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psnet.ahrq.gov/node/33931/psn-pdf
June 23, 2015 - An analysis of major errors and equipment failures in
anesthesia management: considerations for prevention
and detection.
June 23, 2015
Cooper JB, Newbower RS, Kitz RJ. An analysis of major errors and equipment failures in anesthesia
management: considerations for prevention and detection. Anesthesiology. 1984;60(…
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psnet.ahrq.gov/node/43336/psn-pdf
July 09, 2014 - Pharmacists in pharmacovigilance: can increased
diagnostic opportunity in community settings translate to
better vigilance?
July 9, 2014
Rutter P, Brown D, Howard J, et al. Pharmacists in pharmacovigilance: can increased diagnostic
opportunity in community settings translate to better vigilance? Drug Saf. 2014;37(…
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psnet.ahrq.gov/node/72600/psn-pdf
December 23, 2020 - Improving hospital safety culture for falls prevention
through interdisciplinary health education.
December 23, 2020
Lopez-Jeng C, Eberth SD. Improving hospital safety culture for falls prevention through interdisciplinary
health education. Health Promot Pract. 2020;21(6):918-925. doi:10.1177/1524839919840337.
htt…
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psnet.ahrq.gov/node/60676/psn-pdf
July 15, 2020 - Northeastern University Hospital Surge Capacity Planning
Model: Bed, Ventilator, and PPE 1-30 Day Demand.
July 15, 2020
Rockville, MD; Agency for Healthcare Research and Quality: 2020.
https://psnet.ahrq.gov/issue/northeastern-university-hospital-surge-capacity-planning-model-bed-ventilator-
and-ppe-1-30
The COVI…
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psnet.ahrq.gov/node/849136/psn-pdf
May 17, 2023 - Using morbidity and mortality conferences to drive
quality improvement and reduce errors.
May 17, 2023
Lai B, Horn J, Wilkinson J, et al. Fam Pract Manag. 2023;30(2):13-17.
https://psnet.ahrq.gov/issue/using-morbidity-and-mortality-conferences-drive-quality-improvement-and-
reduce-errors
Morbidity and mortality (…
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psnet.ahrq.gov/node/73250/psn-pdf
May 12, 2021 - Adverse events associated with home blood transfusion:
a retrospective cohort study.
May 12, 2021
Sharp R, Turner L, Altschwager J, et al. Adverse events associated with home blood transfusion: a
retrospective cohort study. J Clin Nurs. 2021;30(11-12):1751-1759. doi:10.1111/jocn.15734.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/846151/psn-pdf
March 15, 2023 - Managing safety in perioperative settings: strategies of
meso-level nurse leaders.
March 15, 2023
Brooks JV, Nelson-Brantley H. Managing safety in perioperative settings: strategies of meso-level nurse
leaders. Health Care Manage Rev. 2023;48(2):175-184. doi:10.1097/hmr.0000000000000364.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/38988/psn-pdf
October 07, 2009 - Resident duty-hour reform associated with increased
morbidity following hip fracture.
October 7, 2009
Browne JA, Cook C, Olson SA, et al. Resident duty-hour reform associated with increased morbidity
following hip fracture. J Bone Joint Surg Am. 2009;91(9):2079-85. doi:10.2106/JBJS.H.01240.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/60060/psn-pdf
March 18, 2020 - The benefits and burdens of working with patient safety
organizations under the Patient Safety and Quality
Improvement Act of 2005.
March 18, 2020
Dwyer PE, Watts CD. The benefits and burdens of working with patient safety organizations under the
Patient Safety and Quality Improvement Act of 2005. J Health Life Sc…
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psnet.ahrq.gov/node/73919/psn-pdf
October 06, 2021 - Evaluation of an interprofessional team training program
to improve the use of patient safety strategies among
healthcare professions students.
October 6, 2021
King AE, Gerolamo AM, Hass RW, et al. J Allied Health. 2021;50(3):175-181.
https://psnet.ahrq.gov/issue/evaluation-interprofessional-team-training-program-…
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psnet.ahrq.gov/node/35418/psn-pdf
June 14, 2011 - Anatomic pathology databases and patient safety.
