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psnet.ahrq.gov/node/47077/psn-pdf
May 23, 2018 - World Health Organization-World Federation of Societies
of Anaesthesiologists (WHO-WFSA) International
Standards for a Safe Practice of Anesthesia.
May 23, 2018
Gelb AW, Morriss WW, Johnson W, et al. World Health Organization-World Federation of Societies of
Anaesthesiologists (WHO-WFSA) International Standards fo…
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psnet.ahrq.gov/node/34916/psn-pdf
March 09, 2009 - Using a claims data-based sentinel system to improve
compliance with clinical guidelines: results of a
randomized prospective study.
March 9, 2009
Javitt JC, Steinberg G, Locke T, et al. Using a claims data-based sentinel system to improve compliance
with clinical guidelines: results of a randomized prospective st…
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psnet.ahrq.gov/node/851070/psn-pdf
June 28, 2023 - Diagnostic Safety Across Transitions of Care Throughout
the Healthcare System: Current State and a Call to Action.
June 28, 2023
Santhosh L, Cornell E, Rojas JC, et al. Rockville, MD: Agency for Healthcare Research and Quality; June
2023. AHRQ Publication No. 23-0040-1-EF.
https://psnet.ahrq.gov/issue/diagnostic-s…
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psnet.ahrq.gov/node/47399/psn-pdf
November 14, 2018 - Leveraging the continuum: a novel approach to meeting
quality improvement and patient safety competency
requirements across a large department of medicine.
November 14, 2018
Myers JS, Bellini LM. Leveraging the Continuum: A Novel Approach to Meeting Quality Improvement and
Patient Safety Competency Requirements Ac…
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psnet.ahrq.gov/node/73587/psn-pdf
August 11, 2021 - Effects of a brief team training program on surgical
teams' nontechnical skills: an interrupted time-series
study.
August 11, 2021
Gillespie BM, Harbeck EL, Kang E, et al. Effects of a brief team training program on surgical teams'
nontechnical skills: an interrupted time-series study. J Patient Saf. 2021;17(5):e4…
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psnet.ahrq.gov/node/43141/psn-pdf
April 30, 2014 - Engaging residents and fellows to improve institution-
wide quality: the first six years of a novel financial
incentive program.
April 30, 2014
Vidyarthi A, Green AL, Rosenbluth G, et al. Engaging residents and fellows to improve institution-wide
quality: the first six years of a novel financial incentive program.…
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psnet.ahrq.gov/node/73217/psn-pdf
May 05, 2021 - Assessing patients 2019 experiences with medical injury
reconciliation processes: item generation for a novel
survey questionnaire.
May 5, 2021
Schulz-Moore JS, Bismark M, Jenkinson C, et al. Assessing patients 2019 experiences with medical injury
reconciliation processes: item generation for a novel survey questi…
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psnet.ahrq.gov/node/837681/psn-pdf
September 11, 2023 - Compendium of Strategies to Prevent HAIs in Acute Care
Hospitals 2022.
September 11, 2023
Infect Control Hosp Epidemiol. 2022-2023.
https://psnet.ahrq.gov/issue/compendium-strategies-prevent-hais-acute-care-hospitals-2022
Health care–associated infections (HAIs) affect patients both during and after hospitalizatio…
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psnet.ahrq.gov/node/851910/psn-pdf
August 02, 2023 - Relationship between in-hospital adverse events and
hospital performance on 30-day all-cause mortality and
readmission for patients with heart failure.
August 2, 2023
Wang Y, Eldridge N, Metersky ML, et al. Relationship between in-hospital adverse events and hospital
performance on 30-Day all-cause mortality and r…
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psnet.ahrq.gov/node/45374/psn-pdf
April 24, 2018 - Two-year longitudinal assessment of physicians'
perceptions after replacement of a longstanding
homegrown electronic health record: does a J-curve of
satisfaction really exist?
April 24, 2018
Hanauer DA, Branford GL, Greenberg G, et al. Two-year longitudinal assessment of physicians'
perceptions after replacement…
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psnet.ahrq.gov/node/41043/psn-pdf
May 24, 2012 - Toward improving patient safety through voluntary peer-
to-peer assessment.
