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psnet.ahrq.gov/issue/origin-adverse-drug-events-us-hospitals-2011
January 11, 2017 - Book/Report
Origin of Adverse Drug Events in US Hospitals, 2011.
Citation Text:
Origin of Adverse Drug Events in US Hospitals, 2011. Weiss AJ, Elixhauser A, Bae J, Encinosa W. HCUP Statistical Brief #158. Rockville, MD: Agency for Healthcare Research and Quality; September 2013. …
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psnet.ahrq.gov/issue/internal-bleeding-truth-behind-americas-terrifying-epidemic-medical-mistakes-updated-edition
March 27, 2005 - Book/Report
Classic
Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. Updated edition.
Citation Text:
Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. Updated edition. Wachter R, Shojan…
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psnet.ahrq.gov/issue/judging-whether-patient-actually-improving-more-pitfalls-science-human-perception
September 04, 2019 - Review
Judging whether a patient is actually improving: more pitfalls from the science of human perception.
Citation Text:
Redelmeier DA, Dickinson VM. Judging whether a patient is actually improving: more pitfalls from the science of human perception. J Gen Intern Med. 2012;27(9):1195-9…
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psnet.ahrq.gov/issue/building-culture-patient-safety-through-simulation-interprofessional-learning-model
August 21, 2019 - Book/Report
Building a Culture of Patient Safety Through Simulation: An Interprofessional Learning Model.
Citation Text:
Building a Culture of Patient Safety Through Simulation: An Interprofessional Learning Model. Gallo K, Smith LG, eds. New York, NY: Springer Publishing Company; 2015. …
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psnet.ahrq.gov/issue/increasing-demands-quality-measurement
November 16, 2022 - Commentary
Increasing demands for quality measurement.
Citation Text:
Panzer RJ, Gitomer RS, Greene WH, et al. Increasing demands for quality measurement. JAMA. 2013;310(18):1971-80. doi:10.1001/jama.2013.282047.
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psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-moving-research-practice-evaluation-report-ii-2003
May 21, 2014 - Book/Report
Assessment of the AHRQ Patient Safety Initiative: Moving from Research to Practice Evaluation Report II (2003–2004).
Citation Text:
Assessment of the AHRQ Patient Safety Initiative: Moving from Research to Practice Evaluation Report II (2003–2004). Farley D, Morton SC, Damber…
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psnet.ahrq.gov/issue/total-systems-safety-supports-practitioners-partnering-families-protect-patients
April 17, 2024 - Newspaper/Magazine Article
Total systems safety supports practitioners in partnering with families to protect patients.
Citation Text:
Total systems safety supports practitioners in partnering with families to protect patients. ISMP Medication Safety Alert! Acute Care. 2024;29(13):1-4.
…
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psnet.ahrq.gov/issue/wise-event
October 09, 2024 - Commentary
Wise before the event.
Citation Text:
Watts G. Patient safety. Wise before the event. BMJ. 2010;340:c1378. doi:10.1136/bmj.c1378.
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psnet.ahrq.gov/issue/mortality-measure-quality-implications-palliative-and-end-life-care
June 30, 2011 - Commentary
Mortality as a measure of quality: implications for palliative and end-of-life care.
Citation Text:
Holloway RG, Quill TE. Mortality as a measure of quality: implications for palliative and end-of-life care. JAMA. 2007;298(7):802-804.
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psnet.ahrq.gov/issue/critical-care-delivery-united-states-distribution-services-and-compliance-leapfrog
November 18, 2020 - Study
Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations.
Citation Text:
Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations. Angus DC; Shorr AF; White A; Dr…
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psnet.ahrq.gov/issue/medical-emergency-team-safety-net
September 30, 2010 - Commentary
The medical emergency team as a safety net.
Citation Text:
Buttfield MA, Amos JD, Hillman KM. The medical emergency team as a safety net. Jt Comm J Qual Patient Saf. 2006;32(11):641-5.
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psnet.ahrq.gov/issue/health-information-technology-united-states-information-base-progress
April 04, 2018 - Book/Report
Health Information Technology in the United States: The Information Base for Progress.
Citation Text:
Health Information Technology in the United States: The Information Base for Progress. Blumenthal D, DesRoches C, Donelan K, et al. Princeton, NJ: Robert Wood Johnson F…
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psnet.ahrq.gov/issue/wide-heart-monitor-use-tied-missed-alarms
July 19, 2023 - Newspaper/Magazine Article
Wide heart monitor use tied to missed alarms.
Citation Text:
Funk M, Winkler CG, May JL, et al. Unnecessary arrhythmia monitoring and underutilization of ischemia and QT interval monitoring in current clinical practice: baseline results of the Practical Use o…
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psnet.ahrq.gov/issue/serious-reportable-events-healthcare-2011-update
March 23, 2012 - Book/Report
Classic
Serious Reportable Events in Healthcare—2011 Update.
Citation Text:
Serious Reportable Events in Healthcare—2011 Update. Washington DC: National Quality Forum; December 2011.
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psnet.ahrq.gov/issue/results-our-survey-drug-storage-stability-compatibility-and-beyond-use-dating
February 13, 2019 - Newspaper/Magazine Article
Results of our survey on drug storage, stability, compatibility, and beyond use dating.
Citation Text:
Results of our survey on drug storage, stability, compatibility, and beyond use dating. ISMP Medication Safety Alert! Acute care edition. March 22, 2012;17:1-…
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psnet.ahrq.gov/issue/pump-volume-how-prioritize-events-and-analyze-error-data
March 14, 2023 - Newspaper/Magazine Article
Pump up the volume: how to prioritize events and analyze error data.
Citation Text:
Pump up the volume: how to prioritize events and analyze error data. ISMP Medication Safety Alert! Acute care edition. February 9, 2023;28(3):1-4.
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psnet.ahrq.gov/issue/nurses-guilty-verdict-dosing-mistake-could-cost-lives
April 27, 2022 - Newspaper/Magazine Article
Nurses: Guilty verdict for dosing mistake could cost lives.
Citation Text:
Nurses: Guilty verdict for dosing mistake could cost lives. Loller T. Associated Press. March 30, 2022.
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psnet.ahrq.gov/issue/examples-medical-device-misconnections
March 04, 2015 - Multi-use Website
Examples of Medical Device Misconnections.
Citation Text:
Examples of Medical Device Misconnections. Food and Drug Administration. February 23. 2023.
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psnet.ahrq.gov/issue/err-human-apologize-hard
September 28, 2022 - Commentary
To err is human, to apologize is hard.
Citation Text:
Krakower TM. To err Is human, to apologize is hard. JAMA. 2021;326(3):223-224. doi:10.1001/jama.2021.10840.
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psnet.ahrq.gov/issue/medicare-takes-aim-boomerang-hospitalizations-nursing-home-patients
December 12, 2018 - Newspaper/Magazine Article
Medicare takes aim at boomerang hospitalizations of nursing home patients.
Citation Text:
Medicare takes aim at boomerang hospitalizations of nursing home patients. Rau J. Kaiser Health News. June 13, 2018.
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