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psnet.ahrq.gov/node/867396/psn-pdf
December 18, 2024 - Mental Health Inpatient Settings: Creating Conditions for
the Delivery of Safe and Therapeutic Care to Adults.
December 18, 2024
Mental Health Inpatient Settings: Creating Conditions For The Delivery Of Safe And Therapeutic Care To
Adults. Health Services Safety Investigations Body; October 2024.
https://psnet.ahr…
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psnet.ahrq.gov/node/38071/psn-pdf
February 15, 2011 - A multifaceted approach to safety: the synergistic
detection of adverse drug events in adult inpatients.
February 15, 2011
Ferranti JM, Horvath MM, Cozart H, et al. A Multifaceted Approach to Safety. J Patient Saf. 2008;4(3):184-
190. doi:10.1097/pts.0b013e318184a9d5.
https://psnet.ahrq.gov/issue/multifaceted-appr…
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psnet.ahrq.gov/node/45480/psn-pdf
November 16, 2016 - Improving patient safety reporting with the common
formats: common data representation for Patient Safety
Organizations.
November 16, 2016
Elkin PL, Johnson HC, Callahan MR, et al. Improving patient safety reporting with the common formats:
Common data representation for Patient Safety Organizations. J Biomed Info…
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psnet.ahrq.gov/node/46072/psn-pdf
November 08, 2017 - Repeat prescribing of medications: a system-centred risk
management model for primary care organisations.
November 8, 2017
Price J, Man SL, Bartlett S, et al. Repeat prescribing of medications: A system-centred risk management
model for primary care organisations. J Eval Clin Pract. 2017;23(4):779-796. doi:10.1111/…
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psnet.ahrq.gov/node/43521/psn-pdf
November 05, 2014 - From Science to Implementation: AHRQ's Program to
Prevent HAIs—Results and Lessons.
November 5, 2014
Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Am J Infect Control. 2014;42(suppl 10):S189-S296.
https://psnet.ahrq.gov/issue/science-implementation-ahrqs-program-prevent-hais-results-and-lessons
This companion…
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psnet.ahrq.gov/node/45448/psn-pdf
January 23, 2017 - Accuracy of laboratory data communication on ICU daily
rounds using an electronic health record.
January 23, 2017
Artis KA, Dyer E, Mohan V, et al. Accuracy of Laboratory Data Communication on ICU Daily Rounds Using
an Electronic Health Record. Crit Care Med. 2017;45(2):179-186. doi:10.1097/CCM.0000000000002060.
h…
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psnet.ahrq.gov/node/72683/psn-pdf
January 27, 2021 - Analysis of patient safety risk management call data
during the COVID?19 pandemic.
January 27, 2021
Wessels R, McCorkle LM. Analysis of patient safety risk management call data during the COVID?19
pandemic. J Healthc Risk Manag. 2021;40(4):30-37. doi:10.1002/jhrm.21457.
https://psnet.ahrq.gov/issue/analysis-patien…
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psnet.ahrq.gov/node/46273/psn-pdf
August 30, 2017 - Increasing patient safety with neonates via handoff
communication during delivery: a call for
interprofessional health care team training across GME
and CME.
August 30, 2017
Vanderbilt AA, Pappada SM, Stein H, et al. Increasing patient safety with neonates via handoff
communication during delivery: a call for int…
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psnet.ahrq.gov/node/845073/psn-pdf
February 22, 2023 - Nursing student errors and near misses: three years of
data.
February 22, 2023
Silvestre JH, Spector ND. Nursing student errors and near misses: three years of data. J Nurs Educ.
2023;62(1):12-19. doi:10.3928/01484834-20221109-05.
https://psnet.ahrq.gov/issue/nursing-student-errors-and-near-misses-three-years-data…
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psnet.ahrq.gov/node/47263/psn-pdf
January 01, 2021 - Dissecting communication barriers in healthcare: a path
to enhancing communication resiliency, reliability, and
patient safety.
