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psnet.ahrq.gov/issue/emergency-department-medication-lists-are-not-accurate
March 02, 2010 - Study
Emergency department medication lists are not accurate.
Citation Text:
Caglar S, Henneman PL, Blank FS, et al. Emergency department medication lists are not accurate. J Emerg Med. 2011;40(6):613-6. doi:10.1016/j.jemermed.2008.02.060.
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psnet.ahrq.gov/issue/nurses-sleep-work-hours-and-patient-care-quality-and-safety
April 23, 2012 - Study
Nurses' sleep, work hours, and patient care quality, and safety
Citation Text:
Nurses' sleep, work hours, and patient care quality, and safety Stimpfel AW, Fatehi F, Kovner C. Sleep Health. 2020;6(3):314-320.
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psnet.ahrq.gov/issue/smarter-clinical-checklists-how-minimize-checklist-fatigue-and-maximize-clinician-performance
July 10, 2017 - Commentary
Smarter clinical checklists: how to minimize checklist fatigue and maximize clinician performance.
Citation Text:
Grigg EB. Smarter Clinical Checklists: How to Minimize Checklist Fatigue and Maximize Clinician Performance. Anesth Analg. 2015;121(2):570-3. doi:10.1213/ANE.00000…
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psnet.ahrq.gov/issue/reevaluating-recovery-perceived-violations-and-preemptive-interventions-emergency-psychiatry
September 17, 2008 - Study
Reevaluating recovery: perceived violations and preemptive interventions on emergency psychiatry rounds.
Citation Text:
Cohen T, Blatter B, Almeida C, et al. Reevaluating recovery: perceived violations and preemptive interventions on emergency psychiatry rounds. J Am Med Inform A…
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psnet.ahrq.gov/issue/2021-john-m-eisenberg-patient-safety-and-quality-awards
August 02, 2023 - Award Recipient
The 2021 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
The 2021 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2022;48(8):365-424.
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psnet.ahrq.gov/issue/patient-safety-movement-foundation
January 01, 2020 - Multi-use Website
Patient Safety Movement Foundation.
Citation Text:
Patient Safety Movement Foundation. 15642 Sand Canyon Ave. #51268, Irvine, CA 92619. 877-236-0279, info@psmf.org.
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psnet.ahrq.gov/issue/leaders-role-medical-device-safety
August 14, 2017 - Newspaper/Magazine Article
The leader's role in medical device safety.
Citation Text:
Federico F. The leader's role in medical device safety. Healthcare executives must ensure appropriate policies, procedures. Healthcare executive. 2013;28(3):82-5.
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psnet.ahrq.gov/issue/assessment-quality-data-provided-pap-test-requisitions-implications-quality-care-and-patient
March 15, 2017 - Study
Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety.
Citation Text:
Naryshkin S, Schultz BL. Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety. Cytoj…
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psnet.ahrq.gov/issue/published-literature-handoffs-hospitals-deficiencies-identified-extensive-review
March 07, 2012 - Review
The published literature on handoffs in hospitals: deficiencies identified in an extensive review.
Citation Text:
Cohen MD, Hilligoss B. The published literature on handoffs in hospitals: deficiencies identified in an extensive review. Qual Saf Health Care. 2010;19(6):493-7. doi…
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psnet.ahrq.gov/issue/patient-safety-hospitals-face-challenges-implementing-evidence-based-practices
September 07, 2016 - Book/Report
Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices.
Citation Text:
Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices. Washington, DC: United States Government Accountability Office; February 2016. Publication GAO-16-3…
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psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005
March 29, 2023 - Legislation/Case Law
Classic
Patient Safety and Quality Improvement Act of 2005.
Citation Text:
Patient Safety and Quality Improvement Act of 2005. Pub L No. 109-41.
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psnet.ahrq.gov/issue/patient-perceptions-missed-nursing-care
September 27, 2017 - Study
Patient perceptions of missed nursing care.
Citation Text:
Kalisch BJ, McLaughlin M, Dabney BW. Patient perceptions of missed nursing care. Jt Comm J Qual Patient Saf. 2012;38(4):161-7.
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psnet.ahrq.gov/node/39872/psn-pdf
February 25, 2013 - launch and
sustain initiatives to improve health care quality and safety with a focus on enhancing reliability … institute-healthcare-improvement
https://psnet.ahrq.gov/issue/ongoing-quality-improvement-journey-next-stop-high-reliability
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psnet.ahrq.gov/node/46848/psn-pdf
October 13, 2018 - identifying-what-known-about-improving-operating-room-intensive-care-
handovers-scoping-review
Structured communication protocols can enhance reliability … can-we-make-postoperative-patient-handovers-safer-systematic-review-literature
https://psnet.ahrq.gov/issue/use-strategies-high-reliability-organisations-patient-hand-resident-physicians-practical
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psnet.ahrq.gov/node/44692/psn-pdf
January 27, 2016 - The authors suggest that focusing on
addressing human factors can help health care to achieve high reliability … surgical-checklist-implementation-project-impact-variable-who-checklist-compliance-risk
https://psnet.ahrq.gov/primer/high-reliability
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psnet.ahrq.gov/node/37241/psn-pdf
December 16, 2011 - impact-safety-organizing-trusted-leadership-and-care-pathways-reported-
medication-errors
Case studies of high-reliability … impact-safety-organizing-trusted-leadership-and-care-pathways-reported-medication-errors
https://psnet.ahrq.gov/issue/case-birth-and-death-high-reliability-healthcare-organisation
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psnet.ahrq.gov/node/40116/psn-pdf
January 05, 2011 - High reliability organizations are
assumed to maintain both a positive safety culture and a balanced … psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/issue/organizational-culture-source-high-reliability
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psnet.ahrq.gov/issue/safety-standards-implementing-fall-prevention-interventions-and-sustaining-lower-fall-rates
July 12, 2018 - Interview
In Conversation with Timothy Vogus about High Reliability … Patient Safety
February 26, 2025
Perspective
High Reliability … 26, 2025
Toward zero harm: Mackenzie Health's journey toward becoming a high reliability
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psnet.ahrq.gov/issue/relationship-between-performance-measurement-and-accreditation-implications-quality-care-and
March 13, 2013 - February 9, 2011
Creating a high-reliability health care system: improving performance … January 29, 2015
Sustaining reliability on accountability measures at the Johns Hopkins … January 27, 2016
Demonstrating high reliability on accountability measures at The Johns
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psnet.ahrq.gov/issue/perceptions-safety-culture-vary-across-intensive-care-units-single-institution
June 27, 2011 - June 16, 2011
Safety Climate Survey: reliability of results from a multicenter ICU survey … 6, 2011
Use of a safety climate questionnaire in UK health care: factor structure, reliability … March 17, 2010
Creating high reliability in health care organizations.