17(5):346-50. doi:10.1136/qshc.2007.024281.
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psnet.ahrq.gov/issue/designing-highly-reliable-adverse-event-detection-systems-predict-subsequent-claims
September 01, 2018 - Study
Designing highly reliable adverse-event detection systems to predict subsequent claims.
Citation Text:
Helmchen LA, Burke ME, Wojtusiak J. Designing highly reliable adverse-event detection systems to predict subsequent claims. J Healthc Risk Manag. 2015;34(4):7-17. doi:10.1002/jhrm…
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psnet.ahrq.gov/issue/anesthesia-safety-model-or-myth-review-published-literature-and-analysis-current-original
July 13, 2010 - Review
Anesthesia safety: model or myth? A review of the published literature and analysis of current original data.
Citation Text:
Lagasse RS. Anesthesia safety: model or myth? A review of the published literature and analysis of current original data. Anesthesiology. 2002;97(6):1609-17…
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psnet.ahrq.gov/issue/nursing-home-safety-does-financial-performance-matter
November 05, 2008 - Study
Nursing home safety: does financial performance matter?
Citation Text:
Oetjen RM, Zhao M, Liu D, et al. Nursing home safety: does financial performance matter? J Health Care Finance. 2011;37(3):51-61.
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psnet.ahrq.gov/issue/current-pulse-can-production-system-reduce-medical-errors-health-care
September 09, 2011 - Commentary
Current pulse: can a production system reduce medical errors in health care?
Citation Text:
Printezis A, Gopalakrishnan M. Current pulse: can a production system reduce medical errors in health care? Qual Manag Health Care. 2007;16(3):226-238.
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psnet.ahrq.gov/issue/harm-caused-adverse-events-primary-care-clinical-observational-study
July 23, 2008 - Study
Harm caused by adverse events in primary care: a clinical observational study.
Citation Text:
Wetzels R, Wolters R, van Weel C, et al. Harm caused by adverse events in primary care: a clinical observational study. J Eval Clin Pract. 2009;15(2):323-7. doi:10.1111/j.1365-2753.2008.…
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psnet.ahrq.gov/issue/time-out-charting-path-improving-performance-measurement
March 06, 2005 - Commentary
Classic
Time out—charting a path for improving performance measurement.
Citation Text:
MacLean CH, Kerr EA, Qaseem A. Time Out - Charting a Path for Improving Performance Measurement. N Engl J Med. 2018;378(19):1757-1761. doi:10.1056/NEJMp1802595.
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psnet.ahrq.gov/issue/patient-safety-obstetrics-what-aviators-firefighters-and-others-can-teach-us
January 22, 2017 - Commentary
Patient safety in obstetrics: what aviators, firefighters and others can teach us.
Citation Text:
Guise J-M, Lowe NK, Connell L. Patient Safety in Obstetrics: What Aviators, Firefighters and Others Can Teach Us. Nurs Womens Health. 2008;12(3):208-215. doi:10.1111/j.1751-486x…
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psnet.ahrq.gov/issue/prevention-design-construction-and-renovation-health-care-facilities-patient-safety-and
October 17, 2017 - Review
Prevention by design: construction and renovation of health care facilities for patient safety and infection prevention.
Citation Text:
Olmsted RN. Prevention by Design: Construction and Renovation of Health Care Facilities for Patient Safety and Infection Prevention. Infect Dis C…
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psnet.ahrq.gov/issue/preventing-mistransfusions-evaluation-institutional-knowledge-and-response
June 06, 2018 - Study
Preventing mistransfusions: an evaluation of institutional knowledge and a response.
Citation Text:
MacDougall N, Dong F, Broussard L, et al. Preventing Mistransfusions: An Evaluation of Institutional Knowledge and a Response. Anesth Analg. 2018;126(1):247-251. doi:10.1213/ANE.0000…
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psnet.ahrq.gov/issue/association-between-surgeon-stress-and-major-surgical-complications
November 29, 2023 - Study
Association between surgeon stress and major surgical complications.
Citation Text:
Awtry J, Skinner S, Polazzi S, et al. Association between surgeon stress and major surgical complications. JAMA Surg. 2025;160(3):332-340. doi:10.1001/jamasurg.2024.6072.
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-outputs-are-they-valid
November 25, 2009 - Study
Failure mode and effects analysis outputs: are they valid?
Citation Text:
Shebl NA, Franklin BD, Barber N. Failure mode and effects analysis outputs: are they valid? BMC Health Serv Res. 2012;12:150. doi:10.1186/1472-6963-12-150.
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psnet.ahrq.gov/issue/understanding-complexity-safety-critical-setting-systems-approach-medication-administration
February 01, 2023 - Study
Understanding complexity in a safety critical setting: a systems approach to medication administration.
Citation Text:
Stevens EL, Hulme A, Goode N, et al. Understanding complexity in a safety critical setting: a systems approach to medication administration. Appl Ergon. 2023;110:1…