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psnet.ahrq.gov/issue/national-comparative-audit-blood-transfusion
March 17, 2011 - August 21, 2018
Royal College of Phyisicians; National Blood Service
This Web site includes
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psnet.ahrq.gov/issue/health-literacy
December 23, 2011 - This special issue includes articles on the relationship between low health literacy and outcomes,
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psnet.ahrq.gov/issue/focus-patient-safety
January 23, 2008 - This volume includes research and reviews related to patient safety standards and practices in nursing
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psnet.ahrq.gov/node/60646/psn-pdf
July 01, 2020 - The recommended approach includes six key characteristics:
(1) leadership commitment; (2) policies,
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psnet.ahrq.gov/node/61004/psn-pdf
October 07, 2020 - the Medicare and Medicaid programs will be able to participate in a 16-
week training program that includes
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psnet.ahrq.gov/node/842416/psn-pdf
January 11, 2023 - The
action plan proposed by this project includes ensuring a just culture so staff feel empowered to
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psnet.ahrq.gov/node/850344/psn-pdf
June 14, 2023 - post-anesthesia care unit (PACU) implemented a voluntary
incident reporting method, Green Cross (GC), that includes
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psnet.ahrq.gov/node/840171/psn-pdf
November 16, 2022 - with the American Association of Critical Care Nursing (AACN) Synergy Model
for Patient Care, which includes
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psnet.ahrq.gov/node/844040/psn-pdf
February 08, 2023 - The tool includes criteria from the
IHI Global Trigger Tool as well as novel triggers (such as pain
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psnet.ahrq.gov/node/43730/psn-pdf
December 03, 2014 - qualitative-study-senior-hospital-managers-views-current-and-innovative-
strategies-improve
This study includes
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psnet.ahrq.gov/node/34914/psn-pdf
February 27, 2009 - Discussion includes further categorization of the error types and exploration of the involved
factors
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psnet.ahrq.gov/node/34982/psn-pdf
July 14, 2010 - Discussion includes details of the design features, a table of
the system-based factors contributing
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psnet.ahrq.gov/node/44867/psn-pdf
March 23, 2016 - The
framework includes assessing whether systems are prepared for change, identifying leaders, and
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psnet.ahrq.gov/node/45274/psn-pdf
July 20, 2016 - authors provide
recommendations to improve medication safety for this vulnerable population, which includes
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psnet.ahrq.gov/node/35060/psn-pdf
November 04, 2015 - The article includes detailed tables
outlining ADEs captured and risk factors by drug category.
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psnet.ahrq.gov/node/44651/psn-pdf
December 09, 2015 - This article reviews evidence on the topic to illustrate measurement
challenges and includes a sociotechnical
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psnet.ahrq.gov/node/35501/psn-pdf
June 15, 2011 - He presents a categorization that includes an imperative to implement and follow safe practices, respond
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psnet.ahrq.gov/node/45228/psn-pdf
June 29, 2016 - The authors review the results of the program
since its inception in 2011 which includes no incidents
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psnet.ahrq.gov/node/35284/psn-pdf
July 14, 2010 - Their discussion includes recommendations for the
structure of these consortia, state privileging, and
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psnet.ahrq.gov/node/46355/psn-pdf
October 09, 2017 - commentary recommends a three-element approach to augment clinical education on
diagnostic reasoning, which includes