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psnet.ahrq.gov/issue/detection-postoperative-respiratory-failure-how-predictive-agency-healthcare-research-and
January 13, 2010 - Study
Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare Research and Quality's Patient Safety Indicator?
Citation Text:
Utter GH, Cuny J, Sama P, et al. Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare…
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psnet.ahrq.gov/issue/association-note-quality-and-quality-care-cross-sectional-study
June 05, 2018 - Study
Association of note quality and quality of care: a cross-sectional study.
Citation Text:
Edwards ST, Neri PM, Volk LA, et al. Association of note quality and quality of care: a cross-sectional study. BMJ Qual Saf. 2014;23(5):406-13. doi:10.1136/bmjqs-2013-002194.
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psnet.ahrq.gov/issue/multi-stakeholder-consensus-driven-research-agenda-better-understanding-and-supporting
September 01, 2018 - Commentary
A multi-stakeholder consensus-driven research agenda for better understanding and supporting the emotional impact of harmful events on patients and families.
Citation Text:
Bell SK, Etchegaray J, Gaufberg E, et al. A Multi-Stakeholder Consensus-Driven Research Agenda for Bette…
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psnet.ahrq.gov/issue/post-operative-mortality-missed-care-and-nurse-staffing-nine-countries-cross-sectional-study
December 12, 2014 - Study
Classic
Post-operative mortality, missed care and nurse staffing in nine countries: a cross-sectional study.
Citation Text:
Ball JE, Bruyneel L, Aiken LH, et al. Post-operative mortality, missed care and nurse staffing in nine countries: A cross-sectional …
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psnet.ahrq.gov/perspective/conversation-withrichard-ricciardi-about-office-based-patient-safety
January 31, 2024 - They don’t have a "go-to” health professional to build a relationship with and who can incorporate the
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psnet.ahrq.gov/perspective/what-does-simulation-add-teamwork-training
October 01, 2004 - presentation, demonstration, guided practice, and feedback
Simulation-based teamwork courses typically incorporate
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psnet.ahrq.gov/perspective/methicillin-resistant-staphylococcus-aureus
June 24, 2010 - This requires an effective system to incorporate evidence-based guidelines into the care of all patients
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psnet.ahrq.gov/innovation/esimpler-dynamic-electronic-health-record-integrated-checklist-clinical-decision-support
June 16, 2021 - EMERGING INNOVATIONS
eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds.
Citation Text:
Geva A, Albert BD, Hamilton S, et al. eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support duri…
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psnet.ahrq.gov/web-mm/discharging-our-responsibility
January 16, 2019 - likelihood of optimal patient outcomes.( 4 ) The Joint Commission/CMS hospital performance measures incorporate
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psnet.ahrq.gov/node/33560/psn-pdf
June 15, 2024 - Disclosure of Errors
June 15, 2024
Disclosure of Errors. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/disclosure-errors
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed…
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psnet.ahrq.gov/node/33559/psn-pdf
December 15, 2024 - Medication Reconciliation
December 15, 2024
Medication Reconciliation. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/medication-reconciliation
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safet…
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psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
July 08, 2022 - Treatment modalities that incorporate non-pharmacologic therapy, ice/heat, elevation, and physical therapy
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psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
April 18, 2018 - Some facilities may incorporate robotics ( i.e., automation) to aid in the testing process to maximize
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psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
February 22, 2023 - Although used extensively, the review observes that few checklists incorporate human factors principles
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psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
January 29, 2021 - Intercultural competency in public health: a call for action to incorporate training into public health
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psnet.ahrq.gov/curated-library/nurse-wellbeing-and-patient-safety
August 30, 2023 - Breadcrumb
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Nurse Wellbeing and Patient Safety
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Created By: Lorri Zipperer, Cybrarian, AHRQ…
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psnet.ahrq.gov/primer/disclosure-errors
September 15, 2024 - Disclosure of Errors
Citation Text:
Disclosure of Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
September 15, 2024 - Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery
Citation Text:
Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/curated-library/implementation-patient-safety-projects
April 17, 2025 - This AHRQ-funded expert panel calls for patient safety researchers to explicitly incorporate theories
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psnet.ahrq.gov/web-mm/e-cigarette-explosion-patient-room
March 15, 2023 - E-cigarette Explosion in a Patient Room
Citation Text:
Benowitz NL. E-cigarette Explosion in a Patient Room. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Google Scholar BibTeX EndNote X3 XM…