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psnet.ahrq.gov/issue/using-automated-risk-assessment-report-identify-patients-risk-clinical-deterioration
February 15, 2017 - Commentary
Using an automated risk assessment report to identify patients at risk for clinical deterioration.
Citation Text:
Whittington J, White R, Haig KM, et al. Using an automated risk assessment report to identify patients at risk for clinical deterioration. Jt Comm J Qual Patient S…
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psnet.ahrq.gov/issue/establishing-rapid-response-team-rrt-academic-hospital-one-years-experience
September 28, 2010 - Study
Establishing a rapid response team (RRT) in an academic hospital: one year's experience.
Citation Text:
King E, Horvath R, Shulkin DJ. Establishing a rapid response team (RRT) in an academic hospital: One year's experience. J Hosp Med. 2006;1(5). doi:10.1002/jhm.114.
Copy Citat…
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psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency
February 21, 2024 - Take-Home Points Trainee responsibility should not be one-size-fits-all or time-based but instead
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psnet.ahrq.gov/node/39432/psn-pdf
April 08, 2011 - The response of the APPD, CoPS and AAP to the Institute
of Medicine report on resident duty hours.
April 8, 2011
Guralnick S, Rushton J, Bale JF, et al. The response of the APPD, CoPS and AAP to the Institute of
Medicine report on resident duty hours. Pediatrics. 2010;125(4):786-790. doi:10.1542/peds.2009-2149.
ht…
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psnet.ahrq.gov/node/35053/psn-pdf
November 18, 2015 - Measured response to identified suicide risk and
violence: what you need to know about psychiatric
patient safety.
November 18, 2015
Yeager KR, Saveanu R, Roberts AR, et al. Brief Treat Crisis Intervent. 2005;5(2):121-141
https://psnet.ahrq.gov/issue/measured-response-identified-suicide-risk-and-violence-what-you-…
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psnet.ahrq.gov/node/46465/psn-pdf
February 21, 2018 - Preventing mistransfusions: an evaluation of institutional
knowledge and a response.
February 21, 2018
MacDougall N, Dong F, Broussard L, et al. Preventing Mistransfusions: An Evaluation of Institutional
Knowledge and a Response. Anesth Analg. 2018;126(1):247-251. doi:10.1213/ANE.0000000000002443.
https://psnet.ah…
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psnet.ahrq.gov/node/37527/psn-pdf
August 24, 2015 - MEDMARX Data Report: A Report on the Relationship of
Drug Names and Medication Errors in Response to the
Institute of Medicine's Call to Action (2003-2006 Findings
and Trends 2002-2006).
August 24, 2015
Hicks RW, Becker SC, Cousins DD, eds. Rockville, MD: Center for the Advancement of Patient Safety, US
Pharmacop…
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psnet.ahrq.gov/node/45314/psn-pdf
September 01, 2018 - The "Seven Pillars" response to patient safety incidents:
effects on medical liability processes and outcomes.
September 1, 2018
Lambert BL, Centomani NM, Smith KM, et al. The "Seven Pillars" Response to Patient Safety Incidents:
Effects on Medical Liability Processes and Outcomes. Health Serv Res. 2016;51(suppl 3)…
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psnet.ahrq.gov/node/39142/psn-pdf
December 02, 2009 - Resident and RN perceptions of the impact of a medical
emergency team on education and patient safety in an
academic medical center.
December 2, 2009
Sarani B, Sonnad SS, Bergey MR, et al. Resident and RN perceptions of the impact of a medical
emergency team on education and patient safety in an academic medical c…
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psnet.ahrq.gov/node/47386/psn-pdf
September 19, 2018 - Active-shooter response at a health care facility.
September 19, 2018
Inaba K, Eastman AL, Jacobs LM, et al. Active-Shooter Response at a Health Care Facility. N Engl J Med.
2018;379(6):583-586. doi:10.1056/NEJMms1800582.
https://psnet.ahrq.gov/issue/active-shooter-response-health-care-facility
Physical and verbal…
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psnet.ahrq.gov/node/837982/psn-pdf
August 31, 2022 - Patient Safety Incident Response Framework.
