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psnet.ahrq.gov/issue/multi-site-assessment-inpatient-safety-event-rates-during-coronavirus-disease-2019-pandemic
May 25, 2022 - Commentary
A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic.
Citation Text:
Pollock BD, Dykhoff HJ, Breeher LE, et al. A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. Mayo Clin Proc …
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psnet.ahrq.gov/issue/assessment-automating-safety-surveillance-electronic-health-records-analysis-quality-and
October 17, 2018 - Study
Assessment of automating safety surveillance from electronic health records: analysis for the quality and safety review system.
Citation Text:
Fong A, Adams KT, Samarth A, et al. Assessment of Automating Safety Surveillance From Electronic Health Records: Analysis for the Quality a…
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psnet.ahrq.gov/issue/applying-high-reliability-health-care-maturity-model-assess-hospital-performance-va-case
December 19, 2014 - Study
Applying the high reliability health care maturity model to assess hospital performance: a VA case study.
Citation Text:
Sullivan JL, Rivard PE, Shin MH, et al. Applying the High Reliability Health Care Maturity Model to Assess Hospital Performance: A VA Case Study. Jt Comm J Qual …
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psnet.ahrq.gov/issue/healing-our-own-randomized-trial-assess-benefits-peer-support
May 19, 2021 - Study
Healing our own: a randomized trial to assess benefits of peer support.
Citation Text:
Rivera-Chiauzzi EY, Smith HA, Moore-Murray T, et al. Healing our own: a randomized trial to assess benefits of peer support. J Patient Saf. 2022;18(1):e308-e314. doi:10.1097/pts.0000000000000771.…
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psnet.ahrq.gov/node/33593/psn-pdf
June 15, 2024 - Measurement of Patient Safety
June 15, 2024
Measurement of Patient Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/measurement-patient-safety
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 …
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psnet.ahrq.gov/node/73490/psn-pdf
July 14, 2021 - Use of prescribing safety quality improvement reports in
UK general practices: a qualitative assessment.
July 14, 2021
Khan NF, Booth HP, Myles P, et al. Use of prescribing safety quality improvement reports in UK general
practices: a qualitative assessment. BMC Health Serv Res. 2021;21(1). doi:10.1186/s12913-021-0…
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psnet.ahrq.gov/node/60645/psn-pdf
July 01, 2020 - How health care systems let our patients down: a
systematic review into suicide deaths.
July 1, 2020
Wyder M, Ray MK, Roennfeldt H, et al. How health care systems let our patients down: a systematic review
into suicide deaths. Int J Qual Health Care. 2020;32(5):285-291. doi:10.1093/intqhc/mzaa011.
https://psnet.ah…
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psnet.ahrq.gov/node/49585/psn-pdf
May 01, 2009 - Delirium or Dementia?
May 1, 2009
Rudolph JL. Delirium or Dementia? PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/delirium-or-dementia
Case Objectives
State the key diagnostic differences between delirium and dementia.
Describe the Confusion Assessment Method for workup of suspected delirium.
Explain the…
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psnet.ahrq.gov/issue/agency-information-collection-activities-assessing-impact-national-implementation-teamstepps
July 03, 2013 - Press Release/Announcement
Agency information collection activities: Assessing the Impact of the National Implementation of TeamSTEPPS Master Training Program; comment request.
Citation Text:
Agency information collection activities: Assessing the Impact of the National Implementation …
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psnet.ahrq.gov/issue/no-place-home-advancing-safety-care-home
January 09, 2019 - Book/Report
No Place Like Home: Advancing the Safety of Care in the Home.
Citation Text:
No Place Like Home: Advancing the Safety of Care in the Home. Boston, MA: Institute for Healthcare Improvement; 2018.
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psnet.ahrq.gov/issue/check-safety-culture-my-patient-care-area
December 22, 2010 - Tools/Toolkit
A check-up for safety culture in "my patient care area."
