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psnet.ahrq.gov/node/41455/psn-pdf
June 13, 2012 - Medication errors during medical emergencies in a large,
tertiary care, academic medical center. … Medication errors during medical emergencies in a large,
tertiary care, academic medical center. … https://psnet.ahrq.gov/issue/medication-errors-during-medical-emergencies-large-tertiary-care-academic … https://psnet.ahrq.gov/issue/medication-errors-during-medical-emergencies-large-tertiary-care-academic-medical-center … https://psnet.ahrq.gov/issue/medication-errors-during-medical-emergencies-large-tertiary-care-academic-medical-center
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psnet.ahrq.gov/issue/partnering-prevent-falls-using-multimodal-multidisciplinary-team
June 22, 2010 - This commentary describes an initiative that reduced falls at a large health care system and highlights … in pursuit of high reliability: implementing a comprehensive, low-threshold reporting program in a large … high reliability: a comprehensive safety program to improve quality of care and safety culture in a large
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psnet.ahrq.gov/issue/using-logic-model-design-and-evaluate-quality-and-patient-safety-improvement-programs
November 10, 2010 - Discussing an approach that helped guide project management of a large-scale initiative to reduce health … infections, this commentary details how such an approach can be applied to plan, implement, and evaluate large-scale … January 15, 2014
Assessing and improving safety climate in a large cohort of intensive
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psnet.ahrq.gov/issue/analysis-laboratory-critical-value-reporting-large-academic-medical-center
December 05, 2013 - Study
Analysis of laboratory critical value reporting at a large academic medical … Analysis of laboratory critical value reporting at a large academic medical center. … Analysis of laboratory critical value reporting at a large academic medical center. … )
An initiative to improve the management of clinically significant test results in a large
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psnet.ahrq.gov/issue/impact-pharmacist-led-discharge-medication-reconciliation-error-and-patient-harm-prevention
March 27, 2019 - Impact of pharmacist-led discharge medication reconciliation on error and patient harm prevention at a large … Impact of pharmacist‐led discharge medication reconciliation on error and patient harm prevention at a large … Impact of pharmacist‐led discharge medication reconciliation on error and patient harm prevention at a large … Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large
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psnet.ahrq.gov/node/45543/psn-pdf
February 17, 2017 - Deriving ICD-10 codes for patient safety indicators for
large-scale surveillance using administrative … Deriving ICD-10 Codes for Patient Safety Indicators for Large-
scale Surveillance Using Administrative … https://psnet.ahrq.gov/issue/deriving-icd-10-codes-patient-safety-indicators-large-scale-surveillance-using … https://psnet.ahrq.gov/issue/deriving-icd-10-codes-patient-safety-indicators-large-scale-surveillance-using-administrative … https://psnet.ahrq.gov/issue/deriving-icd-10-codes-patient-safety-indicators-large-scale-surveillance-using-administrative
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psnet.ahrq.gov/node/39822/psn-pdf
February 17, 2011 - The disclosure dilemma—large-scale adverse events. … The disclosure dilemma--large-scale adverse events. … https://psnet.ahrq.gov/issue/disclosure-dilemma-large-scale-adverse-events
Error disclosure policies … This study discusses
large-scale adverse events (such as failure to sterilize an endoscope used on scores … https://psnet.ahrq.gov/issue/disclosure-dilemma-large-scale-adverse-events
https://psnet.ahrq.gov/primer
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psnet.ahrq.gov/node/45255/psn-pdf
January 23, 2017 - Provider risk factors for medication administration error
alerts: analyses of a large-scale closed-loop … Provider risk factors for medication administration error alerts: analyses
of a large-scale closed-loop … https://psnet.ahrq.gov/issue/provider-risk-factors-medication-administration-error-alerts-analyses-large … https://psnet.ahrq.gov/issue/provider-risk-factors-medication-administration-error-alerts-analyses-large-scale-closed-loop … https://psnet.ahrq.gov/issue/provider-risk-factors-medication-administration-error-alerts-analyses-large-scale-closed-loop
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psnet.ahrq.gov/node/41266/psn-pdf
January 03, 2017 - Surfacing safety hazards using standardized operating
room briefings and debriefings at a large regional … Surfacing safety hazards using standardized operating room
briefings and debriefings at a large regional … psnet.ahrq.gov/issue/surfacing-safety-hazards-using-standardized-operating-room-briefings-and-
debriefings-large … psnet.ahrq.gov/issue/surfacing-safety-hazards-using-standardized-operating-room-briefings-and-debriefings-large … psnet.ahrq.gov/issue/surfacing-safety-hazards-using-standardized-operating-room-briefings-and-debriefings-large
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psnet.ahrq.gov/node/46910/psn-pdf
January 23, 2019 - A qualitative
study of a large-scale exercise in seeking to measure for
improvement, not blame. … A qualitative study of
