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psnet.ahrq.gov/issue/evaluation-implementation-alert-issued-uk-national-patient-safety-agency-storage-and-handling
September 04, 2013 - Study
Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution.
Citation Text:
Lankshear AJ, Sheldon TA, Lowson K, et al. Evaluation of the implementation of the alert issued by th…
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psnet.ahrq.gov/issue/rx-medication-errors
July 19, 2023 - Newspaper/Magazine Article
Rx for medication errors.
Citation Text:
Friedley NJC. Rx for medication errors. A patient medication safety plan can help prevent the cascade of devastating and preventable complications from adverse drug events. Medical economics. 2008;85(20):34-8.
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psnet.ahrq.gov/issue/introduction-computerized-physician-order-entry-and-change-management-tertiary-pediatric
January 22, 2016 - Review
The introduction of computerized physician order entry and change management in a tertiary pediatric hospital.
Citation Text:
Upperman JS, Staley P, Friend K, et al. The introduction of computerized physician order entry and change management in a tertiary pediatric hospital. Pe…
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psnet.ahrq.gov/issue/costs-developing-implementing-and-operating-safety-learning-system-community-practice
March 21, 2012 - Study
The costs of developing, implementing, and operating a safety learning system in community practice.
Citation Text:
O'Beirne M, Reid R, Zwicker K, et al. The costs of developing, implementing, and operating a safety learning system in community practice. J Patient Saf. 2013;9(4):2…
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psnet.ahrq.gov/issue/rapid-response-teams-seen-through-eyes-nurse
June 03, 2010 - Study
Rapid response teams seen through the eyes of the nurse.
Citation Text:
Shapiro SE, Donaldson NE, Scott MB. Rapid response teams seen through the eyes of the nurse. Am J Nurs. 2010;110(6):28-34; quiz 35-36. doi:10.1097/01.NAJ.0000377686.64479.84.
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psnet.ahrq.gov/issue/implementing-team-based-daily-goals-sheet-non-icu-setting
January 03, 2017 - Commentary
Implementing a team-based daily goals sheet in a non-ICU setting.
Citation Text:
Holzmueller CG, Timmel J, Kent P, et al. Implementing a team-based daily goals sheet in a non-ICU setting. Jt Comm J Qual Patient Saf. 2009;35(7):384-8, 341.
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Go…
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psnet.ahrq.gov/issue/discharge-rounds-80-hour-workweek-importance-trauma-nurse-practitioner
October 19, 2022 - Study
Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner.
Citation Text:
Haan JM, Dutton RP, Willis M, et al. Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. J Trauma. 2007;63(2):339-43.
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psnet.ahrq.gov/issue/creating-fellowship-curriculum-patient-safety-and-quality
September 09, 2020 - Commentary
Creating a fellowship curriculum in patient safety and quality.
Citation Text:
Abookire SA, Gandhi TK, Kachalia A, et al. Creating a Fellowship Curriculum in Patient Safety and Quality. Am J Med Qual. 2016;31(1):27-30. doi:10.1177/1062860614549012.
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psnet.ahrq.gov/issue/perceived-disability-based-discrimination-health-care-children-medical-complexity
November 16, 2022 - Study
Perceived disability-based discrimination in health care for children with medical complexity.
Citation Text:
Ames SG, Delaney RK, Houtrow AJ, et al. Perceived disability-based discrimination in health care for children with medical complexity. Pediatrics. 2023;152(1):e2022060975. …
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psnet.ahrq.gov/issue/what-value-and-impact-quality-and-safety-teams-scoping-review
December 06, 2017 - Review
What is the value and impact of quality and safety teams? A scoping review.
Citation Text:
White DE, Straus SE, Stelfox T, et al. What is the value and impact of quality and safety teams? A scoping review. Implement Sci. 2011;6:97. doi:10.1186/1748-5908-6-97.
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psnet.ahrq.gov/issue/design-and-implementation-point-care-computerized-system-drug-therapy-stockholm-metropolitan
October 21, 2010 - Commentary
Design and implementation of a point-of-care computerized system for drug therapy in Stockholm metropolitan health region--bridging the gap between knowledge and practice.
Citation Text:
SJOBORG B, BACKSTROM T, ARVIDSSON L, et al. Design and implementation of a point-of-care…
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psnet.ahrq.gov/issue/fmea-team-performance-health-care-qualitative-analysis-team-member-perceptions
December 31, 2014 - Study
FMEA team performance in health care: a qualitative analysis of team member perceptions.
Citation Text:
Wetterneck TB, Hundt AS, Carayon P. FMEA Team Performance in Health Care. J Patient Saf. 2009;5(2). doi:10.1097/pts.0b013e3181a852be.
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psnet.ahrq.gov/issue/implementing-smart-infusion-pumps-dose-error-reduction-software-real-world-experiences
May 26, 2021 - Commentary
Implementing smart infusion pumps with dose-error reduction software: real-world experiences.
Citation Text:
Heron C. Implementing smart infusion pumps with dose-error reduction software: real-world experiences. Br J Nurs. 2017;26(8):S13-S16. doi:10.12968/bjon.2017.26.8.S13.
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psnet.ahrq.gov/issue/comparative-effectiveness-analysis-implementation-surgical-safety-checklists-tertiary-care
December 20, 2023 - Study
A comparative effectiveness analysis of the implementation of surgical safety checklists in a tertiary care hospital.
Citation Text:
Bock M, Fanolla A, Segur-Cabanac I, et al. A Comparative Effectiveness Analysis of the Implementation of Surgical Safety Checklists in a Tertiary Car…
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psnet.ahrq.gov/issue/resource-based-view-safety-cultures-influence-hospital-performance-moderating-role-electronic
November 17, 2021 - Study
Resource-based view on safety culture's influence on hospital performance: the moderating role of electronic health record implementation.
Citation Text:
Upadhyay S, Weech-Maldonado R, Lemak CH, et al. Resource-based view on safety culture’s influence on hospital performance: The m…
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psnet.ahrq.gov/issue/clinician-perspectives-electronic-health-records-communication-and-patient-safety-across
September 23, 2020 - Study
Clinician perspectives on electronic health records, communication, and patient safety across diverse medical oncology practices.
Citation Text:
Patel MR, Friese CR, Mendelsohn-Victor K, et al. Clinician Perspectives on Electronic Health Records, Communication, and Patient Safety A…
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psnet.ahrq.gov/node/33630/psn-pdf
March 01, 2006 - Team Training: Classroom Training vs. High-Fidelity
Simulation
March 1, 2006
Pratt SD, PSachs B. Team Training: Classroom Training vs. High-Fidelity Simulation. PSNet [internet].
2006.
https://psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation
Point–Counterpoint
Editor's Note…
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psnet.ahrq.gov/node/853080/psn-pdf
August 30, 2023 - Virtual Nursing: Improving Patient Care and Meeting
Workforce Challenges
August 30, 2023
Sanford K, Schuelke S, Lee M, et al. Virtual Nursing: Improving Patient Care and Meeting Workforce
Challenges. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workf…
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psnet.ahrq.gov/perspective/evolution-root-cause-analysis
February 26, 2025 - improvement and is essential for fostering a robust culture of safety within healthcare organizations when implemented … Sarah Mossburg: How have organizations implemented and used the RCA 2 methodology since its introduction
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psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
February 26, 2025 - Sarah Mossburg: How have organizations implemented and used the RCA 2 methodology since its introduction … improvement and is essential for fostering a robust culture of safety within healthcare organizations when implemented