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psnet.ahrq.gov/node/33872/psn-pdf
January 01, 2018 - While this
intervention did not reduce safety incidents like pressure ulcers or falls, it did identify
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psnet.ahrq.gov/primer/reporting-patient-safety-events
March 30, 2022 - Studies of electronic hospital event reporting systems generally show that medication errors and patient falls
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psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
March 30, 2022 - if care had been different; Adverse events due to negligence : those that occurred due to care that falls
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psnet.ahrq.gov/node/33854/psn-pdf
March 01, 2018 - likely to rate their hospital well
(7), and there is an increased risk of adverse events and patient falls
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psnet.ahrq.gov/node/49785/psn-pdf
February 01, 2017 - Refused Medication Error
February 1, 2017
Foley M. Refused Medication Error. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/refused-medication-error
The Case
A 59-year-old man was admitted to the hospital with acute renal failure and mental status changes. He was
alert to self and place only. The patient h…
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psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
November 10, 2025 - An elderly man had iron deficiency anemia with progressively falling … Linkedin
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An elderly man had iron deficiency anemia with progressively falling
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psnet.ahrq.gov/node/49598/psn-pdf
February 01, 2010 - The patient denied any history of arrhythmia, syncope,
presyncope, dementia, or prior falls.
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psnet.ahrq.gov/node/40578/psn-pdf
July 06, 2011 - Implementing the 2009 Institute of Medicine
recommendations on resident physician work hours,
supervision, and safety.
July 6, 2011
Blum AB, Shea AS, Czeisler CA, et al. Implementing the 2009 Institute of Medicine recommendations on
resident physician work hours, supervision, and safety. Nat Sci Sleep. 2011;3:47-8…
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psnet.ahrq.gov/node/40707/psn-pdf
March 11, 2013 - More than words: patients' views on apology and
disclosure when things go wrong in cancer care.
March 11, 2013
Mazor KM, Greene SM, Roblin DW, et al. More than words: patients' views on apology and disclosure
when things go wrong in cancer care. Patient Educ Couns. 2013;90(3):341-346.
doi:10.1016/j.pec.2011.07.010…
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psnet.ahrq.gov/issue/shift-safety
May 22, 2019 - Multi-use Website
Shift to Safety.
Citation Text:
Shift to Safety. Canadian Patient Safety Institute.
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Septem…
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psnet.ahrq.gov/issue/quality-and-patient-safety
December 24, 2008 - Multi-use Website
Quality and Patient Safety.
Citation Text:
Quality and Patient Safety. Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/team-performance-measurement-model-continuous-improvement
February 26, 2025 - Commentary
A team performance measurement model for continuous improvement.
Citation Text:
Çiçek MC, Köksal G, Özdemirel NE. A team performance measurement model for continuous improvement. Total Quality Management & Business Excellence. 2007;16(3). doi:10.1080/14783360500054129.
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psnet.ahrq.gov/issue/patient-safety-curriculum-2nd-edition
July 12, 2017 - Course Material/Curriculum
IHI Open School Patient Safety Curriculum
Citation Text:
IHI Open School Patient Safety Curriculum Institute for Healthcare Improvement.
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psnet.ahrq.gov/issue/non-english-speakers-find-ers-hard-reach
January 18, 2023 - Newspaper/Magazine Article
Non-English speakers find ERs hard to reach.
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October 26, 2007
View more articles from the same authors.
…
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psnet.ahrq.gov/issue/simulation-articles-influence
April 20, 2022 - Multi-use Website
Simulation Articles of Influence.
Citation Text:
Simulation Articles of Influence. Society for Simulation in Healthcare. 2017-2023.
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psnet.ahrq.gov/issue/flying-blind
January 18, 2023 - Newspaper/Magazine Article
Flying blind.
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April 29, 2009
View more articles from the same authors.
This article explores how inf…
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psnet.ahrq.gov/issue/patient-safety-education-project
July 16, 2018 - Multi-use Website
Patient Safety Education Project.
Citation Text:
Patient Safety Education Project. Buehler Center on Aging, Health & Society; Northwestern University.
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Face…
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psnet.ahrq.gov/node/846171/psn-pdf
July 26, 2022 - Physical restraints have limited value as they may help to prevent removal of equipment or
falls, but … isolation of patients, feelings of anxiety and depression,
medication errors and missed diagnoses, falls
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psnet.ahrq.gov/node/73128/psn-pdf
July 01, 2022 - In addition, hospitalized seniors are at risk of falls,
fractures, and medical/medication errors.2 Older … less likely to
receive IV fluids, sedatives (which can lead to complications such as delirium and falls
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psnet.ahrq.gov/web-mm/pill-organizing-plight
June 19, 2018 - drug–disease interactions problematic for older adults, placing them at increased risk for delirium, falls … Yes/No Does the patient have a history of falls?