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psnet.ahrq.gov/node/44906/psn-pdf
February 17, 2016 - Hospitals find a way to say, 'I'm sorry.'
February 17, 2016
Landro L.
https://psnet.ahrq.gov/issue/hospitals-find-way-say-im-sorry
Communication and resolution strategies that emphasize early disclosure after a medical error can
enhance patient safety. This newspaper article reports on communication and resolution…
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psnet.ahrq.gov/node/42393/psn-pdf
January 14, 2014 - Wrong site surgery in otolaryngology–head and neck
surgery.
January 14, 2014
Liou T-N, Nussenbaum B. Wrong site surgery in otolaryngology-head and neck surgery. Laryngoscope.
2014;124(1):104-109. doi:10.1002/lary.24140.
https://psnet.ahrq.gov/issue/wrong-site-surgery-otolaryngology-head-and-neck-surgery
This revi…
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psnet.ahrq.gov/node/35862/psn-pdf
November 18, 2016 - Medical gas containers and closures; current good
manufacturing practice requirements.
November 18, 2016
Fed Regist. 2016 Nov 18;81(223):81685-81697.
https://psnet.ahrq.gov/issue/medical-gas-containers-and-closures-current-good-manufacturing-practice-
requirements
This U.S. Food and Drug Administration (FDA)…
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psnet.ahrq.gov/node/40008/psn-pdf
January 04, 2011 - How is medication prescribing ceased? A systematic
review.
January 4, 2011
Ostini R, Jackson C, Hegney D, et al. How is medication prescribing ceased? A systematic review. Med
Care. 2011;49(1):24-36. doi:10.1097/MLR.0b013e3181ef9a7e.
https://psnet.ahrq.gov/issue/how-medication-prescribing-ceased-systematic-review
…
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psnet.ahrq.gov/node/40802/psn-pdf
January 01, 2012 - Nurses' clinical reasoning: processes and practices of
medication safety.
December 15, 2011
Dickson GL, Flynn L. Nurses' clinical reasoning: processes and practices of medication safety. Qual Health
Res. 2012;22(1):3-16. doi:10.1177/1049732311420448.
https://psnet.ahrq.gov/issue/nurses-clinical-reasoning-processes…
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psnet.ahrq.gov/node/35119/psn-pdf
November 03, 2015 - Patient safety and health information technology
conference: A newsmaker interview with Carolyn M.
Clancy, MD.
November 3, 2015
Barclay L.
https://psnet.ahrq.gov/issue/patient-safety-and-health-information-technology-conference-newsmaker-
interview-carolyn-m
In this interview, Agency for Healthcare Research and …
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psnet.ahrq.gov/node/41460/psn-pdf
June 13, 2012 - Help your patient "get" what you just said: a health
literacy guide.
June 13, 2012
Roett MA, Wessel L. Help your patient "get" what you just said: a health literacy guide. J Family Pract.
2012;61(4):190-196.
https://psnet.ahrq.gov/issue/help-your-patient-get-what-you-just-said-health-literacy-guide
This commentar…
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psnet.ahrq.gov/node/865979/psn-pdf
May 29, 2024 - Is myocardial infarction overdiagnosed?
May 29, 2024
McCarthy CP, Wasfy JH, Januzzi JL. Is myocardial infarction overdiagnosed? JAMA. 2024;331(19):1623.
doi:10.1001/jama.2024.5235.
https://psnet.ahrq.gov/issue/myocardial-infarction-overdiagnosed
Misdiagnosis includes both missing a condition that is present and di…
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psnet.ahrq.gov/node/42952/psn-pdf
February 19, 2014 - Practices to prevent venous thromboembolism: a brief
review.
February 19, 2014
Lau BD, Haut ER. Practices to prevent venous thromboembolism: a brief review. BMJ Qual Saf.
2014;23(3):187-95. doi:10.1136/bmjqs-2012-001782.
https://psnet.ahrq.gov/issue/practices-prevent-venous-thromboembolism-brief-review
This revie…
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psnet.ahrq.gov/node/43135/psn-pdf
April 23, 2014 - Standardise, Educate, Harmonise: Commissioning the
Conditions for Safer Surgery.
April 23, 2014
NHS England Never Events Taskforce. London, UK: NHS England; February 27, 2014.
https://psnet.ahrq.gov/issue/standardise-educate-harmonise-commissioning-conditions-safer-surgery
Examining risks in surgical care such as …
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psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan
December 18, 2013 - May 13, 2015
Strategy on Reducing Regulatory and Administrative Burden Relating to the … February 20, 2019
FDASIA Health IT Report: Proposed Strategy and Recommendations for … July 5, 2016
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psnet.ahrq.gov/issue/team-training-healthcare-narrative-synthesis-literature
July 02, 2014 - Related Resources From the Same Author(s)
Promoting a culture of safety as a patient safety strategy … July 2, 2014
Rapid response systems as a patient safety strategy: a systematic review … October 10, 2017
Towards high-reliability organising in healthcare: a strategy for building
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psnet.ahrq.gov/node/45244/psn-pdf
August 01, 2016 - exploring how sleep deprivation affects clinician performance and the impact of work hour
limits as a strategy … common-program-requirements-learning-and-working-environment-duty-hours
https://psnet.ahrq.gov/issue/handoffs-era-duty-hours-reform-focused-review-and-strategy-address-changes-accreditation
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psnet.ahrq.gov/node/36814/psn-pdf
March 28, 2011 - paediatric care: a systematic review
of epidemiology and an evaluation of evidence supporting
reduction strategy … paediatric care: a systematic review of
epidemiology and an evaluation of evidence supporting reduction strategy
-
psnet.ahrq.gov/node/47582/psn-pdf
December 12, 2018 - data from chart review and taking ulcer severity into account may
yield a more meaningful measurement strategy … success-hospital-acquired-pressure-ulcer-prevention-tale-two-data-sets
https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
-
psnet.ahrq.gov/node/45277/psn-pdf
July 01, 2017 - really-possible
Crew resource management (CRM), a type of team training, is a prime example of an aviation strategy … They propose more widespread implementation of CRM as a strategy to enhance safety
culture.
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psnet.ahrq.gov/issue/manifestations-high-reliability-principles-hospital-units-varying-safety-profiles-qualitative
December 16, 2015 - October 10, 2017
Rapid response systems as a patient safety strategy: a systematic review … March 20, 2013
Promoting a culture of safety as a patient safety strategy: a systematic … November 2, 2016
Impact of a team and leaders-directed strategy to improve nurses' adherence
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psnet.ahrq.gov/node/43711/psn-pdf
November 26, 2014 - health-care-associated-infections
https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review … https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
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psnet.ahrq.gov/node/43341/psn-pdf
July 23, 2014 - nursing-handoffs-systematic-review-literature
https://psnet.ahrq.gov/issue/bedside-handover-quality-improvement-strategy-transform-care-bedside … https://psnet.ahrq.gov/issue/bedside-handover-quality-improvement-strategy-transform-care-bedside
https
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psnet.ahrq.gov/node/39336/psn-pdf
March 21, 2017 - This study adds to the
literature by employing a multilevel evaluation strategy, using a comparison … Patient outcomes were not part of the measurement
strategy.