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psnet.ahrq.gov/issue/patient-safety-during-perinatal-and-neonatal-care
November 15, 2017 - 30, 2022
The postpartum hemorrhage patient safety bundle implementation at a single institution
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psnet.ahrq.gov/issue/effect-80-hour-work-week-resident-case-coverage
July 21, 2010 - However, this institution found that residents participated in similar numbers of cases before and after
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psnet.ahrq.gov/issue/technology-cognition-and-error
September 04, 2024 - Preventability of voluntarily reported or trigger tool–identified medication errors in a pediatric institution
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psnet.ahrq.gov/issue/amc-pso-resource-center
November 17, 2021 - April 6, 2016
Institution of just culture physician peer review in an academic medical
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psnet.ahrq.gov/issue/committed-safety-ten-case-studies-reducing-harm-patients
July 31, 2012 - the results achieved, and the lessons learned to assist others making similar efforts at their own institution
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psnet.ahrq.gov/issue/sentinel-events-memory-ben-case-study
July 01, 2016 - describes a collaborative, mutually supportive, systems-oriented approach to safety in place at her institution
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psnet.ahrq.gov/issue/hospital-board-checklist-improve-culture-and-reduce-central-line-associated-bloodstream
May 24, 2012 - disengaged from safety efforts, and this article provides a blueprint for executives to direct focused and institution-wide
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psnet.ahrq.gov/issue/exclusion-residents-surgery-intensive-care-team-communication-qualitative-study
December 04, 2015 - According to this qualitative study at a single academic institution, staff surgeons and intensivists
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psnet.ahrq.gov/issue/preventable-anesthesia-related-adverse-events-large-tertiary-care-center-nine-year
November 12, 2014 - Researchers examined 747 adverse anesthesia events at a single institution and found that 43% were preventable
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psnet.ahrq.gov/issue/innovative-use-electronic-health-record-support-harm-reduction-efforts
July 31, 2013 - Researchers describe how they were able to reduce harm resulting from hospital-acquired conditions at their institution
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psnet.ahrq.gov/issue/case-34-2010-65-year-old-woman-incorrect-operation-left-hand
March 13, 2013 - perform a time out , and explores the ramifications of the error for the surgeon, the patient, and the institution
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psnet.ahrq.gov/issue/frequency-and-severity-parenteral-nutrition-medication-errors-large-childrens-hospital-after
April 11, 2011 - In this study at a large pediatric institution, implementation of a computerized provider order entry
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psnet.ahrq.gov/issue/patient-safety-leadership-walkroundstm-partners-healthcare-learning-implementation
January 04, 2017 - Basic concepts for WalkRounds are detailed, along with the demographics at each institution, descriptions
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psnet.ahrq.gov/issue/confronting-colleague-who-covers-medical-error
September 16, 2020 - clinical outcomes associated with intrahospital transitions
December 4, 2019
Multiple-institution
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psnet.ahrq.gov/issue/10-leadership-mindsets-high-reliability-organizations-how-empower-caregivers-and-engage
August 12, 2020 - December 1, 2021
Institution of just culture physician peer review in an academic medical
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psnet.ahrq.gov/issue/eliminating-perioperative-adverse-events-ascension-health
November 16, 2022 - July 18, 2019
Bringing perioperative emergency manuals to your institution: a "How To
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psnet.ahrq.gov/issue/information-technology-cannot-guarantee-patient-safety
March 14, 2022 - September 20, 2011
Drug administration errors in an institution for individuals with
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psnet.ahrq.gov/issue/wireless-technologies-and-patient-safety-hospitals
August 30, 2023 - 28, 2018
The postpartum hemorrhage patient safety bundle implementation at a single institution
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psnet.ahrq.gov/issue/patient-safety-answers-require-outreach-reach-and-partnerships
August 23, 2023 - the Same Author(s)
Patient handoffs and multi-specialty trainee perspectives across an institution
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psnet.ahrq.gov/issue/medication-errors-involving-overrides-healthcare-technology
January 11, 2017 - Preventability of voluntarily reported or trigger tool–identified medication errors in a pediatric institution