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psnet.ahrq.gov/node/37022/psn-pdf
September 24, 2010 - Implementation and impact of a rapid response team in a
children's hospital.
September 24, 2010
Zenker P, Schlesinger A, Hauck M, et al. Implementation and impact of a rapid response team in a
children's hospital. Jt Comm J Qual Patient Saf. 2007;33(7):418-425.
https://psnet.ahrq.gov/issue/implementation-and-impac…
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psnet.ahrq.gov/node/764405/psn-pdf
March 02, 2022 - Evaluation of communication and safety behaviors during
hospital-wide code response simulation.
March 2, 2022
Ren DM, Abrams A, Banigan M, et al. Evaluation of communication and safety behaviors during hospital-
wide code response simulation. Simul Healthc. 2022;17(1):e45-e50. doi:10.1097/sih.0000000000000575.
htt…
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psnet.ahrq.gov/node/73616/psn-pdf
August 18, 2021 - Do Black and White Patients Experience Similar Rates of
Adverse Safety Events at the Same Hospital?
August 18, 2021
Gangopadhyaya A. Washington DC; Urban Institute: July 2021.
https://psnet.ahrq.gov/issue/do-black-and-white-patients-experience-similar-rates-adverse-safety-events-
same-hospital
Racial inequities h…
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psnet.ahrq.gov/node/46255/psn-pdf
September 06, 2017 - Patient Safety in the Home: Assessment of Issues,
Challenges, and Opportunities.
September 6, 2017
Carpenter D, Famolaro T, Hassell S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017.
https://psnet.ahrq.gov/issue/patient-safety-home-assessment-issues-challenges-and-opportunities
The ambulatory env…
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psnet.ahrq.gov/node/47523/psn-pdf
December 05, 2018 - Developing standardized "receiver-driven" handoffs
between referring providers and the emergency
department: results of a multidisciplinary needs
assessment.
December 5, 2018
Huth K, Stack AM, Chi G, et al. Developing Standardized "Receiver-Driven" Handoffs Between Referring
Providers and the Emergency Department…
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psnet.ahrq.gov/node/73062/psn-pdf
January 01, 2022 - Description of the role of pharmacist independent double
checks during cognitive order verification of outpatient
parenteral anti-cancer therapy.
March 25, 2021
Booth JP, Kennerly-Shah JM, Hartman AD. Description of the role of pharmacist independent double
checks during cognitive order verification of outpatient …
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psnet.ahrq.gov/node/41186/psn-pdf
January 03, 2017 - The costs of adverse drug events in community hospitals.
January 3, 2017
Hug BL, Keohane C, Seger DL, et al. The costs of adverse drug events in community hospitals. Jt Comm J
Qual Patient Saf. 2012;38(3):120-6.
https://psnet.ahrq.gov/issue/costs-adverse-drug-events-community-hospitals
Adverse drug events (ADEs) a…
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psnet.ahrq.gov/node/45962/psn-pdf
April 24, 2018 - Bridging leadership roles in quality and patient safety:
experience of 6 US academic medical centers.
April 24, 2018
Myers JS, Tess A, McKinney K, et al. Bridging Leadership Roles in Quality and Patient Safety: Experience
of 6 US Academic Medical Centers. J Grad Med Educ. 2017;9(1):9-13. doi:10.4300/JGME-D-16-00065…
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psnet.ahrq.gov/node/38309/psn-pdf
December 23, 2016 - Safely implementing health information and converging
technologies.
December 23, 2016
Safely implementing health information and converging technologies. Sentinel event alert. 2008;(42):1-4.
https://psnet.ahrq.gov/issue/safely-implementing-health-information-and-converging-technologies
As health information techno…
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psnet.ahrq.gov/node/36424/psn-pdf
January 07, 2008 - Teamwork in the operating room: frontline perspectives
among hospitals and operating room personnel.
January 7, 2008
Sexton JB; Makary MA; Tersigni AR; Pryor D; Hendrich A; Thomas EJ; Holzmueller CG; Knight AP; Wu Y;
Pronovost PJ.
https://psnet.ahrq.gov/issue/teamwork-operating-room-frontline-perspectives-among-ho…
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psnet.ahrq.gov/node/60271/psn-pdf
April 29, 2020 - Pain management best practices from multispecialty
organizations during the COVID-19 pandemic and public
health crises.
