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psnet.ahrq.gov/issue/achieving-successful-patient-safety-program-implementation-harm-reduction-strategy
February 22, 2023 - Newspaper/Magazine Article
Achieving a successful patient safety program with implementation of a harm reduction strategy.
Citation Text:
Achieving a successful patient safety program with implementation of a harm reduction strategy. Cohen JB. APSF Newsletter. 2023;38(10):93-95.
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psnet.ahrq.gov/issue/sbar-patients
September 12, 2012 - Commentary
SBAR for patients.
Citation Text:
Denham CR. SBAR for Patients. J Patient Saf. 2008;4(1). doi:10.1097/pts.0b013e2181660c06.
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Format:
DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/node/46615/psn-pdf
January 23, 2019 - The surgical safety checklist and patient outcomes after
surgery: a prospective observational cohort study,
systematic review and meta-analysis.
January 23, 2019
Abbott TEF, Ahmad T, Phull MK, et al. The surgical safety checklist and patient outcomes after surgery: a
prospective observational cohort study, systema…
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psnet.ahrq.gov/node/37308/psn-pdf
January 05, 2012 - Effect of a rapid response system for patients in shock on
time to treatment and mortality during 5 years.
January 5, 2012
Sebat F, Musthafa AA, Johnson D, et al. Effect of a rapid response system for patients in shock on time to
treatment and mortality during 5 years. Crit Care Med. 2007;35(11):2568-75.
https://p…
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psnet.ahrq.gov/node/41619/psn-pdf
November 27, 2012 - A multicenter, phased, cluster-randomized controlled trial
to reduce central line–associated bloodstream infections
in intensive care units.
November 27, 2012
Marsteller JA, Sexton B, Hsu Y-J, et al. A multicenter, phased, cluster-randomized controlled trial to reduce
central line-associated bloodstream infections…
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psnet.ahrq.gov/node/40433/psn-pdf
November 26, 2014 - Transitioning between electronic health records: effects
on ambulatory prescribing safety.
November 26, 2014
Abramson EL, Malhotra S, Fischer K, et al. Transitioning between electronic health records: effects on
ambulatory prescribing safety. J Gen Intern Med. 2011;26(8):868-74. doi:10.1007/s11606-011-1703-z.
http…
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psnet.ahrq.gov/node/38118/psn-pdf
October 01, 2019 - Preventing errors relating to commonly used
anticoagulants.
December 23, 2016
Preventing errors relating to commonly used anticoagulants. Sentinel Event Alert. 2008;41(41):1-4.
https://psnet.ahrq.gov/issue/preventing-errors-relating-commonly-used-anticoagulants
Anticoagulant therapies such as heparin and warfarin …
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psnet.ahrq.gov/node/845640/psn-pdf
March 08, 2023 - Effect of Patient and Family Centered I-PASS on adverse
event rates in hospitalized children with complex chronic
conditions.
March 8, 2023
Kuzma N, Khan A, Rickey L, et al. Effect of Patient and Family Centered I?PASS on adverse event rates in
hospitalized children with complex chronic conditions. J Hosp Med. 202…
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psnet.ahrq.gov/node/42816/psn-pdf
October 31, 2014 - Rates of medical errors and preventable adverse events
among hospitalized children following implementation of
a resident handoff bundle.
October 31, 2014
Starmer AJ, Sectish TC, Simon DW, et al. Rates of medical errors and preventable adverse events among
hospitalized children following implementation of a reside…
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psnet.ahrq.gov/node/72791/psn-pdf
March 03, 2021 - National and institutional trends in adverse events over
time: a systematic review and meta-analysis of
longitudinal retrospective patient record review studies.
March 3, 2021
Connolly W, Li B, Conroy RM, et al. National and institutional trends in adverse events over time: a
systematic review and meta-analysis of…
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psnet.ahrq.gov/node/45839/psn-pdf
February 07, 2018 - Mortality trends after a voluntary checklist-based surgical
safety collaborative.
February 7, 2018
Haynes AB, Edmondson L, Lipsitz S, et al. Mortality Trends After a Voluntary Checklist-based Surgical
Safety Collaborative. Ann Surg. 2017;266(6):923-929. doi:10.1097/SLA.0000000000002249.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/42350/psn-pdf
June 12, 2013 - PCA safety data review after clinical decision support and
smart pump technology implementation.
June 12, 2013
Prewitt J, Schneider S, Horvath M, et al. PCA safety data review after clinical decision support and smart
pump technology implementation. J Patient Saf. 2013;9(2):103-9. doi:10.1097/PTS.0b013e318281b866.
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psnet.ahrq.gov/node/33707/psn-pdf
February 01, 2011 - QI and cost
Implemented
ABC program in
16 Texas rural
hospitals and 2
Pennsylvania
rural hospitals
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psnet.ahrq.gov/node/74691/psn-pdf
January 01, 2021 - Contact the Innovator
Hardeep Singh, hardeeps@bcm.edu
Date First Implemented
2013-01-01
Problem Addressed
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psnet.ahrq.gov/perspective/communication-during-transitions-care
July 10, 2024 - Although several strategies can be implemented to improve communication during transitions of care, healthcare
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psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
March 19, 2019 - in community pharmacies in the United States is relatively limited, systemwide approaches should be implemented
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psnet.ahrq.gov/node/47102/psn-pdf
June 26, 2018 - Transition to a new electronic health record and pediatric
medication safety: lessons learned in pediatrics within a
large academic health system.
June 26, 2018
Whalen K, Lynch E, Moawad I, et al. Transition to a new electronic health record and pediatric medication
safety: lessons learned in pediatrics within a l…
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psnet.ahrq.gov/node/46396/psn-pdf
August 15, 2018 - An ethnographic study of health information technology
use in three intensive care units.
August 15, 2018
Leslie M, Paradis E, Gropper MA, et al. An Ethnographic Study of Health Information Technology Use in
Three Intensive Care Units. Health Serv Res. 2017;52(4):1330-1348. doi:10.1111/1475-6773.12466.
https://psn…
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psnet.ahrq.gov/node/39951/psn-pdf
October 27, 2010 - Making inpatient medication reconciliation patient
centered, clinically relevant and implementable: a
consensus statement on key principles and necessary
first steps.
October 27, 2010
Greenwald JL, Halasyamani L, Greene J, et al. Making inpatient medication reconciliation patient centered,
clinically relevant and…
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psnet.ahrq.gov/node/45319/psn-pdf
September 01, 2018 - Special Issue: Progress at the Intersection of Patient
Safety and Medical Liability.
September 1, 2018
Ridgely MS, Greenberg MD, Clancy CM, eds. Health Serv Res. 2016;51(suppl 3):2395-2648.
https://psnet.ahrq.gov/issue/special-issue-progress-intersection-patient-safety-and-medical-liability
Medical liability refor…