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psnet.ahrq.gov/node/39003/psn-pdf
January 28, 2010 - Reducing in-hospital cardiac arrests and hospital
mortality by introducing a medical emergency team.
January 28, 2010
Konrad D, Jäderling G, Bell M, et al. Reducing in-hospital cardiac arrests and hospital mortality by
introducing a medical emergency team. Intensive Care Med. 2010;36(1):100-6. doi:10.1007/s00134-00…
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psnet.ahrq.gov/node/46922/psn-pdf
January 01, 2019 - Reducing interdisciplinary communication failures
through secure text messaging: a quality improvement
project.
March 21, 2018
Hansen JE, Lazow M, Hagedorn PA. Reducing Interdisciplinary Communication Failures Through Secure
Text Messaging. Pediatr Qual Saf. 2019;3(1). doi:10.1097/pq9.0000000000000053.
https://ps…
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psnet.ahrq.gov/node/47107/psn-pdf
June 20, 2018 - Challenges in communication from referring clinicians to
pathologists in the electronic health record era.
June 20, 2018
Barbieri AL, Fadare O, Fan L, et al. Challenges in Communication from Referring Clinicians to Pathologists
in the Electronic Health Record Era. J Pathol Inform. 2018;9:8. doi:10.4103/jpi.jpi_70_1…
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psnet.ahrq.gov/node/43006/psn-pdf
April 02, 2014 - Hamilton Acute Pain Service Safety Study: using root
cause analysis to reduce the incidence of adverse events.
April 2, 2014
Paul JE, Buckley N, McLean RF, et al. Hamilton acute pain service safety study: using root cause analysis
to reduce the incidence of adverse events. Anesthesiology. 2014;120(1):97-109.
doi:1…
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psnet.ahrq.gov/node/50673/psn-pdf
November 20, 2019 - The introduction of a Neurosurgical Postoperative
Checklist improved quality of care and patient safety.
November 20, 2019
Hall AJ, Toner NS, Bhatt PM. The introduction of a Neurosurgical Postoperative Checklist improved quality
of care and patient safety. Br J Neurosurg. 2019;33(5):495-499. doi:10.1080/02688697.20…
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psnet.ahrq.gov/node/40784/psn-pdf
September 21, 2011 - Do remote community telepharmacies have higher
medication error rates than traditional community
pharmacies? Evidence from the North Dakota
Telepharmacy Project.
September 21, 2011
Friesner DL, Scott DM, Rathke AM, et al. Do remote community telepharmacies have higher medication
error rates than traditional commu…
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psnet.ahrq.gov/node/46292/psn-pdf
August 02, 2017 - Clinical alerts to decrease high-risk medication use in
older adults.
August 2, 2017
Lord-Adem W, Brandt NJ. Clinical Alerts to Decrease High-Risk Medication Use in Older Adults. J Gerontol
Nurs. 2017;43(7):7-12. doi:10.3928/00989134-20170614-04.
https://psnet.ahrq.gov/issue/clinical-alerts-decrease-high-risk-medi…
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psnet.ahrq.gov/node/47786/psn-pdf
June 26, 2019 - Creating a Safe Space: Psychological Health and Safety
of Healthcare Workers.
June 26, 2019
Canadian Patient Safety Institute: 2019.
https://psnet.ahrq.gov/issue/creating-safe-space-psychological-health-and-safety-healthcare-workers
Structured approaches to managing negative psychological consequences of medical e…
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psnet.ahrq.gov/node/73589/psn-pdf
August 11, 2021 - Suicide and suicide attempts on hospital grounds and
clinic areas.
August 11, 2021
Mills PD, Watts BV, Hemphill RR. Suicide and suicide attempts on hospital grounds and clinic areas. J
Patient Saf. 2021;17(5):e423-e428. doi:10.1097/pts.0000000000000356.
https://psnet.ahrq.gov/issue/suicide-and-suicide-attempts-hos…
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psnet.ahrq.gov/node/46403/psn-pdf
September 06, 2017 - Supplemental Issue: Quality and Safety Education for
Nurses (QSEN) program.
