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psnet.ahrq.gov/issue/health-care-associated-infections-hai-portal
February 28, 2018 - Multi-use Website
Health Care–Associated Infections (HAI) Portal.
Citation Text:
Health Care–Associated Infections (HAI) Portal. Joint Commission.
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psnet.ahrq.gov/issue/high-reliability-health-care
May 06, 2015 - Measurement Tool/Indicator
High Reliability in Health Care.
Citation Text:
High Reliability in Health Care. Joint Commission Center for Transforming Healthcare.
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psnet.ahrq.gov/issue/towards-safe-conversational-agents-healthcare
July 10, 2024 - Review
Towards safe conversational agents in healthcare.
Citation Text:
Denecke K. Towards Safe Conversational Agents in Healthcare. Stud Health Technol Inform. 2023;302:157-161. doi:10.3233/shti230094.
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psnet.ahrq.gov/issue/use-dimensional-analysis-reduce-medication-errors
August 06, 2014 - Study
Use of dimensional analysis to reduce medication errors.
Citation Text:
Use of dimensional analysis to reduce medication errors. Greenfield S; Whelan B; Cohn E.
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psnet.ahrq.gov/issue/patient-safety-project-2015-2017
April 15, 2005 - Measurement Tool/Indicator
Patient Safety Project 2015–2017.
Citation Text:
Patient Safety Project 2015–2017. National Quality Forum; NQF.
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psnet.ahrq.gov/issue/medication-reconciliation-hospitalists
February 18, 2011 - Toolkit
Medication Reconciliation for Hospitalists.
Citation Text:
Medication Reconciliation for Hospitalists. Society of Hospital Medicine.
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psnet.ahrq.gov/issue/get-medications-right-institute
March 12, 2016 - Multi-use Website
Get the Medications Right Institute.
Citation Text:
Get the Medications Right Institute. 8230 Old Courthouse Road, Suite 420, Tysons Corner, VA.
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psnet.ahrq.gov/issue/quality-and-safety-education-nurses
November 26, 2014 - Special or Theme Issue
Quality and Safety Education for Nurses.
Citation Text:
Quality and Safety Education for Nurses. Cronenwett L, ed. Nurs Outlook. 2007;55(3):117-162.
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psnet.ahrq.gov/issue/identifying-and-preventing-medication-errors
September 29, 2017 - Multi-use Website
Identifying and Preventing Medication Errors.
Citation Text:
Identifying and Preventing Medication Errors. Institute of Medicine; IOM
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psnet.ahrq.gov/node/49603/psn-pdf
June 01, 2010 - Fatal Error in Neonate: Does "Just Culture" Provide an
Answer?
June 1, 2010
Dekker SWA. Fatal Error in Neonate: Does "Just Culture" Provide an Answer? PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
Case Objectives
Describe the just culture approach to in…
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psnet.ahrq.gov/issue/untold-story-cyberattack-hospital-and-dying-woman
August 25, 2021 - Newspaper/Magazine Article
The untold story of a cyberattack, a hospital and a dying woman.
Citation Text:
The untold story of a cyberattack, a hospital and a dying woman. Ralston W. Wired Magazine. November 11, 2020.
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psnet.ahrq.gov/issue/qi-gateway-quality-improvement-residents
May 26, 2021 - Multi-use Website
QI Gateway: Quality Improvement for Residents.
Citation Text:
QI Gateway: Quality Improvement for Residents. The Committee of Interns and Residents; CIR; SEIU Healthcare.
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psnet.ahrq.gov/issue/effect-smartphone-based-application-learning-nursing-students-performance-preventing
June 14, 2023 - Study
The effect of smartphone-based application learning on the nursing students' performance in preventing medication errors in the pediatric units.
Citation Text:
Pourteimour S, Hemmati MalsakPak M, Jasemi M, et al. The effect of smartphone-based application learning on the nursing st…
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psnet.ahrq.gov/issue/radically-redesigning-patient-safety
November 13, 2024 - Newspaper/Magazine Article
Radically redesigning patient safety.
Citation Text:
Radick LE. Radically Redesigning Patient Safety. Healthcare executive. 2016;31(2):32-4, 36-40, 42.
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psnet.ahrq.gov/node/72836/psn-pdf
January 26, 2021 - Meaningful Measurement in Patient and Family
Engagement
March 10, 2021
Hoy L, Hoy S, Fitall E, et al. Meaningful Measurement in Patient and Family Engagement. PSNet [internet].
2021.
https://psnet.ahrq.gov/perspective/meaningful-measurement-patient-and-family-engagement
Defining Patient and Family Engagement
Pat…
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psnet.ahrq.gov/perspective/conversation-ann-l-hendrich-rn-phd
February 26, 2025 - In Conversation With… Ann L. Hendrich, RN, PhD
December 1, 2011
Citation Text:
In Conversation With… Ann L. Hendrich, RN, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/issue/effect-nurse-staffing-patterns-medical-errors-and-nurse-burnout
October 11, 2023 - Review
The effect of nurse staffing patterns on medical errors and nurse burnout.
Citation Text:
Garrett C. The effect of nurse staffing patterns on medical errors and nurse burnout. AORN J. 2008;87(6):1191-204. doi:10.1016/j.aorn.2008.01.022.
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psnet.ahrq.gov/node/33722/psn-pdf
December 01, 2011 - In Conversation With… Ann L. Hendrich, RN, PhD
December 1, 2011
In Conversation With… Ann L. Hendrich, RN, PhD. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/conversation-ann-l-hendrich-rn-phd
Editor's note: Ann L. Hendrich, RN, PhD, is Vice President of Clinical Excellence Operations and
Executive Di…
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psnet.ahrq.gov/node/49673/psn-pdf
December 01, 2012 - days prior to presentation
• ST-segment deviation of 0.05 mV or more
• Elevated cardiac markers
*To calculate
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psnet.ahrq.gov/node/854897/psn-pdf
October 31, 2023 - Weight and Height Juxtaposition in the Electronic Medical
Record Causing an Accidental Medication Overdose
October 31, 2023
Jain NP, Dakwa D. Weight and Height Juxtaposition in the Electronic Medical Record Causing an
Accidental Medication Overdose. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/weight-and-…