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psnet.ahrq.gov/node/839829/psn-pdf
November 09, 2022 - Pulse oximeters and their inaccuracies will get FDA
scrutiny today. What took so long?
November 9, 2022
McFarling UL. STAT. November 1, 2022.
https://psnet.ahrq.gov/issue/pulse-oximeters-and-their-inaccuracies-will-get-fda-scrutiny-today-what-took-
so-long
Evidence is building to delineate the effect of systemic …
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psnet.ahrq.gov/node/42681/psn-pdf
December 13, 2013 - Medication reconciliation: reducing risk for medication
misadventure during transition from hospital to assisted
living.
December 13, 2013
Fitzgibbon M, Lorenz R, Lach H. Medication reconciliation: reducing risk for medication misadventure
during transition from hospital to assisted living. J Gerontol Nurs. 2013;3…
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psnet.ahrq.gov/node/47009/psn-pdf
December 21, 2018 - Perceptions of rounding checklists in the intensive care
unit: a qualitative study.
December 21, 2018
Hallam BD, Kuza CC, Rak K, et al. Perceptions of rounding checklists in the intensive care unit: a
qualitative study. BMJ Qual Saf. 2018;27(10):836-843. doi:10.1136/bmjqs-2017-007218.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/44802/psn-pdf
April 01, 2021 - Overall Hospital Quality Star Ratings.
April 1, 2021
Centers for Medicare & Medicaid Services.
https://psnet.ahrq.gov/issue/overall-hospital-quality-star-ratings-overview
Hospital rating programs have received significant public attention, but concerns have been raised
regarding their usefulness. This website prov…
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psnet.ahrq.gov/node/46392/psn-pdf
October 13, 2018 - The clinical and medicolegal implications of radiology
results communication.
October 13, 2018
Aryal B, Khorsand DA, Dubinsky TJ. The Clinical and Medicolegal Implications of Radiology Results
Communication. Curr Probl Diagn Radiol. 2018;47(5):287-289. doi:10.1067/j.cpradiol.2017.09.009.
https://psnet.ahrq.gov/iss…
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/ahcp-components.html
March 01, 2013 - Re-Engineered Discharge (RED) Toolkit
Tool 3 Continued
Previous Page Next Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Rate…
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psnet.ahrq.gov/node/851463/psn-pdf
July 19, 2023 - Adverse Events Toolkit: Clinical Guidance for Identifying
Harm
July 19, 2023
Maxwell A. Washington, DC: US Department of Health and Human Services, Office of the Inspector
General; July 2023. Report no. OEI-06-21-00031.
https://psnet.ahrq.gov/issue/adverse-events-toolkit-clinical-guidance-identifying-har…
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psnet.ahrq.gov/node/853233/psn-pdf
September 06, 2023 - Weight estimation for drug dose calculations in the
prehospital setting - a systematic review.
September 6, 2023
Wells M, Henry B, Goldstein L. Weight estimation for drug dose calculations in the prehospital setting - a
systematic review. Prehosp Disaster Med. 2023;38(4):471-484. doi:10.1017/s1049023x23006027.
htt…
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psnet.ahrq.gov/node/50782/psn-pdf
January 08, 2020 - What can patient safety teach us about clinician burnout?
January 8, 2020
Wu AW, Dzau VJ. What Can Patient Safety Teach Us About Clinician Burnout? Ann Intern Med.
2019;171(12):933-934. doi:10.7326/m19-2397.
https://psnet.ahrq.gov/issue/what-can-patient-safety-teach-us-about-clinician-burnout
This commentary discu…
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psnet.ahrq.gov/node/851194/psn-pdf
July 05, 2023 - The additional cost of perioperative medication errors
July 5, 2023
Langlieb ME, Sharma P, Hocevar M, et al. The additional cost of perioperative medication errors. J Patient
Saf. 2023;19(6):375-378. doi:10.1097/pts.0000000000001136.
https://psnet.ahrq.gov/issue/additional-cost-perioperative-medication-errors
Prev…
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psnet.ahrq.gov/node/43030/psn-pdf
March 26, 2014 - Recommendations for practitioners and manufacturers to
address system-based causes of vaccine errors.
