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psnet.ahrq.gov/node/38229/psn-pdf
November 18, 2016 - SQUIRE 2.0 (Standards for QUality Improvement
Reporting Excellence): revised publication guidelines
from a detailed consensus process.
November 18, 2016
Ogrinc G, Davies L, Goodman D, et al. SQUIRE 2.0 (Standards for QUality Improvement Reporting
Excellence): revised publication guidelines from a detailed consensu…
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psnet.ahrq.gov/node/42693/psn-pdf
December 23, 2016 - Preventing unintended retained foreign objects.
December 23, 2016
Preventing unintended retained foreign objects. Sentinel event alert. 2013;(51):1-5.
https://psnet.ahrq.gov/issue/preventing-unintended-retained-foreign-objects
Sentinel event alerts are issued periodically by The Joint Commission to identify common …
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psnet.ahrq.gov/node/39372/psn-pdf
September 20, 2011 - Notification of abnormal lab test results in an electronic
medical record: do any safety concerns remain?
September 20, 2011
Singh H, Thomas EJ, Sittig DF, et al. Notification of abnormal lab test results in an electronic medical
record: do any safety concerns remain? Am J Med. 2010;123(3):238-44.
doi:10.1016/j.am…
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psnet.ahrq.gov/node/40871/psn-pdf
October 26, 2011 - Rethinking resident supervision to improve safety: from
hierarchical to interprofessional models.
October 26, 2011
Tamuz M, Giardina TD, Thomas EJ, et al. Rethinking resident supervision to improve safety: From
hierarchical to interprofessional models. J Hosp Med. 2011;6(8):445-452. doi:10.1002/jhm.919.
https://ps…
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psnet.ahrq.gov/node/35854/psn-pdf
February 09, 2011 - Safe but sound: patient safety meets evidence-based
medicine.
February 9, 2011
Shojania KG, Duncan BW, McDonald KM, et al. Safe but Sound. JAMA. 2003;288(4):508-513.
doi:10.1001/jama.288.4.508.
https://psnet.ahrq.gov/issue/safe-sound-patient-safety-meets-evidence-based-medicine
This commentary summarizes the work…
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psnet.ahrq.gov/issue/dangerous-infections-are-more-likely-pediatric-intensive-care-units
December 18, 2019 - Newspaper/Magazine Article
Dangerous infections are more likely in pediatric intensive-care units.
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February 15, 2012
Consumer Re…
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psnet.ahrq.gov/node/41226/psn-pdf
April 22, 2012 - Defining impact of a rapid response team: qualitative
study with nurses, physicians and hospital
administrators.
April 22, 2012
Benin AL, Borgstrom CP, Jenq GY, et al. Defining impact of a rapid response team: qualitative study with
nurses, physicians and hospital administrators. BMJ Qual Saf. 2012;21(5):391-8. do…
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psnet.ahrq.gov/node/43599/psn-pdf
August 04, 2015 - Support from hospital to home for elders: a randomized
trial.
August 4, 2015
Goldman E, Sarkar U, Kessell E, et al. Support from hospital to home for elders: a randomized trial. Ann
Intern Med. 2014;161(7):472-81. doi:10.7326/M14-0094.
https://psnet.ahrq.gov/issue/support-hospital-home-elders-randomized-trial
Rea…
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psnet.ahrq.gov/node/44541/psn-pdf
September 30, 2015 - The effect of universal glove and gown use on adverse
events in intensive care unit patients.
September 30, 2015
Croft LD, Harris AD, Pineles L, et al. The Effect of Universal Glove and Gown Use on Adverse Events in
Intensive Care Unit Patients. Clin Infect Dis. 2015;61(4):545-53. doi:10.1093/cid/civ315.
https://p…
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psnet.ahrq.gov/node/38120/psn-pdf
June 16, 2011 - Organizational culture, team climate and diabetes care in
small office-based practices.
June 16, 2011
Bosch M, Dijkstra R, Wensing M, et al. Organizational culture, team climate and diabetes care in small
office-based practices. BMC Health Serv Res. 2008;8:180. doi:10.1186/1472-6963-8-180.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/43207/psn-pdf
April 25, 2016 - Root cause analysis of serious adverse events among
older patients in the Veterans Health Administration.
