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psnet.ahrq.gov/web-mm/electronic-err
April 01, 2014 - When implementing EHR tools to improve access to and management of clinical information, it is important
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psnet.ahrq.gov/node/847934/psn-pdf
April 26, 2023 - 31 types of adverse events in acute care hospitals
“that could have been potentially prevented by implementing
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psnet.ahrq.gov/node/33605/psn-pdf
March 12, 2021 - distractors, convoluted processes, and system misconfiguration.2
Despite error reduction efforts through implementing
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psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - However, implementing new technologies can result in unforeseen workflow inefficiencies; therefore on-going
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psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use
September 22, 2010 - Implementing antibiotic practice guidelines through computer-assisted decision support: clinical and
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psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
April 24, 2018 - March 15, 2023
Compliance with and barriers to implementing the surgical safety
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psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it
October 01, 2017 - Implementing a better bundle to achieve and sustain a zero central line–associated bloodstream infection
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psnet.ahrq.gov/web-mm/defensive-medicine-glowing-pain
November 01, 2012 - Nonetheless, implementing such guidelines within health care systems may allow providers to follow clear
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psnet.ahrq.gov/perspective/what-does-simulation-add-teamwork-training
October 01, 2004 - Creating, Implementing, and Managing Effective Training and Development: State-of-the-Art Lessons for
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psnet.ahrq.gov/node/837659/psn-pdf
July 08, 2022 - which can lead to potential complications such as oversedation.13,15
Risk reduction strategies include implementing
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psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge
February 23, 2011 - Mitigating distractions in healthcare settings and implementing pre-test pauses, as operating rooms and
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psnet.ahrq.gov/node/49403/psn-pdf
June 01, 2003 - Implementing ways to increase feedback will enhance quality and may minimize
error.(14) Especially in
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psnet.ahrq.gov/web-mm/chest-tube-complications
September 27, 2023 - June 28, 2023
Implementing delivery room checklists and communication standards in a
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psnet.ahrq.gov/node/74830/psn-pdf
June 01, 2022 - internal facilitator will work with the coordinating center to identify barriers and facilitators in
implementing
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psnet.ahrq.gov/node/38359/psn-pdf
May 27, 2010 - A surgical safety checklist to reduce morbidity and
mortality in a global population.
May 27, 2010
Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a
global population. N Engl J Med. 2009;360(5):491-9. doi:10.1056/NEJMsa0810119.
https://psnet.ahrq.gov/issue/su…
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psnet.ahrq.gov/issue/lessons-event-reports
January 16, 2025 - Multi-use Website
Lessons from Event Reports.
Citation Text:
Lessons from Event Reports. Patient Safety Authority.
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Sav…
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psnet.ahrq.gov/node/845360/psn-pdf
March 29, 2023 - Demonstrating the value of a standardized cognitive
assessment tool through the use of interprofessional
rapid safety rounds.
March 29, 2023
Hayes M, Wheeling D, Kaul-Connolly S. Demonstrating the value of a standardized cognitive assessment
tool through the use of interprofessional rapid safety rounds. J Nurs Car…
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psnet.ahrq.gov/node/43344/psn-pdf
July 16, 2014 - Cost-effectiveness of a computerized provider order entry
system in improving medication safety ambulatory care.
July 16, 2014
Forrester SH, Hepp Z, Roth JA, et al. Cost-Effectiveness of a Computerized Provider Order Entry System
in Improving Medication Safety Ambulatory Care. Value Health. 2014;17(4):340-349.
doi…
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psnet.ahrq.gov/issue/perception-safety-surgical-practice-among-operating-room-personnel-survey-data-associated-all
February 07, 2018 - Study
Perception of safety of surgical practice among operating room personnel from survey data is associated with all-cause 30-day postoperative death rate in South Carolina.
Citation Text:
Molina G, Berry WR, Lipsitz S, et al. Perception of Safety of Surgical Practice Among Operating R…
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psnet.ahrq.gov/issue/impact-time-work-and-time-work-rule-compliance-case-hand-hygiene-health-care
May 18, 2022 - Study
Classic
The impact of time at work and time off from work on rule compliance: the case of hand hygiene in health care.
Citation Text:
Dai H, Milkman KL, Hofmann DA, et al. The impact of time at work and time off from work on rule compliance: the case of ha…