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psnet.ahrq.gov/node/44251/psn-pdf
January 13, 2016 - Early impact of the 2011 ACGME duty hour regulations on
surgical outcomes.
January 13, 2016
Scally CP, Ryan AM, Thumma JR, et al. Early impact of the 2011 ACGME duty hour regulations on surgical
outcomes. Surgery. 2015;158(6):1453-61. doi:10.1016/j.surg.2015.05.002.
https://psnet.ahrq.gov/issue/early-impact-2011-a…
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psnet.ahrq.gov/node/47131/psn-pdf
July 18, 2018 - Good Catch Campaign: improving the perioperative
culture of safety.
July 18, 2018
Lozito M, Whiteman K, Swanson-Biearman B, et al. Good Catch Campaign: Improving the Perioperative
Culture of Safety. AORN J. 2018;107(6):705-714. doi:10.1002/aorn.12148.
https://psnet.ahrq.gov/issue/good-catch-campaign-improving-peri…
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psnet.ahrq.gov/node/47433/psn-pdf
February 22, 2019 - Impact of nurse peer review on a culture of safety.
February 22, 2019
Herrington CR, Hand MW. Impact of Nurse Peer Review on a Culture of Safety. J Nurs Care Qual.
2019;34(2):158-162. doi:10.1097/NCQ.0000000000000361.
https://psnet.ahrq.gov/issue/impact-nurse-peer-review-culture-safety
This commentary describes an…
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psnet.ahrq.gov/node/47324/psn-pdf
November 07, 2018 - Engaging patients to improve quality of care: a
systematic review.
November 7, 2018
Bombard Y, Baker R, Orlando E, et al. Engaging patients to improve quality of care: a systematic review.
Implement Sci. 2018;13(1):98. doi:10.1186/s13012-018-0784-z.
https://psnet.ahrq.gov/issue/engaging-patients-improve-quality-ca…
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psnet.ahrq.gov/node/846762/psn-pdf
March 29, 2023 - Hospital ‘black boxes’ put surgical practices under the
microscope.
March 29, 2023
Sadick B. Wall Street Journal. March 19, 2023.
https://psnet.ahrq.gov/issue/hospital-black-boxes-put-surgical-practices-under-microscope
Safety information systems that track action in real time can reveal a trove of data about how …
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psnet.ahrq.gov/node/37846/psn-pdf
April 11, 2011 - Clinical profile of hospitalized children provided with
urgent assistance from a medical emergency team.
April 11, 2011
Kinney S, Tibballs J, Johnston L, et al. Clinical profile of hospitalized children provided with urgent
assistance from a medical emergency team. Pediatrics. 2008;121(6):e1577-e1584. doi:10.1542/p…
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psnet.ahrq.gov/node/44588/psn-pdf
November 21, 2016 - Patient and family advisory councils. The Massachusetts
experience.
November 21, 2016
Wachenheim D. Patient Saf Qual Healthc. December 8, 2015.
https://psnet.ahrq.gov/issue/patient-and-family-advisory-councils-massachusetts-experience
Patient and family advisory councils are considered valuable method to help hosp…
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psnet.ahrq.gov/node/46208/psn-pdf
July 12, 2017 - Improving patient safety by practicing in a just culture.
July 12, 2017
Duffy W. Improving Patient Safety by Practicing in a Just Culture. AORN J. 2017;106(1):66-68.
doi:10.1016/j.aorn.2017.05.005.
https://psnet.ahrq.gov/issue/improving-patient-safety-practicing-just-culture
The importance of just culture is widel…
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psnet.ahrq.gov/node/42971/psn-pdf
February 26, 2014 - Reducing central line–associated bloodstream infections
in North Carolina NICUs.
February 26, 2014
Fisher D, Cochran KM, Provost LP, et al. Reducing central line-associated bloodstream infections in North
Carolina NICUs. Pediatrics. 2013;132(6):e1664-71. doi:10.1542/peds.2013-2000.
https://psnet.ahrq.gov/issue/red…
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psnet.ahrq.gov/node/853251/psn-pdf
July 19, 2024 - Annual Speak Up Data Reports.
