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psnet.ahrq.gov/node/47924/psn-pdf
June 05, 2019 - Effect of a central call center on employee perceptions of
safety culture within community pharmacies in an
academic health system.
June 5, 2019
Bowden A, Mullin S, Tak C, et al. Effect of a central call center on employee perceptions of safety culture
within community pharmacies in an academic health system. Am J…
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psnet.ahrq.gov/node/43345/psn-pdf
July 16, 2014 - Avoiding potential harm by improving appropriateness of
urinary catheter use in 18 emergency departments.
July 16, 2014
Fakih MG, Heavens M, Grotemeyer J, et al. Avoiding potential harm by improving appropriateness of
urinary catheter use in 18 emergency departments. Ann Emerg Med. 2014;63(6):761-8.e1.
doi:10.1016…
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psnet.ahrq.gov/node/47423/psn-pdf
January 27, 2019 - A health system–wide initiative to decrease opioid-related
morbidity and mortality.
January 27, 2019
Weiner SG, Price CN, Atalay AJ, et al. A Health System-Wide Initiative to Decrease Opioid-Related
Morbidity and Mortality. Jt Comm J Qual Patient Saf. 2019;45(1):3-13. doi:10.1016/j.jcjq.2018.07.003.
https://psnet.…
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psnet.ahrq.gov/node/41756/psn-pdf
October 10, 2012 - Patient safety and dentistry: what do we need to know?
Fundamentals of patient safety, the safety culture and
implementation of patient safety measures in dental
practice.
October 10, 2012
Yamalik N, Pérez BP. Patient safety and dentistry: what do we need to know? Fundamentals of patient
safety, the safety cultur…
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psnet.ahrq.gov/node/836755/psn-pdf
March 16, 2022 - Adverse event and complication tracking in
anaesthesiology: dependence on self-reporting despite
implementation of electronic health records.
March 16, 2022
Tewfik G, Naftalovich R, Kaushal N, et al. Adverse event and complication tracking in anaesthesiology:
dependence on self-reporting despite implementation of …
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psnet.ahrq.gov/node/43108/psn-pdf
September 28, 2023 - Maryland Hospital Patient Safety Program Annual Report.
September 28, 2023
Office of Health Care Quality. Baltimore, MD: Maryland Department of Health and Mental Hygiene.
https://psnet.ahrq.gov/issue/maryland-hospital-patient-safety-program-annual-report
This annual report summarizes never events in Maryland hospit…
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psnet.ahrq.gov/node/73069/psn-pdf
March 24, 2021 - Evaluation of the quality of 'do not use' medication
abbreviation audits: a key enabler to successful
implementation of audit and feedback.
March 24, 2021
Li E, Marrandino J, Marshall S, et al. Evaluation of the quality of ‘do not use’ medication abbreviation
audits: a key enabler to successful implementation of a…
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psnet.ahrq.gov/node/74271/psn-pdf
January 19, 2022 - Improving shared situation awareness for high-risk
therapies in hospitalized children.
January 19, 2022
Sosa T, Mayer B, Chakkalakkal B, et al. Improving shared situation awareness for high-risk therapies in
hospitalized children. Hosp Pediatr. 2022;12(1):37-46. doi:10.1542/hpeds.2021-006193.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/73870/psn-pdf
September 22, 2021 - Society for Maternal-Fetal Medicine Special Statement:
Surgical safety checklists for cesarean delivery.
September 22, 2021
Combs CA, Einerson BD, Toner LE. Society for Maternal-Fetal Medicine Special Statement: Surgical safety
checklists for cesarean delivery. Am J Obstet Gynecol. 2021;225(5):b43-b49.
doi:10.1016…
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psnet.ahrq.gov/node/40096/psn-pdf
December 22, 2010 - Enhancing communication in surgery through team
training interventions: a systematic literature review.
