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psnet.ahrq.gov/issue/using-situ-simulation-identify-and-resolve-latent-environmental-threats-patient-safety-case
April 17, 2011 - Commentary
Using in situ simulation to identify and resolve latent environmental threats to patient safety: case study involving a labor and delivery ward.
Citation Text:
Hamman WR, Beaudin-Seiler BM, Beaubien JM, et al. Using in situ simulation to identify and resolve latent environme…
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psnet.ahrq.gov/issue/medication-errors-reported-us-family-physicians-and-their-office-staff
June 11, 2008 - Study
Medication errors reported by US family physicians and their office staff.
Citation Text:
Kuo GM, Phillips RL, Graham D, et al. Medication errors reported by US family physicians and their office staff. Quality and Safety in Health Care. 2008;17(4). doi:10.1136/qshc.2007.024869. …
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psnet.ahrq.gov/issue/hospital-initiated-transitional-care-interventions-patient-safety-strategy-systematic-review
August 12, 2014 - Review
Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review.
Citation Text:
Rennke S, Nguyen OK, Shoeb MH, et al. Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review. Ann Intern Med. 2013;15…
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psnet.ahrq.gov/issue/completeness-serious-adverse-drug-event-reports-received-us-food-and-drug-administration-2014
September 25, 2008 - Study
Completeness of serious adverse drug event reports received by the US Food and Drug Administration in 2014.
Citation Text:
Moore TJ, Furberg CD, Mattison DR, et al. Completeness of serious adverse drug event reports received by the US Food and Drug Administration in 2014. Pharmacoe…
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psnet.ahrq.gov/issue/direct-reporting-laboratory-test-results-patients-mail-enhance-patient-safety
February 15, 2011 - Study
Direct reporting of laboratory test results to patients by mail to enhance patient safety.
Citation Text:
Sung S, Forman-Hoffman VL, Wilson MC, et al. Direct reporting of laboratory test results to patients by mail to enhance patient safety. J Gen Intern Med. 2006;21(10):1075-8. …
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psnet.ahrq.gov/issue/role-radio-frequency-detection-system-embedded-surgical-sponges-preventing-retained-surgical
February 13, 2008 - Study
The role of radio frequency detection system embedded surgical sponges in preventing retained surgical sponges: a prospective evaluation in patients undergoing emergency surgery.
Citation Text:
Inaba K, Okoye O, Aksoy H, et al. The Role of Radio Frequency Detection System Embedded …
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psnet.ahrq.gov/issue/changing-cardiac-arrest-and-hospital-mortality-rates-through-medical-emergency-team-takes
March 13, 2024 - Study
Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant review.
Citation Text:
Santamaria J, Tobin A, Holmes J. Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant revi…
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psnet.ahrq.gov/issue/impact-clinical-pharmacy-admission-medication-reconciliation-program-medication-errors-high
August 30, 2017 - Study
Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients.
Citation Text:
Buckley MS, Harinstein LM, Clark KB, et al. Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "hig…
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psnet.ahrq.gov/issue/assessing-value-electronic-prescribing-ambulatory-care-focus-group-study
September 01, 2016 - February 21, 2015
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Impact of implementing … February 10, 2015
Implementing medication reconciliation in outpatient pediatrics.
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psnet.ahrq.gov/issue/effect-organizational-network-patient-safety-safety-event-reporting
October 16, 2013 - RIS
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Related Resources From the Same Author(s)
Implementing … July 8, 2008
Grand rounds in methodology: key considerations for implementing machine
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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/engineering-system-communication-safer-surgery
January 18, 2013 - August 11, 2010
Implementing a pediatric surgical safety checklist in the OR and beyond … July 14, 2010
Implementing a pre-operative checklist to increase patient safety: a 1-
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psnet.ahrq.gov/issue/case-outcomes-communication-and-resolution-program-new-york-hospitals
February 05, 2014 - RIS
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Implementing … September 29, 2017
Challenges of implementing a communication-and-resolution program
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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/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/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/anesthesiology-department-leads-culture-change-hospital-system-level-improve-quality-and
March 30, 2011 - March 30, 2011
The role of housestaff in implementing medication reconciliation on admission … 2, 2011
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The role of housestaff in implementing
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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/issue/enhancing-pediatric-perioperative-patient-safety
January 28, 2015 - March 13, 2013
Implementing a surgical checklist: more than checking a box. … January 4, 2012
Implementing a pediatric surgical safety checklist in the OR and beyond