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psnet.ahrq.gov/node/40421/psn-pdf
January 01, 2020 - Safe Surgery 2020.
April 27, 2011
GE Foundation. info@safesurgery2020.org.
https://psnet.ahrq.gov/issue/safe-surgery-2015
This Web site provides programmatic resources building on work to implement the World Health
Organization surgical safety checklist to improve surgical safety worldwide. Its efforts center…
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psnet.ahrq.gov/node/40452/psn-pdf
May 11, 2011 - The novice nurse and clinical decision-making: how to
avoid errors.
May 11, 2011
Saintsing D, Gibson LM, Pennington AW. The novice nurse and clinical decision-making: how to avoid
errors. J Nurs Manag. 2011;19(3):354-9. doi:10.1111/j.1365-2834.2011.01248.x.
https://psnet.ahrq.gov/issue/novice-nurse-and-clinical-de…
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psnet.ahrq.gov/node/38181/psn-pdf
October 31, 2016 - PSO Privacy Protection Center.
October 31, 2016
Agency for Healthcare Research and Quality; AHRQ.
https://psnet.ahrq.gov/issue/pso-privacy-protection-center
This Web site supports AHRQ implementation of the Patient Safety and Quality Improvement Act of 2005
by providing technical assistance and educational materia…
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psnet.ahrq.gov/node/38336/psn-pdf
January 14, 2009 - Proceedings of a summit on preventing patient harm and
death from IV medication errors.
January 14, 2009
Proceedings of a summit on preventing patient harm and death from i.v. medication errors.
doi:10.2146/ajhp080406.
https://psnet.ahrq.gov/issue/proceedings-summit-preventing-patient-harm-and-death-iv-medication-…
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psnet.ahrq.gov/node/36370/psn-pdf
June 12, 2013 - Health Information Technology in the United States: The
Information Base for Progress.
June 12, 2013
Blumenthal D, DesRoches C, Donelan K, et al. Princeton, NJ: Robert Wood Johnson Foundation; 2006.
https://psnet.ahrq.gov/issue/health-information-technology-united-states-information-base-progress
This report share…
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psnet.ahrq.gov/node/39005/psn-pdf
January 03, 2017 - One system's journey in creating a disclosure and
apology program.
January 3, 2017
Peto RR, Tenerowicz LM, Benjamin EM, et al. One system's journey in creating a disclosure and apology
program. Jt Comm J Qual Patient Saf. 2009;35(10):487-96.
https://psnet.ahrq.gov/issue/one-systems-journey-creating-disclosure-and-…
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psnet.ahrq.gov/node/38223/psn-pdf
October 14, 2015 - Patient-Centered Care Improvement Guide.
October 14, 2015
Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008.
https://psnet.ahrq.gov/issue/patient-centered-care-improvement-guide
This guide contains comprehensive information about best practices and implementation tool…
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psnet.ahrq.gov/node/35869/psn-pdf
July 23, 2010 - Five ways you can reduce inappropriate prescribing in the
elderly: a systematic review.
July 23, 2010
Garcia RM. Five ways you can reduce inappropriate prescribing in the elderly: a systematic review. J Fam
Pract. 2006;55(4):305-12.
https://psnet.ahrq.gov/issue/five-ways-you-can-reduce-inappropriate-prescribing-el…
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psnet.ahrq.gov/node/38834/psn-pdf
January 03, 2017 - What are the critical success factors for team training in
health care?
January 3, 2017
Salas E, Almeida SA, Salisbury M, et al. What are the critical success factors for team training in health
care? Jt Comm J Qual Patient Saf. 2009;35(8):398-405.
https://psnet.ahrq.gov/issue/what-are-critical-success-factors-tea…
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psnet.ahrq.gov/node/42443/psn-pdf
January 07, 2015 - Medical audible alarms: a review.
