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psnet.ahrq.gov/issue/2005-quest-quality-prize
June 17, 2014 - Award Recipient
2005 Quest for Quality Prize.
Citation Text:
Association AH, Pharmacists AS of H-S, Networks H and H. Medication Safety Issue Brief. Bar Code implementation strategies. Hosp Health Netw. 2005;79(7):65-66.
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psnet.ahrq.gov/issue/global-patient-safety-action-plan-2021-2030-towards-eliminating-avoidable-harm-health-care
July 14, 2021 - Book/Report
Global Patient Safety Action Plan 2021-2030: Towards Eliminating Avoidable Harm in Health Care.
Citation Text:
Global Patient Safety Action Plan 2021-2030: Towards Eliminating Avoidable Harm in Health Care. Geneva, Switzerland: World Health Organization; 2021. ISBN: 978924003…
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psnet.ahrq.gov/issue/changing-our-culture-adopting-military-aviation-safety-system
November 21, 2021 - Commentary
Changing our culture: adopting the military aviation safety system.
Citation Text:
Kerber CW. Changing our culture: adopting the military aviation safety system. J Neurointerv Surg. 2014;6(5):332-41. doi:10.1136/neurintsurg-2013-011070.
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psnet.ahrq.gov/issue/improving-quality-and-safety-healthcare
November 30, 2016 - Special or Theme Issue
Improving Quality and Safety in Healthcare.
Citation Text:
Improving Quality and Safety in Healthcare. Dixon-Woods M, Martin G, eds. Cambridge, UK: Cambridge University Press; 2022-2025.
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psnet.ahrq.gov/issue/recognizing-excellence-diagnosis-recommended-practices-hospitals
June 21, 2023 - Book/Report
Recognizing Excellence in Diagnosis: Recommended Practices for Hospitals.
Citation Text:
Recognizing Excellence in Diagnosis: Recommended Practices for Hospitals. Washington, DC: Leapfrog Group; July 2024.
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psnet.ahrq.gov/issue/temporarily-holding-medication-orders-safely-order-prevent-patient-harm
March 14, 2023 - Newspaper/Magazine Article
Temporarily holding medication orders safely in order to prevent patient harm.
Citation Text:
Temporarily holding medication orders safely in order to prevent patient harm. ISMP Medication Safety Alert! Acute care edition. October 19, 2023;28(21):1-4.
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psnet.ahrq.gov/issue/simple-checklist-preventing-major-complications-associated-cesarean-delivery
January 10, 2024 - Commentary
A simple checklist for preventing major complications associated with cesarean delivery.
Citation Text:
Duff P. A simple checklist for preventing major complications associated with cesarean delivery. Obstet Gynecol. 2010;116(6):1393-1396. doi:10.1097/AOG.0b013e3181fae763.
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psnet.ahrq.gov/issue/counterheroism-common-knowledge-and-ergonomics-concepts-aviation-could-improve-patient-safety
November 03, 2015 - Commentary
Counterheroism, common knowledge, and ergonomics: concepts from aviation that could improve patient safety.
Citation Text:
Lewis GH, Vaithianathan R, Hockey PM, et al. Counterheroism, common knowledge, and ergonomics: concepts from aviation that could improve patient safety. M…
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psnet.ahrq.gov/issue/2009-national-patient-safety-goals
August 03, 2016 - Commentary
2009 National Patient Safety Goals.
Citation Text:
Saufl NM. 2009 National Patient Safety Goals. J Perianesth Nurs. 2009;24(2):114-8. doi:10.1016/j.jopan.2009.01.008.
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psnet.ahrq.gov/node/42766/psn-pdf
November 27, 2013 - describes efforts to prevent diagnostic errors, including improving follow-up of
abnormal test results and implementing
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psnet.ahrq.gov/node/37404/psn-pdf
June 13, 2011 - answers-improved-medication-reconciliation-lie-pharmacists
A survey of hospital pharmacists underscores problems inherent in implementing
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psnet.ahrq.gov/node/36901/psn-pdf
February 08, 2011 - national survey of physician executives that explored
quality and safety issues such as barriers to implementing
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psnet.ahrq.gov/issue/teamwork-healthcare-key-discoveries-enabling-safer-high-quality-care
July 02, 2014 - March 21, 2017
Eight critical factors in creating and implementing a successful simulation … January 27, 2019
Implementing Optimal Team-Based Care to Reduce Clinician Burnout.
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psnet.ahrq.gov/issue/pursuing-excellence-collaborative-engaging-first-year-residents-and-fellows-patient-safety
September 15, 2011 - April 24, 2018
Enhancing patient safety in pediatric primary care: implementing a patient … Partnership as a pathway to diagnostic excellence: the challenges and successes of implementing
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psnet.ahrq.gov/issue/identifying-patient-safety-risks-reporting-patient-complaints-grounded-theory-study-patients
December 20, 2017 - September 14, 2022
Dynamic pocket card for implementing ISBAR in shift handover communication … April 17, 2024
Responding to medical errors — implementing the modern ethical paradigm
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psnet.ahrq.gov/issue/i-pass-mnemonic-standardize-verbal-handoffs
November 12, 2014 - July 10, 2017
A QI initiative: implementing a patient handoff checklist for pediatric … February 8, 2017
Implementing a perioperative handoff tool to improve postprocedural
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psnet.ahrq.gov/issue/making-doctors-better
June 15, 2016 - May 15, 2013
The Patient Safety Institute demonstration project: a model for implementing … April 18, 2018
Implementing a systematic response to medication errors.
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psnet.ahrq.gov/issue/medical-errors-recovered-critical-care-nurses
June 04, 2008 - October 19, 2022
Lessons learned implementing a complex and innovative patient safety … February 3, 2021
Implementing strategies to identify and mitigate adverse safety events
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psnet.ahrq.gov/issue/case-second-victim-support-program-pediatrics-successes-and-challenges-implementation
October 26, 2016 - RIS
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Implementing … August 5, 2020
Planning and implementing a systems-based patient safety curriculum in
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psnet.ahrq.gov/issue/use-board-certification-and-recertification-pediatricians-health-plan-credentialing-policies
February 02, 2011 - December 21, 2014
Implementing medication reconciliation in outpatient pediatrics. … December 18, 2014
The costs of developing, implementing, and operating a safety learning