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psnet.ahrq.gov/node/35729/psn-pdf
May 08, 2018 - Pump up the volume—tips for increasing error reporting.
May 8, 2018
ISMP Medication Safety Alert! Acute Care Edition. February 9, 2006;11:1-2,4.
https://psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting
This article presents best practices in six areas that can influence the success of incident repor…
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psnet.ahrq.gov/node/34006/psn-pdf
August 15, 2018 - PULSE Center for Patient Safety Education & Advocacy.
August 15, 2018
Wantagh, NY 11793-0353. 516-579-4711; Info@Pulsecpsea.org.
https://psnet.ahrq.gov/issue/pulse-center-patient-safety-education-advocacy
PULSE is a nonprofit grassroots organization and support group that works at the community level in
sever…
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psnet.ahrq.gov/issue/barriers-and-success-factors-implementation-multi-site-prospective-adverse-event-surveillance
November 15, 2017 - Study
Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system.
Citation Text:
Backman C, Forster AJ, Vanderloo S. Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. Int…
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psnet.ahrq.gov/node/36352/psn-pdf
April 14, 2011 - Patient expectations of fair complaint handling in
hospitals: empirical data.
April 14, 2011
Friele RD, Sluijs EM. Patient expectations of fair complaint handling in hospitals: empirical data. BMC
Health Serv Res. 2006;6:106.
https://psnet.ahrq.gov/issue/patient-expectations-fair-complaint-handling-hospitals-empir…
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psnet.ahrq.gov/node/36193/psn-pdf
September 30, 2010 - The Ethics of Using QI Methods to Improve Health Care
Quality and Safety.
September 30, 2010
Baily MA, Bottrell M, Lynn J, Jennings J. Hastings Center Report; 2006(July-August): S2-S40.
https://psnet.ahrq.gov/issue/ethics-using-qi-methods-improve-health-care-quality-and-safety
The participants in this AHRQ–funded …
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psnet.ahrq.gov/node/39737/psn-pdf
November 30, 2016 - Physician's Guide to Patient Safety Organizations.
November 30, 2016
Chicago, IL: American Medical Association; 2009.
https://psnet.ahrq.gov/issue/physicians-guide-patient-safety-organizations
This guide reviews the Patient Safety Quality and Improvement Act of 2005 and aims to further physician
knowledge of and p…
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psnet.ahrq.gov/node/41933/psn-pdf
February 19, 2013 - Overarching goals: a strategy for improving healthcare
quality and safety?
February 19, 2013
Nanji KC, Ferris T, Torchiana DF, et al. Overarching goals: a strategy for improving healthcare quality and
safety? BMJ Qual Saf. 2013;22(3):187-93. doi:10.1136/bmjqs-2012-001082.
https://psnet.ahrq.gov/issue/overarching-g…
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psnet.ahrq.gov/node/37128/psn-pdf
February 24, 2011 - Development and implementation of an oral sign-out
skills curriculum.
February 24, 2011
Horwitz LI, Moin T, Green M. Development and implementation of an oral sign-out skills curriculum. J Gen
Intern Med. 2007;22(10):1470-4.
https://psnet.ahrq.gov/issue/development-and-implementation-oral-sign-out-skills-curriculu…
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psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiveness-course
February 01, 2011 - The University of Texas System Clinical Safety and Effectiveness Course
Eric J. Thomas, MD, MPH; Jan Patterson, MD, MS; Sherry Martin, MEd; Doris Quinn, PhD; Gary Reed, MD; Ken Shine, MD | February 1, 2011
View more articles from the same authors.
Citation Text:
T…
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psnet.ahrq.gov/node/38439/psn-pdf
December 23, 2012 - Legality of technicians' involvement in medication
reconciliation not clear.
December 23, 2012
Thompson CA. Legality of technicians' involvement in medication reconciliation not clear. American journal
of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists.
2009;66…
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psnet.ahrq.gov/node/35020/psn-pdf
June 22, 2009 - Surgical skill is predicted by the ability to detect errors.
