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psnet.ahrq.gov/issue/preventing-hospital-acquired-infections-national-survey-practices-reported-us-hospitals-2005
July 03, 2014 - Study
Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and 2009.
Citation Text:
Krein SL, Kowalski CP, Hofer TP, et al. Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and…
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psnet.ahrq.gov/issue/scaling-diagnostic-pause-icu-ward-transition-exploration-barriers-and-facilitators
July 19, 2019 - Study
Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitators to implementation of the ICU-PAUSE handoff tool.
Citation Text:
Cornell EG, Harris E, McCune E, et al. Scaling up a diagnostic pause at the ICU-to-ward transition: an exploratio…
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psnet.ahrq.gov/issue/complication-rates-central-venous-catheters-systematic-review-and-meta-analysis
December 07, 2016 - Review
Complication rates of central venous catheters: a systematic review and meta-analysis.
Citation Text:
Teja B, Bosch NA, Diep C, et al. Complication rates of central venous catheters: a systematic review and meta-analysis. JAMA Intern Med. 2024;184(5):474-482. doi:10.1001/jamainter…
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psnet.ahrq.gov/issue/dual-health-care-system-use-and-high-risk-prescribing-patients-dementia-national-cohort-study
July 02, 2019 - Study
Dual health care system use and high-risk prescribing in patients with dementia: a national cohort study.
Citation Text:
Thorpe JM, Thorpe CT, Gellad WF, et al. Dual Health Care System Use and High-Risk Prescribing in Patients With Dementia: A National Cohort Study. Ann Intern Med.…
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psnet.ahrq.gov/issue/fatigue-and-safety-paramedicine
December 16, 2020 - Study
Fatigue and safety in paramedicine.
Citation Text:
Donnelly EA, Bradford P, Davis M, et al. Fatigue and Safety in Paramedicine. CJEM. 2019;21(6):762-765. doi:10.1017/cem.2019.380.
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Format:
DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…
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psnet.ahrq.gov/node/60193/psn-pdf
July 01, 2022 - Improving Diagnosis and Treatment of Maternal Sepsis.
April 1, 2020
Stanford, CA; California Maternal Quality Care Collaborative: July 1, 2022.
https://psnet.ahrq.gov/issue/improving-diagnosis-and-treatment-maternal-sepsis
This toolkit focuses on identification of, and rapid response to, sepsis in obstetric p…
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psnet.ahrq.gov/node/837808/psn-pdf
August 05, 2024 - Recognizing Excellence in Diagnosis: Recommended
Practices for Hospitals.
August 5, 2024
Washington, DC: Leapfrog Group; July 2024.
https://psnet.ahrq.gov/issue/recognizing-excellence-diagnosis-recommended-practices-hospitals
Diagnostic safety is beginning to be established as a systemic, rather than solely an ind…
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psnet.ahrq.gov/node/35319/psn-pdf
September 14, 2005 - Perceived impact of duty hours limits on the
fragmentation of patient care: results from an academic
health center.
September 14, 2005
Keating RJ; LaRusso NF; Kolars JC.
https://psnet.ahrq.gov/issue/perceived-impact-duty-hours-limits-fragmentation-patient-care-results-
academic-health-center
The authors surveyed…
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psnet.ahrq.gov/node/43864/psn-pdf
January 28, 2015 - Starter Kit for Alarm Fatigue.
January 28, 2015
National Association of Clinical Nurse Specialists; NACNS.
https://psnet.ahrq.gov/issue/starter-kit-alarm-fatigue
Alarm fatigue has been identified as a serious problem that affects the safety of nursing care. This toolkit
provides checklists, resources, and implemen…
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psnet.ahrq.gov/node/45443/psn-pdf
September 07, 2016 - Making health care safer. Think sepsis. Time matters.
September 7, 2016
CDC; Centers for Disease Control and Prevention.
https://psnet.ahrq.gov/issue/making-health-care-safer-think-sepsis-time-matters
Delayed diagnosis of sepsis can have serious consequences. This article and accompanying set of
infographics spotl…
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psnet.ahrq.gov/node/35439/psn-pdf
October 26, 2005 - Medical research and the Institutional Review Board: the
librarian's role in human subject testing.