September 6, 2017
Quality and Safety Education for Nurses.
https://psnet.ahrq.gov/issue/supplemental-issue-quality-and-safety-education-nurses-qsen-program
Patient safety and quality improvement competencies are developed through interprof…
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psnet.ahrq.gov/node/46057/psn-pdf
September 24, 2017 - Narrative feedback from OR personnel about the safety of
their surgical practice before and after a surgical safety
checklist intervention.
September 24, 2017
Alidina S, Hur H-C, Berry WR, et al. Narrative feedback from OR personnel about the safety of their
surgical practice before and after a surgical safety che…
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psnet.ahrq.gov/node/39102/psn-pdf
January 04, 2010 - Quality and safety on an acute surgical ward: an
exploratory cohort study of process and outcome.
January 4, 2010
Kreckler S, Catchpole K, New SJ, et al. Quality and safety on an acute surgical ward: an exploratory cohort
study of process and outcome. Ann Surg. 2009;250(6):1035-40. doi:10.1097/SLA.0b013e3181bd54c2.…
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psnet.ahrq.gov/node/43498/psn-pdf
October 06, 2016 - Creating a distraction simulation for safe medication
administration.
October 6, 2016
Thomas CM, McIntosh CE, Allen R. Creating a Distraction Simulation for Safe Medication Administration.
Clin Simul Nurs. 2014;10(8). doi:10.1016/j.ecns.2014.03.004.
https://psnet.ahrq.gov/issue/creating-distraction-simulation-safe…
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psnet.ahrq.gov/node/46289/psn-pdf
January 01, 2021 - Communication training, adverse events, and quality
measures: 2 retrospective database analyses in
Washington State hospitals.
August 9, 2017
Slade IR, Beck SJ, Kramer B, et al. Communication Training, Adverse Events, and Quality Measures: 2
Retrospective Database Analyses in Washington State Hospitals. J Patient …
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psnet.ahrq.gov/node/845649/psn-pdf
March 08, 2023 - Medication rounds: a tool to promote medication safety
for children with medical complexity.
March 8, 2023
Rojas CR, Moore A, Coffin A, et al. Medication rounds: a tool to promote medication safety for children with
medical complexity. Jt Comm J Qual Patient Saf. 2023;49(4):226-234. doi:10.1016/j.jcjq.2023.01.003.
…
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psnet.ahrq.gov/node/47087/psn-pdf
May 02, 2018 - The Economics of Patient Safety in Primary and
Ambulatory Care: Flying Blind.
May 2, 2018
Slawomirski L, Auraaen A, Klazinga N. Paris, France: Organisation for Economic Co-operation and
Development; 2018.
https://psnet.ahrq.gov/issue/economics-patient-safety-primary-and-ambulatory-care-flying-blind
The global eco…
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psnet.ahrq.gov/node/41801/psn-pdf
October 31, 2012 - First year with WHO Surgical Safety Checklist in 7148
otorhinolaryngological operations: use and user
attitudes.
October 31, 2012
Helmiö P, Takala A, Aaltonen L-M, et al. First year with WHO Surgical Safety Checklist in 7148
otorhinolaryngological operations: use and user attitudes. Clin Otolaryngol. 2012;37(4):30…
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psnet.ahrq.gov/node/45421/psn-pdf
December 14, 2016 - The medication reconciliation process and classification
of discrepancies: a systematic review.
December 14, 2016
Almanasreh E, Moles R, Chen TF. The medication reconciliation process and classification of
discrepancies: a systematic review. Br J Clin Pharmacol. 2016;82(3):645-658. doi:10.1111/bcp.13017.
https://p…
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psnet.ahrq.gov/node/39879/psn-pdf
September 29, 2010 - The effect of resident duty hour restriction on trauma
center outcomes in teaching hospitals in the state of
Pennsylvania.
September 29, 2010
Helling TS, Kaswan S, Boccardo J, et al. The effect of resident duty hour restriction on trauma center
outcomes in teaching hospitals in the state of Pennsylvania. J Trauma.…
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psnet.ahrq.gov/node/41462/psn-pdf
July 03, 2016 - The use of patient pictures and verification screens to
reduce computerized provider order entry errors.
July 3, 2016
Hyman D, Laire M, Redmond D, et al. The use of patient pictures and verification screens to reduce
computerized provider order entry errors. Pediatrics. 2012;130(1):e211-9. doi:10.1542/peds.2011-298…