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psnet.ahrq.gov/issue/creating-pediatric-joint-council-promote-patient-safety-and-quality-governance-and
January 29, 2015 - Commentary
Creating a Pediatric Joint Council to promote patient safety and quality, governance, and accountability across Johns Hopkins Medicine.
Citation Text:
Rosen MA, Mueller BU, Milstone AM, et al. Creating a Pediatric Joint Council to Promote Patient Safety and Quality, Governance…
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psnet.ahrq.gov/issue/computer-assisted-bar-coding-system-significantly-reduces-clinical-laboratory-specimen
July 29, 2020 - Study
Computer-assisted bar-coding system significantly reduces clinical laboratory specimen identification errors in a pediatric oncology hospital.
Citation Text:
Hayden RT, Patterson DJ, Jay DW, et al. Computer-assisted bar-coding system significantly reduces clinical laboratory spec…
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psnet.ahrq.gov/issue/tipping-point-relationship-between-volume-and-patient-harm
September 10, 2014 - Study
The tipping point: the relationship between volume and patient harm.
Citation Text:
Pedroja AT. The tipping point: the relationship between volume and patient harm. Am J Med Qual. 2008;23(5):336-41. doi:10.1177/1062860608320628.
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psnet.ahrq.gov/issue/inaccuracy-ecg-interpretations-reported-poison-center
January 20, 2021 - Study
Inaccuracy of ECG interpretations reported to the poison center.
Citation Text:
Prosser JM, Smith SW, Rhim ES, et al. Inaccuracy of ECG interpretations reported to the poison center. Ann Emerg Med. 2011;57(2):122-7. doi:10.1016/j.annemergmed.2010.09.019.
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www.ahrq.gov/es/programs/index.html?page=0
January 01, 2016 - Digital Healthcare Research Advancing healthcare quality, safety, and effectiveness through the evolving digital healthcare ecosystem. More
PSNet Discover the latest literature, news, and expert commentary on patient safety topics. More
CAHPS The CAHPS program aims to advance our scientific …
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psnet.ahrq.gov/issue/surgical-safety-checklist-compliance-job-done-poorly
April 25, 2016 - Study
Surgical safety checklist compliance: a job done poorly!
Citation Text:
Sparks EA, Wehbe-Janek H, Johnson RL, et al. Surgical Safety Checklist compliance: a job done poorly!. J Am Coll Surg. 2013;217(5):867-73.e1-3. doi:10.1016/j.jamcollsurg.2013.07.393.
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psnet.ahrq.gov/issue/correlation-between-hospital-rating-agencies-data-analysis-and-recommendation
April 05, 2023 - Study
Correlation between hospital rating agencies' data: an analysis and recommendation.
Citation Text:
Sondheim SE, Mattie A, Vigil J, et al. Correlation between hospital rating agencies’ data: An analysis and recommendation. J Healthc Risk Manag. 2020;40(3):18-24. doi:10.1002/jhrm.214…
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psnet.ahrq.gov/issue/reasons-not-reporting-patient-safety-incidents-general-practice-qualitative-study
February 24, 2010 - Study
Reasons for not reporting patient safety incidents in general practice: a qualitative study.
Citation Text:
Kousgaard MB, Joensen AS, Thorsen T. Reasons for not reporting patient safety incidents in general practice: a qualitative study. Scand J Prim Health Care. 2012;30(4):199-2…
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psnet.ahrq.gov/issue/exploring-and-evaluating-patient-safety-culture-community-based-primary-care-setting
March 19, 2018 - Study
Exploring and evaluating patient safety culture in a community-based primary care setting.
Citation Text:
Desmedt M, Bergs J, Willaert B, et al. Exploring and Evaluating Patient Safety Culture in a Community-Based Primary Care Setting. J Patient Saf. 2021;17(8):e1216-e1222. doi:10.…
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psnet.ahrq.gov/issue/medical-malpractice-claims-members-uniformed-services
November 14, 2011 - Regulation
Medical malpractice claims by members of the uniformed services.
Citation Text:
Medical malpractice claims by members of the uniformed services. Department of Defense Office of General Counsel. 32 CFR Part 45. Fed Register. 86(115); June 17, 2021:32194-32215.