November 28, 2018
Guttman OT, Lazzara EH, Keebler JR, et al. Dissecting Communication Barriers in Healthcare: A Path to
Enhancing Communication Resiliency, Reliability, and Patient Safety…
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psnet.ahrq.gov/node/45098/psn-pdf
May 04, 2016 - Reducing Risk and Promoting Patient Safety for NIH
Intramural Clinical Research—Final Report.
May 4, 2016
The Clinical Center Working Group Report to the Advisory Committee to the Director, National Institutes of
Health. Bethesda, MD; National Institutes of Health; April 2016.
https://psnet.ahrq.gov/issue/reducing…
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psnet.ahrq.gov/node/866694/psn-pdf
September 11, 2024 - What's the harm? Results of an active surveillance
adverse event reporting system for chiropractors and
physiotherapists.
September 11, 2024
Pohlman KA, Funabashi M, O’Beirne M, et al. What’s the harm? Results of an active surveillance adverse
event reporting system for chiropractors and physiotherapists. PLoS ONE…
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psnet.ahrq.gov/node/47841/psn-pdf
April 24, 2019 - Criminalisation of unintentional error in healthcare in the
UK: a perspective from New Zealand.
April 24, 2019
Ameratunga R, Klonin H, Vaughan J, et al. Criminalisation of unintentional error in healthcare in the UK: a
perspective from New Zealand. BMJ. 2019;364:l706. doi:10.1136/bmj.l706.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/45791/psn-pdf
September 01, 2018 - Changes in physician practice patterns after
implementation of a communication-and-resolution
program.
September 1, 2018
Helmchen LA, Lambert BL, McDonald TB. Changes in Physician Practice Patterns after Implementation of
a Communication-and-Resolution Program. Health Serv Res. 2016;51(Suppl 3):2516-2536.
doi:10.…
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psnet.ahrq.gov/node/850173/psn-pdf
June 07, 2023 - A national safety board made transportation safer and
could do the same for health care, advocates say.
June 7, 2023
Jaklevic MC. CNN. May 30, 2023.
https://psnet.ahrq.gov/issue/national-safety-board-made-transportation-safer-and-could-do-same-health-
care-advocates-say
Patient safety has long drawn from aviation…
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psnet.ahrq.gov/node/42683/psn-pdf
December 02, 2014 - Approval and perceived impact of duty hour regulations:
survey of pediatric program directors.
December 2, 2014
Drolet BC, Whittle SB, Khokhar MT, et al. Approval and perceived impact of duty hour regulations: survey
of pediatric program directors. Pediatrics. 2013;132(5):819-24. doi:10.1542/peds.2013-1045.
https:…
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psnet.ahrq.gov/node/866408/psn-pdf
July 31, 2024 - Influences of leadership, organizational culture, and
hierarchy on raising concerns about patient deterioration:
a qualitative study.
July 31, 2024
Vehvilainen E, Charles A, Sainsbury J, et al. Influences of leadership, organizational culture, and hierarchy
on raising concerns about patient deterioration: a qualit…
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psnet.ahrq.gov/node/42252/psn-pdf
May 08, 2013 - Patient safety in orthopedic surgery: prioritizing key areas
of iatrogenic harm through an analysis of 48,095 incidents
reported to a national database of errors.
May 8, 2013
Panesar S, Carson-Stevens A, Salvilla SA, et al. Patient safety in orthopedic surgery: prioritizing key areas
of iatrogenic harm through an …
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psnet.ahrq.gov/node/846454/psn-pdf
March 22, 2023 - Society for Maternal-Fetal Medicine Special Statement:
curriculum outline on patient safety and quality for
maternal-fetal medicine fellows.
March 22, 2023
Society for Maternal-Fetal Medicine Special Statement: curriculum outline on patient safety and quality for
maternal-fetal medicine fellows. Am J Obstet Gyneco…
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psnet.ahrq.gov/node/73714/psn-pdf
September 15, 2021 - Evaluation of Quality, Safety, and Value in Veterans
Health Administration Facilities, FY 2020.
September 15, 2021
Washington, DC: Veterans Affairs Office of Inspector General; August 26, 2021. Report No. 21-01502-240.
https://psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-f…