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psnet.ahrq.gov/perspective/conversation-withrichard-p-shannon-md
August 01, 2010 - priorities for their institutions.( 3 ) In this report, we highlight the issues relevant to patient safety initiatives … Interview
In Conversation With...Amy Helwig about Health Plan Patient Safety Initiatives
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psnet.ahrq.gov/perspective/conversation-withdavid-marx-jd
October 01, 2007 - Within Fairview, we have incorporated just culture into our performance improvement initiatives, such … Interview
In Conversation With...Amy Helwig about Health Plan Patient Safety Initiatives
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psnet.ahrq.gov/perspective/health-care-delivery-and-pharmacists-during-covid-19-pandemic
June 29, 2020 - Authors Anna Legreid Dopp is an employee of ASHP and serves on committees and initiatives with PQA, … In her professional role she serves on committees and initiatives with PQA, NQF, and the National Academy
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psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
March 01, 2014 - health care profession to focus on medical mistakes in general, and HAIs more specifically, the story of initiatives … An Overview of State Reporting Programs and Individual Hospital Initiatives to Reduce Certain Infections
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psnet.ahrq.gov/web-mm/missed-tb
March 03, 2010 - Missed TB
Citation Text:
FitzGerald MJ, Menzies D. Missed TB. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/node/849598/psn-pdf
May 31, 2023 - Remote Response Team and Customized Alert Settings
Help Improve Management of Sepsis
May 31, 2023
https://psnet.ahrq.gov/innovation/remote-response-team-and-customized-alert-settings-help-improve-
management-sepsis
Summary
Seeking a sustainable process to enhance their hospitals’ response to sepsis, a multidiscip…
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psnet.ahrq.gov/node/35617/psn-pdf
January 01, 2016 - Reconciling medications at admission: safe practice
recommendations and implementation strategies.
June 13, 2011
Rogers G, Alper E, Brunelle D, et al. Reconciling Medications at Admission: Safe Practice
Recommendations and Implementation Strategies. Jt Comm J Qual Patient Saf. 2016;32(1):37-50.
doi:10.1016/s1553-7…
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psnet.ahrq.gov/node/37878/psn-pdf
February 03, 2011 - Electromagnetic interference from radio frequency
identification inducing potentially hazardous incidents in
critical care medical equipment.
February 3, 2011
van der Togt R, van Lieshout EJ, Hensbroek R, et al. Electromagnetic interference from radio frequency
identification inducing potentially hazardous incide…
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psnet.ahrq.gov/node/46771/psn-pdf
January 30, 2018 - Electronic medical record alert associated with reduced
opioid and benzodiazepine coprescribing in high-risk
Veteran patients.
January 30, 2018
Malte CA, Berger D, Saxon AJ, et al. Electronic Medical Record Alert Associated With Reduced Opioid and
Benzodiazepine Coprescribing in High-risk Veteran Patients. Med Car…
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psnet.ahrq.gov/node/47920/psn-pdf
June 18, 2019 - Evaluating the impact of auto-calculation settings on
opioid prescribing at an academic medical center.
June 18, 2019
Crothers G, Edwards DA, Ehrenfeld JM, et al. Evaluating the Impact of Auto-Calculation Settings on Opioid
Prescribing at an Academic Medical Center. Jt Comm J Qual Patient Saf. 2019;45(6):416-422.
…
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psnet.ahrq.gov/node/45991/psn-pdf
April 05, 2017 - Use and implementation of standard operating
procedures and checklists in prehospital emergency
medicine: a literature review.
April 5, 2017
Chen C, Kan T, Li S, et al. Use and implementation of standard operating procedures and checklists in
prehospital emergency medicine: a literature review. Am J Emerg Med. 201…
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psnet.ahrq.gov/node/74701/psn-pdf
January 26, 2022 - Non-conveyance of older adult patients and association
with subsequent clinical and adverse events after initial
assessment by ambulance clinicians: a cohort analysis.
January 26, 2022
Lederman J, Lindström V, Elmqvist C, et al. Non-conveyance of older adult patients and association with
subsequent clinical and ad…
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psnet.ahrq.gov/node/45574/psn-pdf
November 23, 2016 - Patient safety events in out-of-hospital paediatric airway
management: a medical record review by the CSI-EMS.
November 23, 2016
Hansen M, Meckler G, Lambert W, et al. Patient safety events in out-of-hospital paediatric airway
management: a medical record review by the CSI-EMS. BMJ Open. 2016;6(11):e012259.
doi:10…
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psnet.ahrq.gov/node/47295/psn-pdf
September 24, 2018 - Using learning communities to support adoption of health
care innovations.
September 24, 2018
Carpenter D, Hassell S, Mardon R, et al. Using Learning Communities to Support Adoption of Health Care
Innovations. Jt Comm J Qual Patient Saf. 2018;44(10):566-573. doi:10.1016/j.jcjq.2018.03.010.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/issue/vha-new-england-medication-error-prevention-initiative-model-long-term-improvement
January 04, 2017 - Commentary
The VHA New England Medication Error Prevention Initiative as a model for long-term improvement collaboratives.
Citation Text:
Lesar TS, Anderson ER, Fields J, et al. The VHA New England Medication Error Prevention Initiative as a model for long-term improvement collaboratives…
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psnet.ahrq.gov/issue/surgical-complications-and-their-implications-surgeons-well-being
December 04, 2016 - Study
Surgical complications and their implications for surgeons' well-being.
Citation Text:
Pinto A, Faiz O, Bicknell C, et al. Surgical complications and their implications for surgeons' well-being. Br J Surg. 2013;100(13):1748-55. doi:10.1002/bjs.9308.
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psnet.ahrq.gov/issue/variation-medication-information-elderly-patients-during-initial-interventions-emergency
October 20, 2021 - Study
Variation in medication information for elderly patients during initial interventions by emergency department physicians.
Citation Text:
Cohen V, Jellinek SP, Likourezos A, et al. Variation in medication information for elderly patients during initial interventions by emergency d…
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psnet.ahrq.gov/issue/getting-message-quality-improvement-initiative-reduce-pages-sent-wrong-physician
April 30, 2014 - Study
Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician.
Citation Text:
Wong BM, Cheung M, Dharamshi H, et al. Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. BMJ Qual Saf. 2012;21(10):85…
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psnet.ahrq.gov/issue/improving-quality-surgical-morbidity-and-mortality-conference-prospective-intervention-study
March 14, 2012 - Study
Improving the quality of the surgical morbidity and mortality conference: a prospective intervention study.
Citation Text:
Mitchell EL, Lee DY, Arora S, et al. Improving the quality of the surgical morbidity and mortality conference: a prospective intervention study. Acad Med. 2013…
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psnet.ahrq.gov/issue/improving-diagnosis-health-care-next-imperative-patient-safety
July 15, 2015 - Commentary
Classic
Improving diagnosis in health care—the next imperative for patient safety.
Citation Text:
Singh H, Graber ML. Improving Diagnosis in Health Care--The Next Imperative for Patient Safety. New Engl J Med. 2015;373(26):2493-2495. doi:10.1056/NEJMp…