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psnet.ahrq.gov/node/837500/psn-pdf
June 22, 2022 - Analysis of hospital-level readmission rates and variation
in adverse events among patients with pneumonia in the
United States.
June 22, 2022
Wang Y, Eldridge N, Metersky ML, et al. Analysis of hospital-level readmission rates and variation in
adverse events among patients with pneumonia in the United States. JAM…
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psnet.ahrq.gov/node/838186/psn-pdf
September 28, 2022 - Understanding teamwork in rapidly deployed
interprofessional teams in intensive and acute care: a
systematic review of reviews.
September 28, 2022
Schilling S, Armaou M, Morrison Z, et al. Understanding teamwork in rapidly deployed interprofessional
teams in intensive and acute care: a systematic review of reviews…
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psnet.ahrq.gov/node/60299/psn-pdf
May 06, 2020 - Impact of multidisciplinary team huddles on patient
safety: a systematic review and proposed taxonomy.
May 6, 2020
Franklin BJ, Gandhi TK, Bates DW, et al. Impact of multidisciplinary team huddles on patient safety: a
systematic review and proposed taxonomy. BMJ Qual Saf. 2020;29(10):844–853. doi:10.1136/bmjqs-2019…
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psnet.ahrq.gov/node/43691/psn-pdf
August 28, 2017 - Computerized dose range checking using hard and soft
stop alerts reduces prescribing errors in a pediatric
intensive care unit.
August 28, 2017
Balasuriya L, Vyles D, Bakerman P, et al. Computerized Dose Range Checking Using Hard and Soft Stop
Alerts Reduces Prescribing Errors in a Pediatric Intensive Care Unit. J…
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www.ahrq.gov/patient-safety/resources/simulation-issue-brief.html
July 01, 2024 - Simulation To Improve Patient Safety: Getting Started
Next Page
Table of Contents
Simulation To Improve Patient Safety: Getting Started
Introduction
Leverage Patient Safety Infrastructure
Use Simulation To Adopt and Adapt Best Practices
Use Simulation To Improve Healthcare Delivery Systems
A…
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psnet.ahrq.gov/node/47427/psn-pdf
June 19, 2019 - Failures in the respectful care of critically ill patients.
June 19, 2019
Law AC, Roche S, Reichheld A, et al. Failures in the Respectful Care of Critically Ill Patients. Jt Comm J
Qual Patient Saf. 2019;45(4):276-284. doi:10.1016/j.jcjq.2018.05.008.
https://psnet.ahrq.gov/issue/failures-respectful-care-critically-…
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psnet.ahrq.gov/node/73289/psn-pdf
May 19, 2021 - Clinical characteristics and short-term outcomes of acute
kidney injury missed diagnosis in older patients with
severe COVID-19 in intensive care unit.
May 19, 2021
Li Q, Hu P, Kang H, et al. Clinical characteristics and short-term outcomes of acute kidney injury missed
diagnosis in older patients with severe COVI…
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psnet.ahrq.gov/node/74162/psn-pdf
December 08, 2021 - Impact of state nurse practitioner regulations on
potentially inappropriate medication prescribing between
physicians and nurse practitioners: a national study in
the United States.
December 8, 2021
Tzeng H-M, Raji MA, Chou L-N, et al. Impact of state nurse practitioner regulations on potentially
inappropriate me…
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psnet.ahrq.gov/node/866737/psn-pdf
September 18, 2024 - Rates of Patient Safety Indicators in Belgian hospitals
were low but generally higher than in US hospitals, 2016-
18.
September 18, 2024
Van Wilder A, Bruyneel L, Cox B, et al. Rates of Patient Safety Indicators in Belgian hospitals were low but
generally higher than in US hospitals, 2016-18. Health Aff. 2024;43(9…
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psnet.ahrq.gov/node/60759/psn-pdf
August 05, 2020 - Private patient rooms and hospital-acquired methicillin-
resistant Staphylococcus aureus: hospital-level analysis
of administrative data from the United States.
