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psnet.ahrq.gov/issue/translating-patient-safety-legislation-health-care-practice
September 19, 2007 - Commentary
Translating patient safety legislation into health care practice.
Citation Text:
Rabinowitz ABK, Clarke JR, Marella WM, et al. Translating patient safety legislation into health care practice. Jt Comm J Qual Patient Saf. 2006;32(12):676-681.
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psnet.ahrq.gov/issue/review-medication-administration-errors-reported-large-psychiatric-hospital-united-kingdom
July 04, 2007 - Study
A review of medication administration errors reported in a large psychiatric hospital in the United Kingdom.
Citation Text:
Haw CM, Dickens G, Stubbs J. A review of medication administration errors reported in a large psychiatric hospital in the United kingdom. Psychiatr Serv. 2005…
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psnet.ahrq.gov/issue/portable-advanced-medical-simulation-new-emergency-department-testing-and-orientation
December 16, 2015 - Commentary
Portable advanced medical simulation for new emergency department testing and orientation.
Citation Text:
Kobayashi L, Shapiro MJ, Sucov A, et al. Portable advanced medical simulation for new emergency department testing and orientation. Acad Emerg Med. 2006;13(6):691-5.
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psnet.ahrq.gov/issue/handover-after-pediatric-heart-surgery-simple-tool-improves-information-exchange
September 30, 2015 - Study
Handover after pediatric heart surgery: a simple tool improves information exchange.
Citation Text:
Zavalkoff SR, Razack SI, Lavoie J, et al. Handover after pediatric heart surgery: a simple tool improves information exchange. Pediatr Crit Care Med. 2011;12(3):309-13. doi:10.1097/…
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psnet.ahrq.gov/issue/medical-error-and-human-factors-engineering-where-are-we-now
October 01, 2008 - Review
Medical error and human factors engineering: where are we now?
Citation Text:
Gawron VJ, Drury CG, Fairbanks RJ, et al. Medical error and human factors engineering: where are we now? Am J Med Qual. 2006;21(1):57-67.
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psnet.ahrq.gov/issue/using-implementation-safety-indicators-cpoe-implementation
January 23, 2013 - Study
Using implementation safety indicators for CPOE implementation.
Citation Text:
Weir C, McCarthy CA. Using implementation safety indicators for CPOE implementation. Jt Comm J Qual Saf. 2009;35(1):21-28.
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psnet.ahrq.gov/issue/learning-patient-safety-incidents-creating-participative-risk-regulation-healthcare
December 07, 2016 - Commentary
Learning from patient safety incidents: creating participative risk regulation in healthcare.
Citation Text:
Macrae C. Learning from patient safety incidents: Creating participative risk regulation in healthcare. Health Risk Soc. 2008;10(1). doi:10.1080/13698570701782452.
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psnet.ahrq.gov/issue/policies-and-practices-related-role-board-certification-and-recertification-pediatricians
March 08, 2006 - Study
Policies and practices related to the role of board certification and recertification of pediatricians in hospital privileging.
Citation Text:
Freed GL, Uren RL, Hudson EJ, et al. Policies and practices related to the role of board certification and recertification of pediatricia…
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psnet.ahrq.gov/issue/medication-reconciliation-acute-care-ensuring-accurate-drug-regimen-admission-and-discharge
January 27, 2021 - Commentary
Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge.
Citation Text:
Rodehaver C, Fearing D. Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. Jt Comm J Qual Patient Saf. 2005…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-alternatives-notes.docx
April 01, 2022 - Central Venous Catheter Indications and Alternatives Facilitator Notes
CAUTI Module:
Indwelling Urinary Catheter Alternatives
Facilitator Guide
Slide Number and Image
This module, titled “Indwelling Urinary Catheter Alternatives,” is part of the Agency for Healthcare Research and Quality’s Safety Program for in…
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psnet.ahrq.gov/issue/virtual-patients-designed-training-against-medical-error-exploring-impact-decision-making
January 07, 2009 - Study
Virtual patients designed for training against medical error: exploring the impact of decision-making on learner motivation.
