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psnet.ahrq.gov/node/39175/psn-pdf
December 16, 2009 - Impact of a standard medication chart on prescribing
errors: a before-and-after audit.
December 16, 2009
Coombes ID, Stowasser DA, Reid C, et al. Impact of a standard medication chart on prescribing errors: a
before-and-after audit. Qual Saf Health Care. 2009;18(6):478-85. doi:10.1136/qshc.2007.025296.
https://psn…
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psnet.ahrq.gov/node/36464/psn-pdf
January 07, 2011 - Establishing a rapid response team (RRT) in an academic
hospital: one year's experience.
January 7, 2011
King E, Horvath R, Shulkin DJ. Establishing a rapid response team (RRT) in an academic hospital: One
year's experience. J Hosp Med. 2006;1(5). doi:10.1002/jhm.114.
https://psnet.ahrq.gov/issue/establishing-rapi…
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psnet.ahrq.gov/node/37844/psn-pdf
June 18, 2008 - Effect of ACGME duty hours on attending physician
teaching and satisfaction.
June 18, 2008
Arora V, Meltzer DO. Effect of ACGME duty hours on attending physician teaching and satisfaction. Arch
Intern Med. 2008;168(11):1226-8. doi:10.1001/archinte.168.11.1226.
https://psnet.ahrq.gov/issue/effect-acgme-duty-hours-a…
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psnet.ahrq.gov/node/34601/psn-pdf
January 26, 2009 - Strategies and tips for maximizing failure mode and effect
analysis in your organization.
January 26, 2009
Chicago, IL: American Society of Healthcare Risk Management; 2002.
https://psnet.ahrq.gov/issue/strategies-and-tips-maximizing-failure-mode-and-effect-analysis-your-
organization
The implementation and appli…
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psnet.ahrq.gov/node/40500/psn-pdf
June 01, 2011 - Meaningful use and certification of health information
technology: what about safety?
June 1, 2011
Hoffman S, Podgurski A. Meaningful use and certification of health information technology: what about
safety? J Law Med Ethics. 2011;39(suppl 1):77-80. doi:10.1111/j.1748-720X.2011.00572.x.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/43233/psn-pdf
June 17, 2014 - Quality and safety education for nurses: a nursing
leadership skills exercise.
June 17, 2014
Harrison EM. Quality and safety education for nurses: a nursing leadership skills exercise. J Nurs Educ.
2014;53(6):356-361. doi:10.3928/01484834-20140512-01.
https://psnet.ahrq.gov/issue/quality-and-safety-education-nurse…
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psnet.ahrq.gov/node/34973/psn-pdf
September 29, 2017 - Disclosure of medical errors: ethical considerations for
the development of a facility policy and organizational
culture change.
September 29, 2017
Henry LL. Disclosure of medical errors: ethical considerations for the development of a facility policy and
organizational culture change. Policy Polit Nurs Pract. 200…
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psnet.ahrq.gov/node/40906/psn-pdf
November 16, 2011 - What is the value and impact of quality and safety teams?
A scoping review.
November 16, 2011
White DE, Straus SE, Stelfox T, et al. What is the value and impact of quality and safety teams? A scoping
review. Implement Sci. 2011;6:97. doi:10.1186/1748-5908-6-97.
https://psnet.ahrq.gov/issue/what-value-and-impact-q…
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psnet.ahrq.gov/node/43891/psn-pdf
September 29, 2017 - AHRQ announces interest in research on health IT safety.
September 29, 2017
Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. March 9, 2016.
Publication No. NOT-HS-16-009.
https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-health-it-safety
This announcement highlights A…
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psnet.ahrq.gov/node/35125/psn-pdf
June 29, 2005 - 2005 Annual Patient Safety and Health Information
Technology Conference: Making the Health Care System
Safer through Implementation and Innovation.
June 29, 2005
Agency for Healthcare Research and Quality
https://psnet.ahrq.gov/issue/2005-annual-patient-safety-and-health-information-technology-conference-
making-…
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psnet.ahrq.gov/node/50715/psn-pdf
December 04, 2019 - Quality and Safety of Healthcare in Switzerland.
