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psnet.ahrq.gov/node/38190/psn-pdf
May 14, 2009 - Oncology medication safety: a 3D status report 2008.
May 14, 2009
Johnson PE, Chambers C, Vaida AJ. Oncology medication safety: a 3D status report 2008. J Oncol Pharm
Pract. 2008;14(4):169-80. doi:10.1177/1078155208097634.
https://psnet.ahrq.gov/issue/oncology-medication-safety-3d-status-report-2008
This survey di…
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psnet.ahrq.gov/node/44480/psn-pdf
October 14, 2015 - Improving radiology report quality by rapidly notifying
radiologist of report errors.
October 14, 2015
Minn MJ, Zandieh AR, Filice RW. Improving Radiology Report Quality by Rapidly Notifying Radiologist of
Report Errors. J Digit Imaging. 2015;28(4):492-8. doi:10.1007/s10278-015-9781-9.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/40241/psn-pdf
June 20, 2011 - Computerized physician order entry in the critical care
environment: a review of current literature.
June 20, 2011
Maslove DM, Rizk NW, Lowe HJ. Computerized Physician Order Entry in the Critical Care Environment: A
Review of Current Literature. J Intensive Care Med. 2011;26(3). doi:10.1177/0885066610387984.
https…
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psnet.ahrq.gov/node/38278/psn-pdf
January 15, 2009 - The impact of introducing medical emergency team
system on the documentations of vital signs.
January 15, 2009
Chen J, Hillman KM, Bellomo R, et al. The impact of introducing medical emergency team system on the
documentations of vital signs. Resuscitation. 2008;80(1). doi:10.1016/j.resuscitation.2008.10.009.
http…
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psnet.ahrq.gov/node/43010/psn-pdf
March 19, 2014 - Why pediatricians fail to diagnose hypertension: a
multicenter survey.
March 19, 2014
Bijlsma MW, Blufpand HN, Kaspers GJL, et al. Why pediatricians fail to diagnose hypertension: a
multicenter survey. J Pediatr. 2014;164(1):173-177.e7. doi:10.1016/j.jpeds.2013.08.066.
https://psnet.ahrq.gov/issue/why-pediatrician…
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psnet.ahrq.gov/node/35482/psn-pdf
May 27, 2011 - The introduction of computerized physician order entry
and change management in a tertiary pediatric hospital.
May 27, 2011
Upperman JS, Staley P, Friend K, et al. The introduction of computerized physician order entry and change
management in a tertiary pediatric hospital. Pediatrics. 2005;116(5):e634-42.
https:/…
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psnet.ahrq.gov/node/42861/psn-pdf
January 15, 2014 - Transitioning Newborns From NICU to Home: A Resource
Toolkit.
January 15, 2014
Rockville, MD: Agency for Healthcare Research and Quality; December 2013. AHRQ Publication No.
12(14)-0054-EF.
https://psnet.ahrq.gov/issue/transitioning-newborns-nicu-home-resource-toolkit
Infants discharged from the neonatal intensiv…
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psnet.ahrq.gov/node/43453/psn-pdf
November 21, 2016 - Family-centered rounds.
November 21, 2016
Mittal V. Family-centered rounds. Pediatr Clin North Am. 2014;61(4):663-70. doi:10.1016/j.pcl.2014.04.003.
https://psnet.ahrq.gov/issue/family-centered-rounds
Family-centered rounds are multidisciplinary rounds that involve patients and their families, include the
complete…
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psnet.ahrq.gov/node/43562/psn-pdf
September 24, 2014 - What's that sound? Managing alarm fatigue.
September 24, 2014
George TP, Martin V. What?s that sound? Managing alarm fatigue. Nursing Made Incredibly Easy!.
2014;12(5). doi:10.1097/01.nme.0000452689.19763.3f.
https://psnet.ahrq.gov/issue/whats-sound-managing-alarm-fatigue
Alarm fatigue has been described as a cont…
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psnet.ahrq.gov/node/43984/psn-pdf
November 16, 2015 - Improving resident handoffs for children transitioning
from the intensive care unit.
November 16, 2015
Warrick D, Gonzalez-del-Rey J, Hall D, et al. Improving resident handoffs for children transitioning from the
intensive care unit. Hosp Pediatr. 2015;5(3):127-33. doi:10.1542/hpeds.2014-0067.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/39580/psn-pdf
January 03, 2017 - Evolution of a rapid response system from voluntary to
mandatory activation.
