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psnet.ahrq.gov/issue/educational-interventions-reduce-prescribing-errors
October 19, 2022 - Study
Educational interventions to reduce prescribing errors.
Citation Text:
Conroy S, North C, Fox T, et al. Educational interventions to reduce prescribing errors. Arch Dis Child. 2008;93(4):313-5. doi:10.1136/adc.2007.127761.
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psnet.ahrq.gov/issue/dissemination-and-implementation-equity-focused-evidence-based-interventions-healthcare
April 20, 2022 - Grant Announcement
Dissemination and Implementation of Equity-Focused Evidence-Based Interventions in Healthcare Delivery Systems (R18).
Citation Text:
Dissemination and Implementation of Equity-Focused Evidence-Based Interventions in Healthcare Delivery Systems (R18). Rockville, MD: Age…
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psnet.ahrq.gov/issue/developing-medication-patient-safety-program-infrastructure-and-strategy
May 11, 2014 - Commentary
Developing a medication patient safety program — infrastructure and strategy.
Citation Text:
Mark SM, Weber RJ. Developing a Medication Patient Safety Program – Infrastructure and Strategy. Hosp Pharm. 2010;42(2):149-154. doi:10.1310/hpj4202-149.
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psnet.ahrq.gov/issue/human-factors-subsystems-approach-trauma-care
October 08, 2013 - Study
A human factors subsystems approach to trauma care.
Citation Text:
Catchpole K, Ley EJ, Wiegmann D, et al. A human factors subsystems approach to trauma care. JAMA Surg. 2014;149(9):962-8.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML…
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psnet.ahrq.gov/issue/achieving-high-reliability-organization-through-implementation-arcc-model-systemwide
March 21, 2018 - Commentary
Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice.
Citation Text:
Melnyk BM. Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainabi…
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psnet.ahrq.gov/issue/back-basics-counting-soft-surgical-goods
March 17, 2021 - Commentary
Back to basics: counting soft surgical goods.
Citation Text:
Spruce L. Back to Basics: Counting Soft Surgical Goods. AORN J. 2016;103(3):298-301; quiz 302-3. doi:10.1016/j.aorn.2015.12.021.
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psnet.ahrq.gov/node/865493/psn-pdf
April 03, 2024 - Implement strategies to prevent persistent medication
errors and hazards: 2024.
April 3, 2024
ISMP Medication Safety Alert! Acute Care. 2024;29(6):1-4.
https://psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards-2024
Systemic failures can perpetuate unsafe care if a lack of p…
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psnet.ahrq.gov/node/38889/psn-pdf
April 01, 2010 - Anatomy of a failure: a sociotechnical evaluation of a
laboratory physician order entry system implementation.
April 1, 2010
Peute LW, Aarts J, Bakker PJM, et al. Anatomy of a failure: a sociotechnical evaluation of a laboratory
physician order entry system implementation. Int J Med Inform. 2010;79(4):e58-70.
doi:…
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psnet.ahrq.gov/node/42355/psn-pdf
February 11, 2015 - Advancing Successful Care Transitions to Improve
Outcomes.
February 11, 2015
Society of Hospital Medicine
https://psnet.ahrq.gov/issue/project-boost-mentored-implementation-program
This Web site provides resources associated with the Better Outcomes for Older adults through Safe
Transitions project, called Projec…
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psnet.ahrq.gov/node/847057/psn-pdf
April 05, 2023 - Implement strategies to prevent persistent medication
errors and hazards.
April 5, 2023
ISMP Medication Safety Alert! Acute care edition. March 23, 2023;28(6):1-4.
https://psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards
Medication mistakes are recognized contributors to p…
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psnet.ahrq.gov/node/50875/psn-pdf
February 05, 2020 - Implementing Closing the Loop. Safe Practices for
Diagnostic Results
February 5, 2020
Partnership for HIT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2020.
https://psnet.ahrq.gov/issue/implementing-closing-loop-safe-practices-diagnostic-results
Health information technology (HIT) can improve record keepi…
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psnet.ahrq.gov/node/49543/psn-pdf
September 01, 2007 - The hospital had recently implemented a new EMAR
system, and there was no way to suppress this information
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psnet.ahrq.gov/node/45183/psn-pdf
July 20, 2016 - Assessing the relationship between patient safety culture
and EHR strategy.
July 20, 2016
Ford E, Silvera GA, Kazley AS, et al. Assessing the relationship between patient safety culture and EHR
strategy. Int J Health Care Qual Assur. 2016;29(6):614-27. doi:10.1108/IJHCQA-10-2015-0125.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/45619/psn-pdf
August 16, 2017 - Checking the lists: a systematic review of electronic
checklist use in health care.
August 16, 2017
Kramer HS, Drews FA. Checking the lists: A systematic review of electronic checklist use in health care. J
Biomed Inform. 2017;71S:S6-S12. doi:10.1016/j.jbi.2016.09.006.
https://psnet.ahrq.gov/issue/checking-lists-s…
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psnet.ahrq.gov/node/837038/psn-pdf
May 04, 2022 - Mind the Implementation Gap. The Persistence of
Avoidable Harm in the NHS.
May 4, 2022
London UK: Patient Safety Learning: 2022.
https://psnet.ahrq.gov/issue/mind-implementation-gap-persistence-avoidable-harm-nhs
Unsafe care affects a wide range of individuals and organizations physically, emotionally, and financi…
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psnet.ahrq.gov/node/38474/psn-pdf
March 10, 2011 - Using computerized provider order entry and clinical
decision support to improve referring physicians'
implementation of consultants' medical
recommendations.
March 10, 2011
Were MC, Abernathy G, Hui SL, et al. Using computerized provider order entry and clinical decision
support to improve referring physicians' …
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psnet.ahrq.gov/node/37116/psn-pdf
October 04, 2011 - Adopting National Quality Forum medication safe
practices: progress and barriers to hospital
implementation.
October 4, 2011
Rask KJ, Culler SD, Scott T, et al. Adopting National Quality Forum medication safe practices: Progress
and barriers to hospital implementation. J Hosp Med. 2007;2(4). doi:10.1002/jhm.187.
…
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psnet.ahrq.gov/node/73249/psn-pdf
May 12, 2021 - I-PASS handover system: a decade of evidence demands
action.
May 12, 2021
Shahian DM. I-PASS handover system: a decade of evidence demands action. BMJ Qual Saf.
2021;30(10):769-774. doi:10.1136/bmjqs-2021-013314.
https://psnet.ahrq.gov/issue/i-pass-handover-system-decade-evidence-demands-action
The I-PASS structu…
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psnet.ahrq.gov/node/866072/psn-pdf
June 05, 2024 - WHO Global Report on Patient Safety.
June 5, 2024
Geneva, Switzerland: World Health Organization; 2024. ISBN 9789240095458.
https://psnet.ahrq.gov/issue/who-global-report-patient-safety
Comparative data can help to inform and motivate patient safety improvement efforts. This report uses the
seven objectives of the…
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psnet.ahrq.gov/node/42903/psn-pdf
September 29, 2017 - How policy makers can smooth the way for
communication-and-resolution programs.
September 29, 2017
Sage WM, Gallagher TH, Armstrong S, et al. How policy makers can smooth the way for communication-
and- resolution programs. Health Aff (Millwood). 2014;33(1):11-9. doi:10.1377/hlthaff.2013.0930.
https://psnet.ahrq.g…