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psnet.ahrq.gov/node/36384/psn-pdf
January 05, 2017 - Forum: The 100,000 Lives Campaign: a scientific and
policy review [with IHI response].
January 5, 2017
Wachter R, Pronovost P. The 100,000 Lives Campaign: A scientific and policy review. Jt Comm J Qual
Patient Saf. 2006;32(11):621-7.
https://psnet.ahrq.gov/issue/forum-100000-lives-campaign-scientific-and-policy-re…
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psnet.ahrq.gov/issue/standardization-and-visualization-surgical-time-out
November 06, 2024 - Study
Standardization and visualization of the surgical time-out.
Citation Text:
Levy BE, Wilt WS, Lantz S, et al. Standardization and visualization of the surgical time-out. J Patient Saf. 2023;19(7):453-459. doi:10.1097/pts.0000000000001156.
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DOI Goog…
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psnet.ahrq.gov/node/41702/psn-pdf
November 07, 2018 - AHRQ patient safety project reduces bloodstream
infections by 40 percent.
November 7, 2018
Schmidt B. Patient Saf Qual Hcare. September 12, 2012.
https://psnet.ahrq.gov/issue/ahrq-patient-safety-project-reduces-bloodstream-infections-40-percent
The near elimination of central line–associated bloodstream infections…
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psnet.ahrq.gov/node/37392/psn-pdf
February 15, 2011 - Health care consumers' inclination to engage in selected
patient safety practices: a survey of adults in
Pennsylvania.
February 15, 2011
Marella WM, Finley E, Thomas AD, et al. Health Care Consumers' Inclination to Engage in Selected Patient
Safety Practices. J Patient Saf. 2008;3(4). doi:10.1097/pts.0b013e31815a6…
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psnet.ahrq.gov/node/35494/psn-pdf
May 27, 2011 - Hospital implementation of computerized provider order
entry systems: results from the 2003 Leapfrog Group
quality and safety survey.
May 27, 2011
Hillman JM, Given RS. Hospital implementation of computerized provider order entry systems: results from
the 2003 leapfrog group quality and safety survey. J Healthc In…
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psnet.ahrq.gov/node/45839/psn-pdf
February 07, 2018 - Mortality trends after a voluntary checklist-based surgical
safety collaborative.
February 7, 2018
Haynes AB, Edmondson L, Lipsitz S, et al. Mortality Trends After a Voluntary Checklist-based Surgical
Safety Collaborative. Ann Surg. 2017;266(6):923-929. doi:10.1097/SLA.0000000000002249.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/37771/psn-pdf
June 29, 2011 - Effect of crew resource management training in a
multidisciplinary obstetrical setting.
June 29, 2011
Haller G, Garnerin P, Morales M-A, et al. Effect of crew resource management training in a multidisciplinary
obstetrical setting. Int J Qual Health Care. 2008;20(4):254-63. doi:10.1093/intqhc/mzn018.
https://psnet…
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psnet.ahrq.gov/node/36184/psn-pdf
June 13, 2011 - Developing and implementing new safe practices:
voluntary adoption through statewide collaboratives.
June 13, 2011
Leape L, Rogers G, Hanna D, et al. Developing and implementing new safe practices: voluntary adoption
through statewide collaboratives. Qual Saf Health Care. 2006;15(4):289-95.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/46135/psn-pdf
July 11, 2017 - Two-state collaborative study of a multifaceted
intervention to decrease ventilator-associated events.
July 11, 2017
Rawat N, Yang T, Ali KJ, et al. Two-State Collaborative Study of a Multifaceted Intervention to Decrease
Ventilator-Associated Events. Crit Care Med. 2017;45(7):1208-1215.
doi:10.1097/CCM.0000000000…
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psnet.ahrq.gov/node/40619/psn-pdf
October 06, 2016 - Sustaining and spreading the reduction of adverse drug
events in a multicenter collaborative.
