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psnet.ahrq.gov/node/33566/psn-pdf
September 15, 2024 - approaches to improving
safety, such as the Comprehensive Unit-Based Safety Program, also explicitly incorporate
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psnet.ahrq.gov/node/49446/psn-pdf
August 30, 2021 - Protocols for tighter glucose control must incorporate adequate monitoring frequency to avoid
hypoglycemia … efforts that focus on increasing use of medications and "tight control" of
physiologic parameters must incorporate
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psnet.ahrq.gov/issue/rise-human-factors-optimising-performance-individuals-and-teams-improve-patients-outcomes
July 10, 2024 - Commentary
The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes.
Citation Text:
Casali G, Cullen W, Lock G. The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes. J Thorac Dis. 2019;11(…
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psnet.ahrq.gov/node/33575/psn-pdf
March 15, 2025 - Early studies have leveraged information technology to incorporate patients in medication
reconciliation
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psnet.ahrq.gov/issue/getting-rid-never-events-hospitals
April 25, 2016 - Commentary
Getting rid of "never events" in hospitals.
Citation Text:
Getting rid of "never events" in hospitals. Morgenthaler T; Harper CM.
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psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-approach
August 30, 2023 - Commentary
The morbidity and mortality meeting: time for a different approach?
Citation Text:
Fraser J. The morbidity and mortality meeting: time for a different approach? Arch Dis Child. 2016;101(1):4-8. doi:10.1136/archdischild-2015-309536.
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psnet.ahrq.gov/node/857061/psn-pdf
November 27, 2023 - That leads me almost directly into my next question, which is how the
Essentials incorporate safety … I would be curious to hear you
talk about how practice partners could engage academics and incorporate
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psnet.ahrq.gov/node/60172/psn-pdf
March 01, 2021 - and to
teach frontline staff how to explain to patients why their picture was being taken and how to incorporate
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psnet.ahrq.gov/issue/strategic-approach-quality-improvement-and-patient-safety-education-and-resident-integration
November 17, 2010 - Commentary
A strategic approach to quality improvement and patient safety education and resident integration in a general surgery residency.
Citation Text:
O'Heron CT, Jarman BT. A strategic approach to quality improvement and patient safety education and resident integration in a gener…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.296_slideshow.ppt
April 01, 2013 - rates for complex admixtures (including PN) are 22%−37%
Several case reports of errors from failure to incorporate … high-alert medication requiring safety-focused policies, procedures, and systems
Institutions should incorporate
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psnet.ahrq.gov/issue/medical-morbidity-and-mortality-conferences-past-present-and-future
November 30, 2022 - Review
Medical morbidity and mortality conferences: past, present and future.
Citation Text:
George J. Medical morbidity and mortality conferences: past, present and future. Postgrad Med J. 2017;93(1097):148-152. doi:10.1136/postgradmedj-2016-134103.
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D…
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psnet.ahrq.gov/issue/comparison-military-and-civilian-methods-determining-potentially-preventable-deaths
October 19, 2022 - Review
Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review.
Citation Text:
Janak JC, Sosnov JA, Bares JM, et al. Comparison of Military and Civilian Methods for Determining Potentially Preventable Deaths: A Systematic Review. JA…
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psnet.ahrq.gov/web-mm/what-happened-telemetry
January 18, 2012 - Leaders at institutions considering implementing remote telemetry monitoring must incorporate perspectives … The Table outlines critical safety points to consider when deciding whether to incorporate remote telemetry … Critical Safety Points to Consider When Deciding Whether to Incorporate Remote Telemetry Monitoring.*
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psnet.ahrq.gov/issue/clinical-data-sharing-improves-quality-measurement-and-patient-safety
April 21, 2021 - Study
Clinical data sharing improves quality measurement and patient safety.
Citation Text:
D’Amore JD, McCrary LK, Denson J, et al. Clinical data sharing improves quality measurement and patient safety. J Am Med Inform Assoc. 2021;28(7):1534-1542. doi:10.1093/jamia/ocab039.
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psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-reduces-errors
October 30, 2024 - and to teach frontline staff how to explain to patients why their picture was being taken and how to incorporate
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psnet.ahrq.gov/node/49868/psn-pdf
July 02, 2019 - The clinical decision support should incorporate a final check that assures that a
REMS-authorized provider
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psnet.ahrq.gov/issue/effects-efforts-optimise-morbidity-and-mortality-rounds-serve-contemporary-quality
July 19, 2019 - Review
Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality improvement and educational goals: a systematic review.
Citation Text:
Smaggus A, Mrkobrada M, Marson A, et al. Effects of efforts to optimise morbidity and mortality rounds to serve contem…
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psnet.ahrq.gov/issue/morbidity-and-mortality-conferences-narrative-review-strategies-prioritize-quality
January 11, 2023 - Review
Morbidity and mortality conferences: a narrative review of strategies to prioritize quality improvement.
Citation Text:
Giesbrecht V, Au S. Morbidity and Mortality Conferences: A Narrative Review of Strategies to Prioritize Quality Improvement. Jt Comm J Qual Patient Saf. 2016;42(…
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psnet.ahrq.gov/node/50930/psn-pdf
February 21, 2020 - provider order entry (CPOE) modules are intended to reduce the need for
pharmacist review as they incorporate
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psnet.ahrq.gov/perspective/pharmacist-role-patient-safety
June 29, 2020 - computerized provider order entry (CPOE) modules are intended to reduce the need for pharmacist review as they incorporate