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psnet.ahrq.gov/issue/compliance-patient-safety-bundle-management-placenta-accreta-spectrum
October 19, 2022 - Study
The compliance with a patient safety bundle for management of placenta accreta spectrum.
Citation Text:
Quist-Nelson J, Crank A, Oliver EA, et al. The compliance with a patient-safety bundle for management of placenta accreta spectrum†. J Matern Fetal Neonatal Med. 2021;34(17):2880…
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psnet.ahrq.gov/issue/improving-medication-safety-primary-care-using-electronic-health-records
April 23, 2008 - Study
Improving medication safety in primary care using electronic health records.
Citation Text:
Nemeth LS, Wessell AM. Improving medication safety in primary care using electronic health records. J Patient Saf. 2010;6(4):238-43.
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psnet.ahrq.gov/issue/care-management-implementation-and-patient-safety
July 14, 2010 - Study
Care management implementation and patient safety.
Citation Text:
Care management implementation and patient safety. Alexander JA; Weiner BJ; Baker LC; et al. J Patient Saf. 2006;2(2):83-96.
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psnet.ahrq.gov/issue/teaching-internal-medicine-residents-quality-improvement-and-patient-safety-lean-thinking
March 28, 2012 - Commentary
Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach.
Citation Text:
Kim CS, Lukela MP, Parekh V, et al. Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach. Am J Med Qual. 201…
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psnet.ahrq.gov/issue/severe-hypertension-pregnancy-progress-made-and-future-directions-patient-safety-quality
October 23, 2024 - Commentary
Severe hypertension in pregnancy: progress made and future directions for patient safety, quality improvement, and implementation of a patient safety bundle.
Citation Text:
Prior A, Taylor I, Gibson KS, et al. Severe hypertension in pregnancy: progress made and future directio…
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psnet.ahrq.gov/issue/hospital-quality-review-spending-and-patient-safety-longitudinal-analysis-using-instrumental
December 21, 2022 - Study
Hospital quality-review spending and patient safety: a longitudinal analysis using instrumental variables.
Citation Text:
Dynan L, Smith RB. Hospital quality-review spending and patient safety: a longitudinal analysis using instrumental variables. Health Serv Outcomes Res Methodol.…
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psnet.ahrq.gov/issue/examining-meaning-language-used-communicate-nursing-hand
July 07, 2021 - Study
Examining the meaning of the language used to communicate the nursing hand-off.
Citation Text:
Galatzan BJ, Carrington JM. Examining the meaning of the language used to communicate the nursing hand‐off. Res Nurs Health. 2021;44(5):833-843. doi:10.1002/nur.22175.
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psnet.ahrq.gov/issue/implementation-surgical-comprehensive-unit-based-safety-program-reduce-surgical-site
November 21, 2017 - Study
Implementation of a surgical comprehensive unit-based safety program to reduce surgical site infections.
Citation Text:
Wick EC, Hobson DB, Bennett JL, et al. Implementation of a surgical comprehensive unit-based safety program to reduce surgical site infections. J Am Coll Surg. …
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psnet.ahrq.gov/issue/patient-reported-approach-identify-medical-errors-and-improve-patient-safety-emergency
July 13, 2010 - Study
A patient reported approach to identify medical errors and improve patient safety in the emergency department.
Citation Text:
Glickman SW, Mehrotra A, Shea CM, et al. A Patient Reported Approach to Identify Medical Errors and Improve Patient Safety in the Emergency Department. J Pa…
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psnet.ahrq.gov/issue/use-standard-design-medication-room-promote-medication-safety-organizational-implications
July 27, 2022 - Study
The use of a standard design medication room to promote medication safety: organizational implications.
Citation Text:
Rozenbaum H, Gordon L, Brezis M, et al. The use of a standard design medication room to promote medication safety: organizational implications. Int J Qual Health C…
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psnet.ahrq.gov/issue/improving-patient-safety-using-sterile-cockpit-principle-during-medication-administration
September 12, 2016 - Study
Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project.
