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psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety
May 01, 2013 - billion to hospitals and physicians for implementing information technology systems that meet certain standards … Bonuses of 1% to 2% seem puny by the standards used in business and may be insufficient to drive the
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psnet.ahrq.gov/perspective/conversation-ashish-k-jha-md-mph
May 01, 2013 - billion to hospitals and physicians for implementing information technology systems that meet certain standards … Bonuses of 1% to 2% seem puny by the standards used in business and may be insufficient to drive the
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psnet.ahrq.gov/node/43491/psn-pdf
January 01, 2015 - The systems approach to medicine: controversy and
misconceptions.
December 9, 2014
Dekker SWA, Leveson NG. The systems approach to medicine: controversy and misconceptions. BMJ
Qual Saf. 2015;24(1):7-9. doi:10.1136/bmjqs-2014-003106.
https://psnet.ahrq.gov/issue/systems-approach-medicine-controversy-and-misconcept…
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psnet.ahrq.gov/node/40686/psn-pdf
June 10, 2018 - Oral solid medication appearance should play a greater
role in medication error prevention.
June 10, 2018
ISMP Medication Safety Alert! Acute care edition. July 28, 2011;16:1-3.
https://psnet.ahrq.gov/issue/oral-solid-medication-appearance-should-play-greater-role-medication-error-
prevention
This article suggest…
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psnet.ahrq.gov/node/38341/psn-pdf
April 02, 2009 - CPOE: it don't come easy.
April 2, 2009
Anderson HJ. CPOE: it don't come easy. Health Data Manag. 2009;17(1):18-20, 22, 24 passim.
https://psnet.ahrq.gov/issue/cpoe-it-dont-come-easy
Although shifting from paper-based or verbal orders to computerized physician order entry (CPOE)
systems could reduce medical errors…
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psnet.ahrq.gov/node/38024/psn-pdf
August 27, 2008 - Promoting patient safety using an early warning scoring
system.
August 27, 2008
Higgins Y, Maries-Tillott C, Quinton S, et al. Promoting patient safety using an early warning scoring
system. Nurs Stand. 2008;22(44):35-40.
https://psnet.ahrq.gov/issue/promoting-patient-safety-using-early-warning-scoring-system
Imp…
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psnet.ahrq.gov/node/37727/psn-pdf
April 30, 2008 - Ambiguous abbreviations: an audit of abbreviations in
paediatric note keeping.
April 30, 2008
Sheppard JE, Weidner LCE, Zakai S, et al. Ambiguous abbreviations: an audit of abbreviations in
paediatric note keeping. Arch Dis Child. 2008;93(3):204-6.
https://psnet.ahrq.gov/issue/ambiguous-abbreviations-audit-abbrevi…
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psnet.ahrq.gov/node/37205/psn-pdf
December 14, 2007 - Health IT implementation stories: HANDS care plan tool
seeks to improve nurse communication at handoff in
AHRQ-funded study.
December 14, 2007
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/health-it-implementation-stories-hands-care-plan-tool-seeks-improve-nurse-
communication
This art…
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psnet.ahrq.gov/node/40147/psn-pdf
January 19, 2011 - Assessing the quality of patient handoffs at care
transitions.
January 19, 2011
Manser T, Foster S, Gisin S, et al. Assessing the quality of patient handoffs at care transitions. Qual Saf
Health Care. 2010;19(6):e44. doi:10.1136/qshc.2009.038430.
https://psnet.ahrq.gov/issue/assessing-quality-patient-handoffs-care…
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psnet.ahrq.gov/node/841306/psn-pdf
December 14, 2022 - Resilient Healthcare and the Safety-I and Safety-II
Frameworks
December 14, 2022
Deutsch ES, Van CM, Mossburg SE. Resilient Healthcare and the Safety-I and Safety-II Frameworks.
PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
Resilient healthca…
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psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
April 27, 2022 - Readmissions and Adverse Events After Discharge
Citation Text:
Readmissions and Adverse Events After Discharge. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3…
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psnet.ahrq.gov/node/837958/psn-pdf
December 01, 2021 - during the transfer of the individual from a facility.”21 The best
approach is to follow all applicable standards
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psnet.ahrq.gov/node/35203/psn-pdf
December 14, 2010 - Practice Advisory on Intraoperative Awareness and Brain
Function Monitoring.
December 14, 2010
Awareness AS of ATF on I. Practice advisory for intraoperative awareness and brain function monitoring: a
report by the american society of anesthesiologists task force on intraoperative awareness.
Anesthesiology. 2006;1…
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psnet.ahrq.gov/node/37580/psn-pdf
March 05, 2008 - Patient safety events reported in general practice: a
taxonomy.
March 5, 2008
Makeham MAB, Stromer S, Bridges-Webb C, et al. Patient safety events reported in general practice: a
taxonomy. Qual Saf Health Care. 2008;17(1):53-7. doi:10.1136/qshc.2007.022491.
https://psnet.ahrq.gov/issue/patient-safety-events-report…
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psnet.ahrq.gov/node/862157/psn-pdf
February 07, 2024 - Nutrition Support Safety.
February 7, 2024
Nutr Clin Pract. 2023;38(6):1181-1415.
https://psnet.ahrq.gov/issue/nutrition-support-safety
Effective nutrition provision in the hospital environment can be complicated and prone to error. This special
issue offers insights and evidence on various aspects of safe enteral…
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psnet.ahrq.gov/node/38669/psn-pdf
November 25, 2009 - A patient safety objective structured clinical examination.
November 25, 2009
Singh R, Singh A, Fish R, et al. A patient safety objective structured clinical examination. J Patient Saf.
2009;5(2):55-60. doi:10.1097/PTS.0b013e31819d65c2.
https://psnet.ahrq.gov/issue/patient-safety-objective-structured-clinical-exami…
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psnet.ahrq.gov/node/37956/psn-pdf
July 30, 2008 - Hospital mortality: when failure is not a good measure of
success.
July 30, 2008
Shojania KG, Forster AJ. Hospital mortality: when failure is not a good measure of success. CMAJ.
2008;179(2):153-7. doi:10.1503/cmaj.080010.
https://psnet.ahrq.gov/issue/hospital-mortality-when-failure-not-good-measure-success
This …
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psnet.ahrq.gov/node/41397/psn-pdf
June 06, 2012 - Semi-supervised classification of patient safety event
reports.
June 6, 2012
McKnight SD. Semi-supervised classification of patient safety event reports. J Patient Saf. 2012;8(2):60-4.
doi:10.1097/PTS.0b013e31824ab987.
https://psnet.ahrq.gov/issue/semi-supervised-classification-patient-safety-event-reports
This s…
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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