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psnet.ahrq.gov/node/39947/psn-pdf
July 03, 2014 - Association between implementation of a medical team
training program and surgical mortality. … Association between implementation of a medical team training
program and surgical mortality. … https://psnet.ahrq.gov/issue/association-between-implementation-medical-team-training-program-and-
surgical-mortality … Veterans Affairs (VA) hospitals underwent teamwork
training through the VA's Medical Team Training program … a striking reduction
in mortality compared to other VA hospitals that had not yet implemented the program
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psnet.ahrq.gov/node/45744/psn-pdf
December 19, 2017 - Complication rates, hospital size, and bias in the CMS
Hospital-Acquired Condition Reduction Program … Complication Rates, Hospital Size, and Bias in the CMS Hospital-
Acquired Condition Reduction Program … psnet.ahrq.gov/issue/complication-rates-hospital-size-and-bias-cms-hospital-acquired-condition-
reduction-program … authors provide numerous suggestions for improving the evaluation of
hospital performance within the program … psnet.ahrq.gov/issue/complication-rates-hospital-size-and-bias-cms-hospital-acquired-condition-reduction-program
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psnet.ahrq.gov/node/45400/psn-pdf
August 10, 2016 - ISMP National Vaccine Errors Reporting Program: one in
three vaccine errors associated with age-related … https://psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-one-three-vaccine-errors- … Summarizing nearly 4 years of data
submitted to the ISMP Vaccine Errors Reporting Program, this newsletter … https://psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-one-three-vaccine-errors-associated-age … https://psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-one-three-vaccine-errors-associated-age
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psnet.ahrq.gov/node/47575/psn-pdf
December 19, 2018 - Effects of a communication-and-resolution program on
hospitals' malpractice claims and costs. … -
and-costs
Health care systems have implemented communication-and-resolution programs (CRPs) to respond … Communication-and-resolution programs had either a positive or neutral effect on all metrics including … This analysis is the most robust to date supporting
CRP programs as previous studies have lacked a control … https://psnet.ahrq.gov/issue/patients-experiences-communication-and-resolution-programs-after-medical-injury
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psnet.ahrq.gov/node/35559/psn-pdf
June 08, 2010 - Residency program fills medication safety void.
June 8, 2010
Young D. … Residency program fills medication safety void. Am J Health Syst Pharm. 2005;62(23):2450-
2451. … https://psnet.ahrq.gov/issue/residency-program-fills-medication-safety-void
This news piece highlights … a medication-use safety residency program at Johns Hopkins Hospital. … https://psnet.ahrq.gov/issue/residency-program-fills-medication-safety-void
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psnet.ahrq.gov/node/34141/psn-pdf
November 02, 2014 - The National Patient Safety Foundation Research
Program. … Patient Safety Foundation
https://psnet.ahrq.gov/issue/national-patient-safety-foundation-research-program … The projects funded by the National Patient Safety Foundation's (NPSF) research program from 1998 to … The program is currently not accepting
applications. … https://psnet.ahrq.gov/issue/national-patient-safety-foundation-research-program
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psnet.ahrq.gov/node/45447/psn-pdf
January 01, 2018 - Targeted implementation of the Comprehensive Unit-
Based Safety Program through an assessment of safety … Targeted implementation of the Comprehensive Unit-Based Safety Program
through an assessment of safety … https://psnet.ahrq.gov/issue/targeted-implementation-comprehensive-unit-based-safety-program-through- … assessment-safety
The Comprehensive Unit-based Safety Program (CUSP) reduced central line–associated … https://psnet.ahrq.gov/issue/targeted-implementation-comprehensive-unit-based-safety-program-through-assessment-safety
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psnet.ahrq.gov/node/44804/psn-pdf
November 18, 2016 - The Safer Delivery of Surgical Services Program (S3):
explaining its differential effectiveness and … The Safer Delivery of Surgical Services Program (S3): Explaining
Its Differential Effectiveness and … https://psnet.ahrq.gov/issue/safer-delivery-surgical-services-program-s3-explaining-its-differential- … validate and understand the previously published results of the Safer
Delivery of Surgical Services (S3) program … https://psnet.ahrq.gov/issue/safer-delivery-surgical-services-program-s3-explaining-its-differential-effectiveness-and
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psnet.ahrq.gov/node/45152/psn-pdf
November 18, 2016 - Department of Veterans Affairs Chief Resident in Quality
and Patient Safety Program: a model to spread … Department of Veterans Affairs Chief Resident in Quality and Patient
Safety Program: A Model to Spread … https://psnet.ahrq.gov/issue/department-veterans-affairs-chief-resident-quality-and-patient-safety-program … This commentary describes a
Veterans Affairs program to incorporate safety leadership and educational … https://psnet.ahrq.gov/issue/department-veterans-affairs-chief-resident-quality-and-patient-safety-program-model-spread
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psnet.ahrq.gov/node/46446/psn-pdf
September 27, 2017 - Journey toward high reliability: a comprehensive safety
program to improve quality of care and safety … Journey Toward High Reliability: A Comprehensive Safety Program
to Improve Quality of Care and Safety … https://psnet.ahrq.gov/issue/journey-toward-high-reliability-comprehensive-safety-program-improve-quality … This study describes the implementation of a multifaceted safety
