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psnet.ahrq.gov/issue/eliminating-preventable-death-ascension-health
June 03, 2020 - Commentary
Eliminating preventable death at Ascension Health.
Citation Text:
Tolchin S, Brush R, Lange P, et al. Eliminating preventable death at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(3):145-54.
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psnet.ahrq.gov/issue/using-advanced-practice-nursing-model-rapid-response-team
August 18, 2021 - Commentary
Using an advanced practice nursing model for a rapid response team.
Citation Text:
Benson L, Mitchell C, Link M, et al. Using an advanced practice nursing model for a rapid response team. Jt Comm J Qual Patient Saf. 2008;34(12):743-7.
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psnet.ahrq.gov/issue/debriefing-or-quality-improvement-project
April 24, 2018 - Commentary
Debriefing in the OR: a quality improvement project.
Citation Text:
Finch EP, Langston M, Erickson D, et al. Debriefing in the OR: A Quality Improvement Project. AORN J. 2019;109(3):336-344. doi:10.1002/aorn.12616.
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psnet.ahrq.gov/issue/speaking-and-sharing-information-improves-trainee-neonatal-resuscitations
April 08, 2011 - Study
Speaking up and sharing information improves trainee neonatal resuscitations.
Citation Text:
Katakam LI, Trickey AW, Thomas EJ. Speaking up and sharing information improves trainee neonatal resuscitations. J Patient Saf. 2012;8(4):202-9. doi:10.1097/PTS.0b013e3182699b4f.
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psnet.ahrq.gov/issue/implementing-strategies-prevent-home-medication-administration-errors-children-medical
March 14, 2022 - Commentary
Implementing strategies to prevent home medication administration errors in children with medical complexity.
Citation Text:
Shaikh U, Kim JM, Yin SH. Implementing strategies to prevent home medication administration errors in children with medical complexity. Clin Pediatr (Ph…
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psnet.ahrq.gov/issue/electronic-medical-record-availability-and-primary-care-depression-treatment
November 16, 2022 - Study
Electronic medical record availability and primary care depression treatment.
Citation Text:
Harman JS, Rost KM, Harle CA, et al. Electronic medical record availability and primary care depression treatment. J Gen Intern Med. 2012;27(8):962-7. doi:10.1007/s11606-012-2001-0.
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psnet.ahrq.gov/issue/speaking-when-doctors-navigate-medical-hierarchy
August 19, 2020 - Commentary
Speaking up—when doctors navigate medical hierarchy.
Citation Text:
Srivastava R. Speaking up--when doctors navigate medical hierarchy. New Engl J Med. 2013;368(4):302-305. doi:10.1056/NEJMp1212410.
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psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use
October 19, 2022 - Commentary
One hospital's initiatives to encourage safe opioid use.
Citation Text:
Surprise JK, Simpson MH. One Hospital's Initiatives to Encourage Safe Opioid Use. J Infus Nurs. 2015;38(4):278-83. doi:10.1097/NAN.0000000000000110.
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psnet.ahrq.gov/issue/case-study-safety-impact-implementing-smart-patient-controlled-analgesic-pumps-tertiary-care
August 31, 2016 - Study
A case study on the safety impact of implementing smart patient-controlled analgesic pumps at a tertiary care academic medical center.
Citation Text:
Tran M, Ciarkowski S, Wagner D, et al. A case study on the safety impact of implementing smart patient-controlled analgesic pumps at…
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psnet.ahrq.gov/issue/automated-operating-room-team-approach-patient-safety-and-communication
November 16, 2022 - Study
The automated operating room: a team approach to patient safety and communication.
Citation Text:
Nissan J, Campos V, Delgado H, et al. The automated operating room: a team approach to patient safety and communication. JAMA Surg. 2014;149(11):1209-10. doi:10.1001/jamasurg.2014.1825…
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psnet.ahrq.gov/issue/effects-rounding-patient-satisfaction-and-patient-safety-medical-surgical-unit
February 22, 2023 - Study
Effects of rounding on patient satisfaction and patient safety on a medical–surgical unit.
Citation Text:
WOODARD JENNIFERL. Effects of Rounding on Patient Satisfaction and Patient Safety on a Medical-Surgical Unit. Clin Nurs Specialist. 2009;23(4):200-206. doi:10.1097/nur.0b013e…
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psnet.ahrq.gov/issue/high-fidelity-simulation-and-safety-integrative-review
September 09, 2015 - Review
High-fidelity simulation and safety: an integrative review.
Citation Text:
Shearer JE. High-fidelity simulation and safety: an integrative review. J Nurs Edu. 2013;52(1):39-45. doi:10.3928/01484834-20121121-01.
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psnet.ahrq.gov/issue/patient-safety-tools-improving-safety-point-care
December 24, 2008 - Grant Recipient
Patient Safety Tools: Improving Safety at the Point of Care.
Citation Text:
Patient Safety Tools: Improving Safety at the Point of Care. Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/2005-annual-patient-safety-and-health-information-technology-conference-making-health-care
December 24, 2008 - Slideset
2005 Annual Patient Safety and Health Information Technology Conference: Making the Health Care System Safer through Implementation and Innovation.
Citation Text:
2005 Annual Patient Safety and Health Information Technology Conference: Making the Health Care System Safer throug…
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psnet.ahrq.gov/node/37368/psn-pdf
January 10, 2017 - Effective implementation of work-hour limits and
systemic improvements.
January 10, 2017
Landrigan CP, Czeisler CA, Barger LK, et al. Effective implementation of work-hour limits and systemic
improvements. Jt Comm J Qual Patient Saf. 2007;33(11 Suppl):19-29.
https://psnet.ahrq.gov/issue/effective-implementation-wo…
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psnet.ahrq.gov/node/44328/psn-pdf
August 22, 2015 - Accidents and incidents related to intravenous drug
administration: a pre-post study following implementation
of smart pumps in a teaching hospital.
August 22, 2015
Guérin A, Tourel J, Delage E, et al. Accidents and Incidents Related to Intravenous Drug Administration: A
Pre-Post Study Following Implementation of …
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psnet.ahrq.gov/node/44951/psn-pdf
March 02, 2016 - Using the Targeted Solutions Tool® to improve
emergency department handoffs in a community hospital.
March 2, 2016
Benjamin MF, Hargrave S, Nether K. Using the Targeted Solutions Tool® to Improve Emergency
Department Handoffs in a Community Hospital. Jt Comm J Qual Patient Saf. 2016;42(3):107-118.
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psnet.ahrq.gov/periodic-issue/periodic-issue-471
December 31, 2024 - response systems’ impacts on patient safety and clinical outcomes, and ways rapid response systems can be implemented
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psnet.ahrq.gov/issue/methods-studying-medication-safety-following-electronic-health-record-implementation-acute
February 03, 2011 - Review
Methods for studying medication safety following electronic health record implementation in acute care: a scoping review.
Citation Text:
Pereira N, Duff JP, Hayward T, et al. Methods for studying medication safety following electronic health record implementation in acute care: a …
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psnet.ahrq.gov/perspective/conversation-richard-kronick-phd
February 01, 2014 - Was it implemented successfully? Did we see the outcomes that we expected to see? … second part of your charge, the one that involves trying to identify what works and then be sure it's implemented