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psnet.ahrq.gov/node/39437/psn-pdf
March 03, 2011 - Using care bundles to reduce in-hospital mortality:
quantitative survey.
March 3, 2011
Robb E, Jarman B, Suntharalingam G, et al. Using care bundles to reduce in-hospital mortality: quantitative
survey. BMJ. 2010;340:c1234. doi:10.1136/bmj.c1234.
https://psnet.ahrq.gov/issue/using-care-bundles-reduce-hospital-mort…
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psnet.ahrq.gov/node/39625/psn-pdf
June 23, 2010 - Cultural and associated enablers of, and barriers to,
adverse incident reporting.
June 23, 2010
Braithwaite J, Westbrook MT, Travaglia J, et al. Cultural and associated enablers of, and barriers to,
adverse incident reporting. Qual Saf Health Care. 2010;19(3):229-233. doi:10.1136/qshc.2008.030213.
https://psnet.ah…
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psnet.ahrq.gov/node/39973/psn-pdf
January 04, 2011 - Residency training at a crossroads: duty-hour standards
2010.
January 4, 2011
Volpp KG, Friedman W, Romano PS, et al. Residency training at a crossroads: duty-hour standards 2010.
Ann Intern Med. 2010;153(12):826-8. doi:10.7326/0003-4819-153-12-201012210-00287.
https://psnet.ahrq.gov/issue/residency-training-cross…
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psnet.ahrq.gov/node/36260/psn-pdf
May 27, 2011 - The effect of physicians' long-term use of CPOE on their
test management work practices.
May 27, 2011
Callen JL, Westbrook JI, Braithwaite J. The effect of physicians' long-term use of CPOE on their test
management work practices. J Am Med Inform Assoc. 2006;13(6):643-52.
https://psnet.ahrq.gov/issue/effect-physic…
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psnet.ahrq.gov/node/36557/psn-pdf
July 14, 2010 - Adoption of technology to improve medication safety:
perspectives of pharmacy directors.
July 14, 2010
Bussard BE, McAlearney AS, Pedersen CA, et al. Adoption of Technology to Improve Medication Safety. J
Patient Saf. 2008;2(4). doi:10.1097/01.jps.0000236914.48955.99.
https://psnet.ahrq.gov/issue/adoption-technolo…
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psnet.ahrq.gov/node/40694/psn-pdf
October 31, 2011 - Improving RCA performance: the Cornerstone Award and
the power of positive reinforcement.
October 31, 2011
Bagian JP, King BJ, Mills PD, et al. Improving RCA performance: the Cornerstone Award and the power of
positive reinforcement. BMJ Qual Saf. 2011;20(11):974-82. doi:10.1136/bmjqs.2010.049585.
https://psnet.ah…
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psnet.ahrq.gov/node/41312/psn-pdf
April 18, 2012 - Functional safety of health information technology.
April 18, 2012
Chadwick L, Fallon EF, van der Putten WJ, et al. Functional safety of health information technology. Health
Informatics J. 2012;18(1):36-49. doi:10.1177/1460458211432587.
https://psnet.ahrq.gov/issue/functional-safety-health-information-technology
…
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psnet.ahrq.gov/node/36211/psn-pdf
February 13, 2008 - AORN Guidance Statement: Safe Medication Practices in
Perioperative Settings Across the Life Span.
February 13, 2008
AORN guidance statement: safe medication practices in perioperative settings across the life span. AORN
J. 2006;84(2):276-283.
https://psnet.ahrq.gov/issue/aorn-guidance-statement-safe-medication-pr…
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psnet.ahrq.gov/node/36387/psn-pdf
July 14, 2010 - Effectiveness of a community collaborative for
eliminating the use of high-risk abbreviations written by
physicians.
July 14, 2010
Leonhardt KK, Botticelli J. Effectiveness of a Community Collaborative for Eliminating the Use of High-risk
Abbreviations Written by Physicians. J Patient Saf. 2008;2(3). doi:10.1097/0…
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psnet.ahrq.gov/node/853629/psn-pdf
September 20, 2023 - Global Knowledge Sharing Platform for Patient Safety.
