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psnet.ahrq.gov/node/41975/psn-pdf
February 01, 2013 - Impact of an intensivist-led multidisciplinary extended
rapid response team on hospital-wide cardiopulmonary
arrests and mortality.
February 1, 2013
Al-Qahtani S, Al-Dorzi HM, Tamim HM, et al. Impact of an intensivist-led multidisciplinary extended rapid
response team on hospital-wide cardiopulmonary arrests and m…
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psnet.ahrq.gov/node/39605/psn-pdf
December 17, 2010 - The effect of facility complexity on perceptions of safety
climate in the operating room: size matters.
December 17, 2010
Carney BT, West P, Neily J, et al. The effect of facility complexity on perceptions of safety climate in the
operating room: size matters. Am J Med Qual. 2010;25(6):457-61. doi:10.1177/106286061…
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psnet.ahrq.gov/node/74011/psn-pdf
October 27, 2021 - Dashboards for visual display of patient safety data: a
systematic review.
October 27, 2021
Murphy DR, Savoy A, Satterly T, et al. Dashboards for visual display of patient safety data: a systematic
review. BMJ Health Care Inform. 2021;28(1):e100437. doi:10.1136/bmjhci-2021-100437.
https://psnet.ahrq.gov/issue/dash…
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psnet.ahrq.gov/node/35440/psn-pdf
May 27, 2011 - Computerized physician order entry with clinical decision
support in the long-term care setting: insights from the
Baycrest Centre for Geriatric Care.
May 27, 2011
Rochon P, Field T, Bates DW, et al. Computerized physician order entry with clinical decision support in the
long-term care setting: insights from the …
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psnet.ahrq.gov/node/836856/psn-pdf
April 06, 2022 - To what extent are patients involved in researching safety
in acute mental healthcare?
April 6, 2022
Brierley-Jones L, Ramsey L, Canvin K, et al. To what extent are patients involved in researching safety in
acute mental healthcare? Res Involv Engagem. 2022;8(1):8. doi:10.1186/s40900-022-00337-x.
https://psnet.ahr…
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psnet.ahrq.gov/node/47810/psn-pdf
March 13, 2019 - Debriefing in the OR: a quality improvement project.
March 13, 2019
Finch EP, Langston M, Erickson D, et al. Debriefing in the OR: A Quality Improvement Project. AORN J.
2019;109(3):336-344. doi:10.1002/aorn.12616.
https://psnet.ahrq.gov/issue/debriefing-or-quality-improvement-project
Debriefing has emerged as a s…
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psnet.ahrq.gov/node/34797/psn-pdf
October 06, 2015 - Adapting to new technologies in the operating room.
October 6, 2015
Cook RI, Woods DD. Adapting to New Technology in the Operating Room. Hum Factors. 2006;38(4):593-
613. doi:10.1518/001872096778827224.
https://psnet.ahrq.gov/issue/adapting-new-technologies-operating-room
New technology continues to offer great ad…
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psnet.ahrq.gov/node/47009/psn-pdf
December 21, 2018 - Perceptions of rounding checklists in the intensive care
unit: a qualitative study.
December 21, 2018
Hallam BD, Kuza CC, Rak K, et al. Perceptions of rounding checklists in the intensive care unit: a
qualitative study. BMJ Qual Saf. 2018;27(10):836-843. doi:10.1136/bmjqs-2017-007218.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/73592/psn-pdf
August 11, 2021 - Using performance improvement to enhance time-out
compliance and prevent wrong-site surgery.
August 11, 2021
Vance ME, Proctor T, Schmidt KA. Using performance improvement to enhance time-out compliance and
prevent wrong-site surgery. AORN J. 2021;113(6):635-642. doi:10.1002/aorn.13413.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/45373/psn-pdf
November 18, 2016 - Prevalence, risk factors, and outcomes of idle
intravenous catheters: an integrative review.
November 18, 2016
Becerra MB, Shirley D, Safdar N. Prevalence, risk factors, and outcomes of idle intravenous catheters: An
integrative review. Am J Infect Control. 2016;44(10):e167-e172. doi:10.1016/j.ajic.2016.03.073.
ht…
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psnet.ahrq.gov/node/862613/psn-pdf
February 14, 2024 - Standardizing medication reconciliation in a pediatric
emergency department.