August 31, 2022
London, England: NHS England; August 2022.
https://psnet.ahrq.gov/issue/patient-safety-incident-response-framework
Effective response to medical error requires a comprehensive systemic and process-focused incident
examination approach to ensure organizati…
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psnet.ahrq.gov/node/73547/psn-pdf
July 28, 2021 - Pharmacist and prescriber responsibilities for avoiding
prescription drug misuse.
July 28, 2021
Pharmacist and prescriber responsibilities for avoiding prescription drug misuse. AMA J Ethics.
2021;23(6):E471-479. doi:10.1001/amajethics.2021.471.
https://psnet.ahrq.gov/issue/pharmacist-and-prescriber-responsibiliti…
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psnet.ahrq.gov/node/47914/psn-pdf
May 22, 2019 - Hospitals look to computers to predict patient
emergencies before they happen.
May 22, 2019
Ross C. STAT. May 13, 2019.
https://psnet.ahrq.gov/issue/hospitals-look-computers-predict-patient-emergencies-they-happen
Nuisance alarms, interruptions, and insufficient staff availability can hinder effective monitoring …
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psnet.ahrq.gov/node/38081/psn-pdf
September 24, 2008 - Making patients safer: nurses' responses to patient safety
alerts.
September 24, 2008
Lankshear A, Lowson K, Harden J, et al. Making patients safer: nurses’ responses to patient safety alerts. J
Adv Nurs. 2008;63(6). doi:10.1111/j.1365-2648.2008.04741.x.
https://psnet.ahrq.gov/issue/making-patients-safer-nurses-re…
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psnet.ahrq.gov/node/60553/psn-pdf
June 03, 2020 - Using social and behavioural science to support COVID-
19 pandemic response.
June 3, 2020
Bavel JJV, Baicker K, Boggio PS, et al. Using social and behavioural science to support COVID-19
pandemic response. Nat Hum Behav. 2020;4(5):460-471. doi:10.1038/s41562-020-0884-z.
https://psnet.ahrq.gov/issue/using-social-an…
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psnet.ahrq.gov/issue/care-concerns-and-deficiencies-facility-leaders-and-staffs-responses-following-medical
January 16, 2025 - Book/Report
Care Concerns and Deficiencies in Facility Leaders’ and Staff’s Responses Following a Medical Emergency at the Carl T. Hayden VA Medical Center in Phoenix, Arizona.
Citation Text:
Care Concerns And Deficiencies In Facility Leaders’ And Staff’s Responses Following A Medical Em…
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psnet.ahrq.gov/issue/recommended-guidelines-monitoring-reporting-and-conducting-research-medical-emergency-team
August 04, 2021 - Commentary
Recommended guidelines for monitoring, reporting, and conducting research on medical emergency team, outreach, and rapid response systems: an Utstein-style scientific statement.
Citation Text:
Peberdy MA, Cretikos MA, Abella BS, et al. Recommended Guidelines for Monitoring, …
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psnet.ahrq.gov/issue/clinical-progress-note-situation-awareness-clinical-deterioration-hospitalized-children
January 19, 2022 - Commentary
Clinical progress note: situation awareness for clinical deterioration in hospitalized children.
Citation Text:
Sosa T, Galligan MM, Brady PW. Clinical progress note: situation awareness for clinical deterioration in hospitalized children. J Hosp Med. 2022;17(3):199-202. doi:1…
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psnet.ahrq.gov/issue/using-crew-resource-management-and-read-and-do-checklist-reduce-failure-rescue-events-step
November 04, 2020 - Study
Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down unit.
Citation Text:
Young-Xu Y, Fore AM, Metcalf A, et al. Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down …
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psnet.ahrq.gov/issue/healthcare-inspection-emergency-department-patient-deaths-memphis-vamc-memphis-tennessee
November 29, 2023 - Book/Report
Healthcare Inspection—Emergency Department Patient Deaths: Memphis VAMC, Memphis, Tennessee.
Citation Text:
Healthcare Inspection—Emergency Department Patient Deaths: Memphis VAMC, Memphis, Tennessee. Washington, DC: Department of Veterans Affairs, Office of Inspector…