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psnet.ahrq.gov/node/43003/psn-pdf
March 05, 2014 - Learning from every death.
March 5, 2014
Huddleston JM, Diedrich DA, Kinsey GC, et al. Learning from every death. J Patient Saf. 2014;10(1):6-12.
doi:10.1097/PTS.0000000000000053.
https://psnet.ahrq.gov/issue/learning-every-death
This commentary describes how design and implementation of an institutional mortality…
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psnet.ahrq.gov/node/36863/psn-pdf
August 29, 2011 - Embedding quality improvement and patient safety at
Liverpool Women's NHS Foundation Trust.
August 29, 2011
Scholefield H. Embedding quality improvement and patient safety at Liverpool Women's NHS Foundation
Trust. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):593-607.
https://psnet.ahrq.gov/issue/embedding-qual…
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psnet.ahrq.gov/node/836867/psn-pdf
April 06, 2022 - Safer Dx Checklist: 10 High-Priority Practices for
Diagnostic Excellence.
April 6, 2022
Houston TX; Baylor College of Medicine: 2022.
https://psnet.ahrq.gov/issue/safer-dx-checklist-10-high-priority-practices-diagnostic-excellence
Assessment can identify the current state of a process or program to reveal ar…
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psnet.ahrq.gov/node/41261/psn-pdf
May 04, 2012 - Case-based learning for patient safety: the Lessons
Learnt program for UK junior doctors.
May 4, 2012
Ahmed M, Arora S, Baker P, et al. Case-based learning for patient safety: the Lessons Learnt program for
UK junior doctors. World J Surg. 2012;36(5):956-8. doi:10.1007/s00268-012-1499-y.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/37119/psn-pdf
March 24, 2011 - Patient safety: helping medical students understand error
in healthcare.
March 24, 2011
Patey R, Flin R, Cuthbertson BH, et al. Patient safety: helping medical students understand error in
healthcare. Qual Saf Health Care. 2007;16(4):256-9.
https://psnet.ahrq.gov/issue/patient-safety-helping-medical-students-under…
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psnet.ahrq.gov/node/73451/psn-pdf
June 30, 2021 - National Patient Safety Syllabus.
June 30, 2021
Spurgeon P, Cross S. London, UK; Academy of Medical Royal Colleges: May 2021.
https://psnet.ahrq.gov/issue/national-patient-safety-syllabus
Amending curricula to incorporate the increasing scholarship related to patient safety improvement is a
challenge. This st…
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psnet.ahrq.gov/node/41312/psn-pdf
April 18, 2012 - Functional safety of health information technology.
April 18, 2012
Chadwick L, Fallon EF, van der Putten WJ, et al. Functional safety of health information technology. Health
Informatics J. 2012;18(1):36-49. doi:10.1177/1460458211432587.
https://psnet.ahrq.gov/issue/functional-safety-health-information-technology
…
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psnet.ahrq.gov/node/36387/psn-pdf
July 14, 2010 - Effectiveness of a community collaborative for
eliminating the use of high-risk abbreviations written by
physicians.
July 14, 2010
Leonhardt KK, Botticelli J. Effectiveness of a Community Collaborative for Eliminating the Use of High-risk
Abbreviations Written by Physicians. J Patient Saf. 2008;2(3). doi:10.1097/0…
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psnet.ahrq.gov/node/43354/psn-pdf
July 16, 2014 - Weaving a healthcare tapestry of safety and
communication.
July 16, 2014
Hay J, Collin S, Koruth S. Weaving a healthcare tapestry of safety and communication. Nurs Manage.
2014;45(7):40-6. doi:10.1097/01.NUMA.0000451035.84587.7d.
https://psnet.ahrq.gov/issue/weaving-healthcare-tapestry-safety-and-communication
Th…
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psnet.ahrq.gov/node/41682/psn-pdf
September 19, 2012 - Impact of the unit-based patient safety officer.
