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psnet.ahrq.gov/node/74074/psn-pdf
November 17, 2021 - How safe is prehospital care? A systematic review.
November 17, 2021
O’Connor P, O’malley R, Lambe KA, et al. How safe is prehospital care? A systematic review. Int J Qual
Health Care. 2021;33(4):mzab138. doi:10.1093/intqhc/mzab138.
https://psnet.ahrq.gov/issue/how-safe-prehospital-care-systematic-review
Patient s…
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psnet.ahrq.gov/node/50414/psn-pdf
September 04, 2019 - Rating the raters: an evaluation of publicly reported
hospital quality rating systems.
September 4, 2019
Bilimoria KY, Birkmeyer JD, Burstin H, et al. NEJM Catalyst. August 14, 2019.
https://psnet.ahrq.gov/issue/rating-raters-evaluation-publicly-reported-hospital-quality-rating-systems
Numerous publicly available …
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psnet.ahrq.gov/node/845072/psn-pdf
February 22, 2023 - A systems analysis of work-related violence in hospitals:
stakeholders, contributory factors, and leverage points.
February 22, 2023
Salmon PM, Coventon L, Read GJM. A systems analysis of work-related violence in hospitals:
stakeholders, contributory factors, and leverage points. Safety Sci. 2022;156:105899.
doi:1…
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psnet.ahrq.gov/node/46614/psn-pdf
November 29, 2017 - Interventions to improve hand hygiene compliance in the
ICU: a systematic review.
November 29, 2017
Lydon S, Power M, McSharry J, et al. Interventions to Improve Hand Hygiene Compliance in the ICU. Crit
Care Med. 2017;45(11). doi:10.1097/ccm.0000000000002691.
https://psnet.ahrq.gov/issue/interventions-improve-hand…
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psnet.ahrq.gov/node/34927/psn-pdf
June 23, 2009 - Health Care Quality and Disparities: Lessons from the
First National Reports.
June 23, 2009
Kelley E, Moy E, Dayton E, et al. Med Care. 2005:43(3):I1-I88.
https://psnet.ahrq.gov/issue/health-care-quality-and-disparities-lessons-first-national-reports
Highlights from AHRQ's two inaugural reports, the 2003 National …
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psnet.ahrq.gov/node/35619/psn-pdf
June 24, 2010 - Studying patient safety in health care organizations:
accentuate the qualitative.
June 24, 2010
Hoff TJ, Sutcliffe K. Studying patient safety in health care organizations: accentuate the qualitative. Jt
Comm J Qual Patient Saf. 2006;32(1):5-15.
https://psnet.ahrq.gov/issue/studying-patient-safety-health-care-organ…
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psnet.ahrq.gov/node/41390/psn-pdf
January 31, 2013 - A systematic review of patient tracking systems for use
in the pediatric emergency department.
January 31, 2013
Dobson I, Doan Q, Hung G. A systematic review of patient tracking systems for use in the pediatric
emergency department. J Emerg Med. 2013;44(1):242-8. doi:10.1016/j.jemermed.2012.02.017.
https://psnet.a…
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psnet.ahrq.gov/node/36335/psn-pdf
February 01, 2011 - Rapid response teams—walk, don't run.
February 1, 2011
Winters BD, Pham JC, Pronovost PJ. Rapid Response Teams—Walk, Don't Run. JAMA. 2006;296(13).
doi:10.1001/jama.296.13.1645.
https://psnet.ahrq.gov/issue/rapid-response-teams-walk-dont-run
Rapid response teams (RRTs) have been widely advocated as a means of aver…
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psnet.ahrq.gov/node/35006/psn-pdf
October 25, 2013 - HealthGrades Quality Study: Second Annual Patient
Safety in American Hospitals Study.
October 25, 2013
Health Grades, Inc; 2005.
https://psnet.ahrq.gov/issue/healthgrades-quality-study-second-annual-patient-safety-american-hospitals-
study
The first version of this now annual report on the safety of hospitalized …
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psnet.ahrq.gov/node/34990/psn-pdf
June 22, 2009 - Detecting adverse drug reactions on paediatric wards:
intensified surveillance versus computerised screening of
laboratory values.
June 22, 2009
Haffner S, von Laue N, Wirth S, et al. Detecting adverse drug reactions on paediatric wards: intensified
surveillance versus computerised screening of laboratory values. …
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psnet.ahrq.gov/node/40820/psn-pdf
October 05, 2011 - Influence of house-staff experience on teaching-hospital
mortality: the "July Phenomenon" revisited.
