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psnet.ahrq.gov/node/42486/psn-pdf
August 14, 2013 - An adverse event trigger tool in dentistry: a new
methodology for measuring harm in the dental office.
August 14, 2013
Kalenderian E, Walji MF, Tavares A, et al. An adverse event trigger tool in dentistry: a new methodology for
measuring harm in the dental office. J Am Dent Assoc. 2013;144(7):808-814.
https://psne…
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psnet.ahrq.gov/node/38955/psn-pdf
May 24, 2015 - Anticoagulation patient safety goal compliance at a
university health system: methods for achieving the goal.
May 24, 2015
Franco AC, Maxwell P, Green K, et al. Anticoagulation Patient Safety Goal Compliance at a University
Health System: Methods for Achieving the Goal. Hosp Pharm. 2010;44(9):776-781. doi:10.1310/h…
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psnet.ahrq.gov/node/46329/psn-pdf
September 06, 2017 - Risk factors of missed colorectal lesions after
colonoscopy.
September 6, 2017
Lee J, Park SW, Kim YS, et al. Risk factors of missed colorectal lesions after colonoscopy. Medicine
(Baltimore). 2017;96(27):e7468. doi:10.1097/MD.0000000000007468.
https://psnet.ahrq.gov/issue/risk-factors-missed-colorectal-lesions-af…
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psnet.ahrq.gov/node/43753/psn-pdf
December 10, 2014 - Improving the quality and safety of patient care in cardiac
anesthesia.
December 10, 2014
Merry A, Weller J, Mitchell SJ. Improving the quality and safety of patient care in cardiac anesthesia. J
Cardiothorac Vasc Anesth. 2014;28(5):1341-51. doi:10.1053/j.jvca.2014.02.018.
https://psnet.ahrq.gov/issue/improving-qu…
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psnet.ahrq.gov/node/44260/psn-pdf
November 06, 2015 - Innovative teaching in situational awareness.
November 6, 2015
Gregory A, Hogg G, Ker J. Innovative teaching in situational awareness. Clin Teach. 2015;12(5):331-5.
doi:10.1111/tct.12310.
https://psnet.ahrq.gov/issue/innovative-teaching-situational-awareness
Nontechnical skills contribute to successful teamwork an…
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psnet.ahrq.gov/node/39791/psn-pdf
November 19, 2014 - Empowering patient safety outreach through
interprofessional partnerships: educating our
communities.
November 19, 2014
Walton L, Childs C, Egeland M, et al. Empowering Patient Safety Outreach Through Interprofessional
Partnerships: Educating Our Communities. J Hosp Librariansh. 2010;10(3):224-234.
doi:10.1080/15…
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psnet.ahrq.gov/node/50875/psn-pdf
February 05, 2020 - Implementing Closing the Loop. Safe Practices for
Diagnostic Results
February 5, 2020
Partnership for HIT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2020.
https://psnet.ahrq.gov/issue/implementing-closing-loop-safe-practices-diagnostic-results
Health information technology (HIT) can improve record keepi…
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psnet.ahrq.gov/node/44910/psn-pdf
March 09, 2016 - Systematically Identified Failure Is the Route to a
Successful Health System.
March 9, 2016
Tepper J, Martin D, eds. Healthc Pap. 2015;15(2):4-61.
https://psnet.ahrq.gov/issue/systematically-identified-failure-route-successful-health-system
Identifying and addressing organizational factors that enable individual m…
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psnet.ahrq.gov/node/36716/psn-pdf
July 26, 2011 - Medication-error reporting and pharmacy resident
experience during implementation of computerized
prescriber order entry.
July 26, 2011
Weant KA, Cook AM, Armitstead JA. Medication-error reporting and pharmacy resident experience during
implementation of computerized prescriber order entry. Am J Health Syst Pharm.…
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psnet.ahrq.gov/node/837336/psn-pdf
June 08, 2022 - Automated identification of diagnostic labelling errors in
medicine.
