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psnet.ahrq.gov/node/38469/psn-pdf
March 11, 2009 - Post-discharge medication reviews for patients with heart
failure: a pilot study.
March 11, 2009
Ponniah A, Shakib S, Doecke CJ, et al. Post-discharge medication reviews for patients with heart failure: a
pilot study. Pharm World Sci. 2008;30(6):810-5. doi:10.1007/s11096-008-9230-7.
https://psnet.ahrq.gov/issue/po…
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psnet.ahrq.gov/node/45229/psn-pdf
July 13, 2016 - The WakeWings journey: creating a patient safety
program.
July 13, 2016
Mills E. The WakeWings Journey: Creating a Patient Safety Program. AORN J. 2016;103(6):636-9.
doi:10.1016/j.aorn.2016.04.004.
https://psnet.ahrq.gov/issue/wakewings-journey-creating-patient-safety-program
Successful and sustainable implementa…
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psnet.ahrq.gov/node/38278/psn-pdf
January 15, 2009 - The impact of introducing medical emergency team
system on the documentations of vital signs.
January 15, 2009
Chen J, Hillman KM, Bellomo R, et al. The impact of introducing medical emergency team system on the
documentations of vital signs. Resuscitation. 2008;80(1). doi:10.1016/j.resuscitation.2008.10.009.
http…
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psnet.ahrq.gov/node/39036/psn-pdf
October 21, 2009 - Disclosing medical errors to patients: a challenge for
health care professionals and institutions.
October 21, 2009
Levinson W. Disclosing medical errors to patients: a challenge for health care professionals and
institutions. Patient Educ Couns. 2009;76(3):296-9. doi:10.1016/j.pec.2009.07.018.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/60356/psn-pdf
May 20, 2020 - How the pandemic is reshaping hospital architecture and
design.
May 20, 2020
Booker C. PBSNewshour Weekend. May 10, 2020.
https://psnet.ahrq.gov/issue/how-pandemic-reshaping-hospital-architecture-and-design
Built environment characteristics can contribute to the spread of infection. This news segment discusses
de…
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psnet.ahrq.gov/node/43984/psn-pdf
November 16, 2015 - Improving resident handoffs for children transitioning
from the intensive care unit.
November 16, 2015
Warrick D, Gonzalez-del-Rey J, Hall D, et al. Improving resident handoffs for children transitioning from the
intensive care unit. Hosp Pediatr. 2015;5(3):127-33. doi:10.1542/hpeds.2014-0067.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/44600/psn-pdf
December 09, 2015 - Systematic review of patient safety interventions in
dentistry.
December 9, 2015
Bailey E, Tickle M, Campbell S, et al. Systematic review of patient safety interventions in dentistry. BMC
Oral Health. 2015;15:152. doi:10.1186/s12903-015-0136-1.
https://psnet.ahrq.gov/issue/systematic-review-patient-safety-interven…
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psnet.ahrq.gov/node/42702/psn-pdf
January 09, 2014 - Developing a quality and safety curriculum for fellows:
lessons learned from a neonatology fellowship program.
January 9, 2014
Gupta M, Ringer S, Tess A, et al. Developing a quality and safety curriculum for fellows: lessons learned
from a neonatology fellowship program. Acad Pediatr. 2014;14(1):47-53. doi:10.1016/…
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psnet.ahrq.gov/node/72652/psn-pdf
January 20, 2021 - Textbook of Patient Safety and Clinical Risk Management.
January 20, 2021
Donaldson L, Ricciardi W, Sheridan S, Tartaglia R, eds. Springer Nature: Cham Switzerland; 2021. ISBN
9783030594022.
https://psnet.ahrq.gov/issue/textbook-patient-safety-and-clinical-risk-management
Foundations and practical exp…
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psnet.ahrq.gov/node/39547/psn-pdf
January 19, 2011 - The impact of a tele-ICU on provider attitudes about
teamwork and safety climate.
January 19, 2011
Chu-Weininger MYL, Wueste L, Lucke JF, et al. The impact of a tele-ICU on provider attitudes about
teamwork and safety climate. Qual Saf Health Care. 2010;19(6):e39. doi:10.1136/qshc.2007.024992.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/40715/psn-pdf
October 31, 2011 - Usability evaluation of order sets in a computerized
provider order entry system.
