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psnet.ahrq.gov/issue/why-accountability-sharing-health-care-organizational-cultures-means-patients-are-probably
May 27, 2020 - Commentary
Why accountability sharing in health care organizational cultures means patients are probably safer.
Citation Text:
Why accountability sharing in health care organizational cultures means patients are probably safer. Eng DM, Schweikart SJ. AMA J Ethics. 2020;22(9):e779-e783.
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psnet.ahrq.gov/issue/medication-without-harm-whos-third-global-patient-safety-challenge
July 14, 2021 - Book/Report
Medication Without Harm: WHO's Third Global Patient Safety Challenge.
Citation Text:
Medication Without Harm: WHO's Third Global Patient Safety Challenge. Geneva, Switzerland: World Health Association; 2017.
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psnet.ahrq.gov/issue/patient-alarms-often-unheard-unheeded
August 24, 2016 - Newspaper/Magazine Article
Patient alarms often unheard, unheeded.
Citation Text:
Patient alarms often unheard, unheeded. Kowalczyk L. Boston Globe. February 13–14, 2011.
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psnet.ahrq.gov/issue/alarm-fatigue-factor-2nd-death
September 30, 2015 - Newspaper/Magazine Article
'Alarm fatigue’ a factor in 2nd death.
Citation Text:
'Alarm fatigue’ a factor in 2nd death. Kowalczyk L. Boston Globe. September 21, 2011.
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psnet.ahrq.gov/issue/battling-obstetric-malpractice-crisis-improving-patient-safety-part-2
July 12, 2018 - Commentary
Battling the obstetric malpractice crisis: improving patient safety, part 2.
Citation Text:
Battling the obstetric malpractice crisis: improving patient safety, part 2. Bernstein PS.
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psnet.ahrq.gov/issue/medication-management-detailed-use-case
June 29, 2016 - Book/Report
Medication Management: Detailed Use Case.
Citation Text:
Medication Management: Detailed Use Case. Washington, DC: Office of the National Coordinator for Health Information Technology, US Department of Health and Human Services; 2007.
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psnet.ahrq.gov/issue/hospitals-scramble-front-lines-drug-shortages
November 29, 2016 - Newspaper/Magazine Article
Hospitals scramble on the front lines of drug shortages.
Citation Text:
Hospitals scramble on the front lines of drug shortages. Sun LH. Washington Post. April 10, 2012.
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psnet.ahrq.gov/issue/deadly-epidural-delivered-doctor-history-mistakes
January 24, 2024 - Newspaper/Magazine Article
A deadly epidural, delivered by a doctor with a history of mistakes.
Citation Text:
A deadly epidural, delivered by a doctor with a history of mistakes. Goldstein J. New York Times. January 23, 2023.
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psnet.ahrq.gov/issue/limiting-resident-physicians-work-hours-save-lives
May 04, 2011 - Newspaper/Magazine Article
Limiting resident physicians' work hours to save lives.
Citation Text:
Limiting resident physicians' work hours to save lives. Leape L, Haskell H. Los Angeles Times. July 1, 2011.
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psnet.ahrq.gov/issue/five-years-experience-using-front-line-ownership-improve-healthcare-quality-and-safety
March 09, 2016 - Special or Theme Issue
Five Years of Experience Using Front-line Ownership to Improve Healthcare Quality and Safety.
Citation Text:
Five Years of Experience Using Front-line Ownership to Improve Healthcare Quality and Safety. Healthc Pap. 2017;17:1-61.
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psnet.ahrq.gov/issue/breakdowns-medication-reconciliation-process
September 18, 2013 - Newspaper/Magazine Article
Breakdowns in the medication reconciliation process.
Citation Text:
Breakdowns in the medication reconciliation process. Gao T, Gaunt MJ. PA-PSRS Patient Saf Advis. December 2013;10:125-136.
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psnet.ahrq.gov/issue/patient-safety-huddle
March 27, 2005 - Audiovisual
Patient Safety Huddle.
Citation Text:
Patient Safety Huddle. VA National Center for Patient Safety.
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psnet.ahrq.gov/issue/condition-help
October 04, 2023 - Toolkit
Condition Help.
Citation Text:
Condition Help. Pittsburg, PA: UPMC Shadyside Hospital: 2019.
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psnet.ahrq.gov/issue/2015-patient-safety-core-topics-and-tips
July 05, 2017 - Fact Sheet/FAQs
2015 Patient Safety Core Topics and Tips.
Citation Text:
2015 Patient Safety Core Topics and Tips. Chicago, IL: American Society for Healthcare Risk Management; 2015.
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psnet.ahrq.gov/issue/bringing-systemness-focus-quality-safety-and-patient-experience
June 17, 2014 - Meeting/Conference Proceedings
Bringing a ‘Systemness’ Focus to Quality, Safety, and Patient Experience.
Citation Text:
Bringing a ‘Systemness’ Focus to Quality, Safety, and Patient Experience. American Hospital Association. December 7, 2023.
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psnet.ahrq.gov/issue/technology-education-and-safety
December 15, 2021 - Special or Theme Issue
Technology, Education and Safety.
Citation Text:
Technology, Education and Safety. Ruskin KJ, ed. Curr Opin Anaesthesiol. 2020;33(6):774-822.
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psnet.ahrq.gov/issue/health-care-equity
May 16, 2018 - Special or Theme Issue
Health Care Equity
Citation Text:
Health Care Equity Jt Comm J Qual Patient Saf. 2024;50(1);1-92.
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psnet.ahrq.gov/issue/new-round-medicare-readmission-penalties-hits-2583-hospitals
March 13, 2019 - Newspaper/Magazine Article
New round of Medicare readmission penalties hits 2,583 hospitals.
Citation Text:
New round of Medicare readmission penalties hits 2,583 hospitals. Rau J. Kaiser Health News. October 1, 2019.
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psnet.ahrq.gov/issue/can-wearable-tech-prevent-healthcare-errors
December 02, 2020 - Newspaper/Magazine Article
Can wearable tech prevent healthcare errors?
Citation Text:
Can wearable tech prevent healthcare errors? Reese SM. Information Week. March 11, 2014.
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psnet.ahrq.gov/node/836811/psn-pdf
April 07, 2022 - Implementing a watcher program to improve timeliness of
recognition of deterioration in hospitalized children
April 7, 2022
Evans S, Green A, Roberson A, et al. Implementing a watcher program to improve timeliness of
recognition of deterioration in hospitalized children. J Pediatr Nurs. 2021;61:151-6.
https:/…