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psnet.ahrq.gov/issue/intervention-decrease-catheter-related-bloodstream-infections-icu
June 16, 2011 - Study
Classic
An intervention to decrease catheter-related bloodstream infections in the ICU.
Citation Text:
Pronovost P, Needham DM, Berenholtz SM, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006;355(2…
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psnet.ahrq.gov/issue/how-unprofessional-behaviours-between-healthcare-staff-threaten-patient-care-and-safety
July 24, 2024 - December 30, 2014
Developing a process to measure actual harm from medication errors
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psnet.ahrq.gov/issue/lessons-learned-radonda-vaught-ruling
April 26, 2023 - Newspaper/Magazine Article
Lessons learned from the RaDonda Vaught ruling.
Citation Text:
Lessons learned from the RaDonda Vaught ruling. Bilski J. Outpatient Surgery. February 2023;16-21
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psnet.ahrq.gov/issue/characterising-nature-primary-care-patient-safety-incident-reports-england-and-wales-national
December 16, 2015 - Book/Report
Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods agenda-setting study for general practice.
Citation Text:
Carson-Stevens A, Hibbert P, Williams H, et al. Characterising …
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psnet.ahrq.gov/node/865419/psn-pdf
March 27, 2024 - If vital signs fail to normalize with these measures,
the patient would typically be observed or admitted … Editor, AHRQ’s Patient Safety Network (PSNet)
Professor
Department of Pediatrics
Medical Director for Healthcare … Quality
UC Davis Health
ushaikh@ucdavis.edu
References
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psnet.ahrq.gov/issue/weekend-effect-hospitalized-patients-meta-analysis
September 23, 2020 - Review
The weekend effect in hospitalized patients: a meta-analysis.
Citation Text:
Pauls LA, Johnson-Paben R, McGready J, et al. The Weekend Effect in Hospitalized Patients: A Meta-Analysis. J Hosp Med. 2017;12(9):760-766. doi:10.12788/jhm.2815.
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psnet.ahrq.gov/issue/effect-multidisciplinary-care-teams-intensive-care-unit-mortality
January 17, 2018 - Treatment patterns and clinical outcomes after the introduction of the Medicare Sepsis Performance Measure
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psnet.ahrq.gov/issue/diagnostic-stewardship-leveraging-laboratory-improve-antimicrobial-use
March 15, 2023 - December 9, 2015
Developing electronic clinical quality measures to assess the cancer
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psnet.ahrq.gov/issue/complexity-bias-prevention-iatrogenic-injury-why-specific-harms-may-inhibit-performance
September 23, 2020 - Commentary
Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance.
Citation Text:
Padula WV, Armstrong DG, Goldman DP. Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance. Mayo Clin Proc. 2022;97(2…
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psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
October 02, 2024 - devoted to detecting or learning from cases wherein desired outcomes were achieved, and attempts to measure … This approach is inherently challenging because expected daily events are difficult to detect and measure
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psnet.ahrq.gov/issue/medication-safety-systems-and-important-role-pharmacists
July 19, 2023 - Review
Medication safety systems and the important role of pharmacists.
Citation Text:
Mansur JM. Medication Safety Systems and the Important Role of Pharmacists. Drugs Aging. 2016;33(3):213-21. doi:10.1007/s40266-016-0358-1.
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psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
December 23, 2020 - Hospice programs had a financial interest in avoiding costly interventions for their patients, even measures … “do not resuscitate”) can lead to injury to the patient and poorer symptom control; the life-saving measures … Protecting the patient’s safety in this case involved identifying and implementing measures to protect … problematic in a fee for service environment, the net cost savings 17,18 and better patient-family centered quality … of care outcomes 19 strongly favor this type of system support.
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psnet.ahrq.gov/issue/patient-complaints-about-hospital-services-applying-complaint-taxonomy-analyse-and-respond
June 21, 2016 - May 25, 2022
Patient safety and quality of care in developing countries in Southeast … View More
Related Resources
Validation of the Primary Care Patient Measure
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psnet.ahrq.gov/issue/impact-repeated-reimbursement-penalties-hospital-total-quality-scores
November 16, 2022 - February 21, 2024
An exploratory analysis of the association between hospital quality measures
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psnet.ahrq.gov/issue/combined-assessment-tool-teamwork-communication-and-workload-hospital-procedural-units
August 04, 2021 - August 25, 2010
Improving health care quality and patient safety through peer-to-peer
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psnet.ahrq.gov/perspective/connies-story-nurses-personal-experience-mrsa
June 29, 2023 - Connie's Story: A Nurse's Personal Experience with MRSA
April 1, 2008
View more articles from the same authors.
Citation Text:
Lehfeldt C. Connie's Story: A Nurse's Personal Experience with MRSA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and…
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psnet.ahrq.gov/node/860050/psn-pdf
January 04, 2024 - obtained, the findings were appropriately reported to caregivers as well as external
agencies, and measures
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psnet.ahrq.gov/issue/pulse-oximeters-and-their-inaccuracies-will-get-fda-scrutiny-today-what-took-so-long
February 14, 2024 - Newspaper/Magazine Article
Pulse oximeters and their inaccuracies will get FDA scrutiny today. What took so long?
Citation Text:
Pulse oximeters and their inaccuracies will get FDA scrutiny today. What took so long? McFarling UL. STAT. November 1, 2022.
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psnet.ahrq.gov/issue/perioperative-patient-safety-correct-patient-correct-surgery-correct-side-multifaceted-cross
December 21, 2011 - September 15, 2011
Surgical specimen identification errors: a new measure of quality
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psnet.ahrq.gov/issue/misdiagnosis-and-failure-diagnose-emergency-care-causes-and-empathy-solution
August 04, 2021 - August 4, 2021
The aspects of healthcare quality that are important to health professionals … September 8, 2021
Repurposing clinical decision support system data to measure dosing … errors and clinician-level quality of care.