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psnet.ahrq.gov/node/35227/psn-pdf
June 15, 2011 - Building a Better Delivery System: A New
Engineering/Health Care Partnership.
June 15, 2011
Reid PP, Compton WD, Grossman JH, Fanjiang G, eds. Institute of Medicine, National Academy of
Engineering, Committee on Engineering and the Health Care System. Washington, DC: National
Academies Press; 2005. ISBN-10: 030909…
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psnet.ahrq.gov/node/60064/psn-pdf
March 18, 2020 - Providing Safe, High-Quality Maternity Care in Rural US
Hospitals. IHI Innovation Report.
March 18, 2020
Laderman M, Renton M. Boston, MA: Institute for Healthcare Improvement; 2020.
https://psnet.ahrq.gov/issue/providing-safe-high-quality-maternity-care-rural-us-hospitals-ihi-innovation-
report
Maternal care saf…
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psnet.ahrq.gov/node/47913/psn-pdf
April 10, 2019 - Improving standardization of paging communication
using quality improvement methodology.
April 10, 2019
Weigert RM, Schmitz AH, Soung PJ, et al. Improving Standardization of Paging Communication Using
Quality Improvement Methodology. Pediatrics. 2019;143(4). doi:10.1542/peds.2018-1362.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/46324/psn-pdf
August 09, 2017 - IHI Framework for Improving Joy in Work.
August 9, 2017
Perlo J, Balik B, Swensen S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017.
https://psnet.ahrq.gov/issue/ihi-framework-improving-joy-work
Leadership has a responsibility to establish a culture that fosters staff and clinician well-being as a…
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psnet.ahrq.gov/node/60880/psn-pdf
September 02, 2020 - Cold debriefings after in-hospital cardiac arrest in an
international pediatric resuscitation quality improvement
collaborative.
September 2, 2020
Wolfe H, Wenger J, Sutton RM, et al. Cold debriefings after in-hospital cardiac arrest in an international
pediatric resuscitation quality improvement collaborative. Pe…
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psnet.ahrq.gov/node/46721/psn-pdf
April 16, 2018 - Correlation between 24-hour predischarge opioid use and
amount of opioids prescribed at hospital discharge.
April 16, 2018
Chen EY, Marcantonio A, Tornetta P. Correlation Between 24-Hour Predischarge Opioid Use and Amount
of Opioids Prescribed at Hospital Discharge. JAMA Surg. 2018;153(2):e174859.
doi:10.1001/jama…
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psnet.ahrq.gov/node/40878/psn-pdf
March 02, 2012 - Neonatal intensive care unit safety culture varies widely.
March 2, 2012
Profit J, Etchegaray J, Petersen L, et al. Neonatal intensive care unit safety culture varies widely. Arch Dis
Child Fetal Neonatal Ed. 2012;97(2):F120-6. doi:10.1136/archdischild-2011-300635.
https://psnet.ahrq.gov/issue/neonatal-intensive-ca…
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psnet.ahrq.gov/node/43425/psn-pdf
July 03, 2016 - Graduate medical education's new focus on resident
engagement in quality and safety: will it transform the
culture of teaching hospitals?
July 3, 2016
Myers JS, Nash DB. Graduate Medical Education’s New Focus on Resident Engagement in Quality and
Safety. Acad Med. 2014;89(10):1328-1330. doi:10.1097/acm.00000000000…
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psnet.ahrq.gov/node/851067/psn-pdf
June 28, 2023 - Assessing medication safety in settings not designated
solely for pediatric patients.
June 28, 2023
ISMP Medication Safety Alert! Acute care edition. June 15, 2023;28(12);1-5.
https://psnet.ahrq.gov/issue/assessing-medication-safety-settings-not-designated-solely-pediatric-patients
Pediatric patients are at increa…
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psnet.ahrq.gov/node/44061/psn-pdf
November 16, 2015 - Quality improvement and patient safety organizations in
anesthesiology.
November 16, 2015
Dutton RP. Quality improvement and patient safety organizations in anesthesiology. AMA J Ethics.
