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psnet.ahrq.gov/issue/admission-conference-call-novel-approach-optimizing-pediatric-emergency-department-admitting
December 21, 2022 - Study
The admission conference call: a novel approach to optimizing pediatric emergency department to admitting floor communication.
Citation Text:
Hendrickson MA, Schempf EN, Furnival RA, et al. The Admission Conference Call: A Novel Approach to Optimizing Pediatric Emergency Department…
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psnet.ahrq.gov/issue/child-health-pso-10-years-emerging-learning-network
July 28, 2021 - Commentary
The Child Health PSO at 10 years: an emerging learning network.
Citation Text:
Levy FH, Conrad KA, Kemper C, et al. The Child Health PSO at 10 Years: an emerging learning network. Pediatr Qual Saf. 2021;6(4):e449. doi:10.1097/pq9.0000000000000449.
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psnet.ahrq.gov/issue/improved-pain-resolution-hospitalized-patients-through-targeting-pain-mismanagement-medical
March 24, 2019 - Study
Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error.
Citation Text:
Okon TR, Lutz PS, Liang H. Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. J Pain Symptom Manage.…
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psnet.ahrq.gov/issue/shape-matters-neglected-feature-medication-safety-why-regulating-shape-medication-containers
December 09, 2020 - Commentary
Shape matters: a neglected feature of medication safety: why regulating the shape of medication containers can improve medication safety.
Citation Text:
Bitan Y, Nunnally M. Shape matters: a neglected feature of medication safety: why regulating the shape of medication contain…
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psnet.ahrq.gov/issue/using-video-assess-and-improve-patient-safety-during-simulated-and-actual-neonatal
July 29, 2020 - Study
Using video to assess and improve patient safety during simulated and actual neonatal resuscitation.
Citation Text:
Leone TA. Using video to assess and improve patient safety during simulated and actual neonatal resuscitation. Semin Perinatol. 2019;43(8):151179. doi:10.1053/j.semp…
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psnet.ahrq.gov/node/848809/psn-pdf
May 10, 2023 - Improving safety during transitions of care through the
use of electronic referral loops to receive and reconcile
health information.
May 10, 2023
Allen G, Setzer J, Jones R, et al. Improving safety during transitions of care through the use of electronic
referral loops to receive and reconcile health information.…
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psnet.ahrq.gov/node/46848/psn-pdf
October 13, 2018 - Identifying what is known about improving operating
room to intensive care handovers: a scoping review.
October 13, 2018
Zjadewicz K, Deemer KS, Coulthard J, et al. Identifying What Is Known About Improving Operating Room
to Intensive Care Handovers: A Scoping Review. Am J Med Qual. 2018;33(5):540-548.
doi:10.1177…
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psnet.ahrq.gov/node/853429/psn-pdf
September 13, 2023 - Multifaceted intervention to improve patient safety
incident reporting in intensive care units.
September 13, 2023
Griffeth EM, Gajic O, Schueler N, et al. Multifaceted intervention to improve patient safety incident reporting
in intensive care units. J Patient Saf. 2023;19(7):422-428. doi:10.1097/pts.0000000000001…
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psnet.ahrq.gov/node/45746/psn-pdf
December 14, 2016 - Moving toward improved teamwork in cancer care: the
role of psychological safety in team communication.
December 14, 2016
Jain AK, Fennell ML, Chagpar AB, et al. Moving Toward Improved Teamwork in Cancer Care: The Role of
Psychological Safety in Team Communication. J Oncol Pract. 2016;12(11):1000-1011.
https://psn…
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psnet.ahrq.gov/node/43027/psn-pdf
July 23, 2014 - Improving team information sharing with a structured
call-out in anaesthetic emergencies: a randomized
controlled trial.
July 23, 2014
Weller JM, Torrie J, Boyd M, et al. Improving team information sharing with a structured call-out in
anaesthetic emergencies: a randomized controlled trial. Br J Anaesth. 2014;112(…
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psnet.ahrq.gov/node/74179/psn-pdf
January 01, 2022 - Establishing a multidisciplinary taskforce to improve
anticoagulation safety at a large health system.
