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psnet.ahrq.gov/node/47742/psn-pdf
February 20, 2019 - AHRQ Nursing Home Survey on Patient Safety Culture:
2019 User Comparative Database Report.
February 20, 2019
Famolaro T, Yount ND, Hare R, et al. Rockville, MD: Agency for Healthcare Research and Quality;
February 2019. AHRQ Publication No. 19-0027-EF.
https://psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-…
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psnet.ahrq.gov/node/40904/psn-pdf
January 04, 2012 - Effect of illness severity and comorbidity on patient
safety and adverse events.
January 4, 2012
Naessens JM, Campbell CR, Shah ND, et al. Effect of illness severity and comorbidity on patient safety
and adverse events. Am J Med Qual. 2012;27(1):48-57. doi:10.1177/1062860611413456.
https://psnet.ahrq.gov/issue/eff…
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psnet.ahrq.gov/node/46245/psn-pdf
June 28, 2017 - Associations between patient factors and adverse events
in the home care setting: a secondary data analysis of
two Canadian adverse event studies.
June 28, 2017
Sears NA, Blais R, Spinks M, et al. Associations between patient factors and adverse events in the home
care setting: a secondary data analysis of two can…
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psnet.ahrq.gov/node/47497/psn-pdf
December 18, 2018 - Association between patient outcomes and accreditation
in US hospitals: observational study.
December 18, 2018
Lam MB, Figueroa JF, Feyman Y, et al. Association between patient outcomes and accreditation in US
hospitals: observational study. BMJ. 2018;363:k4011. doi:10.1136/bmj.k4011.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/45407/psn-pdf
September 27, 2016 - Safety of the Manchester Triage System to detect
critically ill children at the emergency department.
September 27, 2016
Zachariasse JM, Kuiper JW, de Hoog M, et al. Safety of the Manchester Triage System to Detect Critically
Ill Children at the Emergency Department. J Pediatr. 2016;177:232-237.e1.
doi:10.1016/j.j…
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psnet.ahrq.gov/node/39171/psn-pdf
February 10, 2015 - Patient safety at ten: unmistakable progress, troubling
gaps.
February 10, 2015
Wachter R. Patient safety at ten: unmistakable progress, troubling gaps. Health Aff (Millwood).
2010;29(1):165-173. doi:10.1377/hlthaff.2009.0785.
https://psnet.ahrq.gov/issue/patient-safety-ten-unmistakable-progress-troubling-gaps
Th…
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psnet.ahrq.gov/node/42423/psn-pdf
July 17, 2013 - National trends in hospital-acquired preventable adverse
events after major cancer surgery in the USA.
July 17, 2013
Sukumar S, Roghmann F, Trinh VQ, et al. National trends in hospital-acquired preventable adverse events
after major cancer surgery in the USA. BMJ Open. 2013;3(6). doi:10.1136/bmjopen-2013-002843.
h…
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psnet.ahrq.gov/node/45385/psn-pdf
January 03, 2017 - Viewing prevention of catheter-associated urinary tract
infection as a system: using systems engineering and
human factors engineering in a quality improvement
project in an academic medical center.
January 3, 2017
Rhee C, Phelps E, Meyer B, et al. Viewing Prevention of Catheter-Associated Urinary Tract Infection …
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psnet.ahrq.gov/node/41964/psn-pdf
April 17, 2013 - Use of HIT for adverse event reporting in nursing homes:
barriers and facilitators.
April 17, 2013
Wagner LM, Castle NG, Handler S. Use of HIT for adverse event reporting in nursing homes: barriers and
facilitators. Geriatr Nurs. 2013;34(2):112-5. doi:10.1016/j.gerinurse.2012.10.003.
https://psnet.ahrq.gov/issue/u…
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psnet.ahrq.gov/node/44845/psn-pdf
July 01, 2016 - Is single room hospital accommodation associated with
differences in healthcare-associated infection, falls,
pressure ulcers or medication errors? A natural
experiment with non-equivalent controls.
July 1, 2016
Simon M, Maben J, Murrells T, et al. Is single room hospital accommodation associated with differences i…
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psnet.ahrq.gov/node/74050/psn-pdf
November 10, 2021 - Health disparities: impact of health disparities and
treatment decision-making biases on cancer adverse
effects among black cancer survivors.
November 10, 2021
Vo J, Gillman A, Mitchell K, et al. Health disparities: impact of health disparities and treatment decision-
making biases on cancer adverse effects among …
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psnet.ahrq.gov/node/47079/psn-pdf
July 02, 2019 - Reduced effectiveness of interruptive drug–drug
interaction alerts after conversion to a commercial
electronic health record.
July 2, 2019
Wright A, Aaron S, Seger DL, et al. Reduced Effectiveness of Interruptive Drug-Drug Interaction Alerts after
Conversion to a Commercial Electronic Health Record. J Gen Intern M…
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psnet.ahrq.gov/node/40013/psn-pdf
July 24, 2011 - Patient participation in surgical site marking: can this be
an additional tool to help avoid wrong-site surgery?
July 24, 2011
Bergal LM, Schwarzkopf R, Walsh M, et al. Patient participation in surgical site marking: can this be an
additional tool to help avoid wrong-site surgery? J Patient Saf. 2010;6(4):221-5.
h…
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psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md
September 01, 2017 - In Conversation With… Andrew Gettinger, MD
September 1, 2017
Also Read an Essay
Citation Text:
In Conversation With… Andrew Gettinger, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…
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psnet.ahrq.gov/node/33566/psn-pdf
September 15, 2024 - Teamwork Training
September 15, 2024
Teamwork Training. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/teamwork-training
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed …
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psnet.ahrq.gov/node/33811/psn-pdf
June 01, 2016 - Becoming a Certified Professional in Patient Safety—A
Pharmacist's Perspective
June 1, 2016
Khudeira Z. Becoming a Certified Professional in Patient Safety—A Pharmacist's Perspective. PSNet
[internet]. 2016.
https://psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective
…
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psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-risk-hospital
October 30, 2024 - Advance Alert Monitor Program: An Automated Early Warning System for Adults At Risk for In-Hospital Clinical Deterioration
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psnet.ahrq.gov/web-mm/discontinued-medications-are-they-really-discontinued
January 05, 2017 - Discontinued Medications: Are They Really Discontinued?
Citation Text:
Mankey CG, Varkey P. Discontinued Medications: Are They Really Discontinued?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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psnet.ahrq.gov/web-mm/wheres-feeding-tube
September 01, 2003 - Where's the Feeding Tube?
Citation Text:
Metheny NA, Meert KL. Where's the Feeding Tube?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
December 09, 2020 - One Bronchoscopy, Two Errors
Citation Text:
Leiten E, Nielsen R. One Bronchoscopy, Two Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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