May 24, 2012
Hudson DW, Holzmueller CG, Pronovost P, et al. Toward improving patient safety through voluntary peer-
to-peer assessment. Am J Med Qual. 2012;27(3):201-9. doi:10.1177/1062860611421981.
https://psnet.ahrq.gov/issue/toward-impr…
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psnet.ahrq.gov/node/862989/psn-pdf
February 21, 2024 - Peer support and second victim programs for anesthesia
professionals involved in stressful or traumatic clinical
events.
February 21, 2024
Finney RE, Jacob AK. Peer support and second victim programs for anesthesia professionals involved in
stressful or traumatic clinical events. Adv Anesth. 2023;41(1):39-52. doi:…
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psnet.ahrq.gov/node/60232/psn-pdf
April 15, 2020 - Sustaining innovations in complex health care
environments: a multiple-case study of rapid response
teams.
April 15, 2020
Stolldorf DP, Havens DS, Jones CB. Sustaining innovations in complex health care environments: a
multiple-case study of rapid response teams. J Patient Saf. 2020;16(1).
doi:10.1097/pts.0000000…
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psnet.ahrq.gov/node/47187/psn-pdf
September 05, 2018 - Supporting clinicians after adverse events: development
of a clinician peer support program.
September 5, 2018
Lane MA, Newman BM, Taylor MZ, et al. Supporting Clinicians After Adverse Events: Development of a
Clinician Peer Support Program. J Patient Saf. 2018;14(3):e56-e60. doi:10.1097/PTS.0000000000000508.
http…
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psnet.ahrq.gov/node/74263/psn-pdf
January 19, 2022 - "Some version, most of the time": the surgical safety
checklist, patient safety, and the everyday experience of
practice variation.
January 19, 2022
Hammond Mobilio M, Paradis E, Moulton C-A. “Some version, most of the time”: The surgical safety
checklist, patient safety, and the everyday experience of practice va…
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psnet.ahrq.gov/node/836822/psn-pdf
March 30, 2022 - Leveraging a safety event management system to
improve organizational learning and safety culture.
March 30, 2022
Dawson R, Saulnier T, Campbell A, et al. Leveraging a safety event management system to improve
organizational learning and safety culture. Hosp Pediatr. 2022;12(4):407-417. doi:10.1542/hpeds.2021-
006…
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psnet.ahrq.gov/node/61118/psn-pdf
January 01, 2021 - Bracing for the storm: one health care system's planning
for the COVID-19 surge.
November 11, 2020
Kim CS, Meo N, Little D, et al. Bracing for the storm: one health care system's planning for the COVID-19
surge. Jt Comm J Qual Patient Saf. 2021;47(1):60-68. doi:10.1016/j.jcjq.2020.09.007.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/45348/psn-pdf
September 14, 2016 - Integrating teamwork, clinician occupational well-being
and patient safety—development of a conceptual
framework based on a systematic review.
September 14, 2016
Welp A, Manser T. Integrating teamwork, clinician occupational well-being and patient safety - development
of a conceptual framework based on a systemati…
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psnet.ahrq.gov/node/45680/psn-pdf
February 22, 2017 - Pediatric medication safety in adult community hospital
settings: a glimpse into nationwide practice.
February 22, 2017
Alvarez F, Ismail L, Markowsky A. Pediatric Medication Safety in Adult Community Hospital Settings: A
Glimpse Into Nationwide Practice. Hosp Pediatr. 2016;6(12):744-749.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/37348/psn-pdf
March 28, 2012 - Impact of duty hours restrictions on quality of care and
clinical outcomes.
March 28, 2012
Bhavsar J, Montgomery D, Li J, et al. Impact of duty hours restrictions on quality of care and clinical
outcomes. Am J Med. 2007;120(11):968-74.
https://psnet.ahrq.gov/issue/impact-duty-hours-restrictions-quality-care-and-cl…