June 8, 2022
Hautz WE, Kündig MM, Tschanz R, et al. Automated identification of diagnostic labelling errors in medicine.
Diagnosis. 2021;9(2):241-249. doi:10.1515/dx-2021-0039.
https://psnet.ahrq.gov/issue/automated-identification-diagnostic-labe…
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psnet.ahrq.gov/node/73256/psn-pdf
May 12, 2021 - Addiction treatment providers in Pa. face little state
scrutiny despite harm to clients.
May 12, 2021
Pattani A, Mahon E. Kaiser Health News. April 30, 2021.
https://psnet.ahrq.gov/issue/addiction-treatment-providers-pa-face-little-state-scrutiny-despite-harm-clients
Systemic oversight weaknesses and lack of…
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pso.ahrq.gov/pso/american-medical-foundation-patient-safety-organization
March 13, 2013 - SHARE:
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American Medical Foundation Patient Safety Organization
PSO Number: P0141 Components of Parent Org(s):
American Medical Foundat…
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pso.ahrq.gov/pso/academic-medical-center-amc-pso
December 22, 2010 - SHARE:
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Academic Medical Center (AMC) PSO
PSO Number: P0103 Components of Parent Org(s):
Risk Management Foundation of the Harvard Medi…
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psnet.ahrq.gov/node/838638/psn-pdf
September 01, 2012 - Directed peer review in surgical pathology.
September 1, 2012
Smith ML, Raab SS. Directed peer review in surgical pathology. Adv Anat Pathol. 2012;19(5):331-337.
doi:10.1097/pap.0b013e31826661b7.
https://psnet.ahrq.gov/issue/directed-peer-review-surgical-pathology
Diagnostic error in pathology can result in delaye…
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psnet.ahrq.gov/node/42355/psn-pdf
February 11, 2015 - Advancing Successful Care Transitions to Improve
Outcomes.
February 11, 2015
Society of Hospital Medicine
https://psnet.ahrq.gov/issue/project-boost-mentored-implementation-program
This Web site provides resources associated with the Better Outcomes for Older adults through Safe
Transitions project, called Projec…
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psnet.ahrq.gov/node/47320/psn-pdf
September 05, 2018 - Patient safety climate: a study of Southern California
healthcare organizations.
September 5, 2018
Avramchuk AS, McGuire SJJ. Patient Safety Climate: A Study of Southern California Healthcare
Organizations. J Healthc Manag. 2018;63(3):175-192. doi:10.1097/JHM-D-16-00004.
https://psnet.ahrq.gov/issue/patient-safety…
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psnet.ahrq.gov/node/47112/psn-pdf
May 09, 2018 - 34 ways to survive your next trip to the hospital.
May 9, 2018
Crouch M. Reader's Digest. April 2018.
https://psnet.ahrq.gov/issue/34-ways-survive-your-next-trip-hospital
Involving patients in their care can help improve safety. This magazine article provides 34 tips from leading
patient safety experts to assist p…
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psnet.ahrq.gov/node/34929/psn-pdf
April 06, 2011 - Implementing a national strategy for patient safety:
lessons from the National Health Service in England.
April 6, 2011
Lewis RQ, Fletcher M. Implementing a national strategy for patient safety: lessons from the National Health
Service in England. Qual Saf Health Care. 2005;14(2):135-9.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/41112/psn-pdf
February 01, 2012 - Utilizing quality improvement methods to prevent falls
and injury from falls: enhancing resident safety in long-
term care.
February 1, 2012
MacLaurin A, McConnell H. Utilizing quality improvement methods to prevent falls and injury from falls:
enhancing resident safety in long-term care. J Safety Res. 2011;42(6):…
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www.ahrq.gov/evidencenow/projects/urinary/resources/our-time-heart-health.html
January 01, 2019 - Back to MUI Resources
This Is Our Time! Are you Ready? Heart Health Now! Recruitment Brochure
Resource
Document available on the AHRQ website (PDF, 882 KB)
Summary
This document provides an example of an EvidenceNOW Cooperative's recruitment brochure. This brochure outlines p…