October 5, 2011
van Walraven C, Jennings A, Wong J, et al. Influence of house-staff experience on teaching-hospital
mortality: the "July phenomenon" revisited. J Hosp Med. 2011;6(7):389-94. doi:10.1002/jhm.917.
htt…
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psnet.ahrq.gov/node/42658/psn-pdf
March 17, 2014 - Systematic review of the application of the plan-do-study-
act method to improve quality in healthcare.
March 17, 2014
Taylor MJ, McNicholas C, Nicolay C, et al. Systematic review of the application of the plan-do-study-act
method to improve quality in healthcare. BMJ Qual Saf. 2014;23(4):290-8. doi:10.1136/bmjqs-2…
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psnet.ahrq.gov/node/37805/psn-pdf
February 15, 2011 - Designing and implementing a comprehensive quality and
patient safety management model: a paradigm for
perioperative improvement.
February 15, 2011
Herzer KR, Mark LJ, Michelson JD, et al. Designing and Implementing a Comprehensive Quality and
Patient Safety Management Model. J Patient Saf. 2008;4(2). doi:10.1097/…
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psnet.ahrq.gov/node/44674/psn-pdf
December 18, 2017 - Achieving Safe Health Care: Delivery of Safe Patient Care
at Baylor Scott & White Health.
December 18, 2017
Compton J. Boca Raton, FL: CRC Press; 2016. ISBN: 9781498732390.
https://psnet.ahrq.gov/issue/achieving-safe-health-care-delivery-safe-patient-care-baylor-scott-white-health
Since the publication of the Inst…
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psnet.ahrq.gov/node/45465/psn-pdf
September 07, 2016 - Improving patient safety culture in primary care: a
systematic review.
September 7, 2016
Verbakel NJ, Langelaan M, Verheij TJM, et al. Improving Patient Safety Culture in Primary Care: A
Systematic Review. J Patient Saf. 2016;12(3):152-8. doi:10.1097/PTS.0000000000000075.
https://psnet.ahrq.gov/issue/improving-pat…
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psnet.ahrq.gov/node/44624/psn-pdf
March 02, 2016 - What methods are used to apply positive deviance within
healthcare organisations? A systematic review.
March 2, 2016
Baxter R, Taylor N, Kellar I, et al. What methods are used to apply positive deviance within healthcare
organisations? A systematic review. BMJ Qual Saf. 2016;25(3):190-201. doi:10.1136/bmjqs-2015-00…
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psnet.ahrq.gov/node/46487/psn-pdf
May 16, 2018 - High Reliability for a Highly Unreliable World: Preparing
for Code Blue Through Daily Operations in Healthcare.
May 16, 2018
van Stralen D, Byrum SL, Inozu B. North Charleston, SC: CreateSpace Publishing; 2018. ISBN:
1974506371.
https://psnet.ahrq.gov/issue/high-reliability-highly-unreliable-world-preparing-code-b…
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psnet.ahrq.gov/node/37770/psn-pdf
March 10, 2011 - Identifying and quantifying medication errors: evaluation
of rapidly discontinued medication orders submitted to a
computerized physician order entry system.
March 10, 2011
Koppel R, Leonard CE, Localio R, et al. Identifying and quantifying medication errors: evaluation of rapidly
discontinued medication orders su…
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psnet.ahrq.gov/node/46825/psn-pdf
June 19, 2018 - Diagnostic performance dashboards: tracking diagnostic
errors using big data.
June 19, 2018
Mane KK, Rubenstein KB, Nassery N, et al. Diagnostic performance dashboards: tracking diagnostic errors
using big data. BMJ Qual Saf. 2018;27(7):567-570. doi:10.1136/bmjqs-2018-007945.
https://psnet.ahrq.gov/issue/diagnosti…
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psnet.ahrq.gov/node/43377/psn-pdf
April 25, 2016 - Using Lean "automation with a human touch" to improve
medication safety: a step closer to the "perfect dose."
April 25, 2016
Ching JM, Williams BL, Idemoto LM, et al. Using lean "automation with a human touch" to improve
medication safety: a step closer to the "perfect dose". Jt Comm J Qual Patient Saf. 2014;40(8):…