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psnet.ahrq.gov/issue/health-it-implementation-stories-hands-care-plan-tool-seeks-improve-nurse-communication
December 24, 2008 - Newspaper/Magazine Article
Health IT implementation stories: HANDS care plan tool seeks to improve nurse communication at handoff in AHRQ-funded study.
Citation Text:
Health IT implementation stories: HANDS care plan tool seeks to improve nurse communication at handoff in AHRQ-funde…
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psnet.ahrq.gov/issue/developing-medication-patient-safety-program-part-2-process-and-implementation
May 11, 2014 - Commentary
Developing a medication patient safety program, part 2: process and implementation.
Citation Text:
Developing a medication patient safety program, part 2: process and implementation. Mark SM, Weber RJ. Hosp Pharm. 2007;42(3):249-254.
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psnet.ahrq.gov/issue/criminalization-mistakes-nursing
June 13, 2011 - Commentary
The criminalization of mistakes in nursing.
Citation Text:
Philipsen NC. The Criminalization of Mistakes in Nursing. J Nurs Pract. 2011;7(9):719-726. doi:10.1016/j.nurpra.2011.07.004.
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psnet.ahrq.gov/issue/what-doctors-can-learn-factory-floor
June 13, 2011 - Commentary
What doctors can learn from the factory floor.
Citation Text:
Martyn C. What doctors can learn from the factory floor. BMJ. 2010;340(mar03 3). doi:10.1136/bmj.c1217.
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psnet.ahrq.gov/issue/safety-anesthetic-and-perioperative-medication-practices
January 14, 2019 - Newspaper/Magazine Article
Safety of anesthetic and perioperative medication practices.
Citation Text:
Safety of anesthetic and perioperative medication practices. Meyer TA. Anesthesiology News. October 31, 2022.
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psnet.ahrq.gov/issue/lessons-learned-implementing-complex-and-innovative-patient-safety-learning-laboratory
August 03, 2022 - Study
Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center
Citation Text:
Businger AC, Fuller TE, Schnipper JL, et al. Lessons learned implementing a complex and innovative patient safety learning laboratory p…
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psnet.ahrq.gov/issue/lessons-learned-national-hospital-antibiotic-stewardship-implementation-project
July 20, 2022 - Study
Lessons learned from a national hospital antibiotic stewardship implementation project.
Citation Text:
Cosgrove SE, Ahn R, Dullabh P, et al. Lessons learned from a national hospital antibiotic stewardship implementation project. Jt Comm J Qual Patient Saf. 2024;50(6):435-441. doi:1…
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psnet.ahrq.gov/issue/look-alikesound-alike-drugs-literature-review-causes-and-solutions
September 28, 2022 - Review
Look alike/sound alike drugs: a literature review on causes and solutions.
Citation Text:
Ciociano N, Bagnasco L. Look alike/sound alike drugs: a literature review on causes and solutions. Int J Clin Pharm. 2014;36(2):233-242. doi:10.1007/s11096-013-9885-6.
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psnet.ahrq.gov/issue/reducing-nosocomial-transmission-covid-19-implementation-covid-19-triage-system
July 29, 2020 - Commentary
Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage system.
Citation Text:
Wake RM, Morgan M, Choi J, et al. Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage system. Clin Med (Lond). 2020;20(5):e141-e145. doi:10.78…
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psnet.ahrq.gov/issue/impact-22-month-multistep-implementation-program-speaking-behavior-academic-anesthesia
January 11, 2023 - Study
The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia department.
Citation Text:
Walther F, Schick C, Schwappach DLB, et al. The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesth…
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psnet.ahrq.gov/issue/systematic-review-interventions-used-enhance-implementation-and-compliance-world-health
March 08, 2023 - Review
A systematic review of interventions used to enhance implementation of and compliance with the World Health Organization surgical safety checklist in adult surgery.
Citation Text:
Liu LQ, Mehigan S. A systematic review of interventions used to enhance implementation of and complia…
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psnet.ahrq.gov/issue/changes-safety-attitude-and-relationship-decreased-postoperative-morbidity-and-mortality
May 27, 2010 - Study
Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention.
Citation Text:
Haynes AB, Weiser TG, Berry WR, et al. Changes in safety attitude and relationship to decrease…
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psnet.ahrq.gov/issue/surgical-technology-and-operating-room-safety-failures-systematic-review-quantitative-studies
May 06, 2015 - Review
Surgical technology and operating-room safety failures: a systematic review of quantitative studies.
Citation Text:
Weerakkody RA, Cheshire NJ, Riga C, et al. Surgical technology and operating-room safety failures: a systematic review of quantitative studies. BMJ Qual Saf. 2013;…
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psnet.ahrq.gov/issue/adverse-event-and-complication-tracking-anaesthesiology-dependence-self-reporting-despite
March 17, 2021 - Commentary
Adverse event and complication tracking in anaesthesiology: dependence on self-reporting despite implementation of electronic health records.
Citation Text:
Tewfik G, Naftalovich R, Kaushal N, et al. Adverse event and complication tracking in anaesthesiology: dependence on sel…
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psnet.ahrq.gov/issue/implementation-and-evaluation-prototype-consumer-reporting-system-patient-safety-events
February 12, 2020 - Study
Implementation and evaluation of a prototype consumer reporting system for patient safety events.
Citation Text:
Weingart SN, Weissman JS, Zimmer KP, et al. Implementation and evaluation of a prototype consumer reporting system for patient safety events. Int J Qual Health Care. 201…
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psnet.ahrq.gov/issue/we-asked-experts-who-surgical-safety-checklist-and-covid-19-pandemic-recommendations-content
May 19, 2021 - Commentary
We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptations.
Citation Text:
Panda N, Etheridge JC, Singh T, et al. The WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for…
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psnet.ahrq.gov/issue/effects-computerized-decision-support-system-implementations-patient-outcomes-inpatient-care
November 06, 2019 - Review
Emerging Classic
Effects of computerized decision support system implementations on patient outcomes in inpatient care: a systematic review.
Citation Text:
Varghese J, Kleine M, Gessner SI, et al. Effects of computerized decision support system implementa…
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psnet.ahrq.gov/issue/effective-interventions-and-implementation-strategies-reduce-adverse-drug-events-veterans
January 02, 2017 - Study
Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system.
Citation Text:
Mills PD, Neily J, Kinney LM, et al. Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs…
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psnet.ahrq.gov/issue/implementation-and-facilitation-post-resuscitation-debriefing-comparative-crossover-study-two
March 23, 2022 - Study
Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-resuscitation debriefing frameworks.
Citation Text:
Kam AJ, Gonsalves CL, Nordlund SV, et al. Implementation and facilitation of post-resuscitation debriefing: a comparative …
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psnet.ahrq.gov/issue/who-surgical-safety-checklist-survey-patients-views
January 19, 2016 - Study
The WHO surgical safety checklist: survey of patients' views.
Citation Text:
Russ SJ, Rout S, Caris J, et al. The WHO surgical safety checklist: survey of patients’ views. BMJ Qual Saf. 2014;23(11). doi:10.1136/bmjqs-2013-002772.
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