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psnet.ahrq.gov/node/40599/psn-pdf
November 23, 2011 - Organizational climate determinants of resident safety
culture in nursing homes.
November 23, 2011
Arnetz JE, Zhdanova LS, Elsouhag D, et al. Organizational climate determinants of resident safety culture
in nursing homes. Gerontologist. 2011;51(6):739-49. doi:10.1093/geront/gnr053.
https://psnet.ahrq.gov/issue/or…
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psnet.ahrq.gov/node/35305/psn-pdf
June 30, 2011 - Drug administration errors and their determinants in
pediatric in-patients.
June 30, 2011
Prot S, Fontan JE, Alberti C, et al. Drug administration errors and their determinants in pediatric in-patients.
International Journal for Quality in Health Care. 2005;17(5). doi:10.1093/intqhc/mzi066.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/45372/psn-pdf
November 18, 2016 - Determinants of patient–oncologist prognostic
discordance in advanced cancer.
November 18, 2016
Gramling R, Fiscella K, Xing G, et al. Determinants of Patient-Oncologist Prognostic Discordance in
Advanced Cancer. JAMA Oncol. 2016;2(11):1421-1426. doi:10.1001/jamaoncol.2016.1861.
https://psnet.ahrq.gov/issue/determ…
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psnet.ahrq.gov/perspective/role-patient-facing-technologies-empower-patients-and-improve-safety
November 01, 2017 - As in any major change management initiative, three major components determine the endeavor's success
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psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
April 01, 2010 - measures and publicly reported performance data, payers, the public, and policy makers are unable to determine
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psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-systems-how-will-we-make-it-all-work
May 01, 2008 - of other new technologies and pharmaceuticals: thoroughly describe the problem that is being solved, determine
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psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
October 01, 2016 - foot in both the clinical and data science realms, clinician data scientists are best positioned to determine
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psnet.ahrq.gov/perspective/safety-medical-devices
June 01, 2011 - Related Resources
A "Do No Harm" novel safety checklist and research approach to determine
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psnet.ahrq.gov/node/855058/psn-pdf
October 31, 2023 - happened during incidents of workplace violence, identify what processes and policies need to change, and
determine
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psnet.ahrq.gov/perspective/conversation-withjanet-corrigan-phd-mba
April 01, 2010 - measures and publicly reported performance data, payers, the public, and policy makers are unable to determine
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psnet.ahrq.gov/perspective/conversation-wanda-pratt-phd
November 01, 2017 - As in any major change management initiative, three major components determine the endeavor's success
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psnet.ahrq.gov/node/50614/psn-pdf
October 30, 2019 - providers so that
we move the field from ordering a line to consulting vascular access teams to help determine
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psnet.ahrq.gov/perspective/conversation-withdavid-w-bates-md-msc
May 01, 2018 - of other new technologies and pharmaceuticals: thoroughly describe the problem that is being solved, determine
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psnet.ahrq.gov/web-mm/stroke-error
February 01, 2016 - The interval between symptom onset and clinical assessment will determine whether acute reperfusion therapy
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psnet.ahrq.gov/node/49666/psn-pdf
October 01, 2012 - CA-MRSA Skin Infections: An Ounce of Prevention is
Worth a Pound of Cure
October 1, 2012
Liu C. CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure. PSNet [internet].
2012.
https://psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure
Case Objectives
Identify risk f…
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psnet.ahrq.gov/web-mm/transfusion-overload
September 23, 2020 - SPOTLIGHT CASE
Transfusion Overload
Citation Text:
Patel MS, Carson JL. Transfusion Overload. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/primer/nursing-and-patient-safety
September 15, 2024 - Nursing and Patient Safety
Citation Text:
Phillips J, Malliaris AP, Bakerjian D. Nursing and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
March 01, 2015 - SPOTLIGHT CASE
Bad Writing, Wrong Medication
Citation Text:
Devine B. Bad Writing, Wrong Medication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
September 15, 2024 - Retained Surgical Items: Definition and Epidemiology.
Citation Text:
Romano PS, Gibbs VC. Retained Surgical Items: Definition and Epidemiology.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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…
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psnet.ahrq.gov/web-mm/near-miss-bedside-medications
February 01, 2006 - SPOTLIGHT CASE
Near Miss with Bedside Medications
Citation Text:
Wu AW. Near Miss with Bedside Medications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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