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psnet.ahrq.gov/node/842923/psn-pdf
February 01, 2023 - Such a team should include the unit manager and representatives
from units such as Environmental Services
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psnet.ahrq.gov/issue/prospective-memory-icu-effect-visual-cues-task-execution-representative-simulation
April 24, 2018 - Study
Prospective memory in the ICU: the effect of visual cues on task execution in a representative simulation.
Citation Text:
Grundgeiger T, Sanderson PM, Orihuela B, et al. Prospective memory in the ICU: the effect of visual cues on task execution in a representative simulation. Ergo…
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psnet.ahrq.gov/node/41580/psn-pdf
June 10, 2018 - Raising the index of suspicion: red flags that represent
credible threats to patient safety.
June 10, 2018
ISMP Medication Safety Alert! Acute Care Edition. July 26, 2012;17:1-3.
https://psnet.ahrq.gov/issue/raising-index-suspicion-red-flags-represent-credible-threats-patient-safety
This newsletter article highlig…
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psnet.ahrq.gov/issue/using-pediatric-trigger-tool-estimate-total-harm-burden-hospital-acquired-conditions
July 03, 2016 - Study
Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent.
Citation Text:
Stockwell DC, Landrigan CP, Schuster MA, et al. Using a Pediatric Trigger Tool to Estimate Total Harm Burden Hospital-acquired Conditions Represent. Pediatr Qual Saf.…
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psnet.ahrq.gov/taxonomy/term/3475
June 09, 2025 - Error
An act of commission (doing something wrong) or omission (failing to do the right thing) that leads to an undesirable outcome or significant potential for such an outcome. For instance, ordering a medication for a patient with a documented allergy to that medication would be an act of commission. Failing to pre…
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psnet.ahrq.gov/perspective/conversation-dave-debronkart
June 01, 2014 - Safety Foundation had had in its specialty.( 11 )
The worlds of provider and protester collided when representatives … Subcommittee on Oversight and Investigations of the Committee of Interstate and Foreign Commerce, House of Representatives
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psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md
January 01, 2008 - Effectiveness operated as an IHI "system node" and provided coordination between 100,000 Lives Campaign representatives … In 2004, AHS Corporate representatives attended the IHI's Patient Safety Officer training program in
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psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
June 01, 2014 - Safety Foundation had had in its specialty.( 11 )
The worlds of provider and protester collided when representatives … Subcommittee on Oversight and Investigations of the Committee of Interstate and Foreign Commerce, House of Representatives
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psnet.ahrq.gov/node/74118/psn-pdf
January 01, 2022 - From HRO to HERO: making health equity a core system
capability.
November 24, 2021
Moy E, Hausmann LRM, Clancy CM. From HRO to HERO: making health equity a core system capability.
Am J Med Qual. 2022;37(1):81-83. doi:10.1097/jmq.0000000000000020.
https://psnet.ahrq.gov/issue/hro-hero-making-health-equity-core-syst…
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psnet.ahrq.gov/node/48046/psn-pdf
August 21, 2019 - Educational targets to reduce medication errors by
general surgery residents.
August 21, 2019
Chaitoff A, Strong AT, Bauer SR, et al. Educational Targets to Reduce Medication Errors by General
Surgery Residents. J Surg Educ. 2019;76(6):1612-1621. doi:10.1016/j.jsurg.2019.04.009.
https://psnet.ahrq.gov/issue/educat…
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psnet.ahrq.gov/innovation/patient-and-family-centered-i-pass-family-centered-communication-program-reduce-medical
February 26, 2025 - For example, a champion could assemble a board of family representatives, nurses, and physicians to begin
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psnet.ahrq.gov/node/861880/psn-pdf
January 31, 2024 - For example, a champion could assemble a board of family representatives, nurses, and
physicians to
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psnet.ahrq.gov/issue/prospective-study-evaluate-awareness-about-medication-errors-amongst-health-care-personnel
May 17, 2018 - Study
A prospective study to evaluate awareness about medication errors amongst health-care personnel representing North, East, West Regions of India.
Citation Text:
Sewal RK, Singh PK, Prakash A, et al. A prospective study to evaluate awareness about medication errors amongst health-c…
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psnet.ahrq.gov/node/47760/psn-pdf
February 06, 2019 - AHRQ National Scorecard on Hospital-Acquired
Conditions Updated Baseline Rates and Preliminary
Results 2014–2017.
February 6, 2019
Rockville, MD: Agency for Healthcare Research and Quality; January 2019.
https://psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates-
and-…
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psnet.ahrq.gov/node/44249/psn-pdf
February 12, 2019 - Community Pharmacy Survey on Patient Safety Culture
2015 User Comparative Database Report.
February 12, 2019
Famolaro T, Yount N, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; June
2015. AHRQ Publication No. 15-0041-EF.
https://psnet.ahrq.gov/issue/community-pharmacy-survey-patient-saf…
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psnet.ahrq.gov/web-mm/aspergillus-mediastinitis-endocarditis-pediatric-patient-complicating-cardiac-surgery-and
November 16, 2022 - Such a team should include the unit manager and representatives from units such as Environmental Services
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psnet.ahrq.gov/node/37737/psn-pdf
January 06, 2017 - Can patient safety be measured by surveys of patient
experiences?
January 6, 2017
Solberg LI, Asche SE, Averbeck BM, et al. Can patient safety be measured by surveys of patient
experiences? Jt Comm J Qual Patient Saf. 2008;34(5):266-274.
https://psnet.ahrq.gov/issue/can-patient-safety-be-measured-surveys-patient-e…
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psnet.ahrq.gov/node/46118/psn-pdf
December 20, 2017 - Predictors of in-hospital postoperative opioid overdose
after major elective operations: a nationally
representative cohort study.
December 20, 2017
Cauley CE, Anderson G, Haynes AB, et al. Predictors of In-hospital Postoperative Opioid Overdose After
Major Elective Operations: A Nationally Representative Cohort S…
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psnet.ahrq.gov/node/34952/psn-pdf
November 17, 2011 - Assessing the National Electronic Injury Surveillance
System—Cooperative Adverse Drug Event Surveillance
Project—six sites, United States, January 1–June 15,
2004.
November 17, 2011
Prevention C for DC and. Assessing the National Electronic Injury Surveillance System-Cooperative
Adverse Drug Event Surveillance pr…
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psnet.ahrq.gov/node/43085/psn-pdf
March 26, 2014 - A prospective study to evaluate awareness about
medication errors amongst health-care personnel
representing North, East, West Regions of India.
March 26, 2014
Sewal RK, Singh PK, Prakash A, et al. A prospective study to evaluate awareness about medication errors
amongst health-care personnel representing North, E…