August 5, 2020
Park S-H, Stockbridge EL, Miller TL, et al. Private patient rooms and hospital-acquired methicillin-resistant
Staphylococcus aureus: a hosp…
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www.ahrq.gov/teamstepps-program/evidence-base/trauma.html
May 01, 2023 - TeamSTEPPS Research/Evidence Base: Trauma
Capella, J., Smith, S., et al. (2010). Teamwork training improves the clinical care of trauma patients. Journal of Surgical Education 67(6), 439-43. Select to access the abstract .
Barach, P., & Weinger, M. B. (2007). Trauma team performance. In: W. C. Wilson, C. M…
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psnet.ahrq.gov/node/853618/psn-pdf
September 20, 2023 - Improving patients' intensive care admission through
multidisciplinary simulation-based crisis resource
management: a qualitative study.
September 20, 2023
Jensen JF, Ramos J, Ørom M?L, et al. Improving patients' intensive care admission through
multidisciplinary simulation?based crisis resource management: a qual…
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psnet.ahrq.gov/node/60556/psn-pdf
June 03, 2020 - The impact of technology on prescribing errors in
pediatric intensive care: a before and after study.
June 3, 2020
Howlett MM, Butler E, Lavelle KM, et al. The impact of technology on prescribing errors in pediatric
intensive care: a before and after study. Appl Clin Inform. 2020;11(02). doi:10.1055/s-0040-1709508.…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/dos-donts-factsheet.pdf
March 01, 2022 - Dos and Donts
AHRQ Pub. No. 20(22)-0036
March 2022
Section 10-6 – Decolonization of
Non-ICU Patients With Devices
Dos and Don’ts
DO
• Use chlorhexidine gluconate (CHG) daily instead of regular soap for all
bathing/showering needs for entire hospital stay
• Use 2% leave-on CHG cloths for daily bed …
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psnet.ahrq.gov/node/43709/psn-pdf
December 04, 2014 - A team-based approach to reducing cardiac monitor
alarms.
December 4, 2014
Dandoy CE, Davies SM, Flesch L, et al. A team-based approach to reducing cardiac monitor alarms.
Pediatrics. 2014;134(6):e1686-e1694. doi:10.1542/peds.2014-1162.
https://psnet.ahrq.gov/issue/team-based-approach-reducing-cardiac-monitor-alar…
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psnet.ahrq.gov/node/865591/psn-pdf
January 01, 2025 - "Black Women Should Not Die Giving Life": The lived
experiences of Black women diagnosed with severe
maternal morbidity in the United States.
April 17, 2024
Post W, Thomas AD, Sutton KM. “Black Women Should Not Die Giving Life”: The lived experiences of
Black women diagnosed with severe maternal morbidity in the U…
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psnet.ahrq.gov/node/38010/psn-pdf
August 27, 2008 - Detection of adverse events in surgical patients using the
Trigger Tool approach.
August 27, 2008
Griffin FA, Classen DC. Detection of adverse events in surgical patients using the Trigger Tool approach.
Qual Saf Health Care. 2008;17(4):253-258. doi:10.1136/qshc.2007.025080.
https://psnet.ahrq.gov/issue/detection-…
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psnet.ahrq.gov/node/60657/psn-pdf
July 08, 2020 - Predictors of serious opioid-related adverse drug events
in hospitalized patients.
July 8, 2020
Minhaj FS, Rappaport SH, Foster J, et al. Predictors of serious opioid-related adverse drug events in
hospitalized patients. J Patient Saf. 2020;17(8):e1585-e1588. doi:10.1097/pts.0000000000000735.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/842429/psn-pdf
January 11, 2023 - How timely is diagnosis of lung cancer? Cohort study of
individuals with lung cancer presenting in ambulatory
care in the United States.
January 11, 2023
Zigman Suchsland M, Kowalski L, Burkhardt HA, et al. How timely is diagnosis of lung cancer? Cohort
study of individuals with lung cancer presenting in ambulator…
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psnet.ahrq.gov/node/46981/psn-pdf
May 04, 2019 - Lessons learned from implementing a principled
approach to resolution following patient harm.
May 4, 2019
Smith KM, Smith LL, (Jack) Gentry JC, et al. Lessons learned from implementing a principled approach to
resolution following patient harm. J Patient Saf Risk Manag. 2018;24(2):83-89.
doi:10.1177/25160435188138…