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psnet.ahrq.gov/node/867143/psn-pdf
November 13, 2024 - A virtual breakthrough series collaborative for missed
test results: a stepped-wedge cluster-randomized clinical
trial.
November 13, 2024
Zubkoff L, Zimolzak AJ, Meyer AND, et al. A virtual breakthrough series collaborative for missed test
results: a stepped-wedge cluster-randomized clinical trial. JAMA Netw Open.…
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psnet.ahrq.gov/node/36836/psn-pdf
January 29, 2015 - Learning from Bristol: The Report of the Public Inquiry
into Children's Heart Surgery at the Bristol Royal
Infirmary 1984--1995.
January 29, 2015
Bristol Royal Infirmary Inquiry; The Stationery Office. London, England: Crown Copyright; 2002.
https://psnet.ahrq.gov/issue/learning-bristol-report-public-inquiry-child…
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psnet.ahrq.gov/node/844996/psn-pdf
February 22, 2023 - In situ simulation as a tool to longitudinally identify and
track latent safety threats in a structured quality
improvement initiative for SARS-CoV-2 airway
management: a single-center study.
February 22, 2023
Jafri FN, Yang CJ, Kumar A, et al. In situ simulation as a tool to longitudinally identify and track late…
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psnet.ahrq.gov/node/40271/psn-pdf
May 25, 2011 - Collaborative cohort study of an intervention to reduce
ventilator-associated pneumonia in the intensive care
unit.
May 25, 2011
Berenholtz SM, Pham JC, Thompson DA, et al. Collaborative cohort study of an intervention to reduce
ventilator-associated pneumonia in the intensive care unit. Infect Control Hosp Epidem…
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psnet.ahrq.gov/node/60176/psn-pdf
April 01, 2020 - Health and social care-associated harm amongst
vulnerable children in primary care: mixed methods
analysis of national safety reports.
April 1, 2020
Omar A, Rees P, Cooper A, et al. Health and social care-associated harm amongst vulnerable children in
primary care: mixed methods analysis of national safety reports…
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psnet.ahrq.gov/node/40910/psn-pdf
November 09, 2011 - The effect of hospital electronic health record adoption on
nurse-assessed quality of care and patient safety.
November 9, 2011
Kutney-Lee A, Kelly D. The effect of hospital electronic health record adoption on nurse-assessed quality of
care and patient safety. J Nurs Adm. 2011;41(11):466-72. doi:10.1097/NNA.0b013e…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.107_slideshow.ppt
November 01, 2005 - Spotlight Case [MONTH] 2003
Spotlight Case November 2005
Reconciling Doses
Source and Credits
This presentation is based on the November 2005 Spotlight Case in Emergency Medicine
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Frank Federico, RPh,…
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psnet.ahrq.gov/node/33939/psn-pdf
January 17, 2012 - VHA National Patient Safety Improvement Handbook.
January 17, 2012
https://psnet.ahrq.gov/issue/vha-national-patient-safety-improvement-handbook
A handbook developed by the VA and the National Center for Patient Safety that provides guidance on how
to limit opportunities that adversely impact patient safety and car…
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psnet.ahrq.gov/node/36510/psn-pdf
June 13, 2011 - Using clinical decision support to improve medication
reconciliation.
June 13, 2011
Moore G. Patient Saf Qual Healthc. November / December 2006.
https://psnet.ahrq.gov/issue/using-clinical-decision-support-improve-medication-reconciliation
The author provides strategies to enhance the value of medication reconcili…
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psnet.ahrq.gov/node/42689/psn-pdf
October 23, 2013 - Solving the puzzle: improving safety outcomes.
October 23, 2013
Whitehouse D. Br J Healthc Manage. 2013;19(9):446-448.
https://psnet.ahrq.gov/issue/solving-puzzle-improving-safety-outcomes
This article illustrates the importance of recognizing complexity when working to create high reliability in
health care.
htt…
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psnet.ahrq.gov/node/35074/psn-pdf
March 07, 2016 - Library-hospital pairing empowers patients, improves
safety.
March 7, 2016
https://psnet.ahrq.gov/issue/library-hospital-pairing-empowers-patients-improves-safety
This article describes the Partnering for Patient Empowerment Through Community Awareness program,
a model for utilizing libraries to educate consumers …
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psnet.ahrq.gov/node/43441/psn-pdf
July 12, 2018 - Fixing Healthcare Delivery.
July 12, 2018
University of Florida, Institute for Healthcare Improvement, Coursera.
https://psnet.ahrq.gov/issue/fixing-healthcare-delivery
This online course presents teamwork, systems design, leadership, and change management as strategies
to improve health care safety. The course in…
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psnet.ahrq.gov/node/35123/psn-pdf
July 03, 2015 - Patient Safety Tools: Improving Safety at the Point of
Care.
July 3, 2015
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/patient-safety-tools-improving-safety-point-care
The Agency for Healthcare Research and Quality (AHRQ) awarded more than $8 million to 15 Partnerships
in Implementing …
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psnet.ahrq.gov/issue/enhancing-surgical-systems
April 12, 2017 - Special or Theme Issue
Enhancing Surgical Systems.
Citation Text:
Enhancing Surgical Systems. Healey AN, Catchpole K, Yule S, eds. Cogn Tech Work. 2008;10(4):249-333.
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psnet.ahrq.gov/issue/congress-once-again-debates-legislation-patient-safety-doctors-and-others-would-be-able
December 18, 2008 - Newspaper/Magazine Article
Congress once again debates legislation on patient safety: doctors and others would be able to report mistakes without the information being used against them in court.
Citation Text:
Congress once again debates legislation on patient safety: doctors and others…
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psnet.ahrq.gov/issue/safely-home-what-happens-when-people-leave-hospital-care-settings
August 02, 2023 - Book/Report
Safely Home: What Happens When People Leave Hospital Care Settings?
Citation Text:
Safely Home: What Happens When People Leave Hospital Care Settings? London, UK: Healthwatch England; July 2015.
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psnet.ahrq.gov/issue/magnet-support-patient-safety
November 01, 2012 - Special or Theme Issue
Magnet in Support of Patient Safety.
Citation Text:
Magnet in Support of Patient Safety. Lewis L, ed. J Nurs Adm. 2014;44(suppl 10):S1-S53.
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psnet.ahrq.gov/issue/strategies-creating-sustaining-and-improving-culture-safety-health-care-second-edition
May 20, 2015 - Book/Report
Classic
Strategies for Creating, Sustaining, and Improving a Culture of Safety in Health Care, Second Edition.
Citation Text:
Strategies for Creating, Sustaining, and Improving a Culture of Safety in Health Care, Second Edition. Joint Commission Reso…
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psnet.ahrq.gov/issue/health-it-and-clinical-decision-support-systems
June 19, 2013 - Special or Theme Issue
Health IT and Clinical Decision Support Systems.
Citation Text:
Health IT and Clinical Decision Support Systems. Ohno-Machado L, ed. J Am Med Inform Assoc. 2014;21:e180-e375.
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psnet.ahrq.gov/issue/report-morecambe-bay-investigation
November 16, 2005 - Book/Report
The Report of the Morecambe Bay Investigation.
Citation Text:
The Report of the Morecambe Bay Investigation. Kirkup B. London, UK: The Stationery Office; 2015. ISBN: 9780108561306.
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