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psnet.ahrq.gov/node/45578/psn-pdf
January 23, 2017 - S-TEAMS: a truly multiprofessional course focusing on
nontechnical skills to improve patient safety in the
operating theater.
January 23, 2017
Stewart-Parker E, Galloway R, Vig S. S-TEAMS: A Truly Multiprofessional Course Focusing on
Nontechnical Skills to Improve Patient Safety in the Operating Theater. J Surg Ed…
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psnet.ahrq.gov/node/44257/psn-pdf
November 06, 2015 - A systems approach to evaluating ionizing radiation: six
focus areas to improve quality, efficiency, and patient
safety.
November 6, 2015
Perlin JB, Mower L, Bushe C. A systems approach to evaluating ionizing radiation: six focus areas to
improve quality, efficiency, and patient safety. J Healthc Qual. 2015;37(3):…
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psnet.ahrq.gov/node/60252/psn-pdf
April 22, 2020 - Pediatric clinician comfort discussing diagnostic errors
for improving patient safety: a survey.
April 22, 2020
Grubenhoff JA, Ziniel SI, Cifra CL, et al. Pediatric Clinician Comfort Discussing Diagnostic Errors for
Improving Patient Safety. Pediatr Qual Saf. 2020;5(2):e259. doi:10.1097/pq9.0000000000000259.
https…
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psnet.ahrq.gov/node/39462/psn-pdf
April 21, 2010 - Comparing safety climate in naval aviation and hospitals:
implications for improving patient safety.
April 21, 2010
Singer SJ, Rosen AK, Zhao S, et al. Comparing safety climate in naval aviation and hospitals: implications
for improving patient safety. Health Care Manag Rev. 2010;35(2):134-146.
doi:10.1097/HMR.0b0…
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psnet.ahrq.gov/node/43479/psn-pdf
October 30, 2017 - The human factor. To improve patients safety, hospitals
urged to adjust for how staff use new technology.
October 30, 2017
Rice S, Tahir D. The human factor. To improve patients safety, hospitals urged to adjust for how staff use
new technology. Modern healthcare. 2014;44(33):12-5.
https://psnet.ahrq.gov/issue/hum…
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psnet.ahrq.gov/node/48032/psn-pdf
July 10, 2019 - Putting out fires: a qualitative study exploring the use of
patient complaints to drive improvement at three
academic hospitals.
July 10, 2019
Liu JJ, Rotteau L, Bell CM, et al. Putting out fires: a qualitative study exploring the use of patient complaints
to drive improvement at three academic hospitals. BMJ Qual…
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psnet.ahrq.gov/node/42909/psn-pdf
December 12, 2014 - Does applying technology throughout the medication use
process improve patient safety with antineoplastics?
December 12, 2014
Bubalo J, Warden BA, Wiegel JJ, et al. Does applying technology throughout the medication use process
improve patient safety with antineoplastics? J Oncol Pharm Pract. 2014;20(6):445-60.
do…
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psnet.ahrq.gov/node/45192/psn-pdf
December 04, 2016 - Evidence summary and recommendations for improved
communication during care transitions.
December 4, 2016
Jackson PD, Biggins MS, Cowan L, et al. Evidence Summary and Recommendations for Improved
Communication during Care Transitions. Rehabil Nurs. 2016;41(3):135-48. doi:10.1002/rnj.230.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/47608/psn-pdf
March 20, 2019 - Use of a public health law framework to improve
medication safety by anesthesia providers.
March 20, 2019
Litman RS. Use of a public health law framework to improve medication safety by anesthesia providers. J
Patient Saf Risk Manag. 2019;24(4):158-165. doi:10.1177/2516043518825383.
https://psnet.ahrq.gov/issue/us…
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psnet.ahrq.gov/node/35404/psn-pdf
March 11, 2011 - Improving patient safety by identifying side effects from
introducing bar coding in medication administration.
