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psnet.ahrq.gov/node/40805/psn-pdf
July 19, 2016 - Improving America's Hospitals: The Joint Commission's
Annual Report on Quality and Safety 2011.
July 19, 2016
Oakbrook Terrace, IL: The Joint Commission; September 2011.
https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-
safety-2011
This report emphasizes perfor…
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psnet.ahrq.gov/node/47254/psn-pdf
September 19, 2018 - Understanding the knowledge gaps in whistleblowing and
speaking up in health care: narrative reviews of the
research literature and formal inquiries, a legal analysis
and stakeholder interviews.
September 19, 2018
Mannion R, Blenkinsopp J, Powell M, et al. Southampton (UK): NIHR Journals Library; August 2018.…
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psnet.ahrq.gov/node/47388/psn-pdf
March 13, 2019 - Artificial intelligence systems for complex decision-
making in acute care medicine: a review.
March 13, 2019
Lynn LA. Artificial intelligence systems for complex decision-making in acute care medicine: a review.
Patient Saf Surg. 2019;13:6. doi:10.1186/s13037-019-0188-2.
https://psnet.ahrq.gov/issue/artificial-in…
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psnet.ahrq.gov/node/47240/psn-pdf
March 06, 2019 - Improving detection of intraoperative medical errors
(iMEs) and intraoperative adverse events (iAEs) and their
contribution to postoperative outcomes.
March 6, 2019
Chen Q, Rosen AK, Amirfarzan H, et al. Improving detection of intraoperative medical errors (iMEs) and
intraoperative adverse events (iAEs) and their …
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psnet.ahrq.gov/node/838321/psn-pdf
October 12, 2022 - Meeting the Moment: Addressing Barriers and Facilitating
Clinical Adoption of Artificial Intelligence in Medical
Diagnosis.
October 12, 2022
Adler-Milstein J, Aggarwal N, Ahmed M, et al. NAM Perspectives. Washington DC: National Academy of
Medicine; 2022.
https://psnet.ahrq.gov/issue/meeting-moment-addressing-bar…
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psnet.ahrq.gov/node/851457/psn-pdf
July 19, 2023 - Root causes and preventability of unintentionally retained
foreign objects after surgery: a national expert survey
from Switzerland.
July 19, 2023
Schwappach DLB, Pfeiffer Y. Root causes and preventability of unintentionally retained foreign objects
after surgery: a national expert survey from Switzerland. Patient…
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psnet.ahrq.gov/node/46765/psn-pdf
April 04, 2018 - Advancing perinatal patient safety through application of
safety science principles using health IT.
April 4, 2018
Webb J, Sorensen A, Sommerness SA, et al. Advancing perinatal patient safety through application of
safety science principles using health IT. BMC Med Inform Decis Mak. 2017;17(1):176.
doi:10.1186/s12…
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psnet.ahrq.gov/node/854627/psn-pdf
October 18, 2023 - Implementing strategies to prevent home medication
administration errors in children with medical complexity.
October 18, 2023
Shaikh U, Kim JM, Yin SH. Implementing strategies to prevent home medication administration errors in
children with medical complexity. Clin Pediatr (Phila). 2023;20(18):6788. doi:10.1177/0…
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psnet.ahrq.gov/node/60526/psn-pdf
May 27, 2020 - A qualitative content analysis of retained surgical items:
learning from root cause analysis investigations.
May 27, 2020
Hibbert PD, Thomas MJW, Deakin A, et al. A qualitative content analysis of retained surgical items:
learning from root cause analysis investigations. Int J Qual Health Care. 2020;32(3):184-189.
…
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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/837851/psn-pdf
August 17, 2022 - Medication errors in intensive care units: an umbrella
review of control measures.
August 17, 2022
Dionisi S, Giannetta N, Liquori G, et al. Medication errors in intensive care units: an umbrella review of
control measures. Healthcare (Basel). 2022;10(7):1221. doi:10.3390/healthcare10071221.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/837632/psn-pdf
July 06, 2022 - Serious experience events: applying patient safety
concepts to improve patient experience.
July 6, 2022
Donnelly LF, Uhlhorn E, Bargmann-Losche J, et al. Serious experience events: applying patient safety
concepts to improve patient experience. J Patient Exp. 2022;9:237437352211026.
doi:10.1177/23743735221102670.
…
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www.ahrq.gov/teamstepps-program/curriculum/team/implement/teach-coach.html
February 01, 2024 - Effective coaches have integrated team behaviors into their own practice and coach by example.
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psnet.ahrq.gov/node/72811/psn-pdf
September 01, 2022 - Electronic patient file: All information entered into the system is integrated via the TR&R®
system
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www.ahrq.gov/research/shuttered/hospevacref.html
July 01, 2018 - Benchmarking Hospitals for Evacuation due to Hurricane Rita. 2008 Integrated Medical, Public Health,
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cds.ahrq.gov/sites/default/files/workgroups/27826/CDS_Connect_WG_Slides_July_2021.pdf
January 01, 2021 - Non-programmer participation
► No debugging of syntax and data type errors
► FHIR Library export
► Integrated
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www.ahrq.gov/research/findings/final-reports/ptmgmt/summary.html
July 01, 2018 - distinction often has important ramifications for the degree to which the self-management support is integrated
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/best-practices-empowering-residents.pdf
May 01, 2022 - long-term care
ombudsmen connected residents to an AARP program known as Zero Isolation: Building
Integrated
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www.ahrq.gov/ncepcr/communities/pbrn/registry/index.html?page=1
Network Type: Other Network Category: International State: International Status: Inactive
Integrated
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www.ahrq.gov/news/newsletters/e-newsletter/937.html
November 01, 2024 - Implementation of a clinically integrated breastfeeding peer counselor program.