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psnet.ahrq.gov/node/46190/psn-pdf
August 17, 2017 - Preventing harm in the ICU—building a culture of safety
and engaging patients and families.
August 17, 2017
Thornton KC, Schwarz JJ, Gross K, et al. Preventing Harm in the ICU-Building a Culture of Safety and
Engaging Patients and Families. Crit Care Med. 2017;45(9):1531-1537.
doi:10.1097/CCM.0000000000002556.
ht…
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psnet.ahrq.gov/node/837668/psn-pdf
July 13, 2022 - Factors associated with malpractice claim payout: an
analysis of closed emergency department claims.
July 13, 2022
Gupta K, Szymonifka J, Rivadeneira NA, et al. Factors associated with malpractice claim payout: an
analysis of closed emergency department claims. Jt Comm J Qual Patient Saf. 2022;48(9):492-496.
doi:1…
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psnet.ahrq.gov/node/852797/psn-pdf
August 23, 2023 - Anaesthesia and patient safety in the socio-technical
operating theatre: a narrative review spanning a century.
August 23, 2023
Webster CS, Mahajan R, Weller JM. Anaesthesia and patient safety in the socio-technical operating
theatre: a narrative review spanning a century. Br J Anaesth. 2023;131(2):397-406.
doi:10…
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psnet.ahrq.gov/node/36552/psn-pdf
January 12, 2011 - Toward learning from patient safety reporting systems.
January 12, 2011
Pronovost P, Thompson DA, Holzmueller CG, et al. Toward learning from patient safety reporting systems.
J Crit Care. 2006;21(4):305-15.
https://psnet.ahrq.gov/issue/toward-learning-patient-safety-reporting-systems
This study reports the initia…
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psnet.ahrq.gov/node/837664/psn-pdf
July 13, 2022 - Cognitive and implicit biases in nurses' judgment and
decision-making: a scoping review.
July 13, 2022
Thirsk LM, Panchuk JT, Stahlke S, et al. Cognitive and implicit biases in nurses' judgment and decision-
making: a scoping review. Int J Nurs Stud. 2022;133:104284. doi:10.1016/j.ijnurstu.2022.104284.
https://psn…
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psnet.ahrq.gov/node/46879/psn-pdf
September 24, 2018 - Epidemiology of and risk factors for harmful anti-infective
medication errors in a pediatric hospital.
September 24, 2018
Modi A, Germain E, Soma V, et al. Epidemiology of and Risk Factors for Harmful Anti-Infective Medication
Errors in a Pediatric Hospital. Jt Comm J Qual Patient Saf. 2018;44(10):599-604.
doi:10.…
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psnet.ahrq.gov/node/74844/psn-pdf
February 16, 2022 - Mapping the resilience performance of community
pharmacy to maintain patient safety during the Covid-19
pandemic.
February 16, 2022
Peat G, Olaniyan JO, Fylan B, et al. Mapping the resilience performance of community pharmacy to
maintain patient safety during the Covid-19 pandemic. Res Social Adm Pharm. 2022;18(9)…
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psnet.ahrq.gov/node/50589/psn-pdf
October 30, 2019 - Missed serious neurologic conditions in emergency
department patients discharged with nonspecific
diagnoses of headache or back pain.
October 30, 2019
Dubosh NM, Edlow JA, Goto T, et al. Missed Serious Neurologic Conditions in Emergency Department
Patients Discharged With Nonspecific Diagnoses of Headache or Back …
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psnet.ahrq.gov/node/60583/psn-pdf
June 10, 2020 - Containing COVID-19 in the emergency department: the
role of improved case detection and segregation of
suspect cases.
June 10, 2020
Wee LE, Fua T?P, Chua YY, et al. Containing COVID-19 in the emergency department: the role of
improved case detection and segregation of suspect cases. Acad Emerg Med. 2020;27(5):379…
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psnet.ahrq.gov/node/46996/psn-pdf
May 23, 2018 - How to incorporate quality improvement and patient
safety projects in your training.
