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psnet.ahrq.gov/issue/secondary-use-data-support-medication-safety-hospital-setting-systematic-review-and-narrative
July 31, 2019 - performance evaluation of the Medicines Optimisation Assessment Tool (MOAT): a prognostic model to target
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psnet.ahrq.gov/node/46294/psn-pdf
October 29, 2017 - Reporting of perioperative adverse events by pediatric
anesthesiologists at a tertiary children's hospital:
targeted interventions to increase the rate of reporting.
October 29, 2017
Williams GD, Muffly MK, Mendoza JM, et al. Reporting of Perioperative Adverse Events by Pediatric
Anesthesiologists at a Tertiary Ch…
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psnet.ahrq.gov/node/844801/psn-pdf
January 01, 2021 - A mixed-methods study of challenges experienced by
clinical teams in measuring improvement.
September 11, 2019
Woodcock T, Liberati EG, Dixon-Woods M. A mixed-methods study of challenges experienced by clinical
teams in measuring improvement. BMJ Qual Saf. 2021;30(2):106-115. doi:10.1136/bmjqs-2018-009048.
https:/…
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psnet.ahrq.gov/glossary/failure-mode-and-effect-analysis-fmea
September 13, 2021 - Failure Mode and Effect Analysis (FMEA)
September 13, 2021
Anonymous (not verified)
A common process used to prospectively identify error risk within a particular process. FMEA begins with a complete process mapping that identifies all the steps that must occur for a given process to occur (e.g., programming an…
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psnet.ahrq.gov/node/45021/psn-pdf
April 06, 2016 - Scandal as a sentinel event—recognizing hidden
cost–quality trade-offs.
April 6, 2016
Bloche G. Scandal as a Sentinel Event--Recognizing Hidden Cost-Quality Trade-offs. N Engl J Med.
2016;374(11):1001-3. doi:10.1056/NEJMp1502629.
https://psnet.ahrq.gov/issue/scandal-sentinel-event-recognizing-hidden-cost-quality-t…
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psnet.ahrq.gov/node/867985/psn-pdf
January 01, 2025 - in
specialized care—healthcare organizations can ensure that interventions to prevent suicide can target
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psnet.ahrq.gov/issue/despite-federal-legislation-shortages-drugs-used-acute-care-settings-remain-persistent-and
August 15, 2018 - hospital penalty status under the Hospital Readmission Reduction Program and readmission rates for target
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psnet.ahrq.gov/issue/transfers-patient-care-between-house-staff-internal-medicine-wards-national-survey
August 15, 2018 - hospital penalty status under the Hospital Readmission Reduction Program and readmission rates for target
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psnet.ahrq.gov/issue/defining-optimal-length-opioid-pain-medication-prescription-after-common-surgical-procedures
August 15, 2018 - April 24, 2018
A target to achieve zero preventable trauma deaths through quality improvement
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psnet.ahrq.gov/issue/whats-difference-between-hospital-and-bottling-factory
October 08, 2008 - February 24, 2021
A target to achieve zero preventable trauma deaths through quality
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psnet.ahrq.gov/issue/project-boost-effectiveness-multihospital-effort-reduce-rehospitalization
September 10, 2014 - September 9, 2013
Setting quality and safety priorities in a target-rich environment:
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psnet.ahrq.gov/issue/novel-tool-organisational-learning-and-its-impact-safety-culture-hospital-dispensary
January 21, 2015 - performance evaluation of the Medicines Optimisation Assessment Tool (MOAT): a prognostic model to target
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psnet.ahrq.gov/issue/compelled-disclosure-confidential-information-patient-safety-research
September 29, 2017 - February 9, 2022
Moving beyond the weekend effect: how can we best target interventions
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psnet.ahrq.gov/issue/teams-under-pressure-emergency-department-interview-study
June 03, 2013 - August 23, 2023
Moving beyond the weekend effect: how can we best target interventions
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psnet.ahrq.gov/issue/developing-expert-medical-teams-toward-evidence-based-approach
September 29, 2017 - April 6, 2011
Target-focused medical emergency team training using a human patient simulator
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psnet.ahrq.gov/issue/toward-definition-teamwork-emergency-medicine
May 31, 2017 - April 6, 2011
Target-focused medical emergency team training using a human patient simulator
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psnet.ahrq.gov/issue/patient-and-family-engagement-survey-us-hospital-practices
January 02, 2017 - hospital penalty status under the Hospital Readmission Reduction Program and readmission rates for target
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psnet.ahrq.gov/issue/situ-simulation-detection-safety-threats-and-teamwork-training-high-risk-emergency-department
May 23, 2013 - April 6, 2011
Target-focused medical emergency team training using a human patient simulator
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psnet.ahrq.gov/issue/six-steps-head-hand-simulator-based-transfer-oriented-psychological-training-improve-patient
August 20, 2018 - April 8, 2011
Target-focused medical emergency team training using a human patient simulator
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psnet.ahrq.gov/issue/applying-modern-error-theory-problem-missed-injuries-trauma
June 15, 2011 - Effects of a multimodal transitional care intervention in patients at high risk of readmission: the TARGET-READ