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psnet.ahrq.gov/issue/exploring-leadership-within-systems-approach-reduce-health-care-associated-infections-scoping
October 29, 2017 - Review
Exploring leadership within a systems approach to reduce health care–associated infections: a scoping review of one work system model.
Citation Text:
Knobloch MJ, Thomas K, Musuuza J, et al. Exploring leadership within a systems approach to reduce health care-associated infections…
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psnet.ahrq.gov/issue/long-term-follow-evaluation-electronic-health-record-prescribing-safety
November 26, 2014 - Study
A long-term follow-up evaluation of electronic health record prescribing safety.
Citation Text:
Abramson EL, Malhotra S, Osorio N, et al. A long-term follow-up evaluation of electronic health record prescribing safety. J Am Med Inform Assoc. 2013;20(e1):e52-8. doi:10.1136/amiajnl…
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psnet.ahrq.gov/issue/cost-implications-reduced-work-hours-and-workloads-resident-physicians
August 05, 2015 - Study
Cost implications of reduced work hours and workloads for resident physicians.
Citation Text:
Nuckols TK, Bhattacharya J, Wolman DM, et al. Cost implications of reduced work hours and workloads for resident physicians. N Engl J Med. 2009;360(21):2202-15. doi:10.1056/NEJMsa0810251…
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psnet.ahrq.gov/issue/effective-implementation-work-hour-limits-and-systemic-improvements
September 28, 2010 - Study
Classic
Effective implementation of work-hour limits and systemic improvements.
Citation Text:
Landrigan CP, Czeisler CA, Barger LK, et al. Effective implementation of work-hour limits and systemic improvements. Jt Comm J Qual Patient Saf. 2007;33(11 Suppl…
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psnet.ahrq.gov/issue/intervention-reduce-transmission-resistant-bacteria-intensive-care
February 29, 2012 - Study
Classic
Intervention to reduce transmission of resistant bacteria in intensive care.
Citation Text:
Huskins C, Huckabee CM, O'Grady NP, et al. Intervention to reduce transmission of resistant bacteria in intensive care. N Engl J Med. 2011;364(15):1407-18…
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psnet.ahrq.gov/issue/performance-global-assessment-pediatric-patient-safety-gapps-tool
August 14, 2018 - Study
Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) tool.
Citation Text:
Landrigan CP, Stockwell DC, Toomey SL, et al. Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) Tool. Pediatrics. 2016;137(6). doi:10.1542/peds.2015-4076.
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psnet.ahrq.gov/issue/global-trigger-tool-shows-adverse-events-hospitals-may-be-ten-times-greater-previously
February 15, 2011 - Study
Classic
'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured.
Citation Text:
Classen D, Resar RK, Griffin F, et al. 'Global trigger tool' shows that adverse events in hospitals may be ten times grea…
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psnet.ahrq.gov/issue/intervention-decrease-catheter-related-bloodstream-infections-icu
June 16, 2011 - Study
Classic
An intervention to decrease catheter-related bloodstream infections in the ICU.
Citation Text:
Pronovost P, Needham DM, Berenholtz SM, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006;355(2…
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psnet.ahrq.gov/issue/multistate-point-prevalence-survey-health-care-associated-infections
November 14, 2018 - Study
Multistate point-prevalence survey of health care-associated infections.
Citation Text:
Magill SS, Edwards JR, Bamberg W, et al. Multistate point-prevalence survey of health care-associated infections. N Engl J Med. 2014;370(13):1198-208. doi:10.1056/NEJMoa1306801.
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psnet.ahrq.gov/issue/complications-daytime-elective-laparoscopic-cholecystectomies-performed-surgeons-who-operated
April 12, 2019 - Study
Complications of daytime elective laparoscopic cholecystectomies performed by surgeons who operated the night before.