July 19, 2024
Stratford, London; The National Guardian.
https://psnet.ahrq.gov/issue/annual-speak-data-reports
Organizational efforts to collect and respond to the concerns of staff and patients are a cornerstone to
patient safety improvement despite challenges to implement them. This…
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psnet.ahrq.gov/node/38737/psn-pdf
July 13, 2009 - Reengineering hospital discharge: a protocol to improve
patient safety, reduce costs, and boost patient
satisfaction.
July 13, 2009
Clancy CM. Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and
boost patient satisfaction. Am J Med Qual. 2009;24(4):344-6. doi:10.1177/106286060…
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psnet.ahrq.gov/node/43611/psn-pdf
December 19, 2014 - The Helsinki Declaration on Patient Safety in
Anaesthesiology: the past, present and future.
December 19, 2014
Mellin-Olsen J, Staender S. The Helsinki Declaration on Patient Safety in Anaesthesiology: the past,
present and future. Curr Opin Anaesthesiol. 2014;27(6):630-634. doi:10.1097/ACO.0000000000000131.
https…
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psnet.ahrq.gov/node/50705/psn-pdf
January 01, 2020 - Closing the loop with ambulatory staff on safety reports.
December 4, 2019
Williams S, Fiumara K, Kachalia A, et al. Closing the Loop with Ambulatory Staff on Safety Reports. Jt
Comm J Qual Saf. 2020;46(1):44-50. doi:10.1016/j.jcjq.2019.09.009.
https://psnet.ahrq.gov/issue/closing-loop-ambulatory-staff-safety-repor…
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psnet.ahrq.gov/node/40732/psn-pdf
November 23, 2011 - Increasing adoption of computerized provider order entry,
and persistent regional disparities, in US emergency
departments.
November 23, 2011
Pallin DJ, Sullivan AF, Espinola JA, et al. Increasing adoption of computerized provider order entry, and
persistent regional disparities, in US emergency departments. Ann E…
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psnet.ahrq.gov/node/842769/psn-pdf
January 18, 2023 - Production pressure and its relationship to safety: a
systematic review and future directions.
January 18, 2023
Hashemian SM, Triantis K. Production pressure and its relationship to safety: a systematic review and
future directions. Safety Sci. 2023;159:106045. doi:10.1016/j.ssci.2022.106045.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/35501/psn-pdf
June 15, 2011 - Ethical issues in patient safety.
June 15, 2011
Leape L. Ethical issues in patient safety. Thorac Surg Clin. 2005;15(4):493-501.
https://psnet.ahrq.gov/issue/ethical-issues-patient-safety
This commentary, written by patient safety expert Lucian Leape, begins with a retrospective view on the
birth of patient safety…
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psnet.ahrq.gov/node/41614/psn-pdf
September 26, 2012 - Automated electronic reminders to prevent
miscommunication among primary medical, surgical and
anaesthesia providers: a root cause analysis.
September 26, 2012
Freundlich RE, Grondin L, Tremper KK, et al. Automated electronic reminders to prevent
miscommunication among primary medical, surgical and anaesthesia pro…
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psnet.ahrq.gov/node/46221/psn-pdf
July 02, 2017 - Tools and methods for quality improvement and patient
safety in perinatal care.
July 2, 2017
Nathan AT, Kaplan HC. Tools and methods for quality improvement and patient safety in perinatal care.
Semin Perinatol. 2017;41(3):142-150. doi:10.1053/j.semperi.2017.03.002.
https://psnet.ahrq.gov/issue/tools-and-methods-q…
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psnet.ahrq.gov/node/43022/psn-pdf
May 29, 2014 - Using simulation to improve root cause analysis of
adverse surgical outcomes.
May 29, 2014
Slakey DP, Simms ER, Rennie K, et al. Using simulation to improve root cause analysis of adverse surgical
outcomes. Int J Qual Health Care. 2014;26(2):144-50. doi:10.1093/intqhc/mzu011.
https://psnet.ahrq.gov/issue/using-sim…
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psnet.ahrq.gov/node/40002/psn-pdf
January 19, 2011 - Considerations for the design of safe and effective
consumer health IT applications in the home.
January 19, 2011
Zayas-Cabán T, Dixon BE. Considerations for the design of safe and effective consumer health IT
applications in the home. Qual Saf Health Care. 2010;19 Suppl 3:i61-i67. doi:10.1136/qshc.2010.041897.
ht…