January 3, 2017
Jones CM, Bleyer AJ, Petree B. Evolution of a rapid response system from voluntary to mandatory
activation. Jt Comm J Qual Patient Saf. 2010;36(6):266-70, 241.
https://psnet.ahrq.gov/issue/evolution-rapid-response-system-v…
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psnet.ahrq.gov/node/43100/psn-pdf
April 02, 2014 - Taking National Action to Prevent and Eliminate
Healthcare-Associated Infections.
April 2, 2014
Kahn KL, Battles JB, eds. Med Care. 2014;52:i-ii,s1-s100.
https://psnet.ahrq.gov/issue/taking-national-action-prevent-and-eliminate-healthcare-associated-infections
This special issue explores a national initiativ…
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psnet.ahrq.gov/node/40238/psn-pdf
February 23, 2011 - Feasibility of centre-based incident reporting in primary
healthcare: the SPIEGEL study.
February 23, 2011
Zwart DLM, Steerneman AHM, van Rensen ELJ, et al. Feasibility of centre-based incident reporting in
primary healthcare: the SPIEGEL study. BMJ Qual Saf. 2011;20(2):121-7.
doi:10.1136/bmjqs.2009.033472.
https…
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psnet.ahrq.gov/node/40715/psn-pdf
October 31, 2011 - Usability evaluation of order sets in a computerized
provider order entry system.
October 31, 2011
Chan J, Shojania KG, Easty AC, et al. Usability evaluation of order sets in a computerised provider order
entry system. BMJ Qual Saf. 2011;20(11):932-40. doi:10.1136/bmjqs.2010.050021.
https://psnet.ahrq.gov/issue/us…
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psnet.ahrq.gov/node/36176/psn-pdf
May 30, 2008 - Quality improvement in healthcare in New Zealand. Part 2:
are our patients safe--and what are we doing about it?
May 30, 2008
Merry A, Seddon M, Quality EPI and. Quality improvement in healthcare in New Zealand. Part 2: are our
patients safe--and what are we doing about it? N Z Med J. 2006;119(1238):U2086.
https:/…
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psnet.ahrq.gov/node/39289/psn-pdf
February 02, 2011 - Safe electronic health record use requires a
comprehensive monitoring and evaluation framework.
February 2, 2011
Sittig DF, Classen D. Safe electronic health record use requires a comprehensive monitoring and
evaluation framework. JAMA. 2010;303(5):450-451. doi:10.1001/jama.2010.61.
https://psnet.ahrq.gov/issue/sa…
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psnet.ahrq.gov/node/35021/psn-pdf
April 03, 2012 - Health Information Technology Leadership Panel: Final
Report.
April 3, 2012
Lewin Group: Falls Church, VA; March 2005.
https://psnet.ahrq.gov/issue/health-information-technology-leadership-panel-final-report
Prepared by the Lewin Group for the Department of Health and Human Services, this 45-page report
summarize…
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psnet.ahrq.gov/node/37675/psn-pdf
April 09, 2008 - Hospital progress in reducing error: the impact of
external interventions.
April 9, 2008
Hosford SB. Hospital progress in reducing error: the impact of external interventions. Hosp Top.
2008;86(1):9-19. doi:10.3200/HTPS.86.1.9-20.
https://psnet.ahrq.gov/issue/hospital-progress-reducing-error-impact-external-interv…
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psnet.ahrq.gov/node/44934/psn-pdf
February 07, 2023 - National Safety Standards for Invasive Procedures
(NatSSIPs2).
February 7, 2023
Centre for Perioperative Care. London, UK; January 2023.
https://psnet.ahrq.gov/issue/national-safety-standards-invasive-procedures-natssips
Patients face risks when undergoing surgery. This revised guidance provides recommendations de…
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psnet.ahrq.gov/node/40912/psn-pdf
March 02, 2012 - Enhancing patient safety with intelligent intravenous
infusion devices: experience in a specialty cardiac
hospital.
March 2, 2012
Wood JL, Burnette JS. Enhancing patient safety with intelligent intravenous infusion devices: Experience in
a specialty cardiac hospital. Heart & Lung. 2011;41(2). doi:10.1016/j.hrtlng.…