March 11, 2011
Patterson ES, Cook RI, Render ML. Improving patient safety by identifying side effects from introducing bar
coding in medication administration. J Am Med Inform Assoc. 2002;9(5):540-53.
htt…
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psnet.ahrq.gov/node/47440/psn-pdf
April 07, 2019 - Improving inpatient mental health medication safety
through the process of obtaining HIMSS Stage 7: a case
report.
April 7, 2019
Sulkers H, Tajirian T, Paterson J, et al. JAMIA Open. 2019;2:35–39.
https://psnet.ahrq.gov/issue/improving-inpatient-mental-health-medication-safety-through-process-
obtaining-himss-sta…
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psnet.ahrq.gov/node/73666/psn-pdf
September 01, 2021 - Implementation of participatory organizational change in
long term care to improve safety.
September 1, 2021
Van Eerd D, D'Elia T, Ferron EM, et al. Implementation of participatory organizational change in long term
care to improve safety. J Safety Res. 2021;78:9-18. doi:10.1016/j.jsr.2021.05.002.
https://psnet.ah…
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psnet.ahrq.gov/node/46506/psn-pdf
October 11, 2017 - Getting Ahead of Harm Before It Happens: A Guide About
Proactive Analysis for Improving Surgical Care Safety.
October 11, 2017
Wiley K, Davies JM. Edmonton, AB: Canadian Patient Safety Institute; 2017.
https://psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving-
surgical-car…
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psnet.ahrq.gov/node/44804/psn-pdf
November 18, 2016 - The Safer Delivery of Surgical Services Program (S3):
explaining its differential effectiveness and exploring
implications for improving quality in complex systems.
November 18, 2016
Flynn LC, McCulloch P, Morgan LJ, et al. The Safer Delivery of Surgical Services Program (S3): Explaining
Its Differential Effective…
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psnet.ahrq.gov/node/44153/psn-pdf
December 05, 2018 - A factorial survey on safety behavior providing
opportunities to improve safety.
December 5, 2018
Simons P, Houben R, Reijnders P, et al. A Factorial Survey on Safety Behavior Providing Opportunities to
Improve Safety. J Patient Saf. 2018;14(4):193-201. doi:10.1097/PTS.0000000000000192.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/852273/psn-pdf
August 09, 2023 - Experimental evidence for structured information-sharing
networks reducing medical errors.
August 9, 2023
Centola D, Becker J, Zhang J, et al. Experimental evidence for structured information–sharing networks
reducing medical errors. Proc Natl Acad Sci U S A. 2023;120(31):e2108290120.
doi:10.1073/pnas.2108290120.
…
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digital.ahrq.gov/principal-investigator/bardach-naomi-s
January 01, 2023 - Bardach, Naomi S.
Family input for quality and safety (FIQS): Using mobile technology for in-hospital reporting from families and patients.
Citation
Bardach NS, Stotts JR, Fiore DM, Sarkar U, Sharma AE, Boscardin WJ, Avina L, Peralta-Neel C, Rosenbluth G. Family input for qual…
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psnet.ahrq.gov/node/860394/psn-pdf
January 10, 2024 - Respectful Maternity Care: Dissemination and
Implementation of Perinatal Safety Culture to Improve
Equitable Maternal Healthcare Delivery and Outcomes.
January 10, 2024
Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture To Improve
Equitable Maternal Healthcare Delivery and Outc…
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psnet.ahrq.gov/node/44246/psn-pdf
November 15, 2016 - RCA2: Improving Root Cause Analyses and Actions to
Prevent Harm.
November 15, 2016
Boston, MA: National Patient Safety Foundation; 2015.
https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm
The National Patient Safety Foundation issued these guidelines for improving root cause a…
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psnet.ahrq.gov/node/866521/psn-pdf
August 14, 2024 - High reliability in a safety net hospital leading to
operational excellence.
August 14, 2024
Didion L, Whitfield C, Bishop P, et al. High reliability in a safety net hospital leading to operational
excellence. J Patient Saf. 2024;20(5):375-380. doi:10.1097/pts.0000000000001236.
https://psnet.ahrq.gov/issue/high-re…