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psnet.ahrq.gov/node/46883/psn-pdf
March 14, 2018 - Cultures of caring: healthcare 'scandals', inquiries, and
the remaking of accountabilities.
March 14, 2018
Goodwin D. Cultures of caring: Healthcare 'scandals', inquiries, and the remaking of accountabilities. Soc
Stud Sci. 2018;48(1):101-124. doi:10.1177/0306312717751051.
https://psnet.ahrq.gov/issue/cultures-car…
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psnet.ahrq.gov/node/42613/psn-pdf
September 25, 2013 - Approaches to decreasing medication and other care
errors in the ICU.
September 25, 2013
Valentin A. Approaches to decreasing medication and other care errors in the ICU. Curr Opin Crit Care.
2013;19(5):474-9. doi:10.1097/MCC.0b013e328364d4f9.
https://psnet.ahrq.gov/issue/approaches-decreasing-medication-and-other…
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psnet.ahrq.gov/node/840166/psn-pdf
November 16, 2022 - Polypharmacy.
November 16, 2022
Schneider E, Koretz BK, eds. Clin Geriatr Med. 2022;38(4):621-732.
https://psnet.ahrq.gov/issue/polypharmacy-0
Polypharmacy is a known contributor to medication complexity and error. This special issue examines the
impact unnecessary medications have in a variety of care environment…
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psnet.ahrq.gov/node/37218/psn-pdf
March 04, 2011 - Medicaid markets and pediatric patient safety in
hospitals.
March 4, 2011
Smith RB, Cheung R, Owens P, et al. Medicaid markets and pediatric patient safety in hospitals. Health
Serv Res. 2007;42(5):1981-98.
https://psnet.ahrq.gov/issue/medicaid-markets-and-pediatric-patient-safety-hospitals
This study examined th…
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psnet.ahrq.gov/node/61102/psn-pdf
November 04, 2020 - Negligence and AI's human users.
November 4, 2020
Selbst AD. Boston U Law Rev. 2020;100:1315-1376.
https://psnet.ahrq.gov/issue/negligence-and-ais-human-users
Artificial intelligence (AI) is apt to expand clinical, personal, and legal boundaries. This discussion examines
complexities associated with defining negli…
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psnet.ahrq.gov/node/38557/psn-pdf
April 22, 2009 - Antecedents of severe and nonsevere medication errors.
April 22, 2009
Chang Y-K, Mark BA. Antecedents of severe and nonsevere medication errors. J Nurs Scholarsh.
2009;41(1):70-8. doi:10.1111/j.1547-5069.2009.01253.x.
https://psnet.ahrq.gov/issue/antecedents-severe-and-nonsevere-medication-errors
This study examin…
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psnet.ahrq.gov/node/42321/psn-pdf
June 19, 2013 - Rapid response teams: qualitative analysis of their
effectiveness.
June 19, 2013
Leach LS, Mayo AM. Rapid response teams: qualitative analysis of their effectiveness. Am J Crit Care.
2013;22(3):198-210. doi:10.4037/ajcc2013990.
https://psnet.ahrq.gov/issue/rapid-response-teams-qualitative-analysis-their-effectiven…
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psnet.ahrq.gov/node/43484/psn-pdf
September 17, 2014 - A review of the evidence of harm from self-tests.
September 17, 2014
Brown AN, Djimeu EW, Cameron DB. A review of the evidence of harm from self-tests. AIDS Behav.
2014;18 Suppl 4:S445-9. doi:10.1007/s10461-014-0831-y.
https://psnet.ahrq.gov/issue/review-evidence-harm-self-tests
This review explored the evidence o…
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psnet.ahrq.gov/node/73711/psn-pdf
September 15, 2021 - A crisis within a crisis.
September 15, 2021
Ellis NT, Broaddus A. CNN. August 25, 2021.
https://psnet.ahrq.gov/issue/crisis-within-crisis
Maternal safety is an ongoing challenge worldwide. This news feature examines how the COVID pandemic
has revealed disparities and implicit biases that impact the mat…
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psnet.ahrq.gov/node/50648/psn-pdf
November 06, 2019 - Faced with a drug shortfall, doctors scramble to treat
children with cancer.