May 23, 2018
Siddique SM, Ketwaroo G, Newberry C, et al. How to Incorporate Quality Improvement and Patient Safety
Projects in Your Training. Gastroenterology. 2018;154(6):1564-1568. doi:10.1053/j.gastro.2018.03.044.
https://psnet…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/checkpoint-tool.docx
June 01, 2021 - Directions: This tool is intended to help facilities with formulate and execute local antibiotic stewardship interventions. When initiating an intervention, complete this form to the extent possible, and update it to document progress during the intervention. Checkpoint Tool – Long-Term Care
AHRQ Safety Program for Imp…
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psnet.ahrq.gov/node/852451/psn-pdf
August 16, 2023 - The impact of transition to a digital hospital on
medication errors (TIME study).
August 16, 2023
Engstrom T, McCourt E, Canning M, et al. The impact of transition to a digital hospital on medication errors
(TIME study). NPJ Digit Med. 2023;6(1):133. doi:10.1038/s41746-023-00877-w.
https://psnet.ahrq.gov/issue/imp…
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psnet.ahrq.gov/node/44450/psn-pdf
November 23, 2016 - The wisdom of patients and families: ignore it at our peril.
November 23, 2016
Donaldson LJ. The wisdom of patients and families: ignore it at our peril. BMJ Qual Saf. 2015;24(10):603-
604. doi:10.1136/bmjqs-2015-004573.
https://psnet.ahrq.gov/issue/wisdom-patients-and-families-ignore-it-our-peril
Narrative elemen…
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psnet.ahrq.gov/node/47989/psn-pdf
August 14, 2019 - Ambulatory safety nets to reduce missed and delayed
diagnoses of cancer.
August 14, 2019
Emani S, Sequist TD, Lacson R, et al. Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses
of Cancer. Jt Comm J Qual Patient Saf. 2019;45(8):552-557. doi:10.1016/j.jcjq.2019.05.010.
https://psnet.ahrq.gov/issue/ambula…
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psnet.ahrq.gov/node/72683/psn-pdf
January 27, 2021 - Analysis of patient safety risk management call data
during the COVID?19 pandemic.
January 27, 2021
Wessels R, McCorkle LM. Analysis of patient safety risk management call data during the COVID?19
pandemic. J Healthc Risk Manag. 2021;40(4):30-37. doi:10.1002/jhrm.21457.
https://psnet.ahrq.gov/issue/analysis-patien…
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www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/app-3.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix, Developing Your Charter
Previous Page Next Page
Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chapter 1. Buildi…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-18.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.18. Major Factors that Facilitate Lean Success
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Ca…
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psnet.ahrq.gov/node/45528/psn-pdf
October 26, 2016 - Implementing the RISE second victim support programme
at the Johns Hopkins Hospital: a case study.
October 26, 2016
Edrees HH, Connors C, Paine LA, et al. Implementing the RISE second victim support programme at the
Johns Hopkins Hospital: a case study. BMJ Open. 2016;6(9):e011708. doi:10.1136/bmjopen-2016-011708.
…
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psnet.ahrq.gov/node/848043/psn-pdf
April 26, 2023 - Tools for establishing a sustainable safety culture within
maternity services: a retrospective case study.
April 26, 2023
Løland M, Braut GS, Lichtenberg SM, et al. Tools for establishing a sustainable safety culture within
maternity services: a retrospective case study. SAGE Open Med. 2023;11:205031212311642.
doi…
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psnet.ahrq.gov/node/47298/psn-pdf
September 24, 2018 - Physician engagement in malpractice risk reduction: a
UPHS case study.
September 24, 2018
Diraviam SP, Sullivan P, Sestito JA, et al. Physician Engagement in Malpractice Risk Reduction: A UPHS
Case Study. Jt Comm J Qual Patient Saf. 2018;44(10):605-612. doi:10.1016/j.jcjq.2018.03.009.
https://psnet.ahrq.gov/issue/…