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psnet.ahrq.gov/issue/using-ismp-medication-safety-self-assessment-improve-medication-use-processes
January 05, 2017 - Study
Using the ISMP Medication Safety Self-Assessment to improve medication use processes.
Citation Text:
Lesar TS, Mattis A, Anderson E, et al. Using the ISMP Medication Safety Self-Assessment to improve medication use processes. Jt Comm J Qual Saf. 2003;29(5):211-26.
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psnet.ahrq.gov/issue/safety-ii-and-resilience-way-ahead-patient-safety-anaesthesiology
October 08, 2016 - Review
Safety-II and resilience: the way ahead in patient safety in anaesthesiology.
Citation Text:
Staender S. Safety-II and resilience: the way ahead in patient safety in anaesthesiology. Curr Opin Anaesthesiol. 2015;28(6):735-9. doi:10.1097/ACO.0000000000000252.
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psnet.ahrq.gov/issue/improving-usability-intravenous-medication-labels-support-safe-medication-delivery
September 26, 2016 - Study
Improving the usability of intravenous medication labels to support safe medication delivery.
Citation Text:
Bauer DT, Guerlain S. Improving the usability of intravenous medication labels to support safe medication delivery. International journal of industrial ergonomics. 2011;41…
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psnet.ahrq.gov/issue/nursing-homes-despite-increased-oversight-challenges-remain-ensuring-high-quality-care-and
July 12, 2006 - Government Resource
Nursing Homes: Despite Increased Oversight, Challenges Remain in Ensuring High-Quality Care and Resident Safety.
Citation Text:
Nursing Homes: Despite Increased Oversight, Challenges Remain in Ensuring High-Quality Care and Resident Safety. Washington DC; Governme…
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psnet.ahrq.gov/issue/patient-safety-answers-require-outreach-reach-and-partnerships
August 23, 2023 - Commentary
Patient safety answers require outreach, in-reach, and partnerships.
Citation Text:
Burt HA. Patient Safety Answers Require Outreach, In-reach, and Partnerships. J Hosp Librariansh. 2011;11(4). doi:10.1080/15323269.2011.611436.
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psnet.ahrq.gov/issue/nurses-improve-medication-safety-medication-allergy-and-adverse-drug-reports
October 19, 2022 - Commentary
Nurses improve medication safety with medication allergy and adverse drug reports.
Citation Text:
Valente S, Murray L, Fisher D. Nurses improve medication safety with medication allergy and adverse drug reports. J Nurs Care Qual. 2007;22(4):322-7.
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psnet.ahrq.gov/node/44834/psn-pdf
January 27, 2016 - Sustaining reliability on accountability measures at the
Johns Hopkins Hospital.
January 27, 2016
Pronovost P, Demski R, Callender T, et al. Demonstrating high reliability on accountability measures at the
Johns Hopkins Hospital. Jt Comm J Qual Patient Saf. 2013;39(12):531-544.
https://psnet.ahrq.gov/issue/sustain…
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psnet.ahrq.gov/node/45083/psn-pdf
July 18, 2016 - Toward a safer health care system: the critical need to
improve measurement.
July 18, 2016
Jha AK, Pronovost P. Toward a Safer Health Care System: The Critical Need to Improve Measurement.
JAMA. 2016;315(17):1831-2. doi:10.1001/jama.2016.3448.
https://psnet.ahrq.gov/issue/toward-safer-health-care-system-critical-n…
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psnet.ahrq.gov/node/47467/psn-pdf
January 21, 2019 - Application of electronic trigger tools to identify targets
for improving diagnostic safety.
January 21, 2019
Murphy DR, Meyer AN, Sittig DF, et al. Application of electronic trigger tools to identify targets for improving
diagnostic safety. BMJ Qual Saf. 2019;28(2):151-159. doi:10.1136/bmjqs-2018-008086.
https://…
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psnet.ahrq.gov/node/41355/psn-pdf
April 05, 2013 - Comparative economic analyses of patient safety
improvement strategies in acute care: a systematic
review.