December 22, 2010
Gillespie BM, Chaboyer W, Murray P. Enhancing communication in surgery through team training
interventions: a systematic literature review. AORN J. 2010;92(6):642-57. doi:10.1016/j.aorn.2010.02.…
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psnet.ahrq.gov/node/838011/psn-pdf
January 01, 2023 - Fall prevention with the Smart Socks System reduces
hospital fall rates.
September 7, 2022
Moore T, Kline D, Palettas M, et al. Fall prevention with the Smart Socks System reduces hospital fall
rates. J Nurs Care Qual. 2023;38(1):55-60. doi:10.1097/ncq.0000000000000653.
https://psnet.ahrq.gov/issue/fall-prevention…
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psnet.ahrq.gov/node/72524/psn-pdf
January 01, 2021 - Keeping patients at risk for self-harm safe in the
emergency department: a protocolized approach.
December 2, 2020
Donovan AL, Aaronson EL, Black L, et al. Keeping patients at risk for self-harm safe in the emergency
department: a protocolized approach. Jt Comm J Qual Patient Saf. 2021;47(1):23-30.
doi:10.1016/j.j…
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psnet.ahrq.gov/node/865530/psn-pdf
April 10, 2024 - Electronic Health Record Modernization Caused
Pharmacy-Related Patient Safety Issues Nationally and at
the VA Central Ohio Healthcare System in Columbus.
April 10, 2024
Washington, DC: The Veterans Affairs Inspector General; March 21, 2024. Report No. 23-01450-
114.
https://psnet.ahrq.gov/issue/electronic-he…
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psnet.ahrq.gov/node/46102/psn-pdf
May 31, 2017 - Improving infusion pump safety through usability testing.
May 31, 2017
Miller K, Arnold R, Capan M, et al. Improving infusion pump safety through usability testing. J Nurs Care
Qual. 2017;32(2):141-149. doi:10.1097/NCQ.0000000000000208.
https://psnet.ahrq.gov/issue/improving-infusion-pump-safety-through-usability-t…
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psnet.ahrq.gov/node/50932/psn-pdf
February 26, 2020 - Clinician-directed performance improvement: moving
beyond externally mandated metrics.
February 26, 2020
Goitein L. Clinician-directed performance improvement: moving beyond externally mandated metrics.
Health Aff (Millwood). 2020;39(2). doi:10.1377/hlthaff.2019.00505.
https://psnet.ahrq.gov/issue/clinician-direct…
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psnet.ahrq.gov/node/73699/psn-pdf
September 15, 2021 - Making safety training stickier: a richer model of safety
training engagement and transfer.
September 15, 2021
Casey T, Turner N, Hu X, et al. Making safety training stickier: a richer model of safety training engagement
and transfer. J Safety Res. 2021;78:303-313. doi:10.1016/j.jsr.2021.06.004.
https://psnet.ahrq…
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psnet.ahrq.gov/issue/health-information-technology
August 21, 2016 - Special or Theme Issue
Health Information Technology.
Citation Text:
Health Information Technology. Am J Manag Care. 2014;20(spec 17):492-554,e1-e31.
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psnet.ahrq.gov/issue/advances-patient-safety-new-directions-and-alternative-approaches
August 01, 2012 - Book/Report
Classic
Advances in Patient Safety: New Directions and Alternative Approaches.
Citation Text:
Advances in Patient Safety: New Directions and Alternative Approaches. Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publicatio…
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psnet.ahrq.gov/issue/declaration-advance-patient-safety
July 12, 2017 - Book/Report
Declaration to Advance Patient Safety.
Citation Text:
Declaration to Advance Patient Safety. National Steering Committee for Patient Safety. Boston, MA: Institute for Healthcare Improvement; May 2022.
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psnet.ahrq.gov/issue/keeping-commitment-progress-report-four-early-leaders-patient-safety-improvement
October 07, 2008 - Book/Report
Keeping the Commitment: A Progress Report on Four Early Leaders in Patient Safety Improvement.
Citation Text:
Keeping the Commitment: A Progress Report on Four Early Leaders in Patient Safety Improvement. McCarthy D, Klein S. New York, NY: The Commonwealth Fund; March 15,…