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  1. psnet.ahrq.gov/issue/doctors-must-stop-tuning-out-black-women-it-happened-me-pregnant-ob-gyn
    June 24, 2020 - But are hospitals getting any safer? … September 16, 2020 'I'm smiling under here': Masks, plexiglass and questions the norm as hospitals … lure patients back in COVID-19 era. … June 7, 2023 Hospitals in two states denied an abortion to a miscarrying patient. … May 31, 2023 Why do so many Black women die in pregnancy?
  2. psnet.ahrq.gov/issue/dangers-and-deaths-around-black-pregnancies-seen-completely-preventable-health-crisis
    August 16, 2023 - But it may be overlooked in people with dark skin. … May 24, 2023 Cyberattack led to harrowing lapses at Ascension hospitals, clinicians say … hospitals. … January 17, 2024 Stranded in the ER, seniors await hospital care and suffer avoidable … care among women in Appalachia.
  3. psnet.ahrq.gov/issue/root-cause-analysis
    June 15, 2016 - August 4, 2021 Families as partners in hospital error and adverse event surveillance. … April 24, 2018 Seroprevalence of SARS-CoV-2 among frontline health care personnel in … a multistate hospital network--13 academic medical centers, April-June 2020. … September 23, 2020 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … common cause analysis of safety events at a pediatric hospital.
  4. psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event-reach-patient
    March 14, 2023 - patient safety movement has raised awareness of the presence of multiple factors that align to result in … May 3, 2023 Assessing medication safety in settings not designated solely for pediatric … April 5, 2023 A hard look at hard stops and workarounds in the acute care setting. … December 30, 2014 View More See More About The Topic Hospital Pharmacists … Hospitals Quality and Safety Professionals Nurse Care Hospital Pharmacy View More
  5. psnet.ahrq.gov/issue/nurses-guilty-verdict-dosing-mistake-could-cost-lives
    April 27, 2022 - blaming individuals for medical errors towards a systems-based approach to learning what went on, in … order to prevent similar errors in the future. … at hospital discharge and its associated adverse drug outcomes. … July 5, 2023 Hospitals in two states denied an abortion to a miscarrying patient. … May 31, 2023 Why do so many Black women die in pregnancy?
  6. psnet.ahrq.gov/issue/patient-safety-listen-whistleblowers
    May 22, 2019 - The latent nature of failure in health care is enabled by organizational inability or unwillingness … This commentary discusses a rare criminal event in the British National Health System (NHS) and the … January 12, 2022 In the wake of hospital inquiries: impact on staff and safety. … Data-driven quality improvement, culture change, and the high reliability journey at a special hospital … June 16, 2019 View More See More About The Topic Hospitals Medicine
  7. psnet.ahrq.gov/issue/physical-environments-promote-safe-medication-use
    December 19, 2018 - January 3, 2017 Diagnostic reliability in teledermatology: a systematic review and a … a multistate hospital network--13 academic medical centers, April-June 2020. … Acute Hospital Care Units April 26, 2023 From fable to reality at Parkland … Hospital: the impact of evidence-based design strategies on patient safety, healing, and satisfaction … in an adult inpatient environment.
  8. psnet.ahrq.gov/issue/smarter-clinical-checklists-how-minimize-checklist-fatigue-and-maximize-clinician-performance
    July 10, 2017 - September 21, 2016 Intercepting wrong-patient orders in a computerized provider order … Era January 1, 2017 An anesthesiology department leads culture change at a hospital … June 21, 2017 Addressing disease-related malnutrition in hospitalized patients: a call … September 9, 2015 Back to basics: checklists in aviation and healthcare. … December 22, 2010 View More See More About The Topic Hospitals Health
  9. psnet.ahrq.gov/issue/workplace-bullying-or-results-descriptive-study
    December 21, 2017 - Workplace Bullying in the OR: Results of a Descriptive Study. … Workplace Bullying in the OR: Results of a Descriptive Study. … hospital settings. … hospital practice: factors associated with turnover, outcomes, and patient safety. … November 16, 2022 Families as partners in hospital error and adverse event surveillance
  10. psnet.ahrq.gov/issue/surgical-never-events-how-common-are-adverse-occurrences
    November 16, 2022 - He concludes that, because adverse events occur infrequently in individual institutions, large-scale … July 12, 2010 Families as partners in hospital error and adverse event surveillance. … August 14, 2019 Association of patient and family reports of hospital safety climate … with language proficiency in the US. … Conversation with Edwin Boudreaux about Suicide Prevention March 24, 2025 Hospital
  11. psnet.ahrq.gov/issue/educational-interventions-reduce-prescribing-errors
    October 19, 2022 - August 4, 2021 Families as partners in hospital error and adverse event surveillance. … November 16, 2022 Changes in medical errors after implementation of a handoff program … November 12, 2014 6-PACK programme to decrease fall injuries in acute hospitals: cluster … an acute hospital setting. … June 13, 2011 Potential medication dosing errors in outpatient pediatrics.