April 5, 2013
Etchells E, Koo M, Daneman N, et al. Comparative economic analyses of patient safety improvement
strategies in acute care: a systematic review. BMJ Qual Saf. 2012;21(6):448-56. doi:10.1136/bmjqs…
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psnet.ahrq.gov/node/41669/psn-pdf
November 26, 2014 - Patient safety perceptions of primary care providers after
implementation of an electronic medical record system.
November 26, 2014
McGuire MJ, Noronha G, Samal L, et al. Patient safety perceptions of primary care providers after
implementation of an electronic medical record system. J Gen Intern Med. 2013;28(2):18…
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psnet.ahrq.gov/node/46531/psn-pdf
January 24, 2019 - Tracking progress in improving diagnosis: a framework
for defining undesirable diagnostic events.
January 24, 2019
Olson A, Graber ML, Singh H. Tracking Progress in Improving Diagnosis: A Framework for Defining
Undesirable Diagnostic Events. J Gen Intern Med. 2018;33(7):1187-1191. doi:10.1007/s11606-018-4304-2.
ht…
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psnet.ahrq.gov/node/43766/psn-pdf
September 26, 2016 - Driven to distraction: a prospective controlled study of a
simulated ward round experience to improve patient
safety teaching for medical students.
September 26, 2016
Thomas I, Nicol L, Regan L, et al. Driven to distraction: a prospective controlled study of a simulated ward
round experience to improve patient saf…
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psnet.ahrq.gov/node/47727/psn-pdf
January 23, 2019 - Improving resident and fellow engagement in patient
safety through a graduate medical education incentive
program.
January 23, 2019
Turner DA, Bae J, Cheely G, et al. Improving Resident and Fellow Engagement in Patient Safety Through
a Graduate Medical Education Incentive Program. J Gen Intern Care. 2018;10(6):671…
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psnet.ahrq.gov/node/46910/psn-pdf
January 23, 2019 - Taking the heat or taking the temperature? A qualitative
study of a large-scale exercise in seeking to measure for
improvement, not blame.
January 23, 2019
Armstrong N, Brewster L, Tarrant C, et al. Taking the heat or taking the temperature? A qualitative study of
a large-scale exercise in seeking to measure for i…
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psnet.ahrq.gov/node/41413/psn-pdf
September 26, 2012 - The effects of a 'discharge time-out' on the quality of
hospital discharge summaries.
September 26, 2012
Mohta N, Vaishnava P, Liang C, et al. The effects of a 'discharge time-out' on the quality of hospital
discharge summaries. BMJ Qual Saf. 2012;21(10):885-90.
https://psnet.ahrq.gov/issue/effects-discharge-time-…
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psnet.ahrq.gov/node/39336/psn-pdf
March 21, 2017 - Does teamwork improve performance in the operating
room? A multilevel evaluation.
March 21, 2017
Weaver SJ, Rosen MA, DiazGranados D, et al. Does teamwork improve performance in the operating
room? A multilevel evaluation. Jt Comm J Qual Patient Saf. 2010;36(3):133-42.
https://psnet.ahrq.gov/issue/does-teamwork-im…
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psnet.ahrq.gov/node/45067/psn-pdf
May 11, 2016 - Hospital Survey on Patient Safety Culture: 2016 User
Comparative Database Report.
May 11, 2016
Famolaro T, Yount ND, Burns W, Flashner E, Liu H, Sorra J. Rockville, MD: Agency for Healthcare
Research and Quality; March 2016. AHRQ Publication No. 16-00121-EF.
https://psnet.ahrq.gov/issue/hospital-survey-patient-saf…
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psnet.ahrq.gov/node/837028/psn-pdf
May 04, 2022 - What is needed to sustain improvements in hospital
practices post-COVID-19? A qualitative study of
interprofessional dissonance in hospital infection
prevention and control.
May 4, 2022
Gilbert GL, Kerridge I. What is needed to sustain improvements in hospital practices post-COVID-19? a
qualitative study of inter…
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psnet.ahrq.gov/node/47092/psn-pdf
October 13, 2018 - Organizational response to known medical errors: does
peer review protection impede improvement?
October 13, 2018
Wenner WJ, Choi SW. Organizational Response to Known Medical Errors: Does Peer Review Protection
Impede Improvement? Am J Med Qual. 2018;33(5):552-553. doi:10.1177/1062860618769429.
https://psnet.ahrq.…