October 31, 2011
Chan J, Shojania KG, Easty AC, et al. Usability evaluation of order sets in a computerised provider order
entry system. BMJ Qual Saf. 2011;20(11):932-40. doi:10.1136/bmjqs.2010.050021.
https://psnet.ahrq.gov/issue/us…
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psnet.ahrq.gov/node/40713/psn-pdf
August 24, 2011 - Medication reconciliation: barriers and facilitators from
the perspectives of resident physicians and pharmacists.
August 24, 2011
Boockvar KS, Santos SL, Kushniruk AW, et al. Medication reconciliation: Barriers and facilitators from the
perspectives of resident physicians and pharmacists. J Hosp Med. 2011;6(6). do…
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psnet.ahrq.gov/node/35317/psn-pdf
July 14, 2009 - Accreditation Council on Graduate Medical Education
technical skills competency compliance: urologic surgical
skills.
July 14, 2009
Hammond L, Ketchum J, Schwartz BF. Accreditation Council on Graduate Medical Education Technical
Skills Competency Compliance: Urologic Surgical Skills. J Am Coll Surg. 2005;201(3).
…
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psnet.ahrq.gov/node/39289/psn-pdf
February 02, 2011 - Safe electronic health record use requires a
comprehensive monitoring and evaluation framework.
February 2, 2011
Sittig DF, Classen D. Safe electronic health record use requires a comprehensive monitoring and
evaluation framework. JAMA. 2010;303(5):450-451. doi:10.1001/jama.2010.61.
https://psnet.ahrq.gov/issue/sa…
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psnet.ahrq.gov/node/47390/psn-pdf
September 19, 2018 - Antimicrobial Stewardship.
September 19, 2018
Cunha CB, ed. Med Clin North Am. 2018;102(5):797-976.
https://psnet.ahrq.gov/issue/antimicrobial-stewardship
Antimicrobial stewardship programs are a key strategy to reduce overprescribing of antibiotics in hospitals.
This special issue explores approaches to engage a …
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psnet.ahrq.gov/node/38406/psn-pdf
January 23, 2012 - Enhancing safety reporting in adult ambulatory oncology
with a clinician champion: a practice innovation.
January 23, 2012
Weingart SN, Price J, Duncombe D, et al. Enhancing safety reporting in adult ambulatory oncology with a
clinician champion: a practice innovation. J Nurs Care Qual. 2009;24(3):203-10.
doi:10.1…
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psnet.ahrq.gov/node/41824/psn-pdf
November 07, 2012 - Using simulation to teach nursing students and licensed
clinicians obstetric emergencies.
November 7, 2012
Alderman JT. Using simulation to teach nursing students and licensed clinicians obstetric emergencies.
MCN Am J Matern Child Nurs. 2012;37(6):394-400. doi:10.1097/NMC.0b013e318264bbe7.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/42767/psn-pdf
November 27, 2013 - Barcode medication administration work-arounds: a
systematic review and implications for nurse executives.
November 27, 2013
Voshall B, Piscotty R, Lawrence J, et al. Barcode medication administration work-arounds: a systematic
review and implications for nurse executives. J Nurs Adm. 2013;43(10):530-535.
doi:10.1…
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psnet.ahrq.gov/node/854266/psn-pdf
October 04, 2023 - Smart Healthcare Safety.
October 4, 2023
Plymouth Meeting PA, ECRI. 2019-2023.
https://psnet.ahrq.gov/issue/smart-healthcare-safety
A wide variety of considerations must converge to inform an understanding of system vulnerabilities and
the application of strategies to address them. This series of webinars covers a…
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psnet.ahrq.gov/node/866531/psn-pdf
August 14, 2024 - The Impact of Artificial Intelligence (AI) on the Safety of
Patients.
August 14, 2024
Institute for Healthcare Improvement. The Impact of Artificial Intelligence (AI) on the Safety of Patients. .
https://psnet.ahrq.gov/issue/impact-artificial-intelligence-ai-safety-patients
Artificial intelligence (AI) is rapidly …