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psnet.ahrq.gov/node/45334/psn-pdf
September 07, 2016 - Why 'Universal Precautions' are needed for medication
lists.
September 7, 2016
Shane R. Why 'Universal Precautions' are needed for medication lists. BMJ Qual Saf. 2016;25(9):731-2.
doi:10.1136/bmjqs-2015-005116.
https://psnet.ahrq.gov/issue/why-universal-precautions-are-needed-medication-lists
Despite the support…
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psnet.ahrq.gov/node/45551/psn-pdf
November 30, 2016 - Parents' perspectives on "keeping their children safe" in
the hospital.
November 30, 2016
Rosenberg RE, Rosenfeld P, Williams E, et al. Parents' Perspectives on "Keeping Their Children Safe" in
the Hospital. J Nurs Care Qual. 2016;31(4):318-326. doi:10.1097/NCQ.0000000000000193.
https://psnet.ahrq.gov/issue/parent…
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psnet.ahrq.gov/node/46726/psn-pdf
January 31, 2018 - Toolkit to Promote Safe Surgery.
January 31, 2018
Rockville, MD: Agency for Healthcare Research and Quality; November 2017.
https://psnet.ahrq.gov/issue/toolkit-promote-safe-surgery
Preventing surgical complications including surgical site infections are a worldwide target for improvement.
This toolkit builds on t…
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psnet.ahrq.gov/node/38417/psn-pdf
February 18, 2009 - Enhanced detection of blood bank sample collection
errors with a centralized patient database.
February 18, 2009
MacIvor D, Triulzi DJ, Yazer MH. Enhanced detection of blood bank sample collection errors with a
centralized patient database. Transfusion (Paris). 2009;49(1):40-3. doi:10.1111/j.1537-2995.2008.01923.x.…
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psnet.ahrq.gov/node/42985/psn-pdf
February 26, 2014 - Confusion—specimen mix-up in dermatopathology and
measures to prevent and detect it.
February 26, 2014
Weyers W. Confusion-specimen mix-up in dermatopathology and measures to prevent and detect it.
Dermatol Pract Concept. 2014;4(1):27-42. doi:10.5826/dpc.0401a04.
https://psnet.ahrq.gov/issue/confusion-specimen-mix…
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psnet.ahrq.gov/node/39695/psn-pdf
July 21, 2010 - The impact of the 80-hour work week on appropriate
resident case coverage.
July 21, 2010
Shin S, Britt R, Doviak M, et al. The Impact of the 80-Hour Work Week on Appropriate Resident Case
Coverage. Journal of Surgical Research. 2009;162(1). doi:10.1016/j.jss.2009.12.003.
https://psnet.ahrq.gov/issue/impact-80-hour…
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psnet.ahrq.gov/node/42844/psn-pdf
May 29, 2014 - Does the concept of safety culture help or hinder systems
thinking in safety?
May 29, 2014
Reiman T, Rollenhagen C. Does the concept of safety culture help or hinder systems thinking in safety?
Accid Anal Prev. 2014;68(July):5-15. doi:10.1016/j.aap.2013.10.033.
https://psnet.ahrq.gov/issue/does-concept-safety-cult…
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psnet.ahrq.gov/node/38312/psn-pdf
March 09, 2010 - Which aspects of safety culture predict incident reporting
behavior in neonatal intensive care units? A multilevel
analysis.
March 9, 2010
Snijders C, Kollen BJ, van Lingen RA, et al. Which aspects of safety culture predict incident reporting
behavior in neonatal intensive care units? A multilevel analysis. Crit C…
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psnet.ahrq.gov/node/45122/psn-pdf
October 08, 2016 - Transformational leadership in nursing and medication
safety education: a discussion paper.
October 8, 2016
Vaismoradi M, Griffiths P, Turunen H, et al. Transformational leadership in nursing and medication safety
education: a discussion paper. J Nurs Manag. 2016;24(7):970-980. doi:10.1111/jonm.12387.
https://psn…
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psnet.ahrq.gov/node/34715/psn-pdf
February 18, 2011 - Continuous improvement as an ideal in health care.
February 18, 2011
Berwick D. Continuous improvement as an ideal in health care. New Engl J Med. 1989;320(1):53-56.
https://psnet.ahrq.gov/issue/continuous-improvement-ideal-health-care
Two approaches to improving quality in health care are illustrated in this artic…
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psnet.ahrq.gov/node/43704/psn-pdf
November 26, 2014 - Magnet in Support of Patient Safety.
November 26, 2014
Lewis L, ed. J Nurs Adm. 2014;44(suppl 10):S1-S53.
https://psnet.ahrq.gov/issue/magnet-support-patient-safety
The Magnet Hospital Program recognizes hospitals with a track record of maintaining an excellent work
environment for nurses. Articles in this special…
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psnet.ahrq.gov/node/34723/psn-pdf
April 07, 2011 - Pushing the profession: how the news media turned
patient safety into a priority.
April 7, 2011
Millenson ML. Pushing the profession: how the news media turned patient safety into a priority. Qual Saf
Health Care. 2002;11(1):57-63.
https://psnet.ahrq.gov/issue/pushing-profession-how-news-media-turned-patient-safet…
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psnet.ahrq.gov/node/45264/psn-pdf
September 01, 2016 - Perceived factors associated with sustained improvement
following participation in a multicenter quality
improvement collaborative.
September 1, 2016
Stone S, Lee HC, Sharek PJ. Perceived Factors Associated with Sustained Improvement Following
Participation in a Multicenter Quality Improvement Collaborative. Jt Co…
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psnet.ahrq.gov/node/49416/psn-pdf
September 01, 2003 - conducted by NurseWeek/A-ONE (5) found that 65% of RNs felt the shortage impeded
their ability to maintain
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psnet.ahrq.gov/node/49412/psn-pdf
September 01, 2003 - The relatively infrequent occurrence of wrong-dose errors (3% of all doses) makes it difficult to maintain
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psnet.ahrq.gov/node/33780/psn-pdf
July 01, 2015 - deficiencies, and
teaching institutions will need to continue to implement interventions to develop and maintain
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psnet.ahrq.gov/node/49647/psn-pdf
February 01, 2012 - that could perform such complex
comparisons would require significant infrastructure to design and maintain
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psnet.ahrq.gov/node/34953/psn-pdf
February 03, 2011 - HIPAA and patient care: the role for professional
judgment.
February 3, 2011
Lo B, Dornbrand L, Dubler NN. HIPAA and patient care: the role for professional judgment. JAMA.
2005;293(14):1766-71.
https://psnet.ahrq.gov/issue/hipaa-and-patient-care-role-professional-judgment
This commentary discusses federal health…
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psnet.ahrq.gov/node/44582/psn-pdf
January 23, 2017 - Chemotherapy regimen checks performed by pharmacists
contribute to safe administration of chemotherapy.
January 23, 2017
Suzuki S, Chan A, Nomura H, et al. Chemotherapy regimen checks performed by pharmacists contribute to
safe administration of chemotherapy. J Oncol Pract. 2017;23(1):18-25. doi:10.1177/10781552156…
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psnet.ahrq.gov/node/38123/psn-pdf
June 10, 2010 - Patient safety incidents associated with equipment in
critical care: a review of reports to the UK National Patient
Safety Agency.
June 10, 2010
Thomas AN, Galvin I. Patient safety incidents associated with equipment in critical care: a review of reports
to the UK National Patient Safety Agency. Anaesthesia. 2008;…