December 4, 2019
Vincent C, Staines A. Bern, Switzerland: Federal Department of Home Affairs, Federal Office of Public
Health; 2019.
https://psnet.ahrq.gov/issue/quality-and-safety-healthcare-switzerland
Patient safety is a goal for countries worldwide. This report …
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psnet.ahrq.gov/node/38967/psn-pdf
June 09, 2011 - Eight rights of safe electronic health record use.
June 9, 2011
Sittig DF, Singh H. Eight rights of safe electronic health record use. JAMA. 2009;302(10):1111-3.
doi:10.1001/jama.2009.1311.
https://psnet.ahrq.gov/issue/eight-rights-safe-electronic-health-record-use
Incorporating human factors engineering models, t…
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psnet.ahrq.gov/node/37788/psn-pdf
May 28, 2008 - Durable improvements in efficiency, safety, and
satisfaction in the operating room.
May 28, 2008
Heslin MJ, Doster BE, Daily SL, et al. Durable improvements in efficiency, safety, and satisfaction in the
operating room. J Am Coll Surg. 2008;206(5):1083-9; discussion 1089-90.
doi:10.1016/j.jamcollsurg.2008.02.006.
…
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psnet.ahrq.gov/node/35452/psn-pdf
January 05, 2017 - Deploying Six Sigma in a health care system as a work in
progress.
January 5, 2017
Christianson JB, Warrick LH, Howard R, et al. Deploying Six Sigma in a health care system as a work in
progress. Jt Comm J Qual Patient Saf. 2005;31(11):603-13.
https://psnet.ahrq.gov/issue/deploying-six-sigma-health-care-system-wor…
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psnet.ahrq.gov/node/35395/psn-pdf
September 10, 2009 - Toward a theoretical approach to medical error reporting
system research and design.
September 10, 2009
Karsh B-T, Escoto KH, Beasley JW, et al. Toward a theoretical approach to medical error reporting system
research and design. Appl Ergon. 2006;37(3):283-95.
https://psnet.ahrq.gov/issue/toward-theoretical-approa…
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psnet.ahrq.gov/node/38171/psn-pdf
June 29, 2009 - An educational and audit tool to reduce prescribing error
in intensive care.
June 29, 2009
Thomas AN, Boxall EM, Laha SK, et al. An educational and audit tool to reduce prescribing error in
intensive care. Qual Saf Health Care. 2008;17(5):360-3. doi:10.1136/qshc.2007.023242.
https://psnet.ahrq.gov/issue/educationa…
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psnet.ahrq.gov/node/36636/psn-pdf
January 14, 2011 - Nursing home administrators' opinions of the resident
safety culture in nursing homes.
January 14, 2011
Castle NG, Handler S, Engberg J, et al. Nursing home administrators' opinions of the resident safety
culture in nursing homes. Health Care Manage Rev. 2007;32(1):66-76.
https://psnet.ahrq.gov/issue/nursing-home-…
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psnet.ahrq.gov/node/43216/psn-pdf
June 25, 2014 - Banning the handshake from the health care setting.
June 25, 2014
Sklansky M, Nadkarni N, Ramirez-Avila L. Banning the handshake from the health care setting. JAMA.
2014;311(24):2477-8.
https://psnet.ahrq.gov/issue/banning-handshake-health-care-setting
Hand hygiene is an important practice that prevents transmissi…
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psnet.ahrq.gov/node/45084/psn-pdf
April 27, 2016 - Nurses say stress interferes with caring for their patients.
April 27, 2016
Yu A. Health Shots. National Public Radio. April 15, 2016.
https://psnet.ahrq.gov/issue/nurses-say-stress-interferes-caring-their-patients
Many health care professionals exhibit symptoms of burnout, which may impair their ability to maintai…
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psnet.ahrq.gov/node/42195/psn-pdf
October 08, 2013 - Medication errors in the management of anaphylaxis in a
pediatric emergency department.
October 8, 2013
Benkelfat R, Gouin S, Larose G, et al. Medication errors in the management of anaphylaxis in a pediatric
emergency department. J Emerg Med. 2013;45(3):419-425. doi:10.1016/j.jemermed.2012.11.069.
https://psnet.a…