program and its impact in reducing … https://psnet.ahrq.gov/issue/journey-toward-high-reliability-comprehensive-safety-program-improve-quality-care-and-safety
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psnet.ahrq.gov/node/45966/psn-pdf
April 05, 2017 - Fundamental Use of Surgical Energy (FUSE): an essential
educational program for operating room safety … Fundamental Use of Surgical Energy (FUSE): An Essential
Educational Program for Operating Room Safety … https://psnet.ahrq.gov/issue/fundamental-use-surgical-energy-fuse-essential-educational-program-
operating-room-safety … https://psnet.ahrq.gov/issue/fundamental-use-surgical-energy-fuse-essential-educational-program-operating-room-safety … https://psnet.ahrq.gov/issue/fundamental-use-surgical-energy-fuse-essential-educational-program-operating-room-safety
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psnet.ahrq.gov/node/47187/psn-pdf
September 05, 2018 - Supporting clinicians after adverse events: development
of a clinician peer support program. … Supporting Clinicians After Adverse Events: Development of a
Clinician Peer Support Program. … psnet.ahrq.gov/issue/supporting-clinicians-after-adverse-events-development-clinician-peer-support-
program … This study describes the implementation and early effects of a
second victim peer support program at … /psnet.ahrq.gov/issue/supporting-clinicians-after-adverse-events-development-clinician-peer-support-program
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psnet.ahrq.gov/node/35484/psn-pdf
February 22, 2010 - The development of a patient safety program across the
continuum of care. … The development of a patient safety program across the continuum of care. … https://psnet.ahrq.gov/issue/development-patient-safety-program-across-continuum-care
The authors describe … a post-discharge program to assess and adjust the patient's home environment for
safety. … https://psnet.ahrq.gov/issue/development-patient-safety-program-across-continuum-care
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psnet.ahrq.gov/node/36484/psn-pdf
June 13, 2011 - Medication reconciliation: developing and implementing a
program. … Medication Reconciliation: Developing and Implementing a Program. … https://psnet.ahrq.gov/issue/medication-reconciliation-developing-and-implementing-program
The authors … intensive care unit medication reconciliation initiative and discuss the
improvements resulting from the program … https://psnet.ahrq.gov/issue/medication-reconciliation-developing-and-implementing-program
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/41447/psn-pdf
May 30, 2012 - Massachusetts hospitals launch patient apology program.
May 30, 2012
Gallegos A. … https://psnet.ahrq.gov/issue/massachusetts-hospitals-launch-patient-apology-program
This news article … reports on a disclosure and apology program implemented in Massachusetts hospitals to
reduce liability … https://psnet.ahrq.gov/issue/massachusetts-hospitals-launch-patient-apology-program
https://psnet.ahrq.gov … //psnet.ahrq.gov/issue/liability-claims-and-costs-and-after-implementation-medical-error-disclosure-program
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psnet.ahrq.gov/node/844550/psn-pdf
September 01, 2012 - The effect of a Lean quality improvement implementation
program on surgical pathology specimen accessioning … The effect of a Lean quality improvement implementation
program on surgical pathology specimen accessioning … https://psnet.ahrq.gov/issue/effect-lean-quality-improvement-implementation-program-surgical-pathology … Using Lean quality improvement program (LQIP), including
culture change, one anatomic pathology laboratory … https://psnet.ahrq.gov/issue/effect-lean-quality-improvement-implementation-program-surgical-pathology-specimen
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psnet.ahrq.gov/node/36710/psn-pdf
May 11, 2014 - Developing a medication patient safety program —
infrastructure and strategy. … Developing a Medication Patient Safety Program – Infrastructure and Strategy. … https://psnet.ahrq.gov/issue/developing-medication-patient-safety-program-infrastructure-and-strategy … The authors outline the practical considerations in developing a medication patient safety
program … https://psnet.ahrq.gov/issue/developing-medication-patient-safety-program-infrastructure-and-strategy
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psnet.ahrq.gov/node/34983/psn-pdf
July 14, 2010 - Implementing and validating a comprehensive unit-based
safety program. … https://psnet.ahrq.gov/issue/implementing-and-validating-comprehensive-unit-based-safety-program
The … authors implemented a comprehensive unit-based safety program (CUSP) in two intensive care
settings … They conclude that the program improved safety culture and decreased length of stay, medication
errors … https://psnet.ahrq.gov/issue/implementing-and-validating-comprehensive-unit-based-safety-program
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psnet.ahrq.gov/node/36100/psn-pdf
July 12, 2006 - Scathing report on Kaiser kidney program. … https://psnet.ahrq.gov/issue/scathing-report-kaiser-kidney-program-transplant-delays-assailed-medicare … Centers for Medicare & Medicaid Services report that details deficiencies
in Kaiser's kidney transplant program … https://psnet.ahrq.gov/issue/scathing-report-kaiser-kidney-program-transplant-delays-assailed-medicare-threatens-end … https://psnet.ahrq.gov/issue/scathing-report-kaiser-kidney-program-transplant-delays-assailed-medicare-threatens-end
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psnet.ahrq.gov/node/45233/psn-pdf
September 07, 2016 - Program director perceptions of surgical resident training
and patient care under flexible duty hour … Program Director Perceptions of Surgical Resident Training and
Patient Care under Flexible Duty Hour … trial found no significant differences in patient outcomes or resident
satisfaction between residency programs … This
survey examined surgical program directors' perceptions within this trial. … Respondents from flexible duty
hours programs reported a more positive effect of duty hours on patient