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psnet.ahrq.gov/node/49496/psn-pdf
December 01, 2005 - Discharged Blindly
December 1, 2005
Iezzoni LI. Discharged Blindly. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/discharged-blindly
The Case
An elderly blind man developed a deep vein thrombosis during his hospital stay. At discharge, he was to
receive enoxaparin (Lovenox) for self-administration at home…
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psnet.ahrq.gov/issue/exploring-alternatives-malpractice-litigation
September 01, 2018 - Special or Theme Issue
Exploring Alternatives To Malpractice Litigation.
Citation Text:
Improved safety, eliminating errors top policy agenda. Health Aff (Millwood). 2014;33(1):6-66.
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psnet.ahrq.gov/issue/awareness-patient-safety-grows-increased-outpatient-surgeries
June 17, 2014 - Newspaper/Magazine Article
Awareness of patient safety grows with increased outpatient surgeries.
Citation Text:
Awareness of patient safety grows with increased outpatient surgeries. Aston G. Hosp Health Netw. September 9, 2014.
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psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety
May 01, 2013 - implementing information technology systems that meet certain standards, is thus another example of federal … It seems less about federal research funding—maybe research with a capital R ? … We now have a federal incentive program sprinkling around about $20 billion dollars to promote that. … The way I think about this is this is not just a federal government giving out incentives, this is Medicare … 17, 2011
Perspective
Preparing for Health Reform: The Federal
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psnet.ahrq.gov/issue/high-costs-unnecessary-care
June 28, 2023 - Commentary
The high costs of unnecessary care.
Citation Text:
Carroll AE. The High Costs of Unnecessary Care. JAMA. 2017;318(18):1748-1749. doi:10.1001/jama.2017.16193.
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psnet.ahrq.gov/issue/nhs-hospitals-employ-safety-experts-tackle-thousands-avoidable-mistakes
June 07, 2023 - Newspaper/Magazine Article
NHS hospitals to employ safety experts to tackle thousands of avoidable mistakes.
Citation Text:
Lintern S. NHS hospitals to employ safety experts to tackle thousands of avoidable mistakes. Independent. December 25, 2019;