April 29, 2020
Cohen SP, Baber ZB, Buvanendran A, et al. Pain Management Best Practices from Multispecialty
Organizations During the COVID-19 Pandemic and Public Health Crises. Pain Med. 2020;21(…
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psnet.ahrq.gov/node/34845/psn-pdf
June 30, 2011 - The JCAHO patient safety event taxonomy: a
standardized terminology and classification schema for
near misses and adverse events.
June 30, 2011
Chang A, Schyve PM, Croteau RJ, et al. The JCAHO patient safety event taxonomy: a standardized
terminology and classification schema for near misses and adverse events. In…
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psnet.ahrq.gov/issue/marylanddc-patient-safety-coalition
September 28, 2023 - Multi-use Website
Maryland/DC Patient Safety Coalition.
Save
Save to your library
Print
Download PDF
Share
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Copy URL
March 17, 2011
The Maryland Patient Safety Center facilitates the study …
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psnet.ahrq.gov/node/865873/psn-pdf
May 15, 2024 - A review of medication errors and the second victim in
pediatric pharmacy.
May 15, 2024
Bredenkamp K, Raschka MJ, Holmes A. A review of medication errors and the second victim in pediatric
pharmacy. J Pediatr Pharmacol Ther. 2024;29(2):100-106. doi:10.5863/1551-6776-29.2.100.
https://psnet.ahrq.gov/issue/review-me…
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psnet.ahrq.gov/node/43644/psn-pdf
April 22, 2015 - SIMMEON-Prep study: SIMulation of Medication Errors in
ONcology: prevention of antineoplastic preparation
errors.
April 22, 2015
Sarfati L, Ranchon F, Vantard N, et al. SIMMEON-Prep study: SIMulation of Medication Errors in
ONcology: prevention of antineoplastic preparation errors. J Clin Pharm Ther. 2015;40(1):55…
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psnet.ahrq.gov/node/35471/psn-pdf
September 21, 2009 - Medication safety in the ambulatory chemotherapy
setting.
September 21, 2009
Gandhi TK, Bartel SB, Shulman LN, et al. Medication safety in the ambulatory chemotherapy setting.
Cancer. 2005;104(11). doi:10.1002/cncr.21442.
https://psnet.ahrq.gov/issue/medication-safety-ambulatory-chemotherapy-setting
Chemotherapeu…
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psnet.ahrq.gov/node/74838/psn-pdf
February 16, 2022 - Overstating inpatient deaths due to medical error erodes
trust in healthcare and the patient safety movement.
February 16, 2022
Gunderson CG, Rodwin BA. Overstating inpatient deaths due to medical error erodes trust in healthcare
and the patient safety movement. J Hosp Med. 2022;17(5):399-402. doi:10.1002/jhm.2768.…
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psnet.ahrq.gov/node/849328/psn-pdf
May 24, 2023 - Assessing the impact of hospital mergers and
acquisitions on safety culture with proactive risk
assessments
May 24, 2023
Folcarelli P, Hoffman J, Janes M, et al. Assessing the impact of hospital mergers and acquisitions on safety
culture with proactive risk assessments. J Healthc Risk Manag. 2023;43(1):26-31. doi:…
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psnet.ahrq.gov/node/46235/psn-pdf
January 01, 2021 - Safety culture in the operating room: variability among
perioperative healthcare workers.
September 13, 2017
Pimentel MPT, Choi S, Fiumara K, et al. Safety culture in the operating room: variability among
perioperative healthcare workers. J Patient Saf. 2021;17(6):412-416. doi:10.1097/pts.0000000000000385.
https:/…
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psnet.ahrq.gov/node/46506/psn-pdf
October 11, 2017 - Getting Ahead of Harm Before It Happens: A Guide About
Proactive Analysis for Improving Surgical Care Safety.
October 11, 2017
Wiley K, Davies JM. Edmonton, AB: Canadian Patient Safety Institute; 2017.
https://psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving-
surgical-car…