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psnet.ahrq.gov/node/37341/psn-pdf
January 20, 2010 - Patient-Centered Care: What Does It Take?
January 20, 2010
Shaller D. The Commonwealth Fund. October 2007.
https://psnet.ahrq.gov/issue/patient-centered-care-what-does-it-take
By sharing the insights of health care leaders, this report identifies important factors for integrating patient-
centered care into organi…
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psnet.ahrq.gov/node/36869/psn-pdf
August 31, 2011 - An extra dose of safety.
August 31, 2011
An extra dose of safety. Installation of a bar-coding system drives an entire workflow redesign at a non-
profit hospital and healthcare network. Health management technology. 2007;28(4):30-2, 34.
https://psnet.ahrq.gov/issue/extra-dose-safety
This article describes a healt…
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psnet.ahrq.gov/node/36757/psn-pdf
August 09, 2011 - Medication bar coding: to scan or not to scan?
August 9, 2011
Galvin L, McBeth S, Hasdorff C, et al. Medication bar coding: to scan or not to scan? Comput Inform Nurs.
2007;25(2):86-92.
https://psnet.ahrq.gov/issue/medication-bar-coding-scan-or-not-scan
The authors describe the implementation of a bedside medicati…
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psnet.ahrq.gov/node/41365/psn-pdf
May 09, 2012 - Patient safety: break the silence.
May 9, 2012
Johnson HL, Kimsey D. Patient safety: break the silence. AORN J. 2012;95(5):591-601.
doi:10.1016/j.aorn.2012.03.002.
https://psnet.ahrq.gov/issue/patient-safety-break-silence
This commentary describes the development, implementation, and impact of a team-based safety …
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psnet.ahrq.gov/node/37356/psn-pdf
December 13, 2017 - Transforming Hospitals: Designing for Safety and Quality.
December 13, 2017
Rockville, MD: Agency for Healthcare Research and Quality; December 2014.
https://psnet.ahrq.gov/issue/transforming-hospitals-designing-safety-and-quality
This video uses the experiences of three US hospitals to demonstrate how the quality …
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psnet.ahrq.gov/node/37404/psn-pdf
June 13, 2011 - Answers to improved medication reconciliation lie with
pharmacists.
June 13, 2011
Barbella M. Drug Topics. November 19, 2007.
https://psnet.ahrq.gov/issue/answers-improved-medication-reconciliation-lie-pharmacists
A survey of hospital pharmacists underscores problems inherent in implementing medication reconciliat…
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psnet.ahrq.gov/node/38447/psn-pdf
March 04, 2010 - Never Events--Framework 2010-11.
March 4, 2010
National Patient Safety Agency. London, UK: National Reporting and Learning Service; 2010.
https://psnet.ahrq.gov/issue/never-events-framework-200910
This report from the United Kingdom is intended to guide Primary Care Trusts in implementing never
events policies for…
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psnet.ahrq.gov/node/39538/psn-pdf
May 19, 2010 - CPOE: strategies for success.
May 19, 2010
Manor PJ. CPOE: Strategies for success. Nurs Manage. 2010;41(5):18-20.
doi:10.1097/01.NUMA.0000372028.99240.7f.
https://psnet.ahrq.gov/issue/cpoe-strategies-success
This commentary reviews tactics to engage nurses in computerized provider order entry (CPOE)
implementatio…
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psnet.ahrq.gov/node/40276/psn-pdf
June 15, 2011 - The need for systems integration in health care.
June 15, 2011
Mathews SC, Pronovost P. The need for systems integration in health care. JAMA. 2011;305(9):934-5.
doi:10.1001/jama.2011.237.
https://psnet.ahrq.gov/issue/need-systems-integration-health-care
This commentary suggests a systems approach for implementing…
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psnet.ahrq.gov/node/39815/psn-pdf
March 18, 2011 - Introducing new technology safely.
March 18, 2011
Mytton OT, Velazquez A, Banken R, et al. Introducing new technology safely. Qual Saf Health Care.
2010;19 Suppl 2:i9-14. doi:10.1136/qshc.2009.038554.
https://psnet.ahrq.gov/issue/introducing-new-technology-safely
This report describes the distinction between techn…
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psnet.ahrq.gov/node/40139/psn-pdf
January 22, 2017 - Standardizing hospital discharge planning at the Mayo
Clinic.
