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psnet.ahrq.gov/issue/impact-nursing-hospital-patient-mortality-focused-review-and-related-policy-implications
September 21, 2011 - Review
Impact of nursing on hospital patient mortality: a focused review and related policy implications.
Citation Text:
Tourangeau AE, Cranley LA, Jeffs L. Impact of nursing on hospital patient mortality: a focused review and related policy implications. Qual Saf Health Care. 2006;15(…
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psnet.ahrq.gov/issue/different-roles-same-goal-risk-and-quality-management-partnering-patient-safety-ashrm
January 27, 2021 - Book/Report
Different roles, same goal: risk and quality management partnering for patient safety. By the ASHRM Monographs Task Force.
Citation Text:
Bokar V, Perry DG. Different Roles, Same Goal: Risk And Quality Management Partnering For Patient Safety. By The Ashrm Monographs Task Fo…
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psnet.ahrq.gov/issue/development-and-evaluation-required-patient-safety-course
January 11, 2023 - Commentary
Development and evaluation of a required patient safety course.
Citation Text:
Sukkari SR, Sasich LD, Tuttle DA, et al. Development and evaluation of a required patient safety course. Am J Pharm Educ. 2008;72(3):65.
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psnet.ahrq.gov/issue/using-multidisciplinary-rounds-improve-patient-safety-through-venous-thromboembolism
April 20, 2016 - Study
Using multidisciplinary rounds to improve patient safety through venous thromboembolism prevention awareness.
Citation Text:
Karasin B, Maund C. Using Multidisciplinary Rounds to Improve Patient Safety Through Venous Thromboembolism Prevention Awareness. Jt Comm J Qual Patient Saf.…
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psnet.ahrq.gov/issue/orienting-frames-and-private-routines-role-cultural-process-critical-care-safety
December 31, 2014 - Study
Orienting frames and private routines: the role of cultural process in critical care safety.
Citation Text:
Hazlehurst B, McMullen C. Orienting frames and private routines: the role of cultural process in critical care safety. Int J Med Inform. 2007;76 Suppl 1:S129-35.
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psnet.ahrq.gov/issue/factors-impacting-physician-use-information-charted-others
September 18, 2019 - Study
Factors impacting physician use of information charted by others.
Citation Text:
Factors impacting physician use of information charted by others. Zozus MN, Penning M, Hammond WE. JAMIA Open. 2019;2:107-114.
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psnet.ahrq.gov/issue/reducing-adverse-events-blood-transfusion
June 25, 2008 - Commentary
Reducing adverse events in blood transfusion.
Citation Text:
Stainsby D, Russell J, Cohen H, et al. Reducing adverse events in blood transfusion. Br J Haematol. 2005;131(1). doi:10.1111/j.1365-2141.2005.05702.x.
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psnet.ahrq.gov/issue/development-patient-safety-culture-measurement-tool-ambulatory-health-care-settings-analysis
October 03, 2011 - Study
Development of a patient safety culture measurement tool for ambulatory health care settings: analysis of content validity.
Citation Text:
Schutz AL, Counte MA, Meurer S. Development of a patient safety culture measurement tool for ambulatory health care settings: analysis of con…
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psnet.ahrq.gov/issue/safe-handover
December 21, 2017 - Commentary
Safe handover.
Citation Text:
Merten H, van Galen LS, Wagner C. Safe handover. BMJ. 2017;359:j4328. doi:10.1136/bmj.j4328.
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psnet.ahrq.gov/issue/advocate-health-care-systemwide-approach-quality-and-safety
July 19, 2023 - Commentary
Advocate Health Care: a systemwide approach to quality and safety.
Citation Text:
Willeumier D. Advocate health care: a systemwide approach to quality and safety. Jt Comm J Qual Patient Saf. 2004;30(10):559-566.
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psnet.ahrq.gov/issue/individual-and-team-based-medical-error-disclosure-dialectical-tensions-among-health-care
September 27, 2017 - Study
Individual and team-based medical error disclosure: dialectical tensions among health care providers.
