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psnet.ahrq.gov/node/43354/psn-pdf
July 16, 2014 - Weaving a healthcare tapestry of safety and
communication.
July 16, 2014
Hay J, Collin S, Koruth S. Weaving a healthcare tapestry of safety and communication. Nurs Manage.
2014;45(7):40-6. doi:10.1097/01.NUMA.0000451035.84587.7d.
https://psnet.ahrq.gov/issue/weaving-healthcare-tapestry-safety-and-communication
Th…
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psnet.ahrq.gov/node/42537/psn-pdf
October 02, 2013 - The use of a checklist in a pediatric oncology clinic.
October 2, 2013
McLean TW, White GM, Bagliani AF, et al. The use of a checklist in a pediatric oncology clinic. Pediatr
Blood Cancer. 2013;60(11):1855-9. doi:10.1002/pbc.24657.
https://psnet.ahrq.gov/issue/use-checklist-pediatric-oncology-clinic
An Institute o…
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psnet.ahrq.gov/node/41931/psn-pdf
December 19, 2012 - Preventing wrong-site surgery in Minnesota: a 5-year
journey.
December 19, 2012
Rydrych D, Apold J, Harder K. Patient Saf Qual Healthc. November/December 2012;9:24-27,30-32,34.
https://psnet.ahrq.gov/issue/preventing-wrong-site-surgery-minnesota-5-year-journey
Discussing a 5-year effort to report, analyze, and red…
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psnet.ahrq.gov/node/836867/psn-pdf
April 06, 2022 - Safer Dx Checklist: 10 High-Priority Practices for
Diagnostic Excellence.
April 6, 2022
Houston TX; Baylor College of Medicine: 2022.
https://psnet.ahrq.gov/issue/safer-dx-checklist-10-high-priority-practices-diagnostic-excellence
Assessment can identify the current state of a process or program to reveal ar…
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psnet.ahrq.gov/node/73123/psn-pdf
April 01, 2020 - Digital Healthcare Research.
April 1, 2020
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/digital-healthcare-research
An understanding of the impact that digital tools can have on clinical decision making, patient self-care, and
health system improvement is still emerging. This website hi…
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psnet.ahrq.gov/node/44610/psn-pdf
May 03, 2017 - International Prize in Resilient Health Care.
May 3, 2017
The Australian Institute of Health Innovation.
https://psnet.ahrq.gov/issue/international-prize-resilient-health-care
Innovations in patient safety can drive improvement efforts. This award program seeks to recognize
feasible and widely implementable strate…
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psnet.ahrq.gov/node/37919/psn-pdf
July 16, 2008 - Adverse event protocol for interventional pain medicine:
the importance of an organized response.
July 16, 2008
Sitzman BT. Adverse Event Protocol for Interventional Pain Medicine: The Importance of an Organized
Response. Pain Medicine. 2008;9(suppl 1). doi:10.1111/j.1526-4637.2008.00446.x.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/37887/psn-pdf
July 02, 2008 - Medical mistakes no longer billable: bold steps taken by
state to reduce hospital errors.
July 2, 2008
Smith S.
https://psnet.ahrq.gov/issue/medical-mistakes-no-longer-billable-bold-steps-taken-state-reduce-hospital-
errors
Massachusetts government and state insurers have outlined policies whereby they will not r…
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psnet.ahrq.gov/node/41713/psn-pdf
September 26, 2012 - Why patients need leaders: introducing a ward safety
checklist.
September 26, 2012
Amin Y, Grewcock D, Andrews S, et al. Why patients need leaders: introducing a ward safety checklist. J R
Soc Med. 2012;105(9):377-83. doi:10.1258/jrsm.2012.120098.
https://psnet.ahrq.gov/issue/why-patients-need-leaders-introducing-…
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psnet.ahrq.gov/node/867648/psn-pdf
January 01, 2023 - Opioid Taskforce Playbook.
January 1, 2023
College of Healthcare Information Management Executives; 2023. Opioid Taskforce Playbook.
https://psnet.ahrq.gov/issue/opioid-taskforce-playbook
Hospitals play an important role in identifying and preventing the misuse and abuse of prescription opioids.
