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psnet.ahrq.gov/node/43975/psn-pdf
July 18, 2016 - Influence of the Comprehensive Unit-based Safety
Program in ICUs: evidence from the Keystone ICU project.
July 18, 2016
Hsu Y-J, Marsteller JA. Influence of the Comprehensive Unit-based Safety Program in ICUs: Evidence
From the Keystone ICU Project. Am J Med Qual. 2016;31(4):349-357. doi:10.1177/1062860615571963.
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psnet.ahrq.gov/issue/safe-patient-outcomes-occur-timely-standardized-communication-critical-values
January 15, 2020 - Newspaper/Magazine Article
Safe patient outcomes occur with timely, standardized communication of critical values.
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April 16, 2018
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psnet.ahrq.gov/node/40436/psn-pdf
August 25, 2011 - Hospital discharge documentation and risk of
rehospitalisation.
August 25, 2011
Hansen LO, Strater A, Smith L, et al. Hospital discharge documentation and risk of rehospitalisation. BMJ
Qual Saf. 2011;20(9):773-8. doi:10.1136/bmjqs.2010.048470.
https://psnet.ahrq.gov/issue/hospital-discharge-documentation-and-risk…
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psnet.ahrq.gov/node/74854/psn-pdf
February 23, 2022 - Nursing guidelines for comprehensive harm prevention
strategies for adult patients in acute hospitals: an
integrative review and synthesis.
February 23, 2022
Redley B, Douglas T, Hoon L, et al. Nursing guidelines for comprehensive harm prevention strategies for
adult patients in acute hospitals: An integrative rev…
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psnet.ahrq.gov/node/39753/psn-pdf
September 28, 2016 - Nursing care quality and adverse events in US hospitals.
September 28, 2016
Lucero RJ, Lake ET, Aiken LH. Nursing care quality and adverse events in US hospitals. J Clin Nurs.
2010;19(15-16):2185-95. doi:10.1111/j.1365-2702.2010.03250.x.
https://psnet.ahrq.gov/issue/nursing-care-quality-and-adverse-events-us-hospit…
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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
and gross preparation error frequency.
September 1, 2012
Smith ML, Wilkerson T, Grzybicki DM, et al. The effect of a Lean quality improvement implementation
program on surgical pathology specimen accessionin…
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psnet.ahrq.gov/node/44746/psn-pdf
January 20, 2016 - Creating a culture of safety around bar-code medication
administration: an evidence-based evaluation framework.
January 20, 2016
Kelly K, Harrington L, Matos P, et al. Creating a Culture of Safety Around Bar-Code Medication
Administration: An Evidence-Based Evaluation Framework. J Nurs Adm. 2016;46(1):30-7.
doi:10…
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psnet.ahrq.gov/node/47571/psn-pdf
December 12, 2018 - Enhancing safety culture through improved incident
reporting: a case study in translational research.
December 12, 2018
Flott K, Nelson D, Moorcroft T, et al. Enhancing Safety Culture Through Improved Incident Reporting: A
Case Study In Translational Research. Health Aff (Millwood). 2018;37(11):1797-1804.
doi:10.1…
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psnet.ahrq.gov/node/60646/psn-pdf
July 01, 2020 - An integrative total worker health framework for keeping
workers safe and healthy during the COVID-19 pandemic.
July 1, 2020
Dennerlein JT, Burke L, Sabbath EL, et al. An Integrative Total Worker Health Framework for Keeping
Workers Safe and Healthy During the COVID-19 Pandemic. Hum Factors. 2020;62(5):689–696.
do…
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psnet.ahrq.gov/node/866276/psn-pdf
July 10, 2024 - Quality and patient safety metrics: developing a
structured program for improving patient care in the
Department of Medicine at The Ottawa Hospital.
July 10, 2024
Hasimja-Saraqini D, McNeill K, Kuk H, et al. Quality and patient safety metrics: developing a structured
program for improving patient care in the Depar…
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psnet.ahrq.gov/node/854828/psn-pdf
October 25, 2023 - Medication safety amid technological change: usability
evaluation to inform inpatient nurses' electronic health
record system transition.
October 25, 2023
Reale C, Ariosto DA, Weinger MB, et al. Medication safety amid technological change: usability evaluation
to inform inpatient nurses' electronic health record s…
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psnet.ahrq.gov/node/41352/psn-pdf
May 09, 2012 - ASHP national survey of pharmacy practice in hospital
settings: dispensing and administration—2011.
May 9, 2012
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital
settings: Dispensing and administration—2011. American Journal of Health-System Pharmacy. 2012;69(9).
doi…
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psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
November 01, 2008 - A reminder reduces urinary catheterization in hospitalized patients.
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psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
September 01, 2003 - Improving communication at handover and transfer reduces retained swabs in maternity services.
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psnet.ahrq.gov/node/867428/psn-pdf
December 18, 2024 - Exercise is one of those interventions that reduces fall risks by 23%,
so it is a good one to encourage
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psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
November 25, 2020 - Frequent communication between team members about dynamic clinical conditions reduces the risk of medical
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psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp-0
March 27, 2024 - EHRs do have is order entry, and the literature is pretty clear that order entry improves safety and reduces
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psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
March 01, 2014 - In Conversation With… Alison Holmes, MD, MPH
March 1, 2014
Also Read an Essay
Citation Text:
In Conversation With… Alison Holmes, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…
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psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
April 24, 2024 - In Conversation with...Katie Boston-Leary about Patient Safety Amid Nursing Workforce Challenges
Katie Boston-Leary, PhD, MBA, MHA, RN, NEA-BC, CCT
| April 24, 2024
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Citation Text:
Leary KB. In Con…
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psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges
April 24, 2024 - Patient Safety Amid Nursing Workforce Challenges
Katie Boston-Leary, PhD, MBA, MHA, RN, NEA-BC, Merton Lee, PharmD, PhD, Sarah E. Mossburg, RN, PhD | April 24, 2024
Also Read the Conversation
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Citation Text:
Leary KB, L…