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psnet.ahrq.gov/node/36151/psn-pdf
September 29, 2010 - Communication and teamwork in patient care: how much
can we learn from aviation?
September 29, 2010
Lyndon A. Communication and teamwork in patient care: how much can we learn from aviation? J Obstet
Gynecol Neonatal Nurs. 2006;35(4):538-46.
https://psnet.ahrq.gov/issue/communication-and-teamwork-patient-care-how-…
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psnet.ahrq.gov/node/34975/psn-pdf
June 14, 2011 - Don't be fooled by the illusion of patient safety.
June 14, 2011
Spath P. Don't be fooled by the illusion of patient safety. Hosp Peer Rev. 2005;30(5):69-71.
https://psnet.ahrq.gov/issue/quality-cot-connection-dont-be-fooled-illusion-patient-safety
The author examines the pros and cons of using root cause analysis …
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psnet.ahrq.gov/node/42712/psn-pdf
October 02, 2017 - Improving patient safety through transparency.
October 2, 2017
Kachalia A. Improving patient safety through transparency. N Engl J Med. 2013;369(18):1677-9.
doi:10.1056/NEJMp1303960.
https://psnet.ahrq.gov/issue/improving-patient-safety-through-transparency
This commentary describes successful transparency initiat…
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psnet.ahrq.gov/node/36594/psn-pdf
May 27, 2011 - Right tech dose helps medicine go down.
May 27, 2011
Patton S. CIO Magazine. July 12, 2006.
https://psnet.ahrq.gov/issue/right-tech-dose-helps-medicine-go-down
The author describes some common mistakes involving the design and launch of computerized physician
order entry (CPOE) initiatives and provides sugges…
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psnet.ahrq.gov/node/39259/psn-pdf
June 10, 2018 - Survey shows recession has weakened patient safety net.
June 10, 2018
ISMP Medication Safety Alert! Acute care edition! January 14, 2010;15:1-4.
https://psnet.ahrq.gov/issue/survey-shows-recession-has-weakened-patient-safety-net
This newsletter article details findings of an ISMP survey on how the economy is affect…
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psnet.ahrq.gov/node/35406/psn-pdf
September 10, 2009 - //psnet.ahrq.gov/issue/maintain-accountability-patient-safety-efforts
To develop an accountability initiative
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psnet.ahrq.gov/node/43357/psn-pdf
July 16, 2014 - psnet.ahrq.gov/issue/wake-safe
This Web site provides information about a Patient Safety Organization initiative
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psnet.ahrq.gov/node/43314/psn-pdf
August 15, 2018 - https://psnet.ahrq.gov/issue/isqua-fellowship-programme
This announcement highlights a peer learning initiative
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psnet.ahrq.gov/node/37762/psn-pdf
May 14, 2008 - commentary describes the strategy used at one hospital to enhance an existing rapid response team
initiative
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psnet.ahrq.gov/node/40698/psn-pdf
August 17, 2011 - an ambulatory surgery safety improvement program and describes its background,
goals, and checklist initiative
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psnet.ahrq.gov/node/40669/psn-pdf
August 27, 2013 - https://psnet.ahrq.gov/issue/state-action-avoidable-rehospitalizations
This Web site supports an initiative
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psnet.ahrq.gov/node/43268/psn-pdf
June 11, 2014 - interventions-improve-safe-and-effective-medicines-use-consumers-overview-systematic-reviews
https://psnet.ahrq.gov/issue/protect-initiative-advancing-childrens-medication-safety
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psnet.ahrq.gov/node/35988/psn-pdf
May 04, 2015 - eliminating-serious-preventable-and-costly-medical-errors-never-events
This fact sheet provides information regarding the Centers for Medicare and Medicaid Services' initiative
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psnet.ahrq.gov/node/40501/psn-pdf
June 01, 2011 - Presenting a hypothetical example of organizational and individual resistance to a surgical checklist
initiative
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psnet.ahrq.gov/node/36607/psn-pdf
February 28, 2015 - consumer-guide-adverse-health-events
This report provides background on the Minnesota Never Events reporting initiative
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psnet.ahrq.gov/node/41882/psn-pdf
November 28, 2012 - what-nhs-safety-thermometer
This commentary describes the design and initial test of a large-scale initiative
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psnet.ahrq.gov/node/38187/psn-pdf
October 29, 2008 - importance-simulation-preventing-hand-mistakes
This article discusses an AHRQ-funded communication survey initiative
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psnet.ahrq.gov/node/36036/psn-pdf
April 29, 2018 - /rapid-response-team-activation-patients-can-mitigate-errors
This article discusses one hospital's initiative
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psnet.ahrq.gov/node/38380/psn-pdf
February 04, 2009 - towards-international-classification-patient-safety
This set of articles focuses on the World Alliance for Patient Safety initiative
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psnet.ahrq.gov/node/41581/psn-pdf
August 08, 2012 - how-guides-improving-transitions-hospital-reduce-avoidable-rehospitalizations
This series, developed in conjunction with the STAAR initiative