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psnet.ahrq.gov/node/50704/psn-pdf
December 04, 2019 - Hospital-Acquired Condition Reduction Program is not
associated with additional patient safety improvement.
December 4, 2019
Sheetz KH, Dimick JB, Englesbe MJ, et al. Hospital-Acquired Condition Reduction Program Is Not
Associated With Additional Patient Safety Improvement. Health Aff (Millwood). 2019;38(11):1858-1…
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psnet.ahrq.gov/node/73342/psn-pdf
June 02, 2021 - Safety culture and workforce well-being associations with
Positive Leadership WalkRounds.
June 2, 2021
Sexton JB, Adair KC, Profit J, et al. Safety culture and workforce well-being associations with Positive
Leadership WalkRounds. Jt Comm J Qual Patient Saf. 2021;47(7):403-411. doi:10.1016/j.jcjq.2021.04.001.
http…
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psnet.ahrq.gov/node/50702/psn-pdf
December 04, 2019 - Smart pumps improve medication safety but increase
alert burden in neonatal care
December 4, 2019
Melton KR, Timmons K, Walsh KE, et al. Smart pumps improve medication safety but increase alert burden
in neonatal care. BMC Medical Inform Decis Mak. 2019;19(1):213. doi:10.1186/s12911-019-0945-2.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/43436/psn-pdf
August 13, 2014 - Decreasing handoff-related care failures in children's
hospitals.
August 13, 2014
Bigham MT, Logsdon TR, Manicone PE, et al. Decreasing handoff-related care failures in children's
hospitals. Pediatrics. 2014;134(2):e572-e579. doi:10.1542/peds.2013-1844.
https://psnet.ahrq.gov/issue/decreasing-handoff-related-care-…
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psnet.ahrq.gov/node/36577/psn-pdf
January 12, 2011 - Effects of teamwork training on adverse outcomes and
process of care in labor and delivery: a randomized
controlled trial.
January 12, 2011
Nielsen PE, Goldman MB, Mann S, et al. Effects of teamwork training on adverse outcomes and process of
care in labor and delivery: a randomized controlled trial. Obstet Gyneco…
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psnet.ahrq.gov/node/42759/psn-pdf
April 24, 2017 - A longitudinal study of clinical peer review's impact on
quality and safety in US hospitals.
April 24, 2017
Edwards MT. A longitudinal study of clinical peer review's impact on quality and safety in U.S. hospitals. J
Healthc Manag. 2013;58(5):369-85.
https://psnet.ahrq.gov/issue/longitudinal-study-clinical-peer-re…
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psnet.ahrq.gov/node/39670/psn-pdf
July 07, 2010 - The Power of Safety: State Reporting Provides Lessons in
Reducing Harm, Improving Care.
July 7, 2010
Washington DC: National Quality Forum; 2010.
https://psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care
The landmark Institute of Medicine (IOM) report, To Err Is Human,…
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psnet.ahrq.gov/node/36395/psn-pdf
May 04, 2015 - An Introduction to the Improved FDA Prescription Drug
Labeling.
May 4, 2015
Silver Spring MD; US Food and Drug Administration: 2006.
https://psnet.ahrq.gov/issue/introduction-improved-fda-prescription-drug-labeling
This teleconference discussed the 2006 FDA medication package insert design program and reviewed
pr…
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psnet.ahrq.gov/node/40077/psn-pdf
July 10, 2012 - Improvement Cymru.
July 10, 2012
NHS Wales.
https://psnet.ahrq.gov/issue/improvement-cymru
This national program draws from other large collaborative efforts to engage health care organizations
across Wales in reducing preventable harm. It was rebranded from the 1000 Lives campaign in 2018.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/perspective/safety-and-medical-education
December 01, 2013 - Annual Perspective
Safety and Medical Education
Sumant Ranji, MD | January 1, 2014
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Ranji SR. Safety and Medical Education. PSNet [internet]. Rockville (MD): Agency for Healt…
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psnet.ahrq.gov/node/34582/psn-pdf
November 15, 2011 - Improving Health Care.