March 26, 2014
ISMP Medication Safety Alert! Acute care edition. March 13, 2014;19:1-2,4-5.
https://psnet.ahrq.gov/issue/recommendations-practitioners-and-manufacturers-address-system-based-
causes-vaccine-…
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psnet.ahrq.gov/node/43119/psn-pdf
April 16, 2014 - Still outside the bull's eye: 2014–2015 Targeted
Medication Safety Best Practices.
April 16, 2014
ISMP Medication Safety Alert! Acute care edition. March 27, 2014;19:1-5.
https://psnet.ahrq.gov/issue/still-outside-bulls-eye-2014-2015-targeted-medication-safety-best-practices
This newsletter article reports results…
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psnet.ahrq.gov/node/849133/psn-pdf
May 17, 2023 - The association between patient safety culture and
adverse events - a scoping review.
May 17, 2023
Vikan M, Haugen AS, Bjørnnes AK, et al. The association between patient safety culture and adverse
events – a scoping review. BMC Health Serv Res. 2023;23(1):300. doi:10.1186/s12913-023-09332-8.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/72696/psn-pdf
February 03, 2021 - Exploring the association between organizational safety
climate, failure to rescue, and mortality in inpatient
surgical units.
February 3, 2021
Bacon CT, McCoy TP, Henshaw DS. Exploring the Association Between Organizational Safety Climate,
Failure to Rescue, and Mortality in Inpatient Surgical Units. J Nurs Adm. …
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psnet.ahrq.gov/node/37794/psn-pdf
February 15, 2011 - Using staff perceptions on patient safety as a tool for
improving safety culture in a pediatric hospital system.
February 15, 2011
Edwards PJ, Scott T, Richardson P, et al. Using Staff Perceptions on Patient Safety as a Tool for Improving
Safety Culture in a Pediatric Hospital System. J Patient Saf. 2009;4(2). doi:…
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psnet.ahrq.gov/node/38874/psn-pdf
April 30, 2014 - Use of simulation-based education to reduce catheter-
related bloodstream infections.
April 30, 2014
Barsuk JH, Cohen ER, Feinglass J, et al. Use of simulation-based education to reduce catheter-related
bloodstream infections. Arch Intern Med. 2009;169(15):1420-3. doi:10.1001/archinternmed.2009.215.
https://psnet.…
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psnet.ahrq.gov/node/45066/psn-pdf
February 18, 2017 - Improving feedback on junior doctors' prescribing errors:
mixed-methods evaluation of a quality improvement
project.
February 18, 2017
Reynolds M, Jheeta S, Benn J, et al. Improving feedback on junior doctors' prescribing errors: mixed-
methods evaluation of a quality improvement project. BMJ Qual Saf. 2017;26(3):…
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psnet.ahrq.gov/node/837040/psn-pdf
May 04, 2022 - Use duodenoscopes with innovative designs to enhance
safety: FDA Safety Communication.
May 4, 2022
Silver Spring, MD: US Food and Drug Administration; April 5, 2022.
https://psnet.ahrq.gov/issue/use-duodenoscopes-innovative-designs-enhance-safety-fda-safety-
communication
The challenge of medical device steriliza…
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psnet.ahrq.gov/node/37120/psn-pdf
March 24, 2011 - Patient safety culture in primary care: developing a
theoretical framework for practical use.
March 24, 2011
Kirk S, Parker D, Claridge T, et al. Patient safety culture in primary care: developing a theoretical
framework for practical use. Qual Saf Health Care. 2007;16(4):313-20.
https://psnet.ahrq.gov/issue/patie…
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psnet.ahrq.gov/node/40295/psn-pdf
March 16, 2011 - The relationship of the emotional climate of work and
threat to patient outcome in a high-volume thoracic
surgery operating room team.
March 16, 2011
Nurok M, Evans LA, Lipsitz S, et al. The relationship of the emotional climate of work and threat to patient
outcome in a high-volume thoracic surgery operating room…