June 22, 2009
Bann S, Khan M, Datta V, et al. Surgical skill is predicted by the ability to detect errors. Am J Surg.
2005;189(4):412-5.
https://psnet.ahrq.gov/issue/surgical-skill-predicted-ability-detect-errors
The investigators observed surgeons parti…
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psnet.ahrq.gov/node/38537/psn-pdf
November 15, 2017 - Engaging as partners in patient safety: the experience of
librarians.
November 15, 2017
Zipperer L, Sykes J. Patient Saf Qual Healthc. March/April 2009;6:28-30,32-33.
https://psnet.ahrq.gov/issue/engaging-partners-patient-safety-experience-librarians
This survey explores the varied roles that medical librarians p…
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psnet.ahrq.gov/node/37428/psn-pdf
March 28, 2012 - A team training program using human factors to enhance
patient safety.
March 28, 2012
Marshall DA, Manus DA. A Team Training Program Using Human Factors to Enhance Patient Safety.
AORN J. 2007;86(6). doi:10.1016/j.aorn.2007.11.026.
https://psnet.ahrq.gov/issue/team-training-program-using-human-factors-enhance-pati…
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psnet.ahrq.gov/node/37951/psn-pdf
May 26, 2011 - The Leapfrog Group's CPOE standard and evaluation tool.
May 26, 2011
Metzger JB, Welebob E, Turisco F, et al. Patient Saf Qual Healthc. July/August
2008;5:22-25.
https://psnet.ahrq.gov/issue/leapfrog-groups-cpoe-standard-and-evaluation-tool
This article describes an evaluation tool designed for…
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psnet.ahrq.gov/node/47053/psn-pdf
May 23, 2018 - TeamSTEPPS Canada.
May 23, 2018
Canadian Patient Safety Institute.
https://psnet.ahrq.gov/issue/teamstepps-canada
The TeamSTEPPS program was developed to support effective communication and teamwork skills in
various health care settings. This site supports the Canadian TeamSTEPPS initiative. The program will
pre…
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psnet.ahrq.gov/node/40734/psn-pdf
October 31, 2011 - Accuracy of interpretation of preparticipation screening
electrocardiograms.
October 31, 2011
Hill AC, Miyake CY, Grady S, et al. Accuracy of interpretation of preparticipation screening
electrocardiograms. J Pediatr. 2011;159(5):783-8. doi:10.1016/j.jpeds.2011.05.014.
https://psnet.ahrq.gov/issue/accuracy-interpr…
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psnet.ahrq.gov/issue/increasing-rate-detection-wrong-patient-radiographs-use-photographs-obtained-time-radiography
June 13, 2015 - Study
Increasing rate of detection of wrong-patient radiographs: use of photographs obtained at time of radiography.
Citation Text:
Tridandapani S, Ramamurthy S, Galgano SJ, et al. Increasing Rate of Detection of Wrong-Patient Radiographs: Use of Photographs Obtained at Time of Radiograp…
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psnet.ahrq.gov/issue/chief-residents-quality-improvement-and-patient-safety-recipe-new-role-graduate-medical
August 13, 2014 - Commentary
Chief of Residents for Quality Improvement and Patient Safety: a recipe for a new role in graduate medical education.
Citation Text:
Ferraro K, Zernzach R, Maturo S, et al. Chief of Residents for Quality Improvement and Patient Safety: A Recipe for a New Role in Graduate Medic…
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psnet.ahrq.gov/issue/how-event-reporting-us-hospitals-has-changed-2005-2009
April 21, 2010 - Study
How event reporting by US hospitals has changed from 2005 to 2009.
Citation Text:
Farley DO, Haviland AM, Haas A, et al. How event reporting by US hospitals has changed from 2005 to 2009. BMJ Qual Saf. 2011;21(1). doi:10.1136/bmjqs-2011-000114.
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psnet.ahrq.gov/issue/vignette-study-examine-health-care-professionals-attitudes-towards-patient-involvement-error
March 11, 2013 - Study
A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention.
Citation Text:
Schwappach DLB, Frank O, Davis R. A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention. J…