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psnet.ahrq.gov/node/49574/psn-pdf
November 01, 2008 - The Commentary
Iatrogenic hypoglycemia remains a common yet preventable event in hospitals in the United … States, with up
to 10% of inpatients experiencing at least one episode.(1) The Joint Commission considers
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psnet.ahrq.gov/issue/errors-electronic-health-record-based-data-query-statin-prescriptions-patients-coronary
March 12, 2025 - Study
Errors in electronic health record–based data query of statin prescriptions in patients with coronary artery disease in a large, academic, multispecialty clinic practice.
Citation Text:
Shin EY, Ochuko P, Bhatt K, et al. Errors in Electronic Health Record-Based Data Query of Statin…
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psnet.ahrq.gov/issue/incidence-and-variables-associated-inconsistencies-opioid-prescribing-hospital-discharge-and
April 29, 2018 - Study
Incidence and variables associated with inconsistencies in opioid prescribing at hospital discharge and its associated adverse drug outcomes.
Citation Text:
Kurteva S, Habib B, Moraga T, et al. Incidence and variables associated with inconsistencies in opioid prescribing at hospita…
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psnet.ahrq.gov/issue/impact-interruptions-duration-nursing-interventions-direct-observation-study-academic
February 13, 2019 - Study
The impact of interruptions on the duration of nursing interventions: a direct observation study in an academic emergency department.
Citation Text:
Cole G, Stefanus D, Gardner H, et al. The impact of interruptions on the duration of nursing interventions: a direct observation stud…
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psnet.ahrq.gov/issue/does-teamwork-improve-performance-operating-room-multilevel-evaluation
July 02, 2014 - Study
Does teamwork improve performance in the operating room? A multilevel evaluation.
Citation Text:
Weaver SJ, Rosen MA, DiazGranados D, et al. Does teamwork improve performance in the operating room? A multilevel evaluation. Jt Comm J Qual Patient Saf. 2010;36(3):133-42.
Copy Citat…
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psnet.ahrq.gov/issue/effect-emergency-department-process-improvement-package-suicide-prevention-ed-safe-2-cluster
March 09, 2022 - Study
Effect of an emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized clinical trial.
Citation Text:
Boudreaux ED, Larkin C, Vallejo Sefair A, et al. Effect of an emergency department process improvement package on suicide prevention:…
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psnet.ahrq.gov/issue/patient-safety-implications-wearing-face-mask-prevention-era-covid-19-pandemic-systematic
September 16, 2020 - July 28, 2021
Opioids in the United Kingdom: safety and surveillance during COVID-19.
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psnet.ahrq.gov/issue/promoting-patient-and-nurse-safety-testing-behavioural-health-intervention-learning
May 04, 2022 - Study
Promoting patient and nurse safety: testing a behavioural health intervention in a learning healthcare system: results of the DEMEANOR pragmatic, cluster, cross-over trial.
Citation Text:
Hasselblad M, Morrison J, Kleinpell R, et al. Promoting patient and nurse safety: testing a be…
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psnet.ahrq.gov/issue/what-are-unintended-patient-safety-consequences-healthcare-technologies-qualitative-study
February 26, 2020 - Study
What are the unintended patient safety consequences of healthcare technologies? A qualitative study among patients, carers and healthcare providers.
Citation Text:
Abdelaziz S, Garfield S, Neves AL, et al. What are the unintended patient safety consequences of healthcare technologi…
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psnet.ahrq.gov/issue/economic-evaluation-quality-improvement-interventions-prevent-catheter-associated-urinary
January 25, 2017 - Review
Economic evaluation of quality improvement interventions to prevent catheter-associated urinary tract infections in the hospital setting: a systematic review.
Citation Text:
McCleskey SG, Shek L, Grein J, et al. Economic evaluation of quality improvement interventions to prevent c…
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psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room
August 13, 2014 - Study
Analysis of adverse events associated with adult moderate procedural sedation outside the operating room.
Citation Text:
Karamnov S, Sarkisian N, Grammer R, et al. Analysis of Adverse Events Associated With Adult Moderate Procedural Sedation Outside the Operating Room. J Patient Sa…
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psnet.ahrq.gov/web-mm/danger-disruption
July 29, 2020 - There are more than 340 designated magnet health care organizations in the United States.
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psnet.ahrq.gov/innovations
February 26, 2025 - Linkedin
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Suicide is the 12 th leading cause of death in the United … States, and the 3 rd leading cause of death for people ages 15-24. 1 More than 4% of all emergency … Partners in Anesthesia (NAPA) is a nationwide anesthesia practice with more than 450 facilities in 21 states
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psnet.ahrq.gov/node/49529/psn-pdf
February 01, 2007 - Pharmacist-provided anticoagulation management in United States hospitals: death
rates, length of stay
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psnet.ahrq.gov/node/73398/psn-pdf
June 30, 2021 - certified healthcare architect working with healthcare practitioners to design and build
hospitals in the United … States. … Alternative care sites are ultimately not something that gained a lot of traction in the United States
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psnet.ahrq.gov/node/49701/psn-pdf
February 01, 2014 - FMSs currently available in the United States include the Flexi-Seal fecal management system
(ConvaTec
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psnet.ahrq.gov/node/49834/psn-pdf
July 01, 2018 - ultrasound examination performed in the echocardiology laboratory or in the
radiology department.(1) In the United … States, most consultative examinations are performed by
technologists (not clinicians) and are complete
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psnet.ahrq.gov/node/867428/psn-pdf
December 18, 2024 - the Fall Tailoring Interventions for Patient
Safety (TIPS) Toolkit, which is widely used across the United … States and internationally.
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psnet.ahrq.gov/submit-innovations-landing
February 26, 2025 - Breadcrumb
Home
Improvement Resources
Innovations
Innovation Submissions
Individuals or organizations are encouraged to submit new or reimagined patient safety innovations that have been implemented, evaluated, sustained, and demonstrate significant improvement to patient safet…
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psnet.ahrq.gov/node/45533/psn-pdf
November 02, 2016 - free-care-approach
This study described a multiphase nationwide quality improvement project in the United