February 14, 2024
Sheth S, Bialostozky M, Hollenbach K, et al. Standardizing medication reconciliation in a pediatric
emergency department. Pediatrics. 2024;153(2):e2023061964. doi:10.1542/peds.2023-061964.
https://psnet.ahrq.gov/issue/st…
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psnet.ahrq.gov/node/44682/psn-pdf
March 15, 2016 - On resident duty hour restrictions and neurosurgical
training: review of the literature.
March 15, 2016
Bina RW, Lemole M, Dumont TM. On resident duty hour restrictions and neurosurgical training: review of
the literature. J Neurosurg. 2016;124(3):842-8. doi:10.3171/2015.3.JNS142796.
https://psnet.ahrq.gov/issue/r…
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psnet.ahrq.gov/node/47061/psn-pdf
July 25, 2018 - Technical rationality and the decentring of patients and
care delivery: a critique of 'unavoidable' in the context of
patient harm.
July 25, 2018
Hutchinson M, Jackson D, Wilson S. Technical rationality and the decentring of patients and care delivery:
A critique of 'unavoidable' in the context of patient harm. Nu…
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psnet.ahrq.gov/node/45099/psn-pdf
December 07, 2018 - Improving Patient Safety in Ambulatory Surgery Centers:
A Resource List for Users of the AHRQ Ambulatory
Surgery Center Survey on Patient Safety Culture.
December 7, 2018
Rockville, MD; Agency for Healthcare Quality and Research; March 2016.
https://psnet.ahrq.gov/issue/improving-patient-safety-ambulatory-surgery-…
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psnet.ahrq.gov/node/41546/psn-pdf
December 29, 2014 - Using a logic model to design and evaluate quality and
patient safety improvement programs.
December 29, 2014
Goeschel CA, Weiss WM, Pronovost P. Using a logic model to design and evaluate quality and patient
safety improvement programs. Int J Qual Health Care. 2012;24(4):330-7. doi:10.1093/intqhc/mzs029.
https://…
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psnet.ahrq.gov/node/861285/psn-pdf
January 24, 2024 - Analysis of a medication safety intervention in the
pediatric emergency department.
January 24, 2024
Samuels-Kalow ME, Tassone R, Manning W, et al. Analysis of a medication safety intervention in the
pediatric emergency department. JAMA Netw Open. 2024;7(1):e2351629.
doi:10.1001/jamanetworkopen.2023.51629.
https:…
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psnet.ahrq.gov/node/37389/psn-pdf
January 30, 2008 - Hospital drug errors far from uncommon.
January 30, 2008
Lin R-G II; Watanabe T.
https://psnet.ahrq.gov/issue/hospital-drug-errors-far-uncommon
This article reports on a non-fatal medication error that involved several neonates (including the newborn
twins of actor Dennis Quaid) receiving a concentration of hepari…
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psnet.ahrq.gov/node/74044/psn-pdf
November 03, 2021 - Challenges with requiring five characters during ADC
drug searches via override.
November 3, 2021
ISMP Medication Safety Alert! Acute care edition. October 21, 2021;26(21):1-3.
https://psnet.ahrq.gov/issue/challenges-requiring-five-characters-during-adc-drug-searches-override
Shortcuts in automated data entry beha…
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psnet.ahrq.gov/node/74117/psn-pdf
December 16, 2021 - New AHRQ SOPS® Workplace Safety Supplemental Items
for Hospitals.
November 24, 2021
Rockville, MD: Agency for Healthcare Research and Quality; December 16, 2021.
https://psnet.ahrq.gov/issue/new-ahrq-sopsr-workplace-safety-supplemental-items-hospitals
The release of the Workplace Safety supplemental items for…
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psnet.ahrq.gov/node/42821/psn-pdf
December 18, 2013 - Safe use of electronic health records and health
information technology systems: trust but verify.
December 18, 2013
Denham CR, Classen D, Swenson SJ, et al. Safe use of electronic health records and health information
technology systems: trust but verify. J Patient Saf. 2013;9(4):177-89. doi:10.1097/PTS.0b013e3182…