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psnet.ahrq.gov/issue/studying-organisational-cultures-and-their-effects-safety
April 20, 2014 - Commentary
Studying organisational cultures and their effects on safety.
Citation Text:
Hopkins A. Studying organisational cultures and their effects on safety. Saf Sci. 2006;44(10). doi:10.1016/j.ssci.2006.05.005.
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psnet.ahrq.gov/issue/eliminating-serious-preventable-and-costly-medical-errors-never-events
May 26, 2021 - Press Release/Announcement
Eliminating Serious, Preventable, and Costly Medical Errors - Never Events.
Citation Text:
Eliminating Serious, Preventable, and Costly Medical Errors - Never Events. Baltimore, MD: Centers for Medicare and Medicaid Services; May 18, 2006.
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psnet.ahrq.gov/issue/implementing-patient-safety-alert-system
June 21, 2015 - Study
Implementing a patient safety alert system.
Citation Text:
Furman C. Implementing a patient safety alert system. Nurs Econ. 2005;23(1):42-5.
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psnet.ahrq.gov/issue/largest-maternity-scandal-nhs-history-dozens-mothers-and-babies-died-wards-hospital-trust
January 29, 2020 - Newspaper/Magazine Article
‘Largest maternity scandal in NHS history’: Dozens of mothers and babies died on wards of hospital trust, leaked report reveals
Citation Text:
‘Largest maternity scandal in NHS history’: Dozens of mothers and babies died on wards of hospital trust, leaked repor…
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psnet.ahrq.gov/issue/promote-culture-safety-good-catch-reports
November 06, 2015 - Newspaper/Magazine Article
Promote a culture of safety with good catch reports.
Citation Text:
Promote a culture of safety with good catch reports. Wallace SC, Mamrol C, Finley E. PA-PSRS Patient Saf Advis. September 2017;14.
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psnet.ahrq.gov/issue/ismp-medication-errors-reporting-program
January 26, 2023 - Measurement Tool/Indicator
ISMP Medication Errors Reporting Program.
Citation Text:
ISMP Medication Errors Reporting Program. Institute for Safe Medication Practices
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psnet.ahrq.gov/issue/hospital-discharge-and-readmission
March 27, 2005 - Review
Hospital discharge and readmission.
Citation Text:
Hospital discharge and readmission. Alper E, O'Malley TA, Greenwald J. UpToDate. February 3, 2023.
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psnet.ahrq.gov/issue/we-cant-do-alone-role-patients-family-members-and-general-public-play-advancing-patient
June 01, 2023 - Webinar
We Can’t Do This Alone! The Role That Patients, Family Members, and the General Public Play in Advancing Patient Safety.
Citation Text:
We Can’t Do This Alone! The Role That Patients, Family Members, and the General Public Play in Advancing Patient Safety. Patient Safety Movement…
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psnet.ahrq.gov/issue/patient-safety-public-hospitals
November 20, 2013 - Book/Report
Patient Safety in Public Hospitals.
Citation Text:
Patient Safety in Public Hospitals. Victorian Auditor-General's Office. Melbourne, Australia: Victorian Government Printer; 2008. ISBN: 1921060689.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T3-Not_all_Infections_need_antibiotics-_final.pdf
May 01, 2014 - How to enter Data Manually Into an Antibiogram Template
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality
Not All “Infections” Need Antibiotics!
What is the UTI SBAR form? What does it include?
• The Suspected Urinary Tract Infection
(UTI) Situation, Background,
Ass…
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www.ahrq.gov/hai/patient-safety-resources/cli-checklist/index.html
February 01, 2024 - Central Line Insertion Care Team Checklist
This checklist provides sequential critical steps that have shown to reduce central line-associated infections.
Clinicians can take steps to prevent central line-associated infections. This checklist from Johns Hopkins Medicine provides critical steps that have been …
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psnet.ahrq.gov/issue/making-healthcare-safe-story-patient-safety-movement
January 20, 2021 - Book/Report
Making Healthcare Safe: The Story of the Patient Safety Movement.
Citation Text:
Making Healthcare Safe: The Story of the Patient Safety Movement. Leape LL. Cham, Switzerland: Springer Nature; 2021. ISBN: 9783030711252.
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psnet.ahrq.gov/issue/preventing-central-line-associated-bloodstream-infections-global-challenge-global-perspective
May 28, 2014 - Book/Report
Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective.
Citation Text:
Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective. The Joint Commission. Oakbrook Terrace, IL: Joint Commiss…
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psnet.ahrq.gov/issue/opening-door-change-nhs-safety-culture-and-need-transformation
February 08, 2017 - Book/Report
Opening the Door to Change. NHS Safety Culture and the Need for Transformation.
Citation Text:
Opening the Door to Change. NHS Safety Culture and the Need for Transformation. Newcastle upon Tyne, UK: Care Quality Commission; December 2018.
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psnet.ahrq.gov/issue/achieving-exceptional-patient-and-family-experience-inpatient-hospital-care
August 09, 2017 - Book/Report
Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care.
Citation Text:
Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care. Balik B, Conway J, Zipperer L, Watson J. Cambridge, MA: Institute for Healthcare Improvement; 2…
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psnet.ahrq.gov/issue/addressing-opioid-crisis-united-states
November 18, 2011 - Book/Report
Addressing the Opioid Crisis in the United States.
Citation Text:
Addressing the Opioid Crisis in the United States. Martin L, Laderman M, Hyatt J, Krueger J. Cambridge, MA: Institute for Healthcare Improvement; April 2016.
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psnet.ahrq.gov/issue/opportunities-improve-patient-safety-advancing-us-innovation-and-innovation-hubs
September 13, 2023 - Webinar
Opportunities to Improve Patient Safety, Advancing U.S. Innovation, and Innovation Hubs.
Citation Text:
Opportunities to Improve Patient Safety, Advancing U.S. Innovation, and Innovation Hubs. President’s Council of Advisors on Science and Technology. Washington, DC: White House;…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/cauldwell-m
January 01, 2023 - Cauldwell M et al. 2007 "The impact of electronic patient records on workflow in general practice."
Reference
Cauldwell M, Beattie C, Cox B, et al. The impact of electronic patient records on workflow in general practice. Health Informatics J 2007;13(2):155-160.
Abstract
"[A patient access sys…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/andre-b-et-al-2008
January 01, 2008 - Andre B et al. 2008 "Experiences with the implementation of computerized tools in health care units: a review article."
Reference
Andre B, Ringdal GI, Loge JH, et al. Experiences with the implementation of computerized tools in health care units: a review article. Int J Hum Comput Interact 2008;24(8):…
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psnet.ahrq.gov/issue/amid-covid-19-discipline-against-bad-doctors-plummets-more-medical-errors-may-slip-through
June 24, 2020 - Newspaper/Magazine Article
Amid COVID-19, discipline against bad doctors plummets; more medical errors may slip through cracks.
Citation Text:
Amid COVID-19, discipline against bad doctors plummets; more medical errors may slip through cracks. O'Donnell J. USA Today. September 8, 2020
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