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psnet.ahrq.gov/issue/implementing-national-strategy-patient-safety-lessons-national-health-service-england
March 02, 2011 - Commentary
Implementing a national strategy for patient safety: lessons from the National Health Service in England.
Citation Text:
Lewis RQ, Fletcher M. Implementing a national strategy for patient safety: lessons from the National Health Service in England. Qual Saf Health Care. 2005…
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psnet.ahrq.gov/issue/multiplicity-medication-safety-terms-definitions-and-functional-meanings-when-enough-enough
November 16, 2022 - Study
Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough?
Citation Text:
Yu KH, Nation RL, Dooley MJ. Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough? Qual Saf Health Care. 2005;14(5):3…
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psnet.ahrq.gov/issue/medical-errors-neurosurgery
February 14, 2018 - Review
Medical errors in neurosurgery.
Citation Text:
Rolston JD, Zygourakis CC, Han SJ, et al. Medical errors in neurosurgery. Surg Neurol Int. 2014;5(Suppl 10):S435-40. doi:10.4103/2152-7806.142777.
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psnet.ahrq.gov/issue/impact-electronic-prescribing-hospital-setting-process-focused-evaluation
April 29, 2020 - Study
Impact of electronic prescribing in a hospital setting: a process-focused evaluation.
Citation Text:
Cunningham TR, Geller S, Clarke SW. Impact of electronic prescribing in a hospital setting: a process-focused evaluation. Int J Med Inform. 2008;77(8):546-54.
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psnet.ahrq.gov/issue/patient-involvement-patient-safety-what-factors-influence-patient-participation-and
February 15, 2013 - Review
Patient involvement in patient safety: what factors influence patient participation and engagement?
Citation Text:
Davis R, Jacklin R, Sevdalis N, et al. Patient involvement in patient safety: what factors influence patient participation and engagement? Health Expect. 2007;10(3)…
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psnet.ahrq.gov/issue/characteristics-associated-postdischarge-medication-errors
April 12, 2023 - Study
Characteristics associated with postdischarge medication errors.
Citation Text:
Mixon A, Myers AP, Leak CL, et al. Characteristics associated with postdischarge medication errors. Mayo Clin Proc. 2014;89(8):1042-51. doi:10.1016/j.mayocp.2014.04.023.
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psnet.ahrq.gov/issue/enhancing-medication-use-safety-benefits-learning-your-peers
May 07, 2008 - Study
Enhancing medication use safety: benefits of learning from your peers.
Citation Text:
Kazandjian VA, Ogunbo S, Wicker KG, et al. Enhancing medication use safety: benefits of learning from your peers. Qual Saf Health Care. 2009;18(5):331-5. doi:10.1136/qshc.2008.027938.
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psnet.ahrq.gov/issue/lost-translation-impact-language-barriers-childrens-healthcare
January 06, 2018 - Review
Lost in translation: impact of language barriers on children's healthcare.
Citation Text:
Goenka PK. Lost in translation: impact of language barriers on children's healthcare. Curr Opin Pediatr. 2016;28(5):659-666. doi:10.1097/MOP.0000000000000404.
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psnet.ahrq.gov/issue/role-practice-guidelines-and-evidence-based-medicine-perioperative-patient-safety
June 26, 2024 - Review
The role of practice guidelines and evidence-based medicine in perioperative patient safety.
Citation Text:
Crosby E. Review article: the role of practice guidelines and evidence-based medicine in perioperative patient safety. Can J Anaesth. 2013;60(2):143-51. doi:10.1007/s12630…
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psnet.ahrq.gov/issue/reducing-medication-errors-using-applied-technology
January 07, 2011 - Commentary
Reducing medication errors by using applied technology.
Citation Text:
Caesar BR, Hutchinson B. Reducing medication errors by using applied technology. Nursing (Brux). 2006;36(8):24-25.
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psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
February 19, 2020 - communicated to all care team members (including patients and families) and that it is consistently implemented
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psnet.ahrq.gov/node/46913/psn-pdf
May 09, 2018 - Factors associated with the use of cognitive aids in
operating room crises: a cross-sectional study of US
hospitals and ambulatory surgical centers.
May 9, 2018
Alidina S, Goldhaber-Fiebert SN, Hannenberg A, et al. Factors associated with the use of cognitive aids in
operating room crises: a cross-sectional study …
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psnet.ahrq.gov/node/38761/psn-pdf
July 15, 2009 - Effect of bar-code–assisted medication administration on
medication administration errors and accuracy in multiple
patient care areas.
July 15, 2009
Helmons PJ, Wargel LN, Daniels CE. Effect of bar-code-assisted medication administration on medication
administration errors and accuracy in multiple patient care are…
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psnet.ahrq.gov/node/42395/psn-pdf
July 31, 2013 - Return on investment for vendor computerized physician
order entry in four community hospitals: the importance
of decision support.
July 31, 2013
Zimlichman E, Keohane C, Franz C, et al. Return on investment for vendor computerized physician order
entry in four community hospitals: the importance of decision suppo…
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psnet.ahrq.gov/node/43857/psn-pdf
August 02, 2015 - A checklist-based intervention to improve surgical
outcomes in Michigan: evaluation of the Keystone
Surgery program.
August 2, 2015
Reames BN, Krell RW, Campbell D, et al. A checklist-based intervention to improve surgical outcomes in
Michigan: evaluation of the Keystone Surgery program. JAMA Surg. 2015;150(3):208…
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psnet.ahrq.gov/node/39463/psn-pdf
February 10, 2015 - Mixed results in the safety performance of computerized
physician order entry.
February 10, 2015
Metzger J, Welebob E, Bates DW, et al. Mixed results in the safety performance of computerized physician
order entry. Health Aff (Millwood). 2010;29(4):655-663. doi:10.1377/hlthaff.2010.0160.
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psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
November 01, 2005 - In fact, hospitals that have implemented RRTs have anecdotally reported an increase in nurse satisfaction … experience of IHI, with our IMPACT Network and our colleagues in the Pursuing Perfection project—many had implemented
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psnet.ahrq.gov/perspective/conversation-edward-kelley-phd
December 01, 2014 - African Partnerships for Patient Safety (APPS) has been implemented through a phased approach aimed at … Improvement Framework.( 14 ) Two-year partnership plans focused on patient safety improvement were implemented
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psnet.ahrq.gov/issue/implementing-root-cause-analysis-area-health-service-views-participants
December 03, 2014 - Study
Implementing root cause analysis in an area health service: views of the participants.
Citation Text:
Middleton S, Walker C, Chester R. Implementing root cause analysis in an area health service: views of the participants. Aust Health Rev. 2005;29(4):422-8.
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psnet.ahrq.gov/issue/measure-dx-implementing-pathways-discover-and-learn-diagnostic-errors
August 25, 2021 - Commentary
Measure Dx: implementing pathways to discover and learn from diagnostic errors.
Citation Text:
Bradford A, Shofer M, Singh H. Measure Dx: Implementing pathways to discover and learn from diagnostic errors. Int J Qual Health Care. 2022;34(3):mzac068. doi:10.1093/intqhc/mzac068.…