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psnet.ahrq.gov/node/41885/psn-pdf
April 17, 2013 - Deviation from a preoperative surgical and anaesthetic
care plan is associated with increased risk of adverse
intraoperative events in major abdominal surgery.
April 17, 2013
Gauss T, Merckx P, Brasher C, et al. Deviation from a preoperative surgical and anaesthetic care plan is
associated with increased risk of a…
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psnet.ahrq.gov/node/36760/psn-pdf
August 23, 2011 - A plan for achieving significant improvement in patient
safety.
August 23, 2011
Johnson K, Maultsby CC. A plan for achieving significant improvement in patient safety. J Nurs Care Qual.
2007;22(2):164-71.
https://psnet.ahrq.gov/issue/plan-achieving-significant-improvement-patient-safety
The authors describe the u…
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psnet.ahrq.gov/node/45458/psn-pdf
November 30, 2016 - Request for comments on the proposed measures and
2020 targets for the National Action Plan for Adverse Drug
Event Prevention: inpatient and outpatient measures for
reduction of adverse drug events from anticoagulants,
diabetes agents, and opioid analgesics.
November 30, 2016
Office of Disease Prevention and Heal…
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psnet.ahrq.gov/node/40158/psn-pdf
January 17, 2012 - Patient safety in dentistry: dental care risk management
plan.
January 17, 2012
Perea-Pérez B, Santiago-Sáez A, García-Marín F, et al. Patient safety in dentistry: dental care risk
management plan. Med Oral Patol Oral Cir Bucal. 2011;16(6):e805-9.
https://psnet.ahrq.gov/issue/patient-safety-dentistry-dental-care-r…
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psnet.ahrq.gov/node/43567/psn-pdf
October 21, 2016 - National Action Plan for Adverse Drug Event Prevention.
October 21, 2016
Washington, DC: Office of Disease Prevention and Health Promotion, United States Department of Health
and Human Services; September 2014.
https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention
This national action pla…
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psnet.ahrq.gov/node/42442/psn-pdf
July 24, 2013 - Using Plan Do Study Act to transform a simulation center.
July 24, 2013
Murphy JI. Using Plan Do Study Act to Transform a Simulation Center. Clin Simul Nurs. 2012;9(7).
doi:10.1016/j.ecns.2012.03.002.
https://psnet.ahrq.gov/issue/using-plan-do-study-act-transform-simulation-center
This commentary describes the res…
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psnet.ahrq.gov/node/42602/psn-pdf
October 16, 2013 - Solicitation for written comments on draft National Action
Plan for Adverse Drug Event Prevention.
October 16, 2013
Federal Register. Washington, DC: Office of Disease Prevention and Health Promotion. September 4,
2013;78:54469-54470.
https://psnet.ahrq.gov/issue/solicitation-written-comments-draft-national-action…
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psnet.ahrq.gov/node/36207/psn-pdf
October 13, 2010 - Using failure mode and effects analysis to plan
implementation of smart i.v. pump technology.
October 13, 2010
Wetterneck TB, Skibinski K, Roberts TL, et al. Using failure mode and effects analysis to plan
implementation of smart i.v. pump technology. Am J Health Syst Pharm. 2006;63(16):1528-38.
https://psnet.ahrq…
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psnet.ahrq.gov/node/41826/psn-pdf
June 03, 2013 - Effects of an enhanced discharge planning intervention
for hospitalized older adults: a randomized trial.
June 3, 2013
Altfeld SJ, Shier GE, Rooney M, et al. Effects of an enhanced discharge planning intervention for
hospitalized older adults: a randomized trial. Gerontologist. 2013;53(3):430-40. doi:10.1093/geront…
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psnet.ahrq.gov/node/42177/psn-pdf
November 23, 2016 - Failure to engage hospitalized elderly patients and their
families in advance care planning.
November 23, 2016
Heyland DK, Barwich D, Pichora D, et al. Failure to engage hospitalized elderly patients and their families
in advance care planning. JAMA Intern Med. 2013;173(9):778-787. doi:10.1001/jamainternmed.2013.18…
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psnet.ahrq.gov/node/41544/psn-pdf
July 25, 2012 - A performance improvement plan to increase nurse
adherence to use of medication safety software.
July 25, 2012
Gavriloff C. A Performance Improvement Plan to Increase Nurse Adherence to Use of Medication Safety
Software. J Pediatr Nurs. 2011;27(4). doi:10.1016/j.pedn.2011.06.004.
https://psnet.ahrq.gov/issue/perfo…
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psnet.ahrq.gov/node/37732/psn-pdf
May 30, 2008 - Oncology care setting design and planning part I:
concepts for the oncology nurse that improve patient
safety.
May 30, 2008
Sheridan-Leos N. Oncology care setting design and planning part I: Concepts for the oncology nurse that
improve patient safety. Clin J Oncol Nurs. 2008;12(2):361-3. doi:10.1188/08.CJON.361-36…
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psnet.ahrq.gov/node/40022/psn-pdf
June 09, 2011 - Patient safety begins with proper planning: a quantitative
method to improve hospital design.
June 9, 2011
Birnbach DJ, Nevo I, Scheinman SR, et al. Patient safety begins with proper planning: a quantitative
method to improve hospital design. Qual Saf Health Care. 2010;19(5):462-5.
doi:10.1136/qshc.2008.031013.
h…
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psnet.ahrq.gov/node/44106/psn-pdf
September 12, 2016 - Planning an MR suite: what can be done to enhance
safety?
September 12, 2016
Gilk TB, Kanal E. Planning an MR suite: What can be done to enhance safety? J Magn Reson Imaging.
2015;42(3):566-71. doi:10.1002/jmri.24794.
https://psnet.ahrq.gov/issue/planning-mr-suite-what-can-be-done-enhance-safety
Although rare, ad…
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psnet.ahrq.gov/node/43585/psn-pdf
July 16, 2015 - At risk care plans: a way to reduce readmissions and
adverse events.
July 16, 2015
Bahle J, Majercik C, Ludwick R, et al. At Risk Care Plans: a way to reduce readmissions and adverse
events. J Nurs Care Qual. 2015;30(3):200-4. doi:10.1097/NCQ.0000000000000106.
https://psnet.ahrq.gov/issue/risk-care-plans-way-reduc…