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psnet.ahrq.gov/node/43811/psn-pdf
July 18, 2018 - 2014 Annual Benchmarking Report: Malpractice Risks in
the Diagnostic Process.
July 18, 2018
Hoffman J, ed. Cambridge, MA: CRICO Strategies; 2014.
https://psnet.ahrq.gov/issue/2014-annual-benchmarking-report-malpractice-risks-diagnostic-process
This analysis of more than 4700 diagnosis-related malpractice claims fo…
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psnet.ahrq.gov/node/43749/psn-pdf
December 10, 2014 - Alarm management: first things first: using reliable data
to eliminate unnecessary alarms.
December 10, 2014
Vanderveen T. Patient Saf Qual Healthc. November/December 2014;11:38-40,42-45.
https://psnet.ahrq.gov/issue/alarm-management-first-things-first-using-reliable-data-eliminate-unnecessary-
alarms
Spotlightin…
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psnet.ahrq.gov/node/47459/psn-pdf
October 10, 2018 - People, processes, health IT and accurate patient
identification.
October 10, 2018
Quick Safety. October 1, 2018;(45):1-2.
https://psnet.ahrq.gov/issue/people-processes-health-it-and-accurate-patient-identification
This newsletter article reviews common problems related to patient identification and recommends
st…
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psnet.ahrq.gov/node/46988/psn-pdf
April 25, 2018 - Opioid Stewardship.
April 25, 2018
Ochsner J. 2018;18(1):20-45.
https://psnet.ahrq.gov/issue/opioid-stewardship
Both organizational and national strategies are required to reduce opioid-related harm. This special issue
section explores one health system's efforts to address the opioid epidemic. Articles discuss em…
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psnet.ahrq.gov/perspective/conversation-witheric-coleman-md-mph
December 01, 2007 - This intervention significantly reduced rehospitalization rates and costs.( 9 )
Hospital physicians
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psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
May 01, 2012 - Clearly there have been improvements because we have reduced hospital mortality rates in the past decade … and we have reduced certain types of events such as ventilator-associated pneumonia; however, more recent
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psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms
May 01, 2012 - Clearly there have been improvements because we have reduced hospital mortality rates in the past decade … and we have reduced certain types of events such as ventilator-associated pneumonia; however, more recent
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psnet.ahrq.gov/perspective/conversation-rebecca-smith-bindman-md
October 01, 2013 - In Conversation With… Rebecca Smith-Bindman, MD
October 1, 2013
Also Read an Essay
Citation Text:
In Conversation With… Rebecca Smith-Bindman, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…
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psnet.ahrq.gov/node/50755/psn-pdf
December 18, 2019 - if the stomach is empty,
then the potential for aspiration of stomach contents during sedation is reduced
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psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
December 23, 2020 - CPOE has evolved, the addition of clinical decision support systems has enhanced patient safety and reduced
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psnet.ahrq.gov/issue/states-targeting-reduction-infections-engagement-strive
June 12, 2024 - Special or Theme Issue
States Targeting Reduction in Infections via Engagement (STRIVE).
Citation Text:
States Targeting Reduction in Infections via Engagement (STRIVE). Ann Intern Med. 2019;171(7_Suppl):s1-s82.
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Prin…
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psnet.ahrq.gov/node/853071/psn-pdf
August 30, 2023 - A natural language processing approach to categorise
contributing factors from patient safety event reports.
August 30, 2023
Tabaie A, Sengupta S, Pruitt ZM, et al. BMJ Health Care Inform. 2023;30(1):e100731.
https://psnet.ahrq.gov/issue/natural-language-processing-approach-categorise-contributing-factors-patient-
…
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psnet.ahrq.gov/node/43970/psn-pdf
May 19, 2015 - Organisational reporting and learning systems:
innovating inside and outside of the box.
May 19, 2015
Sujan M, Furniss D. Organisational reporting and learning systems: Innovating inside and outside of the
box. Clin Risk. 2015;21(1):7-12. doi:10.1177/1356262215574203.
https://psnet.ahrq.gov/issue/organisational-re…
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psnet.ahrq.gov/node/852452/psn-pdf
August 16, 2023 - Value assessment of deprescribing interventions:
suggestions for improvement.
August 16, 2023
Hung A, Wang J, Moriarty F, et al. Value assessment of deprescribing interventions: suggestions for
improvement. J Am Geriatr Soc. 2023;71(6):2023-2027. doi:10.1111/jgs.18298.
https://psnet.ahrq.gov/issue/value-assessment…
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psnet.ahrq.gov/node/839329/psn-pdf
November 02, 2022 - Eight human factors and ergonomics principles for
healthcare artificial intelligence.
November 2, 2022
Sujan M, Pool R, Salmon P. Eight human factors and ergonomics principles for healthcare artificial
intelligence. BMJ Health Care Inform. 2022;29(1):e100516. doi:10.1136/bmjhci-2021-100516.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/46749/psn-pdf
April 04, 2018 - Toolkit for Improving Perinatal Safety.
April 4, 2018
Rockville, MD: Agency for Healthcare Research and Quality. June 2017.
https://psnet.ahrq.gov/issue/toolkit-improving-perinatal-safety
Communication in labor and delivery units can be challenging. This AHRQ-funded program draws from
comprehensive unit-based safe…
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psnet.ahrq.gov/node/43103/psn-pdf
April 02, 2014 - Ten Years After Keeping Patients Safe: Have Nurses'
Work Environments Been Transformed?
April 2, 2014
Princeton, NJ: Robert Wood Johnson Foundation. Washington, DC: George Washington University School
of Nursing. March 14, 2014;22:1-8.
https://psnet.ahrq.gov/issue/ten-years-after-keeping-patients-safe-have-nurses-…
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psnet.ahrq.gov/node/841790/psn-pdf
September 01, 2021 - Diagnostic errors, health disparities, and artificial
intelligence: a combination for health or harm.
September 1, 2021
Ibrahim SA, Pronovost PJ. Diagnostic errors, health disparities, and artificial intelligence: a combination for
health or harm. JAMA Health Forum. 2021;2(9):e212430. doi:10.1001/jamahealthforum.20…
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psnet.ahrq.gov/node/41701/psn-pdf
September 26, 2019 - The CUSP Method
September 26, 2019
The CUSP Method.
https://psnet.ahrq.gov/issue/cusp-method
The Comprehensive Unit-based Safety Program (CUSP), originally developed at Johns Hopkins Hospital
by Dr. Peter Pronovost and colleagues, has been instrumental in driving patient safety improvement in
several landmark pat…
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psnet.ahrq.gov/node/46058/psn-pdf
October 23, 2018 - Centers for Disease Control and Prevention Guideline for
the Prevention of Surgical Site Infection, 2017.
October 23, 2018
Berríos-Torres SI, Umscheid CA, Bratzler DW, et al. Centers for Disease Control and Prevention Guideline
for the Prevention of Surgical Site Infection, 2017. JAMA Surg. 2017;152(8).
doi:10.100…