April 25, 2016
Lee A, Mills PD, Neily J, et al. Root cause analysis of serious adverse events among older patients in the
Veterans Health Administration. Jt Comm J Qual Patient Saf. 2014;40(6):253-62.
https://…
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psnet.ahrq.gov/node/39142/psn-pdf
December 02, 2009 - Resident and RN perceptions of the impact of a medical
emergency team on education and patient safety in an
academic medical center.
December 2, 2009
Sarani B, Sonnad SS, Bergey MR, et al. Resident and RN perceptions of the impact of a medical
emergency team on education and patient safety in an academic medical c…
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psnet.ahrq.gov/node/44993/psn-pdf
April 17, 2017 - Surgical patient safety outcomes in critical access
hospitals: how do they compare?
April 17, 2017
Natafgi N, Baloh J, Weigel P, et al. Surgical Patient Safety Outcomes in Critical Access Hospitals: How Do
They Compare? J Rural Health. 2016;33(2):117-126. doi:10.1111/jrh.12176.
https://psnet.ahrq.gov/issue/surgica…
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psnet.ahrq.gov/node/45730/psn-pdf
December 14, 2016 - Identification of priorities for improvement of medication
safety in primary care: a PRIORITIZE study.
December 14, 2016
Car LT, Papachristou N, Gallagher J, et al. Identification of priorities for improvement of medication safety
in primary care: a PRIORITIZE study. BMC Fam Pract. 2016;17(1):160.
https://psnet.ah…
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psnet.ahrq.gov/node/47609/psn-pdf
December 19, 2018 - Nurse Staffing Levels, Missed Vital Signs and Mortality in
Hospitals: Retrospective Longitudinal Observational
Study.
December 19, 2018
Griffiths P, Ball JE, Bloor K, et al. Nurse Staffing Levels, Missed Vital Signs And Mortality In Hospitals:
Retrospective Longitudinal Observational Study. Southampton, UK: NIHR J…
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psnet.ahrq.gov/node/46842/psn-pdf
June 22, 2018 - Do EPs change their clinical behaviour in the hallway or
when a companion is present? A cross-sectional survey.
June 22, 2018
Stoklosa H, Scannell M, Ma Z, et al. Do EPs change their clinical behaviour in the hallway or when a
companion is present? A cross-sectional survey. Emerg Med J. 2018;35(7):406-411.
doi:10.…
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psnet.ahrq.gov/node/46471/psn-pdf
March 20, 2018 - Diagnostic errors in primary care pediatrics: Project
RedDE.
March 20, 2018
Rinke ML, Singh H, Heo M, et al. Diagnostic Errors in Primary Care Pediatrics: Project RedDE. Acad Peds.
2018;18(2):220-227. doi:10.1016/j.acap.2017.08.005.
https://psnet.ahrq.gov/issue/diagnostic-errors-primary-care-pediatrics-project-red…
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psnet.ahrq.gov/node/844801/psn-pdf
January 01, 2021 - A mixed-methods study of challenges experienced by
clinical teams in measuring improvement.
September 11, 2019
Woodcock T, Liberati EG, Dixon-Woods M. A mixed-methods study of challenges experienced by clinical
teams in measuring improvement. BMJ Qual Saf. 2021;30(2):106-115. doi:10.1136/bmjqs-2018-009048.
https:/…
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psnet.ahrq.gov/node/40640/psn-pdf
December 01, 2011 - Safety hazards in cancer care: findings using three
different methods.
December 1, 2011
Lipczak H, Knudsen JL, Nissen A. Safety hazards in cancer care: findings using three different methods.
BMJ Qual Saf. 2011;20(12):1052-6. doi:10.1136/bmjqs.2010.050856.
https://psnet.ahrq.gov/issue/safety-hazards-cancer-care-fi…
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psnet.ahrq.gov/node/46774/psn-pdf
April 12, 2019 - Association between handover of anesthesia care and
adverse postoperative outcomes among patients
undergoing major surgery.
April 12, 2019
Jones PM, Cherry RA, Allen BN, et al. Association Between Handover of Anesthesia Care and Adverse
Postoperative Outcomes Among Patients Undergoing Major Surgery. JAMA. 2018;319…