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psnet.ahrq.gov/periodic-issue/periodic-issue-298
June 30, 2021 - risk of side effects associated with the medications while the least preferred options focused on the effort
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psnet.ahrq.gov/node/846169/psn-pdf
March 15, 2023 - stridor as there is no longer any gas flowing across the vocal cords, despite continued respiratory
effort
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psnet.ahrq.gov/node/49753/psn-pdf
February 01, 2016 - experienced than are ever
reported to the FDA.(21-23) There needs to be a more rigorous reporting effort
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psnet.ahrq.gov/web-mm/steroids-and-safety-preventing-medication-adverse-events-during-transitions-care
September 09, 2013 - September 10, 2014
Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization
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psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
November 30, 2023 - also employ dedicated multidisciplinary teams for inpatient diabetes care, to guide the hospital-wide effort
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psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
October 01, 2004 - and foremost, hospitals must recognize that unintended consequences are bound to occur following any effort
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psnet.ahrq.gov/node/837215/psn-pdf
July 08, 2022 - recommendations per stroke alert protocols over the telephone to hospitals without local
expertise, in an effort
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psnet.ahrq.gov/node/41821/psn-pdf
November 07, 2012 - Death of a boy prompts new medical efforts nationwide.
November 7, 2012
Dwyer J. New York Times. October 25, 2012.
https://psnet.ahrq.gov/issue/death-boy-prompts-new-medical-efforts-nationwide
Reporting on the death of a boy due to a missed diagnosis of infection, this newspaper article discusses
solutions being a…
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psnet.ahrq.gov/issue/2016-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced
April 13, 2016 - Award Recipient
2016 John M. Eisenberg Patient Safety and Quality Award Recipients Announced.
Citation Text:
Joint Commission. April 4, 2017.
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psnet.ahrq.gov/issue/emedication-monitoring
April 25, 2018 - Multi-use Website
eMedication Monitoring.
Citation Text:
Agency for Healthcare Research and Quality; AHRQ.
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March 30, 2011
A…
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psnet.ahrq.gov/issue/innovations-improve-patient-safety
May 25, 2016 - Book/Report
Innovations to improve patient safety.
Citation Text:
Agency for Healthcare Research and Quality. Health Care Innovations Exchange. May 18, 2016.
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psnet.ahrq.gov/issue/cpoe-not-first-step-toward-patient-safety
March 02, 2016 - Newspaper/Magazine Article
CPOE: not the first step toward patient safety.
Citation Text:
Kremsdorf R
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March 6, 2005
Kremsdo…
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psnet.ahrq.gov/issue/clinical-alarms-complexity-and-common-sense
September 23, 2020 - Commentary
Clinical alarms: complexity and common sense.
Citation Text:
Phillips J.
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June 21, 2006
Phillips J.
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psnet.ahrq.gov/issue/junior-medics-bullied-lie-about-hours-doctors-ordered-work-without-proper-training
April 27, 2016 - Newspaper/Magazine Article
Junior medics bullied to lie about hours: doctors ordered to work without proper training.
Citation Text:
Revill J.
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psnet.ahrq.gov/issue/medical-errors-impact-clinical-laboratories-and-other-critical-areas
March 06, 2005 - Review
Medical errors: impact on clinical laboratories and other critical areas.
Citation Text:
Kalra J.
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March 6, 2005
Ka…
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psnet.ahrq.gov/issue/medical-errors-introduction-concepts
March 06, 2005 - Review
Medical errors: an introduction to concepts.
Citation Text:
Kalra J.
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March 6, 2005
Kalra J.
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psnet.ahrq.gov/issue/ihi-fellowship-program
December 13, 2017 - Press Release/Announcement
IHI Fellowship Program.
Citation Text:
Institute for Healthcare Improvement.
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June 3, 2024
Instit…
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psnet.ahrq.gov/node/33773/psn-pdf
September 01, 2014 - Overuse as a Patient Safety Problem
September 1, 2014
Moriates C. Overuse as a Patient Safety Problem. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem
Perspective
Nearly half of primary care physicians in the United States believe that patients cared for in their own
prac…
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psnet.ahrq.gov/node/33808/psn-pdf
May 01, 2016 - Reducing the Safety Hazards of Monitor Alert and Alarm
Fatigue
May 1, 2016
Jacques S, Williams E. Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue. PSNet [internet].
2016.
https://psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
Perspective
Alarm fatigue occurs whe…
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psnet.ahrq.gov/node/45769/psn-pdf
December 21, 2016 - National Scorecard on Rates of Hospital-Acquired
Conditions 2010 to 2015: Interim Data From National
Efforts to Make Health Care Safer.
December 21, 2016
Rockville, MD: Agency for Healthcare Research and Quality; December 2016.
https://psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010…