November 15, 2011
Schiff G
https://psnet.ahrq.gov/issue/improving-health-care
Quality and honesty play an influential role in the safety and cost of medical care. Gordon Schiff, the
director of clinical and quality research (Department of Medicine at Stoger Hospital, Chicago, Illinois),
exp…
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psnet.ahrq.gov/node/35491/psn-pdf
July 12, 2018 - Battling the obstetric malpractice crisis: improving
patient safety, part 1.
July 12, 2018
Bernstein PS. Medscape Ob/Gyn. October 31, 2005.
https://psnet.ahrq.gov/issue/battling-obstetric-malpractice-crisis-improving-patient-safety-part-1
The author emphasizes the complexity of decision making in obstetric care to…
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psnet.ahrq.gov/node/34120/psn-pdf
December 30, 2012 - Strategies for Hospitals to Improve Patient Safety: A
Review of the Literature.
December 30, 2012
Wong J, Beglaryan H. Toronto, ON: The Change Foundation; February 2004.
https://psnet.ahrq.gov/issue/strategies-hospitals-improve-patient-safety-review-literature
A literature review of preventable adverse events in a…
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psnet.ahrq.gov/node/35579/psn-pdf
November 26, 2008 - Perioperative Issues for Surgeons: Improving Patient
Safety and Outcomes.
November 26, 2008
Napolitano LM, ed. Surg Clin North Am. 2005;85(6):1061-1380.
https://psnet.ahrq.gov/issue/perioperative-issues-surgeons-improving-patient-safety-and-outcomes
This issue focuses on the safety of surgical patients, with artic…
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psnet.ahrq.gov/node/37404/psn-pdf
June 13, 2011 - Answers to improved medication reconciliation lie with
pharmacists.
June 13, 2011
Barbella M. Drug Topics. November 19, 2007.
https://psnet.ahrq.gov/issue/answers-improved-medication-reconciliation-lie-pharmacists
A survey of hospital pharmacists underscores problems inherent in implementing medication reconciliat…
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psnet.ahrq.gov/perspective/communication-during-transitions-care
July 10, 2024 - Annual Perspective
Communication During Transitions of Care
Ayse P. Gurses; Sarah Mossburg; Zoe Sousane
| March 27, 2024
View more articles from the same authors.
Citation Text:
Gurses AP, Sousane Z, Mossburg S. Communication During Transitions of Care. PS…
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psnet.ahrq.gov/node/33584/psn-pdf
March 15, 2025 - Communication Between Clinicians
March 15, 2025
Communication Between Clinicians. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/communication-between-clinicians
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in…
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psnet.ahrq.gov/node/42417/psn-pdf
July 17, 2013 - Checklists to Improve Patient Safety.
July 17, 2013
Chicago, IL: Health Research & Educational Trust; June 2013.
https://psnet.ahrq.gov/issue/checklists-improve-patient-safety
This guide includes 10 checklists that integrate best practices into care processes to prevent variations in
patient safet…
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psnet.ahrq.gov/node/39325/psn-pdf
February 24, 2010 - Connectivity to improve patient safety.
February 24, 2010
Whitehead SF, Goldman JM. Patient Saf Qual Healthc. January/February 2010;7:26-30.
https://psnet.ahrq.gov/issue/connectivity-improve-patient-safety
This article discusses how adopting open standards for medical device interoperability can help advance
patie…
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psnet.ahrq.gov/node/42647/psn-pdf
October 09, 2013 - Improving Patient Safety in Laboratory Medicine.
October 9, 2013
Randell E, Schneider W, eds. Clin Biochem. 2013;46:1159-1194.
https://psnet.ahrq.gov/issue/improving-patient-safety-laboratory-medicine
Articles in this special issue explore patient safety in laboratory medicine, including quality measurement
…