November 6, 2019
Rabin RC. New York Times. October 14, 2019.
https://psnet.ahrq.gov/issue/faced-drug-shortfall-doctors-scramble-treat-children-cancer
Drug shortages create potential complexities in drug therapy that can result in unsafe m…
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psnet.ahrq.gov/node/39340/psn-pdf
March 17, 2010 - Adverse Events in Hospitals: Methods for Identifying
Events.
March 17, 2010
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector
General; March 2010. Report No. OEI-06-08-00221.
https://psnet.ahrq.gov/issue/adverse-events-hospitals-methods-identifying-events
This report…
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psnet.ahrq.gov/node/41431/psn-pdf
June 06, 2012 - First, Do Less Harm: Confronting the Inconvenient
Problems of Patient Safety.
June 6, 2012
Koppel R, Gordon S, ed. Ithaca, NY: Cornell University Press; 2012. ISBN: 9780801450778.
https://psnet.ahrq.gov/issue/first-do-less-harm-confronting-inconvenient-problems-patient-safety
This publication examines patient safe…
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psnet.ahrq.gov/node/837776/psn-pdf
August 03, 2022 - When the water breaks.
August 3, 2022
Jones LA. The Philadelphia Inquirer. July 17, 2022.
https://psnet.ahrq.gov/issue/when-water-breaks
Racial disparities and inequities detract from safe maternal care. This feature article discusses the history
of obstetric care in the United States and examines the r…
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psnet.ahrq.gov/node/43113/psn-pdf
April 09, 2014 - Transforming the health care environment collaborative.
April 9, 2014
Burgess C, Curry MP. Transforming the health care environment collaborative. AORN J. 2014;99(4):529-
39. doi:10.1016/j.aorn.2014.01.012.
https://psnet.ahrq.gov/issue/transforming-health-care-environment-collaborative
This commentary examines the…
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psnet.ahrq.gov/node/39326/psn-pdf
July 31, 2012 - Initiative to Reduce Unnecessary Radiation Exposure
from Medical Imaging.
July 31, 2012
Center for Devices and Radiological Health; CDRH; US Food and Drug Administration; FDA.
https://psnet.ahrq.gov/issue/initiative-reduce-unnecessary-radiation-exposure-medical-imaging
This Web site provides information on an init…
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psnet.ahrq.gov/node/42558/psn-pdf
March 13, 2014 - Progress in patient safety: a glass fuller than it seems.
March 13, 2014
Pronovost P, Wachter R. Progress in patient safety: a glass fuller than it seems. Am J Med Qual.
2014;29(2):165-9. doi:10.1177/1062860613495554.
https://psnet.ahrq.gov/issue/progress-patient-safety-glass-fuller-it-seems
This commentary examin…
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psnet.ahrq.gov/node/41753/psn-pdf
March 11, 2013 - Barriers and facilitators to communicating nursing errors
in long-term care settings.
March 11, 2013
Wagner LM, Damianakis T, Pho L, et al. Barriers and facilitators to communicating nursing errors in long-
term care settings. J Patient Saf. 2013;9(1):1-7. doi:10.1097/PTS.0b013e3182699919.
https://psnet.ahrq.gov/i…
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digital.ahrq.gov/location/usa-ca-berkeley
January 01, 2023 - USA, CA, Berkeley
Improving Diabetes and Depression Self-Management Via Adaptive Mobile Messaging
Description
This research used machine learning algorithms to customize and distribute health messages to people with low income through text messaging, finding that the adaptive …
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psnet.ahrq.gov/node/73542/psn-pdf
July 28, 2021 - Diagnostic safety event reporting.
July 28, 2021
Carr S. ImproveDx. July 2021;8(4).
https://psnet.ahrq.gov/issue/diagnostic-safety-event-reporting
Adverse event reporting can clarify when mistakes happen and what reduction strategies to apply. This
article describes existing efforts to examine diagnostic error thr…
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psnet.ahrq.gov/node/38041/psn-pdf
July 02, 2009 - Never events: Utah hospitals saw nearly 60 serious errors
in 2007.
July 2, 2009
May H. Salt Lake Tribune. August 18, 2008.
https://psnet.ahrq.gov/issue/never-events-utah-hospitals-saw-nearly-60-serious-errors-2007
This article examines 2007 state health data on never events in the context of a label-related medica…