Citation Text:
Sexton JB, Paine LA, Manfuso J, et al. A Check-up for Safety Culture in “My Patient Care Area”. doi:10.1016/s1553-7250(07)33081-x.
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Format:
DOI Google Scholar BibTeX EndNote X…
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psnet.ahrq.gov/issue/safety-ethics-cases-aviation-healthcare-and-occupational-and-environmental-health
August 02, 2016 - Book/Report
Safety Ethics: Cases from Aviation, Healthcare and Occupational and Environmental Health.
Citation Text:
Safety Ethics: Cases from Aviation, Healthcare and Occupational and Environmental Health. Patankar MS, Brown JP, Treadwell MD. Burlington VT: Ashgate; 2005. ISBN: 97807546…
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psnet.ahrq.gov/issue/safety-culture-building-and-sustaining-cultural-change-aviation-and-healthcare
August 02, 2016 - Book/Report
Safety Culture: Building and Sustaining a Cultural Change in Aviation and Healthcare.
Citation Text:
Safety Culture: Building and Sustaining a Cultural Change in Aviation and Healthcare. Patankar MS, Brown JP, Sabin EJ, Bigda-Peyton TG. Burlington, VT: Ashgate; 2012. ISBN: 97…
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psnet.ahrq.gov/issue/forgive-and-forget-recognition-error-and-use-apology-preemptive-steps-adr-or-litigation
July 24, 2018 - Commentary
Forgive and forget: recognition of error and use of apology as preemptive steps to ADR or litigation in medical malpractice cases.
Citation Text:
Forgive and forget: recognition of error and use of apology as preemptive steps to ADR or litigation in medical malpractice cases…
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psnet.ahrq.gov/issue/covid-19-assessing-risk-public-protection-posed-doctor-result-concerns-about-their-practice
July 15, 2015 - Book/Report
Covid-19: Assessing the Risk to Public Protection Posed by a Doctor as a Result of Concerns about their Practice during the Pandemic.
Citation Text:
Covid-19: Assessing the Risk to Public Protection Posed by a Doctor as a Result of Concerns about their Practice during the Pan…
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psnet.ahrq.gov/node/853981/psn-pdf
September 27, 2023 - Walking Out of a Hospital After Attempted Suicide
September 27, 2023
Bourgeois JA, Xiong G. Walking Out of a Hospital After Attempted Suicide. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/walking-out-hospital-after-attempted-suicide
The Case
A 42-year-old man with history of posttraumatic stress disorder …
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psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework-reducing-inpatient-harm
February 26, 2025 - The LifePoint National Quality Program Provides Structured Framework for Reducing Inpatient Harm
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January 5, 2021
Innovation
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psnet.ahrq.gov/issue/simulation-based-assessment-management-critical-events-board-certified-anesthesiologists
February 19, 2010 - Study
Simulation-based assessment of the management of critical events by board-certified anesthesiologists.
Citation Text:
Weinger MB, Banerjee A, Burden AR, et al. Simulation-based assessment of the management of critical events by board-certified anesthesiologists. Anesthesiology. 201…
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psnet.ahrq.gov/innovation/assessing-impact-virtual-medication-history-technicians-medication-reconciliation
December 01, 2021 - EMERGING INNOVATIONS
Assessing the impact of virtual medication history technicians on medication reconciliation discrepancies.
Citation Text:
Gadallah A, McGinnis B, Nguyen B, et al. Assessing the impact of virtual medication history technicians on medication reconciliation discrepancies. Int J C…
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psnet.ahrq.gov/issue/use-electronic-clinical-decision-support-system-primary-care-assess-inappropriate
October 21, 2020 - Study
Use of an electronic clinical decision support system in primary care to assess inappropriate polypharmacy in young seniors with multimorbidity: observational, descriptive, cross-sectional study
Citation Text:
Rogero-Blanco E, Lopez-Rodriguez JA, Sanz-Cuesta T, et al. Use of an ele…