October 26, 2005
Robinson JG; Gehle JL. Reference Services Review. 2005;33(1);
https://psnet.ahrq.gov/issue/medical-research-and-institutional-review-board-librarians-role-human-subject-
testing
The authors discuss…
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psnet.ahrq.gov/node/39033/psn-pdf
October 21, 2009 - Enhancing medication use safety: benefits of learning
from your peers.
October 21, 2009
Kazandjian VA, Ogunbo S, Wicker KG, et al. Enhancing medication use safety: benefits of learning from
your peers. Qual Saf Health Care. 2009;18(5):331-5. doi:10.1136/qshc.2008.027938.
https://psnet.ahrq.gov/issue/enhancing-medi…
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psnet.ahrq.gov/node/34627/psn-pdf
December 08, 2015 - Patient & Worker Safety.
December 8, 2015
Association of periOperative Registered Nurses.
https://psnet.ahrq.gov/issue/patient-worker-safety
This site hosts a guideline collection as a part of the Association of PeriOperative Registered Nurses'
(AORN) patient safety initiative targeting the needs of perioperative …
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psnet.ahrq.gov/node/35479/psn-pdf
June 14, 2011 - Implementing root cause analysis in an area health
service: views of the participants.
June 14, 2011
Middleton S, Walker C, Chester R. Implementing root cause analysis in an area health service: views of the
participants. Aust Health Rev. 2005;29(4):422-8.
https://psnet.ahrq.gov/issue/implementing-root-cause-analy…
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psnet.ahrq.gov/node/43152/psn-pdf
May 07, 2014 - The trainee's voice: recognising the importance of
preoperative briefings for surgical trainees.
May 7, 2014
Bethune R, Blencowe NS. The trainee's voice: recognising the importance of preoperative briefings for
surgical trainees. J Perioper Pract. 2014;24(3):56-58.
https://psnet.ahrq.gov/issue/trainees-voice-recog…
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psnet.ahrq.gov/node/43151/psn-pdf
April 30, 2014 - Open for Better Care.
April 30, 2014
Health Quality & Safety Commission New Zealand.
https://psnet.ahrq.gov/issue/open-better-care
This Web site hosts tools and resources associated with a national campaign to augment patient care. The
initiative aims to build collaborative programs across New Zealand to reduce fa…
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psnet.ahrq.gov/node/43180/psn-pdf
August 12, 2014 - 'Between the flags': implementing a rapid response
system at scale.
August 12, 2014
Hughes C, Pain C, Braithwaite J, et al. 'Between the flags': implementing a rapid response system at scale.
BMJ Qual Saf. 2014;23(9):714-7. doi:10.1136/bmjqs-2014-002845.
https://psnet.ahrq.gov/issue/between-flags-implementing-rapi…
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psnet.ahrq.gov/node/34887/psn-pdf
February 26, 2009 - Has the Leapfrog Group had an impact on the health care
market?
February 26, 2009
Galvin RS, Delbanco S, Milstein A, et al. Has the leapfrog group had an impact on the health care market?
Health Aff (Millwood). 2005;24(1):228-33.
https://psnet.ahrq.gov/issue/has-leapfrog-group-had-impact-health-care-market
The Le…
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psnet.ahrq.gov/node/37898/psn-pdf
July 09, 2008 - Patient safety in obstetrics: what aviators, firefighters and
others can teach us.
July 9, 2008
Guise J-M, Lowe NK, Connell L. Patient Safety in Obstetrics: What Aviators, Firefighters and Others Can
Teach Us. Nurs Womens Health. 2008;12(3):208-215. doi:10.1111/j.1751-486x.2008.00325.x.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/42290/psn-pdf
May 22, 2013 - Safety in Numbers: Evidence-based Development of a
Medicine Management Learning Tool.
May 22, 2013
Holland K, ed. Nurse Educ Pract. 2013;13(2):e1-e87.
https://psnet.ahrq.gov/issue/safety-numbers-evidence-based-development-medicine-management-
learning-tool
Articles in this special issue outline the developm…