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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/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/838925/psn-pdf
March 03, 2025 - Improving Quality and Safety in Healthcare.
March 3, 2025
Dixon-Woods M, Martin G, eds. Cambridge, UK: Cambridge University Press; 2022-2025.
https://psnet.ahrq.gov/issue/improving-quality-and-safety-healthcare
Improvement activities are complex initiatives that require synergistic actions by organizations to be
s…
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psnet.ahrq.gov/issue/duty-hours-restriction-and-their-effect-resident-education-and-academic-departments-american
November 16, 2022 - Review
Duty hours restriction and their effect on resident education and academic departments: the American perspective.
Citation Text:
Swide CE, Kirsch JR. Duty hours restriction and their effect on resident education and academic departments: the American perspective. Curr Opin Anaes…
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psnet.ahrq.gov/issue/safe-home-care-intervention-study-implementation-methods-and-effectiveness-evaluation
July 19, 2023 - Study
The Safe Home Care Intervention Study: implementation methods and effectiveness evaluation.
Citation Text:
Sama SR, Quinn MM, Gore RJ, et al. The Safe Home Care Intervention Study: implementation methods and effectiveness evaluation. J Appl Gerontol. 2024;43(11):1595-1604. doi:10.1…
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psnet.ahrq.gov/issue/reliability-revised-notechs-scale-use-surgical-teams
April 11, 2009 - Study
Reliability of a revised NOTECHS scale for use in surgical teams.
Citation Text:
Sevdalis N, Davis R, Koutantji M, et al. Reliability of a revised NOTECHS scale for use in surgical teams. Am J Surg. 2008;196(2):184-90. doi:10.1016/j.amjsurg.2007.08.070.
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psnet.ahrq.gov/issue/rapid-response-systems-prospective-study-response-times
November 16, 2022 - Study
Rapid response systems: a prospective study of response times.
Citation Text:
Adelstein B-A, Piza MA, Nayyar V, et al. Rapid response systems: a prospective study of response times. J Crit Care. 2011;26(6):635.e11-8. doi:10.1016/j.jcrc.2011.03.013.
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psnet.ahrq.gov/issue/improving-weekend-out-hours-surgical-handover-woosh
May 27, 2011 - Commentary
Improving Weekend Out Of Hours Surgical Handover (WOOSH).
Citation Text:
Boyer M, Tappenden J, Peter M. Improving Weekend Out Of hours Surgical Handover (WOOSH). BMJ Qual Improv Rep. 2016;5(1):1-4. doi:10.1136/bmjquality.u209552.w4190.
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DOI G…
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psnet.ahrq.gov/issue/safe-use-electronic-health-records-and-health-information-technology-systems-trust-verify
August 02, 2015 - Study
Safe use of electronic health records and health information technology systems: trust but verify.
Citation Text:
Denham CR, Classen D, Swenson SJ, et al. Safe use of electronic health records and health information technology systems: trust but verify. J Patient Saf. 2013;9(4):17…
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psnet.ahrq.gov/issue/blending-evidence-and-innovation-improving-intershift-handoffs-multihospital-setting
September 23, 2017 - Commentary
Blending evidence and innovation: improving intershift handoffs in a multihospital setting.
Citation Text:
Thomas L, Donohue-Porter P. Blending evidence and innovation: improving intershift handoffs in a multihospital setting. J Nurs Care Qual. 2012;27(2):116-24. doi:10.1097…
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psnet.ahrq.gov/issue/health-care-professionals-views-implementing-policy-open-disclosure-errors
September 29, 2017 - Study
Health care professionals' views of implementing a policy of open disclosure of errors.
Citation Text:
Sorensen R, Iedema R, Piper D, et al. Health care professionals' views of implementing a policy of open disclosure of errors. J Health Serv Res Policy. 2008;13(4):227-32. doi:10.1…
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psnet.ahrq.gov/issue/clinician-directed-performance-improvement-moving-beyond-externally-mandated-metrics
July 10, 2008 - Commentary
Clinician-directed performance improvement: moving beyond externally mandated metrics.
Citation Text:
Goitein L. Clinician-directed performance improvement: moving beyond externally mandated metrics. Health Aff (Millwood). 2020;39(2). doi:10.1377/hlthaff.2019.00505.
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psnet.ahrq.gov/issue/medication-errors-injured-patients
April 03, 2019 - Study
Medication errors in injured patients.
Citation Text:
Dolejs SC, Janowak CF, Zarzaur BL. Medication Errors in Injured Patients. Am Surg. 2017;83(7):780-785.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/issue/health-information-technology-and-patient-safety-evidence-panel-data
February 23, 2011 - Study
Health information technology and patient safety: evidence from panel data.
Citation Text:
Parente ST, McCullough JS. Health information technology and patient safety: evidence from panel data. Health Aff (Millwood). 2009;28(2):357-360. doi:10.1377/hlthaff.28.2.357.
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psnet.ahrq.gov/issue/reducing-hospital-cardiac-arrests-and-hospital-mortality-introducing-medical-emergency-team
March 11, 2013 - Study
Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team.
Citation Text:
Konrad D, Jäderling G, Bell M, et al. Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. Intensive Care Med. 2010;…
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psnet.ahrq.gov/issue/implementation-checklists-health-care-learning-high-reliability-organisations
May 04, 2010 - Study
Implementation of checklists in health care; learning from high-reliability organisations.
Citation Text:
Thomassen Ø, Espeland A, Søfteland E, et al. Implementation of checklists in health care; learning from high-reliability organisations. Scand J Trauma Resusc Emerg Med. 2011;…
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psnet.ahrq.gov/issue/implementing-warm-handoff-between-hospital-and-skilled-nursing-facility-clinicians
March 04, 2020 - Study
Implementing a warm handoff between hospital and skilled nursing facility clinicians.
Citation Text:
Britton MC, Hodshon B, Chaudhry SI. Implementing a Warm Handoff Between Hospital and Skilled Nursing Facility Clinicians. J Patient Saf. 2019;15(3):198-204. doi:10.1097/PTS.00000000…
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psnet.ahrq.gov/issue/implementing-electronic-root-cause-analysis-reporting-system-decrease-hospital-acquired
December 22, 2021 - Study
Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries.
Citation Text:
Armstrong AA. Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries. J Healthc Qual. 2023;45(3):…
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psnet.ahrq.gov/issue/improved-operating-room-teamwork-safety-prep-rural-community-hospitals-experience
September 05, 2009 - Study
Improved operating room teamwork via SAFETY prep: a rural community hospital's experience.
Citation Text:
Paige JT, Aaron DL, Yang T, et al. Improved operating room teamwork via SAFETY prep: a rural community hospital's experience. World J Surg. 2009;33(6):1181-7. doi:10.1007/s00…
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psnet.ahrq.gov/issue/there-evidence-july-effect-among-patients-undergoing-hysterectomy-surgery
April 24, 2018 - Study
Is there evidence of a July effect among patients undergoing hysterectomy surgery?
Citation Text:
Varma S, Mehta A, Hutfless S, et al. Is there evidence of a July effect among patients undergoing hysterectomy surgery? Am J Obstet Gynecol. 2018;219(2):176.e1-176.e9. doi:10.1016/j.aj…