a large-scale exercise in seeking to measure for improvement, not blame. … https://psnet.ahrq.gov/issue/taking-heat-or-taking-temperature-qualitative-study-large-scale-exercise … https://psnet.ahrq.gov/issue/taking-heat-or-taking-temperature-qualitative-study-large-scale-exercise-seeking-measure … https://psnet.ahrq.gov/issue/taking-heat-or-taking-temperature-qualitative-study-large-scale-exercise-seeking-measure
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psnet.ahrq.gov/node/38829/psn-pdf
January 03, 2017 - Implementing standardized operating room briefings and
debriefings at a large regional medical center … Implementing standardized operating room briefings
and debriefings at a large regional medical center … https://psnet.ahrq.gov/issue/implementing-standardized-operating-room-briefings-and-debriefings-large … https://psnet.ahrq.gov/issue/implementing-standardized-operating-room-briefings-and-debriefings-large-regional-medical … https://psnet.ahrq.gov/issue/implementing-standardized-operating-room-briefings-and-debriefings-large-regional-medical
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psnet.ahrq.gov/node/45081/psn-pdf
February 14, 2017 - Quasi-experimental evaluation of the effectiveness of a
large-scale readmission reduction program. … Quasi-Experimental Evaluation of the Effectiveness of a Large-Scale
Readmission Reduction Program. … https://psnet.ahrq.gov/issue/quasi-experimental-evaluation-effectiveness-large-scale-readmission-
reduction-program … https://psnet.ahrq.gov/issue/quasi-experimental-evaluation-effectiveness-large-scale-readmission-reduction-program … https://psnet.ahrq.gov/issue/quasi-experimental-evaluation-effectiveness-large-scale-readmission-reduction-program
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psnet.ahrq.gov/node/41438/psn-pdf
January 03, 2017 - Implementing SBAR across a large multihospital health
system. … Implementing SBAR across a large multihospital health system. … https://psnet.ahrq.gov/issue/implementing-sbar-across-large-multihospital-health-system
In this study … https://psnet.ahrq.gov/issue/implementing-sbar-across-large-multihospital-health-system
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/46853/psn-pdf
February 22, 2019 - Outcomes with overlapping surgery at a large academic
medical center. … Outcomes With Overlapping Surgery at a Large Academic Medical
Center. … https://psnet.ahrq.gov/issue/outcomes-overlapping-surgery-large-academic-medical-center
The practice … https://psnet.ahrq.gov/issue/outcomes-overlapping-surgery-large-academic-medical-center
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/40235/psn-pdf
May 11, 2011 - Assessing and improving safety climate in a large cohort
of intensive care units. … Assessing and improving safety climate in a large cohort of
intensive care units. … https://psnet.ahrq.gov/issue/assessing-and-improving-safety-climate-large-cohort-intensive-care-units … https://psnet.ahrq.gov/issue/assessing-and-improving-safety-climate-large-cohort-intensive-care-units
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psnet.ahrq.gov/node/45533/psn-pdf
November 02, 2016 - Multimethod study of a large-scale programme to improve
patient safety using a harm-free care approach … Multimethod study of a large-scale programme to improve patient
safety using a harm-free care approach … https://psnet.ahrq.gov/issue/multimethod-study-large-scale-programme-improve-patient-safety-using-harm … https://psnet.ahrq.gov/issue/multimethod-study-large-scale-programme-improve-patient-safety-using-harm-free-care-approach … https://psnet.ahrq.gov/issue/multimethod-study-large-scale-programme-improve-patient-safety-using-harm-free-care-approach
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psnet.ahrq.gov/node/42667/psn-pdf
December 30, 2014 - Culture and behaviour in the English National Health
Service: overview of lessons from a large multimethod … Culture and behaviour in the English National Health Service:
overview of lessons from a large multimethod … https://psnet.ahrq.gov/issue/culture-and-behaviour-english-national-health-service-overview-lessons-large … https://psnet.ahrq.gov/issue/culture-and-behaviour-english-national-health-service-overview-lessons-large-multimethod … https://psnet.ahrq.gov/issue/culture-and-behaviour-english-national-health-service-overview-lessons-large-multimethod
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psnet.ahrq.gov/node/44901/psn-pdf
March 30, 2016 - Medication safety pharmacy technician in a large, tertiary
care, community hospital. … Medication safety pharmacy technician in a large, tertiary care,
community hospital. … https://psnet.ahrq.gov/issue/medication-safety-pharmacy-technician-large-tertiary-care-community-hospital … https://psnet.ahrq.gov/issue/medication-safety-pharmacy-technician-large-tertiary-care-community-hospital
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psnet.ahrq.gov/node/44628/psn-pdf
September 12, 2016 - Rates of safety incident reporting in MRI in a large
academic medical center. … Rates of safety incident reporting in MRI in a large academic
medical center. … https://psnet.ahrq.gov/issue/rates-safety-incident-reporting-mri-large-academic-medical-center
This … https://psnet.ahrq.gov/issue/rates-safety-incident-reporting-mri-large-academic-medical-center
https:
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psnet.ahrq.gov/issue/adopting-high-reliability-organization-principles-lead-large-scale-clinical-transformation
November 21, 2021 - Commentary
Adopting high reliability organization principles to lead a large scale … Adopting high reliability organization principles to lead a large scale clinical transformation. … Adopting high reliability organization principles to lead a large scale clinical transformation.