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psnet.ahrq.gov/node/74013/psn-pdf
October 27, 2021 - Applying decision science to the prioritization of
healthcare-associated infection initiatives.
October 27, 2021
Tsai TH, Gerst MD, Engineer C, et al. Applying decision science to the prioritization of healthcare-
associated infection initiatives. J Patient Saf. 2021;17(7):506-512. doi:10.1097/pts.0000000000000416.…
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psnet.ahrq.gov/node/850358/psn-pdf
June 14, 2023 - What Happened to Patient Safety.
June 14, 2023
Sheridan S. Turn on the Lights. Institute for Healthcare Improvement. May 2023
https://psnet.ahrq.gov/issue/what-happened-patient-safety
Patient engagement is an important component in patient safety. This episode from the Turn on the Lights
podcast (hosted by I…
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psnet.ahrq.gov/node/38276/psn-pdf
December 10, 2008 - Addressing delays in medication administration for
patients transferred from the hospital to the nursing
home: a pilot quality improvement project.
December 10, 2008
Ward KT, Bates-Jensen B, Eslami MS, et al. Addressing delays in medication administration for patients
transferred from the hospital to the nursing h…
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psnet.ahrq.gov/node/44475/psn-pdf
October 03, 2017 - Scoring no goal—further adventures in transparency.
October 3, 2017
Rosenbaum L. Scoring No Goal--Further Adventures in Transparency. N Engl J Med. 2015;373(15):1385-
8. doi:10.1056/NEJMp1510094.
https://psnet.ahrq.gov/issue/scoring-no-goal-further-adventures-transparency
This commentary explores challenges to mon…
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psnet.ahrq.gov/node/50811/psn-pdf
January 15, 2020 - NHS hospitals to employ safety experts to tackle
thousands of avoidable mistakes.
January 15, 2020
Lintern S. NHS hospitals to employ safety experts to tackle thousands of avoidable mistakes. Independent.
December 25, 2019;
https://psnet.ahrq.gov/issue/nhs-hospitals-employ-safety-experts-tackle-thousands-avoidable…
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psnet.ahrq.gov/node/44793/psn-pdf
February 17, 2016 - The Sociology of Healthcare Safety and Quality.
February 17, 2016
Allen D, Braithwaite J, Sandall J, Waring J, eds. Sociol Health Illn. 2016;38(2):179-339.
https://psnet.ahrq.gov/issue/sociology-healthcare-safety-and-quality
The sociological approach to exploring safety has shown promise as a way to understand why …
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psnet.ahrq.gov/node/866530/psn-pdf
August 14, 2024 - Healthcare Simulation in Nursing Practice.
August 14, 2024
Watts PI. Healthcare Simulation in Nursing Practice. Nurs Clin North Am. 2024;59(3):345-510.
https://psnet.ahrq.gov/issue/healthcare-simulation-nursing-practice
Simulation is an established method to examine nursing process resilience and develop non-techni…
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psnet.ahrq.gov/node/45586/psn-pdf
November 02, 2016 - Antimicrobial stewardship and patient safety.
November 2, 2016
Zukowski CM. Antimicrobial Stewardship and Patient Safety. AORN J. 2016;104(4):354-356.
doi:10.1016/j.aorn.2016.08.002.
https://psnet.ahrq.gov/issue/antimicrobial-stewardship-and-patient-safety
Antimicrobial stewardship has been highlighted as a strate…
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psnet.ahrq.gov/node/44551/psn-pdf
September 30, 2015 - Safety culture includes "good catches."
September 30, 2015
Traynor K. Safety culture includes "good catches". Am J Health Syst Pharm. 2015;72(19):1597-1599.
doi:10.2146/news150065.
https://psnet.ahrq.gov/issue/safety-culture-includes-good-catches
Near misses can provide opportunities for learning if there is a pro…
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psnet.ahrq.gov/node/46726/psn-pdf
January 31, 2018 - Toolkit to Promote Safe Surgery.
January 31, 2018
Rockville, MD: Agency for Healthcare Research and Quality; November 2017.
https://psnet.ahrq.gov/issue/toolkit-promote-safe-surgery
Preventing surgical complications including surgical site infections are a worldwide target for improvement.
This toolkit builds on t…
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psnet.ahrq.gov/issue/learning-health-systems
December 24, 2008 - Multi-use Website
Learning Health Systems
Citation Text:
Learning Health Systems Agency for Health Research and Quality.
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psnet.ahrq.gov/issue/acog-committee-opinion-464-patient-safety-surgical-environment
July 18, 2019 - Commentary
ACOG Committee Opinion #464: patient safety in the surgical environment.
Citation Text:
Committee Opinion No. 464: Patient Safety in the Surgical Environment. Obstetrics & Gynecology. 2010;116(3). doi:10.1097/aog.0b013e3181f69b22.
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DOI Goog…
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psnet.ahrq.gov/node/45222/psn-pdf
June 08, 2016 - A program to prevent catheter-associated urinary tract
infection in acute care.
June 8, 2016
Saint S, Greene T, Krein SL, et al. A Program to Prevent Catheter-Associated Urinary Tract Infection in
Acute Care. New Engl J Med. 2016;374(22):2111-2119. doi:10.1056/NEJMoa1504906.
https://psnet.ahrq.gov/issue/program-pr…
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psnet.ahrq.gov/issue/duke-center-healthcare-safety-and-quality
June 01, 2016 - Multi-use Website
Duke Center for Healthcare Safety and Quality.
Citation Text:
Duke Center for Healthcare Safety and Quality. Duke University Health System.
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psnet.ahrq.gov/issue/2004-ashp-leadership-conference-pharmacy-practice-management-executive-summary-improving
June 16, 2019 - Meeting/Conference Proceedings
2004 ASHP Leadership Conference on Pharmacy Practice Management Executive Summary: Improving patient care and medication safety.
Citation Text:
2004 ASHP Leadership Conference on Pharmacy Practice Management Executive Summary: improving patient care and m…
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psnet.ahrq.gov/issue/national-center-human-factors-engineering-healthcare
January 15, 2020 - Multi-use Website
The National Center for Human Factors Engineering in Healthcare.
Citation Text:
The National Center for Human Factors Engineering in Healthcare. MedStar Health.
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psnet.ahrq.gov/issue/how-create-my-medicines-list
December 24, 2008 - Tools/Toolkit
How To Create a My Medicines List.
Citation Text:
How To Create a My Medicines List. Rockville, MD: Agency for Healthcare Research and Quality; October 2022.
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psnet.ahrq.gov/issue/drug-shortages-roundtable-minimizing-impact-patient-care
April 26, 2023 - Commentary
Drug shortages roundtable: minimizing the impact on patient care.
Citation Text:
Drug shortages roundtable: Minimizing the impact on patient care. Am J Health Syst Pharm. 2018;75(11):816-820. doi:10.2146/ajhp180048.
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psnet.ahrq.gov/issue/canadian-patient-safety-institute-announces-recipients-first-research-funding-competition
July 05, 2013 - Press Release/Announcement
Canadian Patient Safety Institute announces recipients of first research funding competition.
Citation Text:
Canadian Patient Safety Institute announces recipients of first research funding competition. Canadian Patient Safety Institute; CPSI.
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psnet.ahrq.gov/issue/bmj-open-quality
August 24, 2016 - Newsletter/Journal
BMJ Open Quality.
Citation Text:
BMJ Open Quality. Crisp H, ed. London, UK: BMJ Publishing Group Ltd; ISSN: 2399-6641.
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