  12. psnet.ahrq.gov/issue/preventing-complications-central-venous-catheterization
    September 02, 2015 - March 10, 2011 Incidence and trends of sepsis in US hospitals using clinical vs claims … August 20, 2018 Duty hours in emergency medicine: balancing patient safety, resident … May 29, 2024 Building a Culture of Safety in Health Care. … June 28, 2023 What US hospitals are doing to prevent common device-associated infections … 52 Michigan hospitals.
  13. psnet.ahrq.gov/issue/meaning-justice-safety-incident-reporting
    April 11, 2011 - Commentary The meaning of justice in safety incident reporting. … The meaning of justice in safety incident reporting. Soc Sci Med. 2008;66(2):403-13. … August 10, 2005 Quality improvement implementation and hospital performance on patient … October 23, 2024 Families as partners in hospital error and adverse event surveillance … May 1, 2019 Leading a highly visible hospital through a serious reportable event.
  14. psnet.ahrq.gov/issue/do-some-surgical-implants-do-more-harm-good
    January 14, 2011 - industry  processes that reduce the reliability of surgical implants , including gaps and weaknesses in … a multistate hospital network--13 academic medical centers, April-June 2020. … Thousands are saved in his wake. … June 28, 2023 Hospitals in two states denied an abortion to a miscarrying patient. … February 19, 2020 EMS crews brought patients to the hospital with misplaced breathing
  15. psnet.ahrq.gov/issue/clinical-decision-support-and-malpractice-risk
    September 24, 2017 - Multiple patient safety events within a single hospitalization: a national profile in … US hospitals. … January 10, 2017 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … October 19, 2022 Case outcomes in a communication-and-resolution program in New York … hospitals.
  16. psnet.ahrq.gov/issue/iatrogenic-delirium-and-coma-near-miss
    September 23, 2020 - the Same Author(s) Seroprevalence of SARS-CoV-2 among frontline health care personnel in … a multistate hospital network--13 academic medical centers, April-June 2020. … March 19, 2019 Improving handoffs in the emergency department. … 27, 2011 Effect of computer order entry on prevention of serious medication errors in … October 23, 2018 Association of diagnostic stewardship for blood cultures in critically
  17. psnet.ahrq.gov/issue/embedding-quality-improvement-and-patient-safety-ucla-value-analysis-experience
    October 02, 2019 - The authors describe an initiative to include technology assessment in evaluation processes conducted … October 19, 2022 Families as partners in hospital error and adverse event surveillance … August 20, 2018 Clinical practice guideline: safe medication use in the ICU. … in hospitals. … February 14, 2007 View More See More About The Topic Hospitals Quality
  18. psnet.ahrq.gov/issue/critical-incident-monitoring-anaesthesia
    September 04, 2024 - Review Critical incident monitoring in anaesthesia. … Critical incident monitoring in anaesthesia. … Critical incident monitoring in anaesthesia. … hospital settings: a scoping review. … hospital error and adverse event surveillance.
  19. psnet.ahrq.gov/issue/analysis-transdermal-medication-patch-errors-uncovers-patchwork-safety-challenges
    March 03, 2021 - Recommendations suggested for improvement focus on topics such as prescribing, patch management upon hospital … May 19, 2021 Disrespectful behavior in healthcare: has it improved? … August 7, 2024 Selected medication safety risks to manage in 2016 that might otherwise … But are hospitals getting any safer? … June 16, 2019 View More See More About The Topic Hospitals Medicine
  20. psnet.ahrq.gov/issue/updated-guidance-needed-longstanding-large-volume-parenteral-lvp-labeling-and-packaging
    March 10, 2021 - March 10, 2021 Selected medication safety risks to manage in 2016 that might otherwise … June 24, 2020 Survey suggests disrespectful behaviors persist in healthcare: practitioners … March 18, 2010 View More See More About The Topic Hospitals Hospital … Medicine Hospital Pharmacy Administration Errors Look-Alike, Sound-Alike Drugs View

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