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psnet.ahrq.gov/issue/opioid-safety-initiative-toolkit
January 01, 2023 - Toolkit
Opioid Safety Initiative Toolkit.
Citation Text:
VA Pain Management, Opioid Safety, and PDMP (PMOP). U.S Department of Veterans Affairs; 2022. Opioid Safety Initiative Toolkit.
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psnet.ahrq.gov/node/40707/psn-pdf
March 11, 2013 - More than words: patients' views on apology and
disclosure when things go wrong in cancer care.
March 11, 2013
Mazor KM, Greene SM, Roblin DW, et al. More than words: patients' views on apology and disclosure
when things go wrong in cancer care. Patient Educ Couns. 2013;90(3):341-346.
doi:10.1016/j.pec.2011.07.010…
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psnet.ahrq.gov/node/47575/psn-pdf
December 19, 2018 - Effects of a communication-and-resolution program on
hospitals' malpractice claims and costs.
December 19, 2018
Kachalia A, Sands K, Van Niel M, et al. Effects Of A Communication-And-Resolution Program On
Hospitals' Malpractice Claims And Costs. Health Aff (Millwood). 2018;37(11):1836-1844.
doi:10.1377/hlthaff.201…
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psnet.ahrq.gov/node/40578/psn-pdf
July 06, 2011 - Implementing the 2009 Institute of Medicine
recommendations on resident physician work hours,
supervision, and safety.
July 6, 2011
Blum AB, Shea AS, Czeisler CA, et al. Implementing the 2009 Institute of Medicine recommendations on
resident physician work hours, supervision, and safety. Nat Sci Sleep. 2011;3:47-8…
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psnet.ahrq.gov/node/40711/psn-pdf
August 24, 2011 - Clinical and safety impact of an inpatient pharmacist-
directed anticoagulation service.
August 24, 2011
Schillig J, Kaatz S, Hudson M, et al. Clinical and safety impact of an inpatient pharmacist-directed
anticoagulation service. J Hosp Med. 2011;6(6):322-8. doi:10.1002/jhm.910.
https://psnet.ahrq.gov/issue/clini…
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psnet.ahrq.gov/node/44342/psn-pdf
November 03, 2015 - How effective are patient safety initiatives? A
retrospective patient record review study of changes to
patient safety over time.
November 3, 2015
Baines RJ, Langelaan M, de Bruijne M, et al. How effective are patient safety initiatives? A retrospective
patient record review study of changes to patient safety over…
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psnet.ahrq.gov/node/38778/psn-pdf
March 04, 2011 - What evidence supports the use of computerized alerts
and prompts to improve clinicians' prescribing behavior?
March 4, 2011
Schedlbauer A, Prasad V, Mulvaney C, et al. What evidence supports the use of computerized alerts and
prompts to improve clinicians' prescribing behavior? J Am Med Inform Assoc. 2009;16(4):53…
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psnet.ahrq.gov/node/42151/psn-pdf
December 21, 2014 - Effect of the 2011 vs 2003 duty hour regulation-compliant
models on sleep duration, trainee education, and
continuity of patient care among internal medicine house
staff: a randomized trial.
December 21, 2014
Desai SV, Feldman LS, Brown L, et al. Effect of the 2011 vs 2003 Duty Hour Regulation–Compliant Models
on…
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psnet.ahrq.gov/node/45887/psn-pdf
August 15, 2018 - Association of changing hospital readmission rates with
mortality rates after hospital discharge.
August 15, 2018
Dharmarajan K, Wang Y, Lin Z, et al. Association of Changing Hospital Readmission Rates With Mortality
Rates After Hospital Discharge. JAMA. 2017;318(3):270-278. doi:10.1001/jama.2017.8444.
https://psn…
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psnet.ahrq.gov/node/45183/psn-pdf
July 20, 2016 - Assessing the relationship between patient safety culture
and EHR strategy.
July 20, 2016
Ford E, Silvera GA, Kazley AS, et al. Assessing the relationship between patient safety culture and EHR
strategy. Int J Health Care Qual Assur. 2016;29(6):614-27. doi:10.1108/IJHCQA-10-2015-0125.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/72586/psn-pdf
December 23, 2020 - The pressure to turnover hospital beds quickly is not a new trend; it increases the number of
patients
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psnet.ahrq.gov/innovation/battle-buddies-rapid-deployment-psychological-resilience-intervention-health-care
September 09, 2020 - EMERGING INNOVATIONS
Battle Buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandemic
Citation Text:
Albott CS, Wozniak JR, McGlinch BP, et al. Battle Buddies: rapid deployment of a psychological resilience intervention for health car…
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psnet.ahrq.gov/innovation/generalizability-medication-administration-discrepancy-detection-system-quantitative
November 04, 2020 - EMERGING INNOVATIONS
The generalizability of a medication administration discrepancy detection system: quantitative comparative analysis
Citation Text:
Kirkendall E, Huth H, Rauenbuehler B, et al. The generalizability of a medication administration discrepancy detection system: quantitative compar…
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psnet.ahrq.gov/web-mm/weighing-surgical-safety
August 04, 2021 - and lung volume is further reduced when they lie flat.( 8 ) The supine position causes significant increases … the laryngoscopist's view during direct laryngoscopy, and most importantly recruits lung volume and increases … upper body are elevated so that an imaginary horizontal line can be drawn from the sternum to the ear, increases
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psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
May 01, 2012 - August 10, 2022
Implementation of a standardized postanesthesia care handoff increases
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psnet.ahrq.gov/issue/effects-introduction-who-surgical-safety-checklist-hospital-mortality-cohort-study
April 24, 2018 - January 9, 2013
The implementation of a perioperative checklist increases patients' perioperative
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psnet.ahrq.gov/web-mm/insert-omission
May 09, 2014 - The presence of an IUC increases the risk of spontaneous abortion nearly three-fold, so, whether a pregnancy … should be removed as soon as possible because the risk of spontaneous abortion in the presence of an IUC increases
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psnet.ahrq.gov/node/49503/psn-pdf
February 01, 2006 - Nurses feel that they must respond to these interruptions and
hassles (5), but doing so increases the … In addition to interruptions and hassles, another factor that increases the risks to patients is low
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psnet.ahrq.gov/node/49826/psn-pdf
April 01, 2018 - The use of checklists in clinical environments increases adherence to protocols, reduces complications … The use of checklists in clinical environments increases adherence to protocols, reduces
complications
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psnet.ahrq.gov/node/49473/psn-pdf
March 01, 2005 - The tendency to take
shortcuts and save time is a very human one, but it also increases the risk of … Lack of predictability greatly
increases the risk of mistakes.