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psnet.ahrq.gov/issue/alarm-system-management-evidence-based-guidance-encouraging-direct-measurement
August 11, 2021 - Review
Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve alarm response.
Citation Text:
Rayo MF, Moffatt-Bruce SD. Alarm system management: evidence-based guidance encouraging direct measurement of informativeness to improve ala…
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psnet.ahrq.gov/issue/orienting-frames-and-private-routines-role-cultural-process-critical-care-safety
December 31, 2014 - Study
Orienting frames and private routines: the role of cultural process in critical care safety.
Citation Text:
Hazlehurst B, McMullen C. Orienting frames and private routines: the role of cultural process in critical care safety. Int J Med Inform. 2007;76 Suppl 1:S129-35.
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psnet.ahrq.gov/issue/using-medication-error-prioritization-system-improve-patient-safety
May 01, 2020 - Commentary
Using the medication error prioritization system to improve patient safety.
Citation Text:
Polnariev A. Using the Medication Error Prioritization System To Improve Patient Safety. P T. 2016;41(1):54-9.
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psnet.ahrq.gov/issue/associations-between-negative-patient-safety-climate-and-infection-prevention-practices
May 10, 2023 - Study
Associations between negative patient safety climate and infection prevention practices.
Citation Text:
Johnson CT, Hessels AJ. Associations between negative patient safety climate and infection prevention practices. Am J Infect Control. 2024;52(9):1102-1104. doi:10.1016/j.ajic.202…
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psnet.ahrq.gov/issue/society-interventional-radiology-ir-pre-procedure-patient-safety-checklist-safety-and-health
July 13, 2010 - Commentary
Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist by the Safety and Health Committee.
Citation Text:
Rafiei P, Walser EM, Duncan JR, et al. Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist by the Safety and Health Commit…
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psnet.ahrq.gov/issue/vital-signs-core-metrics-health-and-health-care-progress
November 24, 2021 - Book/Report
Vital Signs: Core Metrics for Health and Health Care Progress.
Citation Text:
Vital Signs: Core Metrics for Health and Health Care Progress. Blumenthal D, Malphrus E, McGinnis JM, eds. Committee on Core Metrics for Better Health at Lower Cost, Institute of Medicine. Washingto…
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psnet.ahrq.gov/issue/data-collection-adverse-events-reporting-us-dental-schools
December 22, 2021 - Study
Data collection for adverse events reporting by US dental schools.
Citation Text:
Rooney D, Barrett K, Bufford B, et al. Data collection for adverse events reporting by US dental schools. J Patient Saf. 2020;16(3):e126-e130. doi:10.1097/pts.0000000000000281.
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psnet.ahrq.gov/issue/taking-ergonomics-bedside-multi-disciplinary-approach-designing-safer-healthcare
June 01, 2012 - Study
Taking ergonomics to the bedside—a multi-disciplinary approach to designing safer healthcare.
Citation Text:
Norris B, West J, Anderson O, et al. Taking ergonomics to the bedside--a multi-disciplinary approach to designing safer healthcare. Appl Ergon. 2014;45(3):629-38. doi:10.1…
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psnet.ahrq.gov/issue/sleep-and-alertness-duty-hour-flexibility-trial-internal-medicine
March 13, 2019 - Study
Emerging Classic
Sleep and alertness in a duty-hour flexibility trial in internal medicine.
Citation Text:
Sleep and alertness in a duty-hour flexibility trial in internal medicine. Basner M, Asch DA, Shea JA, et al; iCOMPARE Research Group. N Engl J Med. …
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psnet.ahrq.gov/issue/parenteral-nutrition-errors-and-potential-errors-reported-over-past-10-years
June 20, 2018 - Study
Parenteral nutrition errors and potential errors reported over the past 10 years.
Citation Text:
Guenter P, Ayers P, Boullata JI, et al. Parenteral Nutrition Errors and Potential Errors Reported Over the Past 10 Years. Nutr Clin Pract. 2017;32(6):826-830. doi:10.1177/08845336177158…
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psnet.ahrq.gov/issue/quality-and-safety-pediatric-anesthesia-how-can-guidelines-checklists-and-initiatives-improve
December 11, 2024 - Review
Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve the outcome?
Citation Text:
Hagerman NS, Varughese AM, Kurth D. Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve the outcome? Curr…
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psnet.ahrq.gov/issue/supporting-patient-safety-and-clinical-pharmacy-services-collaborative
February 08, 2023 - Commentary
Supporting the Patient Safety and Clinical Pharmacy Services Collaborative.
Citation Text:
Mitchell JR. Supporting the patient safety and clinical pharmacy services collaborative. Am J Health Syst Pharm. 2012;69(14):1246-50. doi:10.2146/ajhp110558.
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psnet.ahrq.gov/issue/american-geriatrics-society-2023-updated-ags-beers-criteria-potentially-inappropriate
June 12, 2019 - Organizational Policy/Guidelines
American Geriatrics Society 2023 updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults.
Citation Text:
American Geriatrics Society 2023 updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adul…
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psnet.ahrq.gov/issue/organisational-failure-rethinking-whistleblowing-tomorrows-doctors
May 18, 2022 - Commentary
Organisational failure: rethinking whistleblowing for tomorrow's doctors.
Citation Text:
Taylor DJ, Goodwin D. Organisational failure: rethinking whistleblowing for tomorrow’s doctors. J Med Ethics. 2022;48(10):672-677. doi:10.1136/jme-2022-108328.
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psnet.ahrq.gov/issue/ensuring-medication-safety-consumers-ethnic-minority-backgrounds-need-address-unconscious
July 29, 2020 - Commentary
Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscious bias within health systems.
Citation Text:
Chauhan A, Walpola RL. Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscio…
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psnet.ahrq.gov/issue/patients-and-providers-perceptions-preventability-hospital-readmission-prospective
September 07, 2016 - April 12, 2019
Standardization in patient safety: the WHO High 5s project.
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psnet.ahrq.gov/issue/laboratory-medicine-handoff-gaps-experienced-primary-care-practices-report-shared-networks
September 01, 2012 - This survey-based study of primary care providers revealed a lack of standardization for the tracking … 2012
Artificial intelligence versus clinicians: systematic review of design, reporting standards
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psnet.ahrq.gov/node/42067/psn-pdf
March 18, 2013 - definition of medication errors can affect measured error rates, and medication error measurement
standards
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psnet.ahrq.gov/issue/icu-attending-handoff-practices-results-national-survey-academic-intensivists
February 06, 2019 - So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization … 2013
The Accreditation Council for Graduate Medical Education resident duty hour new standards
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psnet.ahrq.gov/issue/validation-second-victim-experience-and-support-tool-revised-neonatal-intensive-care-unit
September 24, 2017 - May 19, 2021
Standardization of pediatric noncardiac operating room to intensive care … to enhance compliance of pro re nata medication orders with Joint Commission medication management standards