This Opioid Playbo…
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psnet.ahrq.gov/node/37119/psn-pdf
March 24, 2011 - Patient safety: helping medical students understand error
in healthcare.
March 24, 2011
Patey R, Flin R, Cuthbertson BH, et al. Patient safety: helping medical students understand error in
healthcare. Qual Saf Health Care. 2007;16(4):256-9.
https://psnet.ahrq.gov/issue/patient-safety-helping-medical-students-under…
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psnet.ahrq.gov/node/36863/psn-pdf
August 29, 2011 - Embedding quality improvement and patient safety at
Liverpool Women's NHS Foundation Trust.
August 29, 2011
Scholefield H. Embedding quality improvement and patient safety at Liverpool Women's NHS Foundation
Trust. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):593-607.
https://psnet.ahrq.gov/issue/embedding-qual…
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psnet.ahrq.gov/node/44155/psn-pdf
June 24, 2015 - Patient Safety Tool Kit.
June 24, 2015
WHO Regional Office for the Eastern Mediterranean. Cairo, Egypt: World Health Organization; 2015. ISBN:
9789290220596.
https://psnet.ahrq.gov/issue/patient-safety-tool-kit
Patient safety programs should reflect local needs, motivate clinician and leadership engagement, and
s…
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psnet.ahrq.gov/node/42460/psn-pdf
July 31, 2013 - Effectiveness of the surgical safety checklist in a high
standard care environment.
July 31, 2013
Lübbeke A, Hovaguimian F, Wickboldt N, et al. Effectiveness of the surgical safety checklist in a high
standard care environment. Med Care. 2013;51(5):425-9. doi:10.1097/MLR.0b013e31828d1489.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/42563/psn-pdf
October 09, 2013 - Quick Response codes for surgical safety: a prospective
pilot study.
October 9, 2013
Dixon JL, Smythe WR, Momsen LS, et al. Quick Response codes for surgical safety: a prospective pilot
study. Journal of Surgical Research. 2013;184(1). doi:10.1016/j.jss.2013.06.036.
https://psnet.ahrq.gov/issue/quick-response-code…
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psnet.ahrq.gov/node/867699/psn-pdf
June 01, 2023 - Toolkit for Improving Surgical Care and Recovery.
June 1, 2023
Agency for Healthcare Research and Quality. Toolkit for Improving Surgical Care and Recovery. June
2023.
https://psnet.ahrq.gov/issue/toolkit-improving-surgical-care-and-recovery
Improving patient experience fosters better communication, trust, and col…
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psnet.ahrq.gov/node/865348/psn-pdf
January 01, 2023 - Learning Health Systems
January 1, 2023
Agency for Health Research and Quality.
https://psnet.ahrq.gov/issue/learning-health-systems
The learning health system model centers on the purposeful, systematic use of internal data and
knowledge with external evidence to improve the safety and quality of care. This websi…
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psnet.ahrq.gov/node/43864/psn-pdf
January 28, 2015 - Starter Kit for Alarm Fatigue.
January 28, 2015
National Association of Clinical Nurse Specialists; NACNS.
https://psnet.ahrq.gov/issue/starter-kit-alarm-fatigue
Alarm fatigue has been identified as a serious problem that affects the safety of nursing care. This toolkit
provides checklists, resources, and implemen…
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psnet.ahrq.gov/node/38395/psn-pdf
January 02, 2017 - Reducing medication errors and improving systems
reliability using an electronic medication reconciliation
system.
January 2, 2017
Agrawal A, Wu WY. Reducing Medication Errors and Improving Systems Reliability Using an Electronic
Medication Reconciliation System. The Joint Commission Journal on Quality and Patient…
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psnet.ahrq.gov/node/41856/psn-pdf
November 21, 2012 - Electronic health records and National Patient-Safety
Goals.
November 21, 2012
Sittig DF, Singh H. Electronic Health Records and National Patient-Safety Goals. New England Journal of
Medicine. 2012;367(19). doi:10.1056/nejmsb1205420.
https://psnet.ahrq.gov/issue/electronic-health-records-and-national-patient-safet…