September 19, 2012
Nedved P, Chaudhry R, Pilipczuk D, et al. Impact of the unit-based patient safety officer. J Nurs Adm.
2012;42(9):431-434. doi:10.1097/NNA.0b013e318266810e.
https://psnet.ahrq.gov/issue/impact-unit-based-patient-safety-officer
A unit-based nurse p…
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psnet.ahrq.gov/node/38395/psn-pdf
January 02, 2017 - Reducing medication errors and improving systems
reliability using an electronic medication reconciliation
system.
January 2, 2017
Agrawal A, Wu WY. Reducing Medication Errors and Improving Systems Reliability Using an Electronic
Medication Reconciliation System. The Joint Commission Journal on Quality and Patient…
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psnet.ahrq.gov/node/40517/psn-pdf
June 08, 2011 - Learning safe prescribing during post-take ward rounds.
June 8, 2011
Conroy-Smith E, Herring R, Caldwell G. Learning safe prescribing during post-take ward rounds. The
clinical teacher. 2011;8(2):75-8. doi:10.1111/j.1743-498X.2011.00432.x.
https://psnet.ahrq.gov/issue/learning-safe-prescribing-during-post-take-ward…
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psnet.ahrq.gov/node/44610/psn-pdf
May 03, 2017 - International Prize in Resilient Health Care.
May 3, 2017
The Australian Institute of Health Innovation.
https://psnet.ahrq.gov/issue/international-prize-resilient-health-care
Innovations in patient safety can drive improvement efforts. This award program seeks to recognize
feasible and widely implementable strate…
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psnet.ahrq.gov/node/34991/psn-pdf
June 22, 2009 - Use of failure mode and effects analysis in improving the
safety of i.v. drug administration.
June 22, 2009
Adachi W, Lodolce AE. Use of failure mode and effects analysis in improving the safety of i.v. drug
administration. Am J Health Syst Pharm. 2005;62(9):917-20.
https://psnet.ahrq.gov/issue/use-failure-mode-an…
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psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
December 07, 2009 - of an ideal laboratory results management systems are shown in the Table .( 16,17 ) Additionally, implementing
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psnet.ahrq.gov/issue/getting-board-board-engaging-hospital-boards-quality-and-patient-safety
November 23, 2016 - Study
Getting the board on board: engaging hospital boards in quality and patient safety.
Citation Text:
Joshi MS, Hines S. Getting the board on board: Engaging hospital boards in quality and patient safety. Jt Comm J Qual Patient Saf. 2006;32(4):179-87.
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psnet.ahrq.gov/issue/readiness-report-medical-treatment-errors-effects-safety-procedures-safety-information-and
July 11, 2007 - Study
Readiness to report medical treatment errors: the effects of safety procedures, safety information, and priority of safety.
Citation Text:
Naveh E, Katz-Navon T, Stern Z. Readiness to report medical treatment errors: the effects of safety procedures, safety information, and prior…
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psnet.ahrq.gov/issue/residents-responsibility-and-error-how-residents-learn-navigate-intersection
August 21, 2019 - Study
Residents, responsibility, and error: how residents learn to navigate the intersection.
Citation Text:
Shepherd L, Chilton S, Cristancho SM. Residents, responsibility, and error: how residents learn to navigate the intersection. Acad Med. 2023;98(8):934-940. doi:10.1097/acm.0000000…
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psnet.ahrq.gov/issue/effects-efforts-optimise-morbidity-and-mortality-rounds-serve-contemporary-quality
July 19, 2019 - Review
Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality improvement and educational goals: a systematic review.
Citation Text:
Smaggus A, Mrkobrada M, Marson A, et al. Effects of efforts to optimise morbidity and mortality rounds to serve contem…
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psnet.ahrq.gov/issue/safety-inpatient-health-care
May 15, 2024 - Study
The safety of inpatient health care.
Citation Text:
Bates DW, Levine DM, Salmasian H, et al. The safety of inpatient health care. New Engl J Med. 2023;388(2):142-153. doi:10.1056/nejmsa2206117.
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