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psnet.ahrq.gov/node/42456/psn-pdf
September 09, 2013 - A toolkit to disseminate best practices in inpatient
medication reconciliation: Multi-Center Medication
Reconciliation Quality Improvement Study (MARQUIS).
September 9, 2013
Mueller SK, Kripalani S, Stein J, et al. A toolkit to disseminate best practices in inpatient medication
reconciliation: multi-center medicat…
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psnet.ahrq.gov/node/74048/psn-pdf
November 10, 2021 - Causes of use errors in ventilation devices--systematic
review.
November 10, 2021
Coldewey B, Diruf A, Röhrig R, et al. Causes of use errors in ventilation devices - systematic review. Appl
Ergon. 2021;98:103544. doi:10.1016/j.apergo.2021.103544.
https://psnet.ahrq.gov/issue/causes-use-errors-ventilation-devices-s…
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psnet.ahrq.gov/node/838194/psn-pdf
September 28, 2022 - Measure Dx: implementing pathways to discover and
learn from diagnostic errors.
September 28, 2022
Bradford A, Shofer M, Singh H. Measure Dx: Implementing pathways to discover and learn from diagnostic
errors. Int J Qual Health Care. 2022;34(3):mzac068. doi:10.1093/intqhc/mzac068.
https://psnet.ahrq.gov/issue/meas…
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psnet.ahrq.gov/node/39920/psn-pdf
October 13, 2010 - Beliefs of ambulatory care physicians about accuracy of
patient medication records and technology-enhanced
solutions to improve accuracy.
October 13, 2010
Weeks DL, Corbett CF, Stream G. Beliefs of ambulatory care physicians about accuracy of patient
medication records and technology-enhanced solutions to improve …
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psnet.ahrq.gov/node/47842/psn-pdf
April 10, 2019 - Learning From Invited Reviews.
April 10, 2019
London, UK: Royal College of Surgeons of England; 2019.
https://psnet.ahrq.gov/issue/learning-invited-reviews
Physical demands and technical complexities can affect surgical safety. This resource is designed to
capture frontline perceptions of surgeons in the United Ki…
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psnet.ahrq.gov/node/40085/psn-pdf
December 15, 2010 - Medication reconciliation in the emergency department:
opportunities for workflow redesign.
December 15, 2010
Hummel J, Evans PC, Lee H. Medication reconciliation in the emergency department: opportunities for
workflow redesign. Qual Saf Health Care. 2010;19(6):531-5. doi:10.1136/qshc.2009.035121.
https://psnet.ah…
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psnet.ahrq.gov/node/44660/psn-pdf
December 02, 2015 - The SQUIRE Guidelines: an evaluation from the field, 5
years post release.
December 2, 2015
Davies L, Batalden P, Davidoff F, et al. The SQUIRE Guidelines: an evaluation from the field, 5 years post
release. BMJ Qual Saf. 2015;24(12):769-75. doi:10.1136/bmjqs-2015-004116.
https://psnet.ahrq.gov/issue/squire-guidel…
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psnet.ahrq.gov/node/33661/psn-pdf
December 01, 2007 - Care Transitions
December 1, 2007
Kripalani S. Care Transitions. PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/care-transitions
Perspective
Hospital discharge is often viewed as the end of an acute medical event. Goodbyes are said as patients
pack their belongings and return home. Physicians scratch …
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psnet.ahrq.gov/node/33650/psn-pdf
May 01, 2007 - Patient Safety in the United Kingdom: Evolution and
Progress
May 1, 2007
Burnett S, Vincent CA. Patient Safety in the United Kingdom: Evolution and Progress. PSNet [internet].
2007.
https://psnet.ahrq.gov/perspective/patient-safety-united-kingdom-evolution-and-progress
Perspective
The dangers of health care in B…
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psnet.ahrq.gov/issue/speaking-patient-safety-and-staff-well-being-qualitative-study
November 16, 2016 - Study
'Speaking Up' for patient safety and staff well-being: a qualitative study.
Citation Text:
Delpino R, Lees-Deutsch L, Solanki B. ‘Speaking Up’ for patient safety and staff well-being: a qualitative study. BMJ Open Qual. 2023;12(2):e002047. doi:10.1136/bmjoq-2022-002047.