January 7, 2015
Edworthy J. Medical audible alarms: a review. J Am Med Inform Assoc. 2013;20(3):584-9.
doi:10.1136/amiajnl-2012-001061.
https://psnet.ahrq.gov/issue/medical-audible-alarms-review
This review examines design, implementation, and standardization concerns related to a…
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psnet.ahrq.gov/node/39363/psn-pdf
March 10, 2010 - Clinical nurse specialists as leaders in rapid response.
March 10, 2010
Jenkins SD, Lindsey PL. Clinical nurse specialists as leaders in rapid response. Clin Nurse Spec.
2010;24(1):24-30. doi:10.1097/NUR.0b013e3181c4abe9.
https://psnet.ahrq.gov/issue/clinical-nurse-specialists-leaders-rapid-response
This commentar…
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psnet.ahrq.gov/node/41750/psn-pdf
December 12, 2012 - Multiprofessional survey of protocol use in the intensive
care unit.
December 12, 2012
LeBlanc JM, Kane-Gill SL, Pohlman AS, et al. Multiprofessional survey of protocol use in the intensive care
unit. J Crit Care. 2012;27(6):738.e9-17. doi:10.1016/j.jcrc.2012.07.012.
https://psnet.ahrq.gov/issue/multiprofessional-…
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psnet.ahrq.gov/node/38162/psn-pdf
October 22, 2008 - Prevention of intravenous drug incompatibilities in an
intensive care unit.
October 22, 2008
Bertsche T, Mayer Y, Stahl R, et al. Prevention of intravenous drug incompatibilities in an intensive care
unit. Am J Health Syst Pharm. 2008;65(19):1834-40. doi:10.2146/ajhp070633.
https://psnet.ahrq.gov/issue/prevention-…
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psnet.ahrq.gov/perspective/building-capacity-patient-safety
July 31, 2023 - Sarah Mossburg: What standards could be implemented related to safety education training?
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psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
July 31, 2023 - Sarah Mossburg: What standards could be implemented related to safety education training?
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psnet.ahrq.gov/node/36451/psn-pdf
December 22, 2010 - Surgical site verification: A through Z.
December 22, 2010
Dunn D. Surgical site verification: A through Z. J Perianesth Nurs. 2006;21(5):317-28; quiz 329-31.
https://psnet.ahrq.gov/issue/surgical-site-verification-through-z
The author explains the Joint Commission on Accreditation of Healthcare Organizations' Univ…
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psnet.ahrq.gov/node/857580/psn-pdf
August 09, 2024 - Patient Safety Research Summaries.
August 9, 2024
Rockville, MD: Agency for Healthcare Research and Quality; 2023-2024.
https://psnet.ahrq.gov/issue/patient-safety-research-summaries
The application of evidence in real situations helps to embed innovation across systems and sustain care
improvement. This col…
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psnet.ahrq.gov/node/35638/psn-pdf
June 25, 2010 - Medication errors in a pharmacy-based bar-code-
repackaging center.
June 25, 2010
Cina J, Fanikos J, Mitton P, et al. Medication errors in a pharmacy-based bar-code-repackaging center. Am
J Health Syst Pharm. 2006;63(2):165-8.
https://psnet.ahrq.gov/issue/medication-errors-pharmacy-based-bar-code-repackaging-cente…
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psnet.ahrq.gov/node/37458/psn-pdf
June 07, 2008 - The National Emergency Department Safety Study: study
rationale and design.
June 7, 2008
Sullivan AF, Camargo CA, Cleary PD, et al. The National Emergency Department Safety Study: Study
Rationale and Design. Acad Emerg Med. 2007;14(12):1182-1189. doi:10.1197/j.aem.2007.07.014.
https://psnet.ahrq.gov/issue/national…
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psnet.ahrq.gov/node/37369/psn-pdf
January 22, 2017 - Improving the Health Care Work Environment.
January 22, 2017
Jt Comm J Qual Saf. 2007;33(11 supp):s2-s84.
https://psnet.ahrq.gov/issue/improving-health-care-work-environment
This supplement includes articles regarding several research projects that explore organizational climate,
hospital staffing, and work…