Citation Text:
Jones M, Scarduzio J, Mathews E, et al. Individual and Team-Based Medical Error Disclosure: Dialectical Tensions Among Health Care Providers. Qual Health Res. 2019;2…
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psnet.ahrq.gov/issue/rules-safety-and-narrativisation-identity-hospital-operating-theatre-case-study
June 24, 2010 - Commentary
Rules, safety and the narrativisation of identity: a hospital operating theatre case study.
Citation Text:
McDonald R, Waring J, Harrison S. Rules, safety and the narrativisation of identity: a hospital operating theatre case study. Sociol Health Illn. 2006;28(2):178-202.
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psnet.ahrq.gov/issue/tips-reduce-dangerous-interruptions-healthcare-staff
September 23, 2020 - Commentary
Tips to reduce dangerous interruptions by healthcare staff.
Citation Text:
Lewis TP, Smith CB, Williams-Jones P. Tips to reduce dangerous interruptions by healthcare staff. Nursing (Brux). 2012;42(11):65-7. doi:10.1097/01.NURSE.0000421387.36112.e0.
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psnet.ahrq.gov/issue/six-things-every-plastic-surgeon-needs-know-about-teamwork-training-and-checklists
September 07, 2016 - Image/Poster
Six things every plastic surgeon needs to know about teamwork training and checklists.
Citation Text:
Harden SW. Six things every plastic surgeon needs to know about teamwork training and checklists. Aesthet Surg J. 2013;33(3):443-8. doi:10.1177/1090820X13477417.
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psnet.ahrq.gov/issue/moving-beyond-readmission-penalties-creating-ideal-process-improve-transitional-care
June 14, 2017 - Commentary
Moving beyond readmission penalties: creating an ideal process to improve transitional care.
Citation Text:
Burke RE, Kripalani S, Vasilevskis EE, et al. Moving beyond readmission penalties: creating an ideal process to improve transitional care. J Hosp Med. 2013;8(2):102-9.…
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www.ahrq.gov/sites/default/files/wysiwyg/nqsleverfactsheet.pdf
May 01, 2014 - National Quality Strategy: Using Levers to Achieve Improved Health and Health Care
National Quality Strategy: Using Levers to
Achieve Improved Health and Health Care
About the National Quality Strategy
The National Quality Strategy is the first-ever national effort backed by legislation to align public- and
privat…
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psnet.ahrq.gov/issue/evaluation-implementation-alert-issued-uk-national-patient-safety-agency-storage-and-handling
September 04, 2013 - Study
Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution.
Citation Text:
Lankshear AJ, Sheldon TA, Lowson K, et al. Evaluation of the implementation of the alert issued by th…
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psnet.ahrq.gov/issue/experience-wrong-site-surgery-and-surgical-marking-practices-among-clinicians-uk
October 20, 2010 - Study
Experience of wrong site surgery and surgical marking practices among clinicians in the UK.
Citation Text:
Giles SJ, Rhodes P, Clements G, et al. Experience of wrong site surgery and surgical marking practices among clinicians in the UK. Qual Saf Health Care. 2006;15(5):363-8.
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-terminology
August 18, 2021 - Review
Patient safety and quality improvement: terminology.
Citation Text:
Pereira-Argenziano L, Levy FH. Patient Safety and Quality Improvement: Terminology. Pediatr Rev. 2015;36(9):403-11; quiz 412-3. doi:10.1542/pir.36-9-403.
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psnet.ahrq.gov/issue/cleaning-discharge-process-number-components-and-personnel-are-crucial-success
October 20, 2021 - Commentary
Cleaning up the discharge process: a number of components—and personnel—are crucial to success.
Citation Text:
Huber C, Blanco M. Cleaning up the discharge process: a number of components--and personnel--are crucial to success. Am J Nurs. 2010;110(9):66-69. doi:10.1097/01.NA…