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psnet.ahrq.gov/issue/role-failure-mode-and-effects-analysis-health-care
December 22, 2021 - Newspaper/Magazine Article
The role of failure mode and effects analysis in health care.
Citation Text:
Fibuch E, Ahmed A. The role of failure mode and effects analysis in health care. Physician Exec. 2014;40(4):28-32.
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Format:
Google Scholar PubMed BibTeX EndN…
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psnet.ahrq.gov/issue/safety-personal-partnering-patients-and-families-safest-care
January 06, 2015 - Book/Report
Safety Is Personal: Partnering With Patients and Families for the Safest Care.
Citation Text:
Safety Is Personal: Partnering With Patients and Families for the Safest Care. NPSF Lucian Leape Institute Roundtable on Consumer Engagement in Patient Safety. Boston, MA: National P…
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psnet.ahrq.gov/issue/between-surveillance-and-subjectification-professionals-and-governance-quality-and-patient
April 21, 2015 - Study
Between surveillance and subjectification: professionals and the governance of quality and patient safety in English hospitals.
Citation Text:
Martin G, Leslie M, Minion J, et al. Between surveillance and subjectification: professionals and the governance of quality and patient sa…
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psnet.ahrq.gov/issue/safe-implementation-standard-concentration-infusions-paediatric-intensive-care
June 17, 2014 - Study
Safe implementation of standard concentration infusions in paediatric intensive care.
Citation Text:
Arenas-López S, Stanley IM, Tunstell P, et al. Safe implementation of standard concentration infusions in paediatric intensive care. Journal of Pharmacy and Pharmacology. 2016;69(5)…
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psnet.ahrq.gov/issue/ethnographic-study-classifying-and-accounting-risk-sharp-end-medical-wards
June 16, 2021 - Study
An ethnographic study of classifying and accounting for risk at the sharp end of medical wards.
Citation Text:
Dixon-Woods M, Suokas A, Pitchforth E, et al. An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. Soc Sci Med. 2009;69(3):362…
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psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-rounds-implementation-and-impact
March 27, 2024 - Study
Psychiatry morbidity and mortality rounds: implementation and impact.
Citation Text:
Goldman S, Demaso DR, Kemler B. Psychiatry morbidity and mortality rounds: implementation and impact. Acad Psychiatry. 2009;33(5):383-8. doi:10.1176/appi.ap.33.5.383.
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psnet.ahrq.gov/issue/nursing-crew-resource-management-follow-report-veterans-health-administration
September 27, 2016 - Commentary
Nursing crew resource management: a follow-up report from the Veterans Health Administration.
Citation Text:
Sculli GL, Fore AM, West P, et al. Nursing crew resource management: a follow-up report from the Veterans Health Administration. J Nurs Adm. 2013;43(3):122-6. doi:10.1…
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psnet.ahrq.gov/issue/prospective-pilot-intervention-study-prevent-medication-errors-drugs-administered-children
December 04, 2015 - Study
Prospective pilot intervention study to prevent medication errors in drugs administered to children by mouth or gastric tube: a programme for nurses, physicians and parents.
Citation Text:
Bertsche T, Bertsche A, Krieg E-M, et al. Prospective pilot intervention study to prevent m…
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psnet.ahrq.gov/issue/compliance-technical-guidelines-radiotherapy-treatment-relation-patient-safety
December 10, 2014 - Study
Compliance to technical guidelines for radiotherapy treatment in relation to patient safety.
Citation Text:
Simons PAM, Houben RMA, Backes HH, et al. Compliance to technical guidelines for radiotherapy treatment in relation to patient safety. Int J Qual Health Care. 2010;22(3):18…
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psnet.ahrq.gov/issue/development-modified-early-warning-score-using-electronic-medical-record
April 28, 2021 - Commentary
Development of a modified early warning score using the electronic medical record.
Citation Text:
Albert BL, Huesman L. Development of a modified early warning score using the electronic medical record. Dimens Crit Care Nurs. 2011;30(5):283-292. doi:10.1097/DCC.0b013e3182277…