September 20, 2023
World Health Organization.
https://psnet.ahrq.gov/issue/global-knowledge-sharing-platform-patient-safety
The sharing of best practices is a key component of enabling successful strategy implementation in support
of patient safety plans and go…
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psnet.ahrq.gov/node/38664/psn-pdf
September 23, 2009 - Bar-code technology for medication administration:
medication errors and nurse satisfaction.
September 23, 2009
Fowler SB, Sohler P, Zarillo DF. Bar-code technology for medication administration: medication errors and
nurse satisfaction. Medsurg Nurs. 2009;18(2):103-9.
https://psnet.ahrq.gov/issue/bar-code-technol…
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psnet.ahrq.gov/node/43003/psn-pdf
March 05, 2014 - Learning from every death.
March 5, 2014
Huddleston JM, Diedrich DA, Kinsey GC, et al. Learning from every death. J Patient Saf. 2014;10(1):6-12.
doi:10.1097/PTS.0000000000000053.
https://psnet.ahrq.gov/issue/learning-every-death
This commentary describes how design and implementation of an institutional mortality…
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psnet.ahrq.gov/node/37115/psn-pdf
October 04, 2011 - Evaluation of an anonymous system to report medical
errors in pediatric inpatients.
October 4, 2011
Taylor JA, Brownstein D, Klein EJ, et al. Evaluation of an anonymous system to report medical errors in
pediatric inpatients. J Hosp Med. 2007;2(4):226-33.
https://psnet.ahrq.gov/issue/evaluation-anonymous-system-re…
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psnet.ahrq.gov/node/36241/psn-pdf
October 21, 2010 - 'Clean Care is Safer Care': the Global Patient Safety
Challenge 2005-2006.
October 21, 2010
Pittet D, Allegranzi B, Storr J, et al. 'Clean Care is Safer Care': the Global Patient Safety Challenge 2005-
2006. Int J Infect Dis. 2006;10(6):419-24.
https://psnet.ahrq.gov/issue/clean-care-safer-care-global-patient-safe…
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psnet.ahrq.gov/node/35980/psn-pdf
January 01, 2019 - The development of the National Reporting and Learning
System in England and Wales, 2001-2005.
December 23, 2012
Williams SK, Osborn SS. The development of the National Reporting and Learning System in England and
Wales, 2001–2005. Med J Aust. 2019;184(S10) (S10):s65-s68. doi:10.5694/j.1326-5377.2006.tb00366.x.
ht…
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psnet.ahrq.gov/node/36754/psn-pdf
August 09, 2011 - Improving patient safety and communication through care
rounds in a pediatric oncology outpatient clinic.
August 9, 2011
Blough CA, Walrath JM. Improving patient safety and communication through care rounds in a pediatric
oncology outpatient clinic. J Nurs Care Qual. 2007;22(2):159-63.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/48052/psn-pdf
June 12, 2019 - How organisations contribute to improving the quality of
healthcare.
June 12, 2019
Fulop NJ, Ramsay AIG. How organisations contribute to improving the quality of healthcare. BMJ.
2019;365:l1773. doi:10.1136/bmj.l1773.
https://psnet.ahrq.gov/issue/how-organisations-contribute-improving-quality-healthcare
Quality a…
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psnet.ahrq.gov/node/33895/psn-pdf
April 01, 2024 - The Leapfrog Hospital Survey.
April 1, 2024
Leapfrog Group.
https://psnet.ahrq.gov/issue/leapfrog-hospital-survey
This website offers resources related to the Leapfrog Hospital Survey investigating hospitals' progress in
implementing specific patient safety practices. Updates to the survey include increased time a…
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psnet.ahrq.gov/node/867772/psn-pdf
September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocl.
September 1, 2013
Agency for Healthcare Research and Quality. Universal ICU Decolonization: An Enhanced Protocol.
https://psnet.ahrq.gov/issue/universal-icu-decolonization-enhanced-protocl
Methicillin-resistant?Staphylococcus aureus (MRSA) is a known threat to pati…
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psnet.ahrq.gov/node/837808/psn-pdf
August 05, 2024 - Recognizing Excellence in Diagnosis: Recommended
Practices for Hospitals.
August 5, 2024
Washington, DC: Leapfrog Group; July 2024.
https://psnet.ahrq.gov/issue/recognizing-excellence-diagnosis-recommended-practices-hospitals
Diagnostic safety is beginning to be established as a systemic, rather than solely an ind…