December 12, 2021
Attia E, Fuentes A, Vassallo M, et al. Establishing a multidisciplinary taskforce to improve anticoagulation
safety at a large health system. Am J Health Syst Pharm. 2022;79(4):297-305. doi:10.10…
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psnet.ahrq.gov/node/44355/psn-pdf
September 02, 2015 - Effect of a real-time pediatric ICU safety bundle
dashboard on quality improvement measures.
September 2, 2015
Shaw SJ, Jacobs B, Stockwell DC, et al. Effect of a Real-Time Pediatric ICU Safety Bundle Dashboard on
Quality Improvement Measures. Jt Comm J Qual Patient Saf. 2015;41(9):414-420.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/48044/psn-pdf
June 12, 2019 - What has an Airbus A380 captain got to do with OMFS?
Lessons from aviation to improve patient safety.
June 12, 2019
Davidson M, Brennan PA. Leading article: What has an Airbus A380 Captain got to do with OMFS?
Lessons from aviation to improve patient safety. Br J Oral Maxillofac Surg. 2019;57(5):407-411.
doi:10.10…
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psnet.ahrq.gov/node/847532/psn-pdf
April 12, 2023 - The impact of an intervention to improve intrapartum
maternal vital sign monitoring and reduce alarm fatigue.
April 12, 2023
Kern-Goldberger AR, Nicholls EM, Plastino N, et al. The impact of an intervention to improve intrapartum
maternal vital sign monitoring and reduce alarm fatigue. Am J Obstet Gynecol MFM. 2023…
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psnet.ahrq.gov/node/44513/psn-pdf
September 23, 2015 - Improving Diagnosis in Health Care.
September 23, 2015
Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and Medicine.
Washington, DC: National Academies Press; 2015. ISBN: 9780309377690.
https://psnet.ahrq.gov/issue/improving-diagnosis-health-care
The National Academy of Me…
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psnet.ahrq.gov/node/867133/psn-pdf
November 13, 2024 - Designing an intervention to improve medication safety
for nursing home residents based on experiential
knowledge related to patient safety culture at the nursing
home front line: cocreative process study.
November 13, 2024
Juhl MH, Soerensen AL, Vardinghus-Nielsen H, et al. Designing an intervention to improve me…
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psnet.ahrq.gov/node/37856/psn-pdf
June 16, 2011 - Improving patient safety in intensive care units in
Michigan.
June 16, 2011
Pronovost P, Berenholtz SM, Goeschel CA, et al. Improving patient safety in intensive care units in
Michigan. J Crit Care. 2008;23(2):207-212. doi:10.1016/j.jcrc.2007.09.002.
https://psnet.ahrq.gov/issue/improving-patient-safety-intensive-…
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psnet.ahrq.gov/node/74098/psn-pdf
January 01, 2023 - Reducing failure to rescue rates in a paediatric in-patient
setting: a 9-year quality improvement study.
November 24, 2021
McHale S, Marufu TC, Manning JC, et al. Reducing failure to rescue rates in a paediatric in?patient setting:
a 9?year quality improvement study. Nurs Crit Care. 2023;28(1):72-79. doi:10.1111/ni…
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psnet.ahrq.gov/node/836955/psn-pdf
April 20, 2022 - The National Imperative to Improve Nursing Home
Quality: Honoring Our Commitment to Residents,
Families, and Staff.
April 20, 2022
National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies
Press; 2022. ISBN: 9780309686259
https://psnet.ahrq.gov/issue/national-imperative-imp…
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psnet.ahrq.gov/node/866745/psn-pdf
September 18, 2024 - State of the Science and Future Directions to Improve
Diagnostic Safety in Older Adults.
September 18, 2024
Tran AK, Syed Q, Bierman AS, et al. State Of The Science And Future Directions To Improve Diagnostic
Safety In Older Adults. Rockville, MD: Agency for Healthcare Research and Quality; September 2024.
AHRQ Pu…