Citation Text:
Fore AM, Sculli GL, Albee D, et al. Improving patient safety using the sterile cockpit principle during medication administration: a…
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psnet.ahrq.gov/issue/using-six-sigma-reduce-medication-errors-home-delivery-pharmacy-service
November 18, 2015 - Study
Using Six Sigma to reduce medication errors in a home-delivery pharmacy service.
Citation Text:
Castle L, Franzblau-Isaac E, Paulsen J. Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Jt Comm J Qual Patient Saf. 2005;31(6):319-24.
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psnet.ahrq.gov/issue/effectiveness-patient-care-teams-and-role-clinical-expertise-and-coordination-literature
December 17, 2009 - Review
Effectiveness of patient care teams and the role of clinical expertise and coordination: a literature review.
Citation Text:
Bosch M, Faber MJ, Cruijsberg J, et al. Review article: Effectiveness of patient care teams and the role of clinical expertise and coordination: a literat…
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psnet.ahrq.gov/issue/stop-noise-quality-improvement-project-decrease-electrocardiographic-nuisance-alarms
June 15, 2011 - Commentary
Stop the noise: a quality improvement project to decrease electrocardiographic nuisance alarms.
Citation Text:
Sendelbach S, Wahl S, Anthony A, et al. Stop the Noise: A Quality Improvement Project to Decrease Electrocardiographic Nuisance Alarms. Crit Care Nurse. 2015;35(4):15…
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psnet.ahrq.gov/issue/defining-and-measuring-patient-safety
June 16, 2011 - Review
Classic
Defining and measuring patient safety.
Citation Text:
Pronovost P, Thompson DA, Holzmueller CG, et al. Defining and measuring patient safety. Crit Care Clin. 2005;21(1):1-19, vii.
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psnet.ahrq.gov/issue/declaring-uncertainty-using-quality-improvement-methods-change-conversation-diagnosis
April 01, 2020 - Study
Declaring uncertainty: using quality improvement methods to change the conversation of diagnosis.
Citation Text:
Ipsaro AJ, Patel SJ, Warner DC, et al. Declaring Uncertainty: Using Quality Improvement Methods to Change the Conversation of Diagnosis. Hosp Pediatr. 2021;11(4):334-341…
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psnet.ahrq.gov/issue/leveraging-partnership-patients-initiative-improve-patient-safety-and-quality-within-military
September 23, 2020 - Commentary
Leveraging the Partnership for Patients' initiative to improve patient safety and quality within the Military Health System.
Citation Text:
King HB, Kesling K, Birk C, et al. Leveraging the Partnership for Patients' Initiative to Improve Patient Safety and Quality Within the M…
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psnet.ahrq.gov/issue/effects-aviation-style-non-technical-skills-training-technical-performance-and-outcome
March 03, 2011 - Study
The effects of aviation-style non-technical skills training on technical performance and outcome in the operating theatre.
Citation Text:
McCulloch P, Mishra A, Handa A, et al. The effects of aviation-style non-technical skills training on technical performance and outcome in th…
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psnet.ahrq.gov/issue/maximizing-use-state-adverse-event-data-improve-patient-safety
November 29, 2009 - Book/Report
Maximizing the Use of State Adverse Event Data to Improve Patient Safety.
Citation Text:
Maximizing the Use of State Adverse Event Data to Improve Patient Safety. Rosenthal J, Booth M. National Academy for State Health Policy; 2005.
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psnet.ahrq.gov/issue/thoughtless-design-electronic-health-record-drives-overuse-purposeful-design-can-nudge
July 17, 2024 - Commentary
Emerging Classic
Thoughtless design of the electronic health record drives overuse, but purposeful design can nudge improved patient care.
Citation Text:
Vaughn VM, Linder JA. Thoughtless design of the electronic health record drives overuse, but purp…