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psnet.ahrq.gov/node/46636/psn-pdf
January 24, 2018 - Drug shortages continue to compromise patient care.
January 24, 2018
ISMP Medication Safety Alert! Acute Care Edition. January 11, 2018;23:1-4.
https://psnet.ahrq.gov/issue/drug-shortages-continue-compromise-patient-care
Drug shortages are known to disrupt the safety of care. This newsletter article reports the res…
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psnet.ahrq.gov/node/44714/psn-pdf
November 25, 2015 - Continuous Improvement of Patient Safety: The Case for
Change in the NHS.
November 25, 2015
Illingworth J. London, UK: The Health Foundation; 2015. ISBN: 9781906461706.
https://psnet.ahrq.gov/issue/continuous-improvement-patient-safety-case-change-nhs
The Francis inquiry uncovered problems in the National Health S…
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psnet.ahrq.gov/node/49576/psn-pdf
January 01, 2009 - To Transfer or Not to Transfer
January 1, 2009
Pines JM. To Transfer or Not to Transfer. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/transfer-or-not-transfer
Case Objectives
Explore the benefits of the continuity of hospital care.
Understand the rules and regulations behind triage and hospital choice de…
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psnet.ahrq.gov/node/46816/psn-pdf
March 21, 2018 - Results of an enhanced clinic handoff and resident
education on resident patient ownership and patient
safety.
March 21, 2018
Pincavage A, Dahlstrom M, Prochaska M, et al. Results of an enhanced clinic handoff and resident
education on resident patient ownership and patient safety. Acad Med. 2013;88(6):795-801.
d…
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psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
February 01, 2010 - Requirements and Policies
The Outcomes Project
The mainstay of resident education has been and continues … associated with discontinuity of care.( 1 ) At the present time, the ACGME Resident Duty Hour Task Force continues
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psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
February 01, 2010 - Requirements and Policies
The Outcomes Project
The mainstay of resident education has been and continues … associated with discontinuity of care.( 1 ) At the present time, the ACGME Resident Duty Hour Task Force continues
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psnet.ahrq.gov/node/39512/psn-pdf
June 11, 2010 - An intervention to decrease patient identification band
errors in a children's hospital.
June 11, 2010
Hain PD, Joers B, Rush M, et al. An intervention to decrease patient identification band errors in a
children's hospital. Qual Saf Health Care. 2010;19(3):244-7. doi:10.1136/qshc.2008.030288.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/34949/psn-pdf
June 23, 2009 - A randomized, controlled trial evaluating the impact of a
computerized rounding and sign-out system on continuity
of care and resident work hours.
June 23, 2009
Van Eaton EG, Horvath KD, Lober WB, et al. A randomized, controlled trial evaluating the impact of a
computerized rounding and sign-out system on continui…
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psnet.ahrq.gov/node/38759/psn-pdf
April 05, 2010 - Perceptions of the impact of a large-scale collaborative
improvement programme: experience in the UK Safer
Patients Initiative.
April 5, 2010
Benn J, Burnett S, Parand A, et al. Perceptions of the impact of a large-scale collaborative improvement
programme: experience in the UK Safer Patients Initiative. J Eval Cl…
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psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
September 01, 2011 - In Conversation With…Kaveh G. Shojania, MD
September 1, 2011
Also Read an Essay
Citation Text:
In Conversation With…Kaveh G. Shojania, 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/perspective/assessing-safety-electronic-health-records-what-have-we-learned
September 01, 2017 - Assessing the Safety of Electronic Health Records: What Have We Learned?
Dean F. Sittig, PhD, and Hardeep Singh, MD, MPH | September 1, 2017
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Sittig DF, Singh H. Assessing the Safe…
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psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
September 01, 2006 - In Conversation with...James P. Bagian, MD
September 1, 2006
Also Read an Essay
Also Read an Essay
Citation Text:
In Conversation with..James P. Bagian, MD. PSNet [internet]. 2006.In Conversation with...James P. Bagian, MD. PSNet [internet]. Rockville (MD): Ag…
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psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety
May 01, 2013 - Strengthening the Business Case for Patient Safety
Peter K. Lindenauer, MD, MSc | May 1, 2013
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Lindenauer PK. Strengthening the Business Case for Patient Safety. PSNet [internet]. …
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psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
December 18, 2024 - In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls
Patricia Dykes, PhD, MA, RN, FAAN, FACMI, Zoe Sousane, BS, Sarah E. Mossburg, RN, PhD | December 18, 2024
Also Read the Essay
View more articles from the same authors.
Citation…
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psnet.ahrq.gov/node/49406/psn-pdf
June 01, 2003 - The Dangerous Detour
June 1, 2003
Gibson J, HTaylor D. The Dangerous Detour. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/dangerous-detour
The Case
Following an overdose of alcohol and Ativan, a 26-year-old woman was admitted to the Medicine service
for observation after being placed on a 72-hour hold by…
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psnet.ahrq.gov/issue/smart-pumps-practice-survey-results-reveal-widespread-use-optimization-challenging
December 27, 2018 - Newspaper/Magazine Article
Smart pumps in practice: survey results reveal widespread use, but optimization is challenging.
Citation Text:
Smart pumps in practice: survey results reveal widespread use, but optimization is challenging. ISMP Medication Safety Alert! Acute Care Edition. Apri…
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psnet.ahrq.gov/web-mm/transfer-or-not-transfer
November 23, 2016 - SPOTLIGHT CASE
To Transfer or Not to Transfer
Citation Text:
Pines JM. To Transfer or Not to Transfer. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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Format:
Google Scholar BibTeX EndNote …
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psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-leadership-needed-hhs-prioritize-prevention
October 15, 2008 - Book/Report
Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on these Infections.
Citation Text:
Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices a…
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psnet.ahrq.gov/issue/organizational-culture-critical-success-factors-and-reduction-hospital-errors
December 12, 2014 - Study
Organizational culture, critical success factors, and the reduction of hospital errors.
Citation Text:
Stock GN, McFadden KL, Gowen CR. Organizational culture, critical success factors, and the reduction of hospital errors. Int J Prod Econ. 2006;106(2). doi:10.1016/j.ijpe.2006.0…
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psnet.ahrq.gov/node/40232/psn-pdf
February 23, 2011 - Large scale organisational intervention to improve patient
safety in four UK hospitals: mixed method evaluation.
February 23, 2011
Benning A, Ghaleb M, Suokas A, et al. Large scale organisational intervention to improve patient safety in
four UK hospitals: mixed method evaluation. BMJ. 2011;342(feb03 1):d195. doi:1…