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psnet.ahrq.gov/issue/reducing-iatrogenic-risks-icu-acquired-delirium-and-weakness-crossing-quality-chasm
November 30, 2022 - Study
Reducing iatrogenic risks: ICU–acquired delirium and weakness—crossing the quality chasm.
Citation Text:
Vasilevskis EE, Ely W, Speroff T, et al. Reducing iatrogenic risks: ICU-acquired delirium and weakness--crossing the quality chasm. Chest. 2010;138(5):1224-33. doi:10.1378/che…
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psnet.ahrq.gov/issue/silence-can-be-dangerous-vignette-study-assess-healthcare-professionals-likelihood-speaking
September 17, 2014 - Study
Silence that can be dangerous: a vignette study to assess healthcare professionals' likelihood of speaking up about safety concerns.
Citation Text:
Schwappach DLB, Gehring K. Silence that can be dangerous: a vignette study to assess healthcare professionals' likelihood of speaking …
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psnet.ahrq.gov/issue/implementation-rapid-response-team-decreases-cardiac-arrest-outside-intensive-care-unit
September 26, 2012 - Study
Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit.
Citation Text:
Offner PJ, Heit J, Roberts R. Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. J Trauma. 2007;62(5):1223-7; disc…
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psnet.ahrq.gov/issue/reducing-hospital-cardiac-arrests-and-hospital-mortality-introducing-medical-emergency-team
March 11, 2013 - Study
Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team.
Citation Text:
Konrad D, Jäderling G, Bell M, et al. Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. Intensive Care Med. 2010;…
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psnet.ahrq.gov/issue/leveraging-partnership-patients-initiative-improve-patient-safety-and-quality-within-military
September 23, 2020 - Commentary
Leveraging the Partnership for Patients' initiative to improve patient safety and quality within the Military Health System.
Citation Text:
King HB, Kesling K, Birk C, et al. Leveraging the Partnership for Patients' Initiative to Improve Patient Safety and Quality Within the M…
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psnet.ahrq.gov/issue/understanding-pharmacist-decision-making-adverse-drug-event-ade-detection
May 27, 2011 - Study
Understanding pharmacist decision making for adverse drug event (ADE) detection.
Citation Text:
Phansalkar S, Hoffman JM, Hurdle JF, et al. Understanding pharmacist decision making for adverse drug event (ADE) detection. J Eval Clin Pract. 2009;15(2):266-75. doi:10.1111/j.1365-27…
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psnet.ahrq.gov/issue/relating-faults-diagnostic-reasoning-diagnostic-errors-and-patient-harm
April 30, 2014 - Study
Relating faults in diagnostic reasoning with diagnostic errors and patient harm.
Citation Text:
Zwaan L, Thijs A, Wagner C, et al. Relating faults in diagnostic reasoning with diagnostic errors and patient harm. Acad Med. 2012;87(2):149-156. doi:10.1097/ACM.0b013e31823f71e6.
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psnet.ahrq.gov/issue/automated-detection-harm-healthcare-information-technology-systematic-review
April 11, 2011 - Review
Automated detection of harm in healthcare with information technology: a systematic review.
Citation Text:
Govindan M, Van Citters AD, Nelson EC, et al. Automated detection of harm in healthcare with information technology: a systematic review. Qual Saf Health Care. 2010;19(5):e…
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psnet.ahrq.gov/issue/impact-intensive-care-unit-discharge-time-patient-outcome
December 14, 2022 - Study
Impact of intensive care unit discharge time on patient outcome.
Citation Text:
Priestap FA, Martin CM. Impact of intensive care unit discharge time on patient outcome. Crit Care Med. 2006;34(12):2946-2951.
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psnet.ahrq.gov/issue/role-checklists-and-human-factors-improved-patient-safety-plastic-surgery
November 02, 2016 - Commentary
The role of checklists and human factors for improved patient safety in plastic surgery.
Citation Text:
Oppikofer C, Schwappach DLB. The Role of Checklists and Human Factors for Improved Patient Safety in Plastic Surgery. Plast Reconstr Surg. 2017;140(6):812e-817e. doi:10.1097…