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psnet.ahrq.gov/node/859349/psn-pdf
January 01, 2024 - Investigating the influence of selected leadership styles
on patient safety and quality of care: a systematic review
and meta-analysis.
December 20, 2023
Singh A, Yeravdekar R, Jadhav S. Investigating the influence of selected leadership styles on patient safety
and quality of care: a systematic review and meta-an…
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psnet.ahrq.gov/node/37454/psn-pdf
January 09, 2008 - Quantifying nursing workflow in medication
administration.
January 9, 2008
Keohane CA, Bane AD, Featherstone E, et al. Quantifying nursing workflow in medication administration. J
Nurs Adm. 2007;38(1):19-26. doi:10.1097/01.nna.0000295628.87968.bc.
https://psnet.ahrq.gov/issue/quantifying-nursing-workflow-medicatio…
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psnet.ahrq.gov/node/50596/psn-pdf
October 30, 2019 - Encouraging resident adverse event reporting: a
qualitative study of suggestions from the front lines.
October 30, 2019
Szymusiak J, Walk TJ, Benson M, et al. Encouraging Resident Adverse Event Reporting: A Qualitative
Study of Suggestions from the Front Lines. Ped Qual Saf. 2019;4(3):e167.
doi:10.1097/pq9.0000000…
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psnet.ahrq.gov/node/46653/psn-pdf
July 02, 2019 - Evaluating a mobile application for improving clinical
laboratory test ordering and diagnosis.
July 2, 2019
Meyer AND, Thompson PJ, Khanna A, et al. Evaluating a mobile application for improving clinical
laboratory test ordering and diagnosis. J Am Med Inform Assoc. 2018;25(7):841-847.
doi:10.1093/jamia/ocy026.
h…
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapbfig3.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Appendix B. Figure 3. Normalized Percent Distribution for Surgical Procedures with Incision (California 2008 SASD)
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Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambu…
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlasapd6c.html
March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas
Appendix D. Clinical-Community Relationships Measures Instruments (11-15)
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Table of Contents
Clinical-Community Relationships Measures (CCRM) Atlas
Introduction
Acknowledgments
1. Why Was the Clinical-Community Relat…
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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/837851/psn-pdf
August 17, 2022 - Medication errors in intensive care units: an umbrella
review of control measures.
August 17, 2022
Dionisi S, Giannetta N, Liquori G, et al. Medication errors in intensive care units: an umbrella review of
control measures. Healthcare (Basel). 2022;10(7):1221. doi:10.3390/healthcare10071221.
https://psnet.ahrq.gov…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-14.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 2.14. Major Factors that Facilitated Lean Success at Central
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Hea…
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www.ahrq.gov/research/findings/final-reports/stpra/stpraexh2.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Exhibit 2. Literature review search terms by category
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Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chapter 1. Intro…
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psnet.ahrq.gov/node/38014/psn-pdf
March 02, 2011 - The frequency and significance of discrepancies in the
surgical count.
March 2, 2011
Greenberg CC, Regenbogen SE, Lipsitz SR, et al. The Frequency and Significance of Discrepancies in the
Surgical Count. Ann Surg. 2009;248(2). doi:10.1097/sla.0b013e318181c9a3.
https://psnet.ahrq.gov/issue/frequency-and-significanc…
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psnet.ahrq.gov/node/852285/psn-pdf
August 09, 2023 - Risk Evaluation and Mitigation Strategy (REMS) Programs
and Medication Safety: Parts I and II.
August 9, 2023
ISMP Medication Safety Alert! Acute care edition. July 13, 2023;(4):1-3;July 27, 2023;(5):1-5.
https://psnet.ahrq.gov/issue/risk-evaluation-and-mitigation-strategy-rems-programs-and-medication-safety-
part…
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psnet.ahrq.gov/node/73114/psn-pdf
April 07, 2021 - Clinical and financial implications of second-opinion
surgical pathology review.
April 7, 2021
Johnson SM, Samulski TD, O’Connor SM, et al. Clinical and financial implications of second-opinion
surgical pathology review. Am J Clin Pathol. 2021;156(4):559-568. doi:10.1093/ajcp/aqaa263.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/73215/psn-pdf
May 05, 2021 - To err is system: a comparison of methodologies for the
investigation of adverse outcomes in healthcare.
May 5, 2021
Isherwood P, Waterson P. To err is system: a comparison of methodologies for the investigation of adverse
outcomes in healthcare. J Patient Saf Risk Manag. 2021;26(2):64-73. doi:10.1177/2516043521990…
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psnet.ahrq.gov/node/47536/psn-pdf
March 09, 2019 - Evaluation of wound photography for remote
postoperative assessment of surgical site infections.
March 9, 2019
Broman KK, Gaskill CE, Faqih A, et al. Evaluation of Wound Photography for Remote Postoperative
Assessment of Surgical Site Infections. JAMA Surg. 2019;154(2):117-124.
doi:10.1001/jamasurg.2018.3861.
htt…
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psnet.ahrq.gov/node/44876/psn-pdf
February 10, 2016 - The Texas Health Presbyterian Hospital Ebola Crisis: A
Perfect Storm of Human Errors, System Failures and Lack
of Mindfulness.
February 10, 2016
Anderson-Fletcher E, Vera D, Abbott J. Houston, TX: Hobbs Center for Public Policy, University of
Houston; 2015.
https://psnet.ahrq.gov/issue/texas-health-presbyterian-h…
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psnet.ahrq.gov/node/836748/psn-pdf
March 16, 2022 - Analysis of the interprofessional clinical learning
environment for quality improvement and patient safety
from perspectives of interprofessional teams.
March 16, 2022
Cheng MKW, Collins S, Baron RB, et al. Analysis of the interprofessional clinical learning environment for
quality improvement and patient safety f…
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psnet.ahrq.gov/node/47356/psn-pdf
September 05, 2018 - 'Cyberloafing' in health care: a real risk to patient safety.
September 5, 2018
Ross J. 'Cyberloafing' in Health Care: A Real Risk to Patient Safety. J Perianesth Nurs. 2018;33(4):560-
562. doi:10.1016/j.jopan.2018.05.003.
https://psnet.ahrq.gov/issue/cyberloafing-health-care-real-risk-patient-safety
The health ca…
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psnet.ahrq.gov/node/46867/psn-pdf
February 20, 2019 - Connecting perspectives on quality and safety: patient-
level linkage of incident, adverse event and complaint
data.
February 20, 2019
de Vos MS, Hamming JF, Chua-Hendriks JJC, et al. Connecting perspectives on quality and safety:
patient-level linkage of incident, adverse event and complaint data. BMJ Qual Saf. 2…
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psnet.ahrq.gov/node/73169/psn-pdf
April 21, 2021 - Application of emergency preparedness principles to a
pharmacy department’s approach to a “black swan”
event: the COVID-19 pandemic.
April 21, 2021
Waldron KM, Schenkat DH, Rao KV, et al. Application of emergency preparedness principles to a
pharmacy department’s approach to a “black swan” event: the COVID-19 pand…