Citation Text:
Vinden C, Nash DM, Rangrej J, et al. Complications of daytime elective laparoscopic cholecystectomies performed by surgeons who operated the night be…
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psnet.ahrq.gov/issue/readiness-us-general-surgery-residents-independent-practice
April 24, 2018 - Study
Classic
Readiness of US general surgery residents for independent practice.
Citation Text:
George BC, Bohnen JD, Williams RG, et al. Readiness of US General Surgery Residents for Independent Practice. Ann Surg. 2017;266(4):582-594. doi:10.1097/SLA.00000000…
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psnet.ahrq.gov/perspective/conversation-dave-debronkart
June 01, 2014 - In Conversation With… Dave deBronkart
June 1, 2014
Also Read an Essay
Citation Text:
In Conversation With… Dave deBronkart. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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psnet.ahrq.gov/node/33984/psn-pdf
April 17, 2024 - ISMP List of Error-Prone Abbreviations, Symbols, and
Dose Designations.
April 17, 2024
Horsham, PA; Institute for Safe Medication Practices; April 17, 2024.
https://psnet.ahrq.gov/issue/ismp-list-error-prone-abbreviations-symbols-and-dose-designations
A handy list for medical personnel to ensure and implement safe…
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psnet.ahrq.gov/node/33968/psn-pdf
July 08, 2016 - Health Literacy: A Prescription to End Confusion.
July 8, 2016
Nielsen-Bohlman L; Panzer AM; Kindig DA; Board on Neuroscience and Behavioral Health, Institute of
Medicine. Washington, DC: The National Academies Press; 2004. ISBN: 9780309283328.
https://psnet.ahrq.gov/issue/health-literacy-prescription-end-confusion…
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psnet.ahrq.gov/node/43676/psn-pdf
November 12, 2014 - Is surgery safer at a teaching hospital?
November 12, 2014
Webster H. US News & World Report. October 27, 2014.
https://psnet.ahrq.gov/issue/surgery-safer-teaching-hospital
This magazine article explores whether receiving care at a teaching hospital affects patient safety and
highlights how the demands of the educ…
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psnet.ahrq.gov/node/36216/psn-pdf
August 03, 2012 - Hospital Medication Errors Commonplace.
August 3, 2012
Berwick D; Lassman S; Bates D. National Public Radio. July 28, 2006.
https://psnet.ahrq.gov/issue/hospital-medication-errors-commonplace
This segment features Donald Berwick, David Bates, and other experts discussing the Institute of Medicine
(IOM) report Prev…
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psnet.ahrq.gov/node/34009/psn-pdf
November 12, 2014 - Consumer Safe Medicine.
November 12, 2014
Plymouth Meeting, PA; Institute for Safe Medication Practices.
https://psnet.ahrq.gov/issue/ismps-safe-medicine
ISMP's electronic consumer medication safety newsletter is published six times a year and its content aims
to engage patients and families in reducing medication…
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psnet.ahrq.gov/node/40419/psn-pdf
October 21, 2011 - ISMP Medication Safety Self Assessment for Hospitals.
October 21, 2011
Horsham, PA: Institute for Safe Medication Practices; April 2011.
https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-hospitals
This tool provides hospitals with a team-based process to evaluate medication practices in their faci…
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psnet.ahrq.gov/node/40523/psn-pdf
August 31, 2011 - A Hospital Accident: Lessons Learned – A Death, A
Conviction, and A Healing.
August 31, 2011
Texas Medical Institute of Technology. June 16, 2011.
https://psnet.ahrq.gov/issue/hospital-accident-lessons-learned-death-conviction-and-healing
This webinar covered how medical errors affect both the family and provider …
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psnet.ahrq.gov/node/40086/psn-pdf
December 15, 2010 - The Safe Use Initiative and Health Literacy: Workshop
Summary.
December 15, 2010
Vancheri C; Roundtable on Health Literacy; Institute of Medicine. Washington, DC: National Academies
Press; 2010. ISBN-10: 0309159318.
https://psnet.ahrq.gov/issue/safe-use-initiative-and-health-literacy-workshop-summary
This publica…