2015;17(3):248-52. doi:10.1001/journalofethics.2015.17.3.pfor1-1503.
https://psnet.ahrq.gov/issue/quality-improvement-and-patien…
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psnet.ahrq.gov/node/60266/psn-pdf
April 29, 2020 - Diagnostic Strategy for the COVID-19 Pandemic – Bench
to Bedside to Blueprint for Policymakers.
April 22, 2020
Armstrong Institute for Patient Safety and Quality. April 29, 2020.
https://psnet.ahrq.gov/issue/diagnostic-strategy-covid-19-pandemic-bench-bedside-blueprint-policymakers
As the COVID-19 pandemic evolves…
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psnet.ahrq.gov/node/40962/psn-pdf
December 14, 2011 - American College of Surgeons' Committee on Trauma
performance improvement and patient safety program:
maximal impact in a mature trauma center.
December 14, 2011
Sarkar B, Brunsvold ME, Cherry-Bukoweic JR, et al. American College of Surgeons' Committee on Trauma
Performance Improvement and Patient Safety program: …
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psnet.ahrq.gov/node/44259/psn-pdf
April 01, 2024 - Training Program for Nurses on Shift Work and Long
Work Hours.
April 1, 2024
Caruso CC, Geiger-Brown J, Takahashi M, Trinkoff A, Nakata A. Cincinnati, OH: US Department of Health
and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute
for Occupational Safety and He…
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psnet.ahrq.gov/node/42191/psn-pdf
June 25, 2013 - Chemotherapy medication errors in a pediatric cancer
treatment center: prospective characterization of error
types and frequency and development of a quality
improvement initiative to lower the error rate.
June 25, 2013
Watts RG, Parsons K. Chemotherapy medication errors in a pediatric cancer treatment center: pro…
-
psnet.ahrq.gov/node/46292/psn-pdf
August 02, 2017 - Clinical alerts to decrease high-risk medication use in
older adults.
August 2, 2017
Lord-Adem W, Brandt NJ. Clinical Alerts to Decrease High-Risk Medication Use in Older Adults. J Gerontol
Nurs. 2017;43(7):7-12. doi:10.3928/00989134-20170614-04.
https://psnet.ahrq.gov/issue/clinical-alerts-decrease-high-risk-medi…
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psnet.ahrq.gov/node/35265/psn-pdf
February 03, 2011 - A 38-year-old woman with fetal loss and hysterectomy.
February 3, 2011
Sachs BP. A 38-Year-Old Woman With Fetal Loss and Hysterectomy. JAMA. 2005;294(7):833-840.
doi:10.1001/jama.294.7.833.
https://psnet.ahrq.gov/issue/38-year-old-woman-fetal-loss-and-hysterectomy
Part of a series in JAMA entitled Clinical Crossro…
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psnet.ahrq.gov/node/47786/psn-pdf
June 26, 2019 - Creating a Safe Space: Psychological Health and Safety
of Healthcare Workers.
June 26, 2019
Canadian Patient Safety Institute: 2019.
https://psnet.ahrq.gov/issue/creating-safe-space-psychological-health-and-safety-healthcare-workers
Structured approaches to managing negative psychological consequences of medical e…
-
psnet.ahrq.gov/node/47271/psn-pdf
August 08, 2018 - NAM Action Collaborative on Countering the U.S. Opioid
Epidemic.
August 8, 2018
National Academy of Medicine; Aspen Institute.
https://psnet.ahrq.gov/issue/nam-action-collaborative-countering-us-opioid-epidemic
Despite increased awareness regarding the public health impacts of opioid misuse and overdose in the
Un…
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psnet.ahrq.gov/node/39819/psn-pdf
April 04, 2011 - Performance characteristics of a methodology to quantify
adverse events over time in hospitalized patients.
April 4, 2011
Sharek PJ, Parry G, Goldmann DA, et al. Performance characteristics of a methodology to quantify
adverse events over time in hospitalized patients. Health Serv Res. 2011;46(2):654-78. doi:10.111…
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psnet.ahrq.gov/node/38887/psn-pdf
August 26, 2009 - Measuring patient safety culture: an assessment of the
clustering of responses at unit level and hospital level.
August 26, 2009
Smits M, Wagner C, Spreeuwenberg P, et al. Measuring patient safety culture: an assessment of the
clustering of responses at unit level and hospital level. Quality and Safety in Health Ca…