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psnet.ahrq.gov/issue/american-hospital-association-mckesson-quest-quality-prize
September 23, 2020 - February 12, 2020
A longitudinal study of a multifaceted intervention to reduce newborn falls
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psnet.ahrq.gov/issue/assessing-patient-safety-culture-review-and-synthesis-measurement-tools
July 10, 2008 - April 26, 2012
An inpatient fall prevention initiative in a tertiary care hospital.
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psnet.ahrq.gov/issue/learning-errors-new-covid-19-vaccines
October 21, 2021 - Newspaper/Magazine Article
Learning from errors with the new COVID-19 vaccines.
Citation Text:
Learning from errors with the new COVID-19 vaccines. ISMP Medication Safety Alert! Acute Care Edition. January 14, 2021;26(1);1-5.
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psnet.ahrq.gov/issue/audit-missed-or-delayed-antimicrobial-drugs
August 01, 2012 - interventions to reduce duration and variability in delays to identification of serious injury after falls
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psnet.ahrq.gov/issue/nhs-safety-thermometer-report-patient-harms-and-harm-free-care-november-2014-november-2015
July 08, 2021 - explores the data collected on four types of health care–acquired conditions ( pressure ulcers , falls
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psnet.ahrq.gov/issue/hospitals-look-computers-predict-patient-emergencies-they-happen
June 16, 2021 - May 1, 2019
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care.
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psnet.ahrq.gov/issue/phony-diagnoses-hide-high-rates-drugging-nursing-homes
December 22, 2021 - Newspaper/Magazine Article
Phony diagnoses hide high rates of drugging at nursing homes.
Citation Text:
Phony diagnoses hide high rates of drugging at nursing homes. Thomas K, Gebeloff R, Silver-Greenberg J. New York Times. September 11, 2021.
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psnet.ahrq.gov/issue/health-information-technology
August 21, 2016 - Related Resources From the Same Author(s)
WebM&M Cases
Falling
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psnet.ahrq.gov/issue/use-directed-can-cause-confusion-both-patients-and-practitioners
August 24, 2016 - Newspaper/Magazine Article
"Use as directed" can cause confusion for both patients and practitioners.
Citation Text:
"Use as directed" can cause confusion for both patients and practitioners. ISMP Medication Safety Alert! Acute Care Edition. August 25, 2016;21:1-3.
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psnet.ahrq.gov/issue/growth-rapid-response-systems
April 24, 2018 - April 15, 2016
A systematic review of falls in hospital for patients with communication
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psnet.ahrq.gov/issue/how-chaos-chain-pharmacies-putting-patients-risk
June 12, 2019 - Newspaper/Magazine Article
How chaos at chain pharmacies is putting patients at risk.
Citation Text:
How chaos at chain pharmacies is putting patients at risk. Gabler E. New York Times. January 31, 2020.
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psnet.ahrq.gov/issue/skin-cancer-risk-no-matter-skin-tone-it-may-be-overlooked-people-dark-skin
September 06, 2023 - Newspaper/Magazine Article
Skin cancer is a risk no matter the skin tone. But it may be overlooked in people with dark skin.
Citation Text:
Skin cancer is a risk no matter the skin tone. But it may be overlooked in people with dark skin. West S. Kaiser Health News. August 5, 2022.
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psnet.ahrq.gov/issue/clinician-mindfulness-and-patient-safety
November 10, 2010 - Commentary
Clinician mindfulness and patient safety.
Citation Text:
Sibinga EMS, Wu AW. Clinician Mindfulness and Patient Safety. JAMA. 2010;304(22). doi:10.1001/jama.2010.1817.
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psnet.ahrq.gov/issue/nebraska-coalition-patient-safety-2018-annual-report
July 13, 2022 - s)
Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention
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psnet.ahrq.gov/issue/blaming-others-threatening-events
November 25, 2009 - Review
Classic
Blaming others for threatening events.
Citation Text:
Blaming others for threatening events. Tennen H; Affleck G.
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psnet.ahrq.gov/issue/american-hospital-association-mckesson-quest-quality-prize-0
March 28, 2018 - February 12, 2020
A longitudinal study of a multifaceted intervention to reduce newborn falls
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psnet.ahrq.gov/issue/whither-challenger-wither-columbia-management-decision-making-and-knowledge-analytic
September 07, 2011 - Commentary
Whither Challenger, wither Columbia: management decision making and the knowledge analytic.
Citation Text:
Whither Challenger, wither Columbia: management decision making and the knowledge analytic. Garrett TM.
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psnet.ahrq.gov/issue/how-dekalb-medical-fixed-drug-safety-problems-after-fatal-error
October 11, 2017 - Newspaper/Magazine Article
How DeKalb Medical fixed drug safety problems after fatal error.
Citation Text:
How DeKalb Medical fixed drug safety problems after fatal error. Porter S. HealthLeaders Media. April 26, 2018.
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psnet.ahrq.gov/issue/beyond-quick-fix-strategies-improving-patient-safety
March 14, 2018 - July 15, 2009
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/why-hospitals-still-make-serious-medical-errors-and-how-they-are-trying-reduce-them
October 04, 2023 - This article discusses the potential that improved technology use has in reducing medication errors, falls