June 14, 2011
Raab SS, Grzybicki DM, Zarbo RJ, et al. Anatomic pathology databases and patient safety. Arch Pathol
Lab Med. 2005;129(10):1246-1251.
https://psnet.ahrq.gov/issue/anatomic-pathology-databases-and-patient-safety
This AHRQ-funded project describes the de…
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psnet.ahrq.gov/node/47975/psn-pdf
May 29, 2019 - Surgical Innovation, New Techniques and Technologies:
A Guide to Good Practice.
May 29, 2019
London, UK: Royal College of Surgeons of England; 2019.
https://psnet.ahrq.gov/issue/surgical-innovation-new-techniques-and-technologies-guide-good-practice
Introducing innovations in practice involves taking calculated ri…
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psnet.ahrq.gov/node/45449/psn-pdf
October 29, 2017 - Situational awareness—what it means for clinicians, its
recognition and importance in patient safety.
October 29, 2017
Green B, Parry D, Oeppen RS, et al. Situational awareness - what it means for clinicians, its recognition
and importance in patient safety. Oral Dis. 2017;23(6):721-725. doi:10.1111/odi.12547.
htt…
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psnet.ahrq.gov/node/45024/psn-pdf
December 19, 2017 - Leveraging a redesigned morbidity and mortality
conference that incorporates the clinical and educational
missions of improving quality and patient safety.
December 19, 2017
Tad-Y DB, Pierce RG, Pell JM, et al. Leveraging a Redesigned Morbidity and Mortality Conference That
Incorporates the Clinical and Educationa…
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psnet.ahrq.gov/node/41515/psn-pdf
July 02, 2014 - Anticipated consequences of the 2011 duty hours
standards: views of internal medicine and surgery
program directors.
July 2, 2014
Shea JA, Willett LL, Borman KR, et al. Anticipated consequences of the 2011 duty hours standards: views
of internal medicine and surgery program directors. Acad Med. 2012;87(7):895-903.…
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psnet.ahrq.gov/node/38330/psn-pdf
September 24, 2010 - Medication safety teams' guided implementation of
electronic medication administration records in five
nursing homes.
September 24, 2010
Scott-Cawiezell J, Madsen RW, Pepper GA, et al. Medication safety teams' guided implementation of
electronic medication administration records in five nursing homes. Jt Comm J Qu…
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psnet.ahrq.gov/node/60845/psn-pdf
August 26, 2020 - Bridging the gap between culture and safety in a critical
care context: the role of work debate spaces.
August 26, 2020
Leuridan G. Bridging the gap between culture and safety in a critical care context: the role of work debate
spaces. Safety Sci. 2020;129:104839. doi:10.1016/j.ssci.2020.104839.
https://psnet.ahrq…
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psnet.ahrq.gov/node/853235/psn-pdf
September 06, 2023 - When the lights go down in the delivery room: lessons
from a ransomware attack.
September 6, 2023
Gabbay?Benziv R, Ben?Natan M, Roguin A, et al. When the lights go down in the delivery room: lessons
from a ransomware attack. Int J Gynaecol Obstet. 2023;162(2):562-568. doi:10.1002/ijgo.14687.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/50385/psn-pdf
January 01, 2020 - How hospitals select their patient safety priorities: an
exploratory study of four Veterans Health Administration
hospitals.
September 25, 2019
George J, Parker VA, Sullivan JL, et al. How hospitals select their patient safety priorities. Health Care
Manag Rev. 2020;45(4):E56-E67. doi:10.1097/hmr.0000000000000260.…
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psnet.ahrq.gov/node/46376/psn-pdf
December 07, 2017 - User-centered collaborative design and development of
an inpatient safety dashboard.
December 7, 2017
Mlaver E, Schnipper JL, Boxer RB, et al. User-Centered Collaborative Design and Development of an
Inpatient Safety Dashboard. Jt Comm J Qual Patient Saf. 2017;43(12):676-685.
doi:10.1016/j.jcjq.2017.05.010.
https…