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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/866314/psn-pdf
July 17, 2024 - Lost, mislabeled, and mishandled surgical and clinical
pathology specimens: a systematic review of published
literature.
July 17, 2024
Carmack HJ, Lazenby BS, Wilson KJ, et al. Lost, mislabeled, and mishandled surgical and clinical
pathology specimens: a systematic review of published literature. Am J Clin Pathol.…
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psnet.ahrq.gov/node/866640/psn-pdf
September 04, 2024 - Improving resident physician participation in reporting
patient safety and quality concerns.
September 4, 2024
Craig SR, Smith HL, Shaeffer PJ. Improving resident physician participation in reporting patient safety and
quality concerns. Ochsner J. 2024;24(2):118-123. doi:10.31486/toj.24.0016.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/764399/psn-pdf
March 02, 2022 - Show me the money, I'll show you my complications:
impacts of incentivized incident self-reporting among
surgeons.
March 2, 2022
Cook-Richardson S, Addo A, Kim P, et al. Show me the money, I'll show you my complications: impacts of
incentivized incident self-reporting among surgeons. J Surg Res. 2022;274:136-144.
…
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psnet.ahrq.gov/node/35497/psn-pdf
June 30, 2011 - Use of a prospective risk analysis method to improve the
safety of the cancer chemotherapy process.
June 30, 2011
Bonnabry P, Cingria L, Ackermann M, et al. Use of a prospective risk analysis method to improve the
safety of the cancer chemotherapy process. Int J Qual Health Care. 2006;18(1):9-16.
https://psnet.ahr…
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psnet.ahrq.gov/node/844754/psn-pdf
September 18, 2019 - How do stakeholders experience the adoption of
electronic prescribing systems in hospitals? A systematic
review and thematic synthesis of qualitative studies.
September 18, 2019
Farre A, Heath G, Shaw K, et al. How do stakeholders experience the adoption of electronic prescribing
systems in hospitals? A systematic…
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psnet.ahrq.gov/node/45432/psn-pdf
September 14, 2016 - Clinical decision support: a 25 year retrospective and a 25
year vision.
September 14, 2016
Middleton B, Sittig DF, Wright A. Clinical Decision Support: a 25 Year Retrospective and a 25 Year Vision.
Yearb Med Inform. 2016;Suppl 1:S103-16. doi:10.15265/IYS-2016-s034.
https://psnet.ahrq.gov/issue/clinical-decision-s…
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psnet.ahrq.gov/node/72476/psn-pdf
November 18, 2020 - Maintaining perioperative safety in uncertain times:
COVID-19 pandemic response strategies.
November 18, 2020
Mazzola SM, Grous C. Maintaining perioperative safety in uncertain times: COVID-19 pandemic response
strategies. AORN J. 2020;112(4):397-405. doi:10.1002/aorn.13195.
https://psnet.ahrq.gov/issue/maintainin…
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psnet.ahrq.gov/node/60188/psn-pdf
January 01, 2021 - Uncertain diagnoses in a children's hospital: patient
characteristics and outcomes.
April 1, 2020
Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics
and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058.
https://psnet.ahrq.gov/issue/uncertai…
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psnet.ahrq.gov/node/73313/psn-pdf
May 26, 2021 - Maintaining maternal-newborn safety during the COVID-
19 pandemic.
May 26, 2021
Patrick NA, Johnson TS. Maintaining maternal-newborn safety during the COVID-19 pandemic. Nurs
Womens Health. 2021;25(3):212-220. doi:10.1016/j.nwh.2021.03.003.
https://psnet.ahrq.gov/issue/maintaining-maternal-newborn-safety-during-co…
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psnet.ahrq.gov/node/73560/psn-pdf
August 04, 2021 - Barcode medication administration technology use in
hospital practice: a mixed-methods observational study
of policy deviations.
August 4, 2021
Mulac A, Mathiesen L, Taxis K, et al. Barcode medication administration technology use in hospital
practice: a mixed-methods observational study of policy deviations. BMJ …
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psnet.ahrq.gov/node/840171/psn-pdf
November 16, 2022 - Critical care resource nurse team: a patient safety and
quality outcomes model.
November 16, 2022
https://psnet.ahrq.gov/innovation/critical-care-resource-nurse-team-patient-safety-and-quality-outcomes-
model
Rapid response teams (RRTs) are intended to improve timely identification and management of clinically
de…
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psnet.ahrq.gov/node/73133/psn-pdf
April 14, 2021 - A human factors intervention in a hospital--evaluating the
outcome of a TeamSTEPPS program in a surgical ward.
April 14, 2021
Aaberg OR, Hall-Lord ML, Husebø SIE, et al. A human factors intervention in a hospital - evaluating the
outcome of a TeamSTEPPS program in a surgical ward. BMC Health Serv Res. 2021;21(1):11…
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psnet.ahrq.gov/node/60892/psn-pdf
September 09, 2020 - Applying thematic synthesis to interpretation and
commentary in epidemiological studies: identifying what
contributes to successful interventions to promote hand
hygiene in patient care.
September 9, 2020
Drey N, Gould D, Purssell E, et al. Applying thematic synthesis to interpretation and commentary in
epidemiol…
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psnet.ahrq.gov/node/60184/psn-pdf
April 01, 2020 - Patient perspectives on the use of artificial intelligence
for skin cancer screening: a qualitative study.
April 1, 2020
Nelson CA, Pérez-Chada LM, Creadore A, et al. Patient perspectives on the use of artificial intelligence for
skin cancer screening: a qualitative study. JAMA Dermatol. 2020;156(5):501-512.
doi:1…
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psnet.ahrq.gov/node/46347/psn-pdf
December 22, 2018 - Medication errors in pediatric anesthesia: a report from
the Wake Up Safe quality improvement initiative.
December 22, 2018
M Y Lobaugh L, Martin LD, Schleelein LE, et al. Medication errors in pediatric anesthesia: a report from the
Wake Up Safe quality improvement initiative. Anesth Analg. 2017;125(3):936-942.
do…
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psnet.ahrq.gov/node/73085/psn-pdf
January 01, 2022 - Multiple meanings of resilience: health professionals'
experiences of a dual element training intervention
designed to help them prepare for coping with error.
March 31, 2021
Janes G, Harrison R, Johnson J, et al. Multiple meanings of resilience: health professionals' experiences of
a dual element training interve…
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psnet.ahrq.gov/node/851358/psn-pdf
July 12, 2023 - Enhancing resident education by embedding
improvement specialists into a quality and safety
curriculum.
July 12, 2023
Levy KL, Grzyb K, Heidemann LA, et al. Enhancing resident education by embedding improvement
specialists into a quality and safety curriculum. J Grad Med Educ. 2023;15(3):348-355. doi:10.4300/jgme-…
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psnet.ahrq.gov/node/837794/psn-pdf
August 10, 2022 - Combined impact of Medicare's hospital pay for
performance programs on quality and safety outcomes is
mixed.
August 10, 2022
Waters TM, Burns N, Kaplan CM, et al. Combined impact of Medicare’s hospital pay for performance
programs on quality and safety outcomes is mixed. BMC Health Serv Res. 2022;22(1):958.
doi:1…
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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.…