October 6, 2016
Tham E, Calmes HM, Poppy A, et al. Sustaining and spreading the reduction of adverse drug events in a
multicenter collaborative. Pediatrics. 2011;128(2):e438-45. doi:10.1542/peds.2010-3772.
https://psnet.a…
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psnet.ahrq.gov/issue/views-practicing-physicians-and-public-medical-errors
August 03, 2009 - Study
Classic
Views of practicing physicians and the public on medical errors.
Citation Text:
Blendon RJ, DesRoches CM, Brodie M, et al. Views of practicing physicians and the public on medical errors. N Engl J Med. 2002;347(24):1933-40.
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Fo…
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psnet.ahrq.gov/issue/evaluation-effectiveness-surgical-checklist-medicare-patients
January 13, 2016 - Study
Evaluation of the effectiveness of a surgical checklist in Medicare patients.
Citation Text:
Reames BN, Scally CP, Thumma JR, et al. Evaluation of the Effectiveness of a Surgical Checklist in Medicare Patients. Med Care. 2015;53(1):87-94. doi:10.1097/MLR.0000000000000277.
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psnet.ahrq.gov/issue/intervention-decrease-narcotic-related-adverse-drug-events-childrens-hospitals
April 11, 2011 - Study
An intervention to decrease narcotic-related adverse drug events in children's hospitals.
Citation Text:
Sharek PJ, McClead RE, Taketomo C, et al. An intervention to decrease narcotic-related adverse drug events in children's hospitals. Pediatrics. 2008;122(4):e861-e866. doi:10.1…
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psnet.ahrq.gov/node/45302/psn-pdf
November 28, 2016 - Patients and families as teachers: a mixed methods
assessment of a collaborative learning model for medical
error disclosure and prevention.
November 28, 2016
Langer T, Martinez W, Browning DM, et al. Patients and families as teachers: a mixed methods
assessment of a collaborative learning model for medical error …
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psnet.ahrq.gov/node/44958/psn-pdf
March 09, 2016 - The Sepsis Early Recognition and Response Initiative
(SERRI).
March 9, 2016
Jones SL, Ashton CM, Kiehne L, et al. The Sepsis Early Recognition and Response Initiative (SERRI). Jt
Comm J Qual Patient Saf. 2016;42(3):122-138.
https://psnet.ahrq.gov/issue/sepsis-early-recognition-and-response-initiative-serri
Early …
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psnet.ahrq.gov/issue/speak-video-series
November 27, 2018 - Audiovisual
Speak Up Video Series.
Citation Text:
Speak Up Video Series. Oakbrook Terrace, IL: Joint Commission.
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psnet.ahrq.gov/node/33745/psn-pdf
February 01, 2013 - Patient Engagement and Patient Safety
February 1, 2013
Weingart SN. Patient Engagement and Patient Safety. PSNet [internet]. 2013.
https://psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
Perspective
Patient engagement has arrived at the station. A Google search of this phrase identified 335,000 hi…
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psnet.ahrq.gov/node/44268/psn-pdf
November 23, 2016 - A patient-initiated voluntary online survey of adverse
medical events: the perspective of 696 injured patients
and families.
November 23, 2016
Southwick FS, Cranley NM, Hallisy JA. A patient-initiated voluntary online survey of adverse medical
events: the perspective of 696 injured patients and families. BMJ Qual …
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psnet.ahrq.gov/node/46405/psn-pdf
October 13, 2018 - Children's hospitals' solutions for patient safety
collaborative impact on hospital-acquired harm.
October 13, 2018
Lyren A, Brilli RJ, Zieker K, et al. Children's Hospitals' Solutions for Patient Safety Collaborative Impact on
Hospital-Acquired Harm. Pediatrics. 2017;140(3). doi:10.1542/peds.2016-3494.
https://ps…
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psnet.ahrq.gov/issue/national-nursing-home-covid-action-network
October 23, 2019 - Multi-use Website
National Nursing Home COVID Action Network.
Citation Text:
National Nursing Home COVID Action Network. Rockville, MD: Agency for Healthcare Research and Quality; September 2020.
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