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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/45452/psn-pdf
August 24, 2016 - What price must we pay for safety? Excessive cost of
EPINEPHrine auto-injectors leads to error-prone use of
ampuls or vials and unprepared consumers.
August 24, 2016
ISMP Medication Safety Alert! Acute Care Edition. August 11, 2016;21:1-3.
https://psnet.ahrq.gov/issue/what-price-must-we-pay-safety-excessive-cost-e…
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psnet.ahrq.gov/node/46446/psn-pdf
September 27, 2017 - Journey toward high reliability: a comprehensive safety
program to improve quality of care and safety culture in a
large, multisite radiation oncology department.
September 27, 2017
Woodhouse KD, Volz E, Maity A, et al. Journey Toward High Reliability: A Comprehensive Safety Program
to Improve Quality of Care and …
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psnet.ahrq.gov/node/840479/psn-pdf
January 01, 2023 - A multicenter collaborative effort to reduce preventable
patient harm due to retained surgical items.
November 30, 2022
Carmack A, Valleru J, Randall KH, et al. A multicenter collaborative effort to reduce preventable patient
harm due to retained surgical items. Jt Comm J Qual Patient Saf. 2023;49(1):3-13.
doi:10.…
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psnet.ahrq.gov/node/46182/psn-pdf
June 28, 2017 - What we know about designing an effective improvement
intervention (but too often fail to put into practice).
June 28, 2017
Marshall M, de Silva D, Cruickshank L, et al. What we know about designing an effective improvement
intervention (but too often fail to put into practice). BMJ Qual Saf. 2016;26(7). doi:10.113…
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psnet.ahrq.gov/node/42918/psn-pdf
February 05, 2014 - Ascension Health's demonstration of full disclosure
protocol for unexpected events during labor and delivery
shows promise.
February 5, 2014
Hendrich A, McCoy CK, Gale J, et al. Ascension health's demonstration of full disclosure protocol for
unexpected events during labor and delivery shows promise. Health Aff (M…
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psnet.ahrq.gov/node/74008/psn-pdf
October 27, 2021 - Changes in safety and teamwork climate after adding
structured observations to patient safety WalkRounds.
October 27, 2021
Klimmeck S, Sexton B, Schwendimann R. Changes in safety and teamwork climate after adding structured
observations to patient safety WalkRounds. Jt Comm J Qual Patient Saf. 2021;47(12):783-792.
…
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psnet.ahrq.gov/node/47001/psn-pdf
August 17, 2018 - Realist synthesis of intentional rounding in hospital
wards: exploring the evidence of what works, for whom,
in what circumstances and why.
August 17, 2018
Sims S, Leamy M, Davies N, et al. Realist synthesis of intentional rounding in hospital wards: exploring the
evidence of what works, for whom, in what circumst…
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psnet.ahrq.gov/node/73311/psn-pdf
January 01, 2022 - Key considerations in ensuring a safe regional telehealth
care model: a systematic review.
May 26, 2021
Haveland S, Islam S. Key considerations in ensuring a safe regional telehealth care model: a systematic
review. Telemed J E Health. 2022;28(5):602-612. doi:10.1089/tmj.2020.0580.
https://psnet.ahrq.gov/issue/key…
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psnet.ahrq.gov/node/853063/psn-pdf
August 30, 2023 - Exploring medication safety structures and processes in
nursing homes: a cross-sectional study.
August 30, 2023
Favez L, Zúñiga F, Meyer-Massetti C. Exploring medication safety structures and processes in nursing
homes: a cross-sectional study. Int J Clin Pharm. 2023;45(6):1464-1471. doi:10.1007/s11096-023-01625-6.…
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psnet.ahrq.gov/node/859343/psn-pdf
December 20, 2023 - Reducing retained foreign objects in the operating room:
a quality improvement initiative.
December 20, 2023
Keane OA, Chambers C, Brady CM, et al. Reducing retained foreign objects in the operating room: a
quality improvement initiative. J Am Coll Surg. 2023;237(6):864-872. doi:10.1097/xcs.0000000000000847.
https…
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psnet.ahrq.gov/node/47143/psn-pdf
January 30, 2019 - E-learning on risk management. An opportunity for
sharing knowledge and experiences in patient safety.
January 30, 2019
Agra Y, García-Álvarez V, Aibar-Remón C, et al. E-learning on risk management. An opportunity for
sharing knowledge and experiences in patient safety. Int J Health Care Qual. 2019;31(8):639-646.
…
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psnet.ahrq.gov/node/860722/psn-pdf
January 17, 2024 - Ten years of incident reports on in-hospital cardiac arrest
- Are they useful for improvements?
January 17, 2024
Djärv T. Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements?
Resusc Plus. 2023;17:100525. doi:10.1016/j.resplu.2023.100525.
https://psnet.ahrq.gov/issue/ten-y…
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psnet.ahrq.gov/node/34889/psn-pdf
March 04, 2011 - Effect of electronic health records in ambulatory care:
retrospective, serial, cross sectional study.
March 4, 2011
Garrido T, Jamieson L, Zhou Y, et al. Effect of electronic health records in ambulatory care: retrospective,
serial, cross sectional study. BMJ. 2005;330(7491):581.
https://psnet.ahrq.gov/issue/effec…
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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/72666/psn-pdf
January 20, 2021 - Why psychiatry is different--challenges and difficulties in
managing a nosocomial outbreak of coronavirus disease
(COVID-19) in hospital care.
January 20, 2021
Rovers JJE, van de Linde LS, Kenters N, et al. Why psychiatry is different - challenges and difficulties in
managing a nosocomial outbreak of coronavirus d…
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psnet.ahrq.gov/node/45760/psn-pdf
February 08, 2017 - Safe practices for copy and paste in the EHR. Systematic
review, recommendations, and novel model for health IT
collaboration.
February 8, 2017
Tsou AY, Lehmann CU, Michel J, et al. Safe Practices for Copy and Paste in the EHR. Systematic Review,
Recommendations, and Novel Model for Health IT Collaboration. Appl C…
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psnet.ahrq.gov/node/44507/psn-pdf
July 18, 2016 - Six habits to enhance MET performance under stress: a
discussion paper reviewing team mechanisms for
improved patient outcomes.
July 18, 2016
Fein EC, Mackie B, Chernyak-Hai L, et al. Six habits to enhance MET performance under stress: A
discussion paper reviewing team mechanisms for improved patient outcomes. Aus…
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psnet.ahrq.gov/node/60707/psn-pdf
July 22, 2020 - The devil is in the detail: how a closed-loop
documentation system for IV infusion administration
contributes to and compromises patient safety.
July 22, 2020
Furniss D, Dean Franklin B, Blandford A. The devil is in the detail: how a closed-loop documentation
system for IV infusion administration contributes to an…
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psnet.ahrq.gov/node/36721/psn-pdf
May 05, 2010 - Systematic review and evaluation of physiological track
and trigger warning systems for identifying at-risk
patients on the ward.
May 5, 2010
Gao H, McDonnell A, Harrison DA, et al. Systematic review and evaluation of physiological track and
trigger warning systems for identifying at-risk patients on the ward. Int…