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psnet.ahrq.gov/issue/introductions-during-time-outs-do-surgical-team-members-know-one-anothers-names
November 09, 2015 - July 5, 2023
Impact of the WHO Surgical Safety Checklist relative to its design and intended
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psnet.ahrq.gov/issue/healthcare-associated-infections-national-patient-safety-problem-and-coordinated-response
May 20, 2016 - August 18, 2021
Intended and unintended effects of large-scale adverse event disclosure
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psnet.ahrq.gov/issue/real-time-automated-paging-and-decision-support-critical-laboratory-abnormalities
April 30, 2014 - April 30, 2014
The intended and unintended consequences of communication systems on general
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psnet.ahrq.gov/issue/successful-implementation-standardized-multidisciplinary-bedside-rounds-including-daily-goals
September 03, 2011 - July 24, 2017
The intended and unintended consequences of communication systems on general
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psnet.ahrq.gov/issue/effect-therapeutic-interchange-medication-reconciliation-during-hospitalization-and-upon
November 20, 2013 - January 18, 2017
Medication reconciliation accuracy and patient understanding of intended
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psnet.ahrq.gov/issue/real-time-clinical-alerting-effect-automated-paging-system-response-time-critical-laboratory
October 31, 2011 - January 6, 2018
The intended and unintended consequences of communication systems on
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psnet.ahrq.gov/issue/examining-nature-interprofessional-interventions-designed-promote-patient-safety-narrative
August 17, 2018 - November 16, 2022
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Workarounds to intended
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psnet.ahrq.gov/issue/incidence-opioid-misuse-among-surgical-patients-persistent-opioid-use
October 13, 2018 - March 8, 2023
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Intended and unintended effects of large-scale adverse event disclosure
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Intended and unintended effects of large-scale adverse event disclosure
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psnet.ahrq.gov/issue/do-house-officers-learn-their-mistakes
April 19, 2011 - February 17, 2017
The intended and unintended consequences of communication systems on
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June 14, 2023 - meaningful message.18 CLC is a three-step process in which 1) the transmitter
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January 31, 2024 - a standardized process in place to facilitate the provision of any type of infant feeding, which is intended
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psnet.ahrq.gov/node/60518/psn-pdf
May 27, 2020 - Infection Control Deficiencies Were Widespread and
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May 27, 2020
Washington, DC: United States Government Accountability Office; May 20, 2020. Publication GAO-20-
576R.
https://psnet.ahrq.gov/issue/infection-control-deficiencies-were-widespre…
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August 30, 2023 - Activating pharmacists to reduce the frequency of
medication-related problems (ACTMed): a stepped wedge
cluster randomised trial.
August 30, 2023
Spinks J, Violette R, Boyle DIR, et al. Activating pharmacists to reduce the frequency of medication?related
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May 27, 2011 - Pre-printed order forms and templates are in part intended to improve the completeness, accuracy, and … The intern may have intended to substitute abacavir for stavudine in the original drug combination by
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psnet.ahrq.gov/node/43516/psn-pdf
June 15, 2017 - Application of failure mode effect analysis to improve the
care of septic patients admitted through the emergency
department.
June 15, 2017
Alamry A, Owais SMA, Marini AM, et al. Application of Failure Mode Effect Analysis to Improve the Care of
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March 10, 2019 - I-PASS Mentored Implementation Handoff Curriculum:
implementation guide and resources.
March 10, 2019
O'Toole JK, Starmer AJ, Calaman S, et al. I-PASS Mentored Implementation Handoff Curriculum:
implementation guide and resources. MedEdPORTAL. 2018;14(1):10736. doi:10.15766/mep_2374-
8265.10736.
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August 31, 2016 - Improving the communication between teams managing
boarded patients on a surgical specialty ward.
August 31, 2016
Puvaneswaralingam S, Ross D. Improving the communication between teams managing boarded patients
on a surgical specialty ward. BMJ Qual Improv Rep. 2016;5(1). doi:10.1136/bmjquality.u209186.w3750.
http…
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psnet.ahrq.gov/node/36797/psn-pdf
August 26, 2011 - The American College of Surgeons' closed claims study:
new insights for improving care.
August 26, 2011
Griffen FD, Stephens LS, Alexander JB, et al. The American College of Surgeons’ Closed Claims Study:
New Insights for Improving Care. J Am Coll Surg. 2007;204(4). doi:10.1016/j.jamcollsurg.2007.01.013.
https://p…