January 22, 2017
Holland DE, Hemann MA. Standardizing hospital discharge planning at the Mayo Clinic. Jt Comm J Qual
Patient Saf. 2011;37(1):29-36.
https://psnet.ahrq.gov/issue/standardizing-hospital-discharge-planning-mayo-clinic
Implementation of a s…
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psnet.ahrq.gov/node/36206/psn-pdf
September 30, 2010 - Reducing medication errors by using applied technology.
September 30, 2010
Caesar BR, Hutchinson B. Reducing medication errors by using applied technology. Nursing (Brux).
2006;36(8):24-25.
https://psnet.ahrq.gov/issue/reducing-medication-errors-using-applied-technology
The authors describe their experience in imp…
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psnet.ahrq.gov/node/37753/psn-pdf
May 02, 2018 - Some red rules shouldn't rule in hospitals.
May 2, 2018
ISMP Medication Safety Alert! Acute Care Edition. April 24, 2008;13:1-3.
https://psnet.ahrq.gov/issue/some-red-rules-shouldnt-rule-hospitals
This article provides a set of criteria for health care professionals to develop and implement red rules as an
effecti…
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psnet.ahrq.gov/node/35190/psn-pdf
June 17, 2014 - The quality connection.
June 17, 2014
Solovy A. The 100 most wired 2005: the quality connection. Hospitals Health Network. 2005;79(7):38-50, 2.
https://psnet.ahrq.gov/issue/quality-connection
This article reports on the results of Hospitals & Health Networks' 2005 Most Wired Survey and
Benchmarking Study. Results …
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psnet.ahrq.gov/node/35517/psn-pdf
November 17, 2016 - Joint Commission Journal on Quality and Patient Safety.
November 17, 2016
Baker D, ed. Oakbrook Terrace, IL: Joint Commission. ISSN: 1553-7250.
https://psnet.ahrq.gov/issue/joint-commission-journal-quality-and-patient-safety
This monthly, peer-reviewed journal provides both empirical studies and practical instructi…
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psnet.ahrq.gov/node/39041/psn-pdf
October 21, 2009 - The OR and a "just culture."
October 21, 2009
Hamlin L. The OR and a "just culture". AORN J. 2009;90(4):495-498. doi:10.1016/j.aorn.2009.09.003.
https://psnet.ahrq.gov/issue/or-and-just-culture
To illustrate the value of just culture implementation, this piece describes a hypothetical scenario involving
the WHO Sa…
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psnet.ahrq.gov/node/42411/psn-pdf
July 24, 2013 - Surgical checklists: the human factor.
July 24, 2013
O'Connor P, Reddin C, O'Sullivan M, et al. Surgical checklists: the human factor. Patient Saf Surg.
2013;7(1):14. doi:10.1186/1754-9493-7-14.
https://psnet.ahrq.gov/issue/surgical-checklists-human-factor
This qualitative study identified several barriers to the …
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psnet.ahrq.gov/node/36067/psn-pdf
September 28, 2010 - Operating room briefings.
September 28, 2010
Makary MA, Holzmueller CG, Sexton B, et al. Operating room debriefings. Jt Comm J Qual Patient Saf.
2006;32(7):407-410, 357.
https://psnet.ahrq.gov/issue/operating-room-briefings
The authors describe a postoperative debriefing tool used by surgical teams at Johns Hopkin…
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psnet.ahrq.gov/node/42766/psn-pdf
November 27, 2013 - The biggest mistake doctors make.
November 27, 2013
Landro L. Wall Street Journal. November 17, 2013.
https://psnet.ahrq.gov/issue/biggest-mistake-doctors-make
This newspaper article describes efforts to prevent diagnostic errors, including improving follow-up of
abnormal test results and implementing decision sup…
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psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
September 28, 2022 - In Conversation With... Freya Spielberg, MD, MPH
September 28, 2022
Also Read the Essay
Citation Text:
In Conversation With.. Freya Spielberg, MD, MPH. PSNet [internet]. 2022.In Conversation With... Freya Spielberg, MD, MPH. PSNet [internet]. Rockville (MD): Agen…