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psnet.ahrq.gov/issue/underdiagnosis-hypertension-children-and-adolescents
January 04, 2012 - Study
Underdiagnosis of hypertension in children and adolescents.
Citation Text:
Hansen M, Gunn PW, Kaelber DC. Underdiagnosis of hypertension in children and adolescents. JAMA. 2007;298(8):874-9.
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psnet.ahrq.gov/issue/renewal-surgical-quality-and-safety-initiatives-multispecialty-challenge
March 03, 2011 - Commentary
Renewal of surgical quality and safety initiatives: a multispecialty challenge.
Citation Text:
Polk HC. Renewal of surgical quality and safety initiatives: a multispecialty challenge. Mayo Clin Proc. 2006;81(3):345-52.
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psnet.ahrq.gov/issue/prescription-error-process-defects-community-retail-pharmacy
October 19, 2022 - Study
Prescription for error: process defects in a community retail pharmacy.
Citation Text:
Witte D, Dundes L. Prescription for Error. J Patient Saf. 2008;3(4). doi:10.1097/pts.0b013e31815a613e.
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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/node/49645/psn-pdf
February 01, 2012 - While evidence suggests that implementing
new technology (including e-prescribing) improves patient
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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
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psnet.ahrq.gov/node/60363/psn-pdf
March 01, 2021 - Transition Coaches® Reduce Readmissions for Medicare
Patients With Complex Postdischarge Needs
Originally published on June 12, 2020
Last updated on January 11, 2021
https://psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-
postdischarge-needs
Summary
Under a program kn…
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psnet.ahrq.gov/node/46194/psn-pdf
September 22, 2017 - Mobilising or standing still? A narrative review of Surgical
Safety Checklist knowledge as developed in 25 highly
cited papers from 2009 to 2016.
September 22, 2017
Mitchell B, Cristancho S, Nyhof BB, et al. Mobilising or standing still?A narrative review of Surgical Safety
Checklist knowledge as developed in 25 h…
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psnet.ahrq.gov/node/867636/psn-pdf
February 26, 2025 - Early experience of peer advocate program: using quality
improvement to optimize behavioral and communication
disconnect in the operating room.
February 26, 2025
Eckhouse SR, Huston M, Smith ER, et al. Early experience of peer advocate program: using quality
improvement to optimize behavioral and communication dis…
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psnet.ahrq.gov/node/837793/psn-pdf
August 10, 2022 - The effect of structured medication review followed by
face-to-face feedback to prescribers on adverse drug
events recognition and prevention in older inpatients - a
multicenter interrupted time series study.
August 10, 2022
Klopotowska JE, Kuks PFM, Wierenga PC, et al. The effect of structured medication review f…
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psnet.ahrq.gov/node/847532/psn-pdf
April 12, 2023 - The impact of an intervention to improve intrapartum
maternal vital sign monitoring and reduce alarm fatigue.
April 12, 2023
Kern-Goldberger AR, Nicholls EM, Plastino N, et al. The impact of an intervention to improve intrapartum
maternal vital sign monitoring and reduce alarm fatigue. Am J Obstet Gynecol MFM. 2023…