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psnet.ahrq.gov/node/34591/psn-pdf
January 04, 2017 - John M. Eisenberg Patient Safety Awards. Safety,
effectiveness, and efficiency: a Web-based virtual
anticoagulation clinic.
January 4, 2017
Kelly JJ, Sweigard KW, Shields K, et al. John M. Eisenberg Patient Safety Awards. Safety, effectiveness,
and efficiency: a Web-based virtual anticoagulation clinic. Jt Comm J …
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March 28, 2012 - Right medication, right dose, right patient, right time, and
right route: how do we select the right patient-controlled
analgesia (PCA) device?
March 28, 2012
Ladak SSJ, Chan VWS, Easty T, et al. Right medication, right dose, right patient, right time, and right route:
how do we select the right patient-controlled…
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February 03, 2021 - RISE: exploring volunteer retention and sustainability of a
second victim support program.
February 3, 2021
Connors C, Dukhanin V, Norvell M, et al. RISE: Exploring Volunteer Retention and Sustainability of a
Second Victim Support Program. J Healthc Manag. 2021;66(1):19-32. doi:10.1097/jhm-d-19-00264.
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January 04, 2017 - John M. Eisenberg Patient Safety Awards. Individual
lifetime achievement: Jeffrey B. Cooper, Ph.D.,
Massachusetts General Hospital.
January 4, 2017
Cooper JB. John M. Eisenberg Patient Safety Awards. Individual lifetime achievement: Jeffrey B. Cooper,
Ph.D., Massachusetts General Hospital. Interview by Steven Berm…
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June 03, 2015 - Transforming communication and safety culture in
intrapartum care: a multi-organization blueprint.
June 3, 2015
Lyndon A, Johnson C, Bingham D, et al. Transforming communication and safety culture in intrapartum
care: a multi-organization blueprint. Obstet Gynecol. 2015;125(5):1049-55.
doi:10.1097/AOG.000000000000…
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February 03, 2016 - Aviation and healthcare: a comparative review with
implications for patient safety.
February 3, 2016
Kapur N, Parand A, Soukup T, et al. Aviation and healthcare: a comparative review with implications for
patient safety. JRSM Open. 2016;7(1):2054270415616548. doi:10.1177/2054270415616548.
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January 01, 2016 - Reducing Avoidable Readmissions Effectively campaign:
a statewide collaborative.
February 5, 2014
McCoy KA, Bear-Pfaffendorf K, Foreman JK, et al. Reducing Avoidable Hospital Readmissions Effectively:
A Statewide Campaign. Joint Comm J Qual Patient Saf. 2016;40(5):198-204, AP2. doi:10.1016/s1553-
7250(14)40026-6.
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November 06, 2024 - The medication kit conundrum: considerations to
enhance safety and efficiency.
November 6, 2024
Arthur KJ, Fuller J, Dossett HA, et al. The medication kit conundrum: considerations to enhance safety and
efficiency. Am J Health Syst Pharm. 2024;Epub Sep 4. doi:10.1093/ajhp/zxae233.
https://psnet.ahrq.gov/issue/medi…
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November 21, 2018 - Creating a culture of accountability promotes safe
medical care.
November 21, 2018
Canadian Medical Protective Association; CMPA.
https://psnet.ahrq.gov/issue/creating-culture-accountability-promotes-safe-medical-care
Frontline leadership should model just culture behaviors to encourage reporting and discussion of…
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psnet.ahrq.gov/node/50423/psn-pdf
September 04, 2019 - When a vital sign leads a country astray—the opioid
epidemic.
September 4, 2019
Chidgey BA, McGinigle KL, McNaull PP. When a Vital Sign Leads a Country Astray—The Opioid Epidemic.
JAMA Surg. 2019;154(11):987-988. doi:10.1001/jamasurg.2019.2104.
https://psnet.ahrq.gov/issue/when-vital-sign-leads-country-astray-opio…
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January 21, 2017 - Implementing delivery room checklists and
communication standards in a multi-neonatal ICU quality
improvement collaborative.
January 21, 2017
Bennett SC, Finer N, Halamek LP, et al. Implementing Delivery Room Checklists and Communication
Standards in a Multi-Neonatal ICU Quality Improvement Collaborative. Jt Comm …
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May 17, 2023 - The time is now: addressing implicit bias in obstetrics
and gynecology education.
May 17, 2023
Royce CS, Morgan HK, Baecher-Lind L, et al. The time is now: addressing implicit bias in obstetrics and
gynecology education. Am J Obstet Gynecol. 2023;228(4):369-381. doi:10.1016/j.ajog.2022.12.016.
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June 05, 2024 - Improving communication of diagnostic uncertainty to
families of hospitalized children.
June 5, 2024
Young EE, Kane J, Timmons K, et al. Improving communication of diagnostic uncertainty to families of
hospitalized children. Diagnosis (Berl). 2024;11(2):186-191. doi:10.1515/dx-2023-0088.
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September 19, 2018 - Avoidable sepsis infections send thousands of seniors to
gruesome deaths.
September 19, 2018
Schulte F, Lucas E, Mahr J. Kaiser Health News and Chicago Tribune. September 5, 2018.
https://psnet.ahrq.gov/issue/avoidable-sepsis-infections-send-thousands-seniors-gruesome-deaths
Sepsis is a serious condition that can …
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psnet.ahrq.gov/node/855431/psn-pdf
January 01, 2024 - The benefits and opportunities: engaging patients in
identifying and reporting patient safety incidents.
November 15, 2023
Pozzobon LD, Rotter T, Sears K. The benefits and opportunities: engaging patients in identifying and
reporting patient safety incidents. Healthc Manage Forum. 2024;37(4):196-201.
doi:10.1177/0…
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March 05, 2014 - Speaking up for patient safety by hospital-based health
care professionals: a literature review.
March 5, 2014
Okuyama A, Wagner C, Bijnen B. Speaking up for patient safety by hospital-based health care
professionals: a literature review. BMC Health Serv Res. 2014;14:61. doi:10.1186/1472-6963-14-61.
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November 15, 2023 - A study of error reporting by nurses: the significant
impact of nursing team dynamics.
November 15, 2023
Munn LT, Lynn MR, Knafl GJ, et al. A study of error reporting by nurses: the significant impact of nursing
team dynamics. J Res Nurs. 2023;28(5):354-364. doi:10.1177/17449871231194180.
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January 11, 2023 - Unsafe by design: infusion task reallocation and safety
perceptions in U.S. hospitals.
January 11, 2023
Pratt BR, Dunford BB, Vogus TJ, et al. Unsafe by design: infusion task reallocation and safety perceptions
in U.S. hospitals. Health Care Manage Rev. 2022;48(1):14-22. doi:10.1097/hmr.0000000000000351.
https://p…
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June 15, 2011 - Building a Better Delivery System: A New
Engineering/Health Care Partnership.
June 15, 2011
Reid PP, Compton WD, Grossman JH, Fanjiang G, eds. Institute of Medicine, National Academy of
Engineering, Committee on Engineering and the Health Care System. Washington, DC: National
Academies Press; 2005. ISBN-10: 030909…
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January 01, 2022 - Hospital cultural competency and attributes of patient
safety culture: a study of U.S. hospitals.
November 17, 2021
Upadhyay S, Stephenson AL, Weech-Maldonado R, et al. Hospital cultural competency and attributes of
patient safety culture: a study of U.S. hospitals. J Patient Saf. 2022;18(3):e680-e686.
doi:10.1097…