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psnet.ahrq.gov/issue/infants-risk-when-nurse-fatigue-jeopardizes-quality-care
September 13, 2006 - October 23, 2013
An objective methodology for task analysis and workload assessment in
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psnet.ahrq.gov/issue/frequency-and-type-errors-and-near-errors-reported-critical-care-nurses
June 21, 2006 - June 10, 2015
An objective methodology for task analysis and workload assessment in anesthesia
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psnet.ahrq.gov/issue/pharmacy-student-knowledge-and-communication-medication-errors
June 24, 2009 - May 3, 2023
A team disclosure of error educational activity: objective outcomes.
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psnet.ahrq.gov/issue/safe-medication-management-ambulatory-surgery-centers
December 14, 2016 - 2019
High-alert medication stratification tool-revised: an exploratory study of an objective
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psnet.ahrq.gov/issue/teaching-and-medical-errors-primary-care-preceptors-views
August 05, 2009 - June 11, 2010
A patient safety objective structured clinical examination.
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psnet.ahrq.gov/issue/factors-influencing-preceptors-responses-medical-errors-factorial-survey
September 10, 2009 - June 11, 2010
A patient safety objective structured clinical examination.
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psnet.ahrq.gov/issue/medication-kit-conundrum-considerations-enhance-safety-and-efficiency
June 07, 2017 - 2018
High-alert medication stratification tool-revised: an exploratory study of an objective
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psnet.ahrq.gov/issue/surgical-simulation-systematic-review
June 15, 2011 - March 28, 2011
Minimizing surgical error by incorporating objective assessment into surgical
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psnet.ahrq.gov/issue/human-factors-engineering-patient-safety
September 13, 2017 - September 13, 2017
An objective methodology for task analysis and workload assessment
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psnet.ahrq.gov/issue/integrating-simulation-surgery-teaching-tool-and-credentialing-standard
July 02, 2008 - September 18, 2009
Minimizing surgical error by incorporating objective assessment into
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psnet.ahrq.gov/node/47565/psn-pdf
April 27, 2019 - Unintentionally retained foreign objects: a descriptive
study of 308 sentinel events and contributing factors.
April 27, 2019
Steelman VM, Shaw C, Shine L, et al. Unintentionally Retained Foreign Objects: A Descriptive Study of
308 Sentinel Events and Contributing Factors. Jt Comm J Qual Patient Saf. 2019;45(4):249…
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digital.ahrq.gov/sites/default/files/docs/library/d06750.pdf
August 30, 2006 - -06-750
Contents
Letter 1
Results in Brief 1
Background 2
Objective … The objective of our review was to determine whether CMS has
implemented information security controls … Objective, Scope, and
Methodology
To evaluate the effectiveness of the security controls over the … A basic management objective for any organization is to protect the
resources that support its critical … Organizations accomplish this objective by designing and implementing
electronic controls that are intended
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psnet.ahrq.gov/node/841761/psn-pdf
December 21, 2022 - Are the World Health Organization's patient safety
learning objectives still up-to-date: a group concept
mapping study.
December 21, 2022
Vogt L, Stoyanov S, Bergs J, et al. Are the World Health Organization's patient safety learning objectives
still up-to-date: a group concept mapping study. J Patient Saf. 2022;1…
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psnet.ahrq.gov/node/859343/psn-pdf
December 20, 2023 - Reducing retained foreign objects in the operating room:
a quality improvement initiative.
December 20, 2023
Keane OA, Chambers C, Brady CM, et al. Reducing retained foreign objects in the operating room: a
quality improvement initiative. J Am Coll Surg. 2023;237(6):864-872. doi:10.1097/xcs.0000000000000847.
https…
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psnet.ahrq.gov/node/851457/psn-pdf
July 19, 2023 - Root causes and preventability of unintentionally retained
foreign objects after surgery: a national expert survey
from Switzerland.
July 19, 2023
Schwappach DLB, Pfeiffer Y. Root causes and preventability of unintentionally retained foreign objects
after surgery: a national expert survey from Switzerland. Patient…
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psnet.ahrq.gov/node/46849/psn-pdf
May 23, 2018 - 1,300 days and counting: a risk model approach to
preventing retained foreign objects (RFOs).
May 23, 2018
Duggan EG, Fernandez J, Saulan MM, et al. 1,300 Days and Counting: A Risk Model Approach to
Preventing Retained Foreign Objects (RFOs). Jt Comm J Qual Patient Saf. 2018;44(5):260-269.
doi:10.1016/j.jcjq.2017.…
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cds.ahrq.gov/sites/default/files/cds/artifact/106/HWI_2017.pptx
January 01, 2017 - Objective
Evaluate the impact of multiple interventions on appropriate obesity documentation and on adherence
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psnet.ahrq.gov/node/42693/psn-pdf
December 23, 2016 - Preventing unintended retained foreign objects.
December 23, 2016
Preventing unintended retained foreign objects. Sentinel event alert. 2013;(51):1-5.
https://psnet.ahrq.gov/issue/preventing-unintended-retained-foreign-objects
Sentinel event alerts are issued periodically by The Joint Commission to identify common …
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effectivehealthcare.ahrq.gov/sites/default/files/ch_1-user-guide-to-ocer_130129.pdf
August 13, 2012 - Ideally, stakeholders
also should express commitment to using objective
scientific evidence to inform … Specifying Magnitude of Effect
In order for decisions to be objective, it is
important for there to
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psnet.ahrq.gov/node/38775/psn-pdf
April 16, 2018 - Beyond the count: preventing the retention of foreign
objects.
April 16, 2018
PA-PSRS Patient Saf Advis. June 2009;6:39-45.
https://psnet.ahrq.gov/issue/beyond-count-preventing-retention-foreign-objects
This piece identifies risk factors associated with retention of foreign objects and suggests several tactics to
…