Citation Text:
Woodham LA, Round J, Stenfors T, et al. Virtual patients designed for training against medical error: Exploring the impact of decision-making …
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psnet.ahrq.gov/issue/communicative-competence-international-nurses-and-patient-safety-and-quality-care
January 30, 2019 - Commentary
Communicative competence of international nurses and patient safety and quality of care.
Citation Text:
Xu Y. Communicative Competence of International Nurses and Patient Safety and Quality of Care. Home Health Care Manag Pract. 2008;20(5). doi:10.1177/1084822308316162.
Co…
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psnet.ahrq.gov/issue/multidisciplinary-obstetric-simulated-emergency-scenarios-moses-promoting-patient-safety
August 25, 2010 - Study
Multidisciplinary obstetric simulated emergency scenarios (MOSES): promoting patient safety in obstetrics with teamwork-focused interprofessional simulations.
Citation Text:
Freeth D, Ayida G, Berridge EJ, et al. Multidisciplinary obstetric simulated emergency scenarios (MOSES): p…
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psnet.ahrq.gov/issue/systematic-review-incidence-and-characteristics-preventable-adverse-drug-events-ambulatory
August 23, 2006 - Review
Systematic review of the incidence and characteristics of preventable adverse drug events in ambulatory care.
Citation Text:
Thomsen LA, Winterstein AG, S⊘ndergaard B, et al. Systematic Review of the Incidence and Characteristics of Preventable Adverse Drug Events in Ambulatory …
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-alternatives-notes.docx
April 01, 2022 - Central Venous Catheter Indications and Alternatives Facilitator Notes
CAUTI Module:
Indwelling Urinary Catheter Alternatives
Facilitator Guide
Slide Number and Image
This module, titled “Indwelling Urinary Catheter Alternatives,” is part of the Agency for Healthcare Research and Quality’s Safety Program for in…
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psnet.ahrq.gov/issue/improving-weekend-out-hours-surgical-handover-woosh
August 23, 2017 - Commentary
Improving Weekend Out Of Hours Surgical Handover (WOOSH).
Citation Text:
Boyer M, Tappenden J, Peter M. Improving Weekend Out Of hours Surgical Handover (WOOSH). BMJ Qual Improv Rep. 2016;5(1). doi:10.1136/bmjquality.u209552.w4190.
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psnet.ahrq.gov/issue/laboratory-session-improve-first-year-pharmacy-students-knowledge-and-confidence-concerning
December 21, 2011 - Study
Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medication errors.
Citation Text:
Kiersma ME, Darbishire PL, Plake KS, Oswald C, Walters BM. Laboratory session to improve first-year pharmacy students' knowledge and c…
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psnet.ahrq.gov/issue/patient-safety-inpatient-psychiatry-remaining-frontier-health-policy
April 30, 2008 - Commentary
Patient safety in inpatient psychiatry: a remaining frontier for health policy.
Citation Text:
Shields MC, Stewart MT, Delaney KR. Patient Safety In Inpatient Psychiatry: A Remaining Frontier For Health Policy. Health Aff (Millwood). 2018;37(11):1853-1861. doi:10.1377/hlthaff.…
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psnet.ahrq.gov/issue/educational-intervention-contextualizing-patient-care-and-medical-students-abilities-probe
March 02, 2016 - Study
An educational intervention for contextualizing patient care and medical students' abilities to probe for contextual issues in simulated patients.
Citation Text:
Schwartz A, Weiner SJ, Harris IB, et al. An educational intervention for contextualizing patient care and medical studen…
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psnet.ahrq.gov/issue/first-year-analysis-operating-room-black-box-study
October 16, 2019 - Study
Emerging Classic
First-year analysis of the Operating Room Black Box study.
Citation Text:
Jung JJ, Jüni P, Lebovic G, et al. First-year Analysis of the Operating Room Black Box Study. Ann Surg. 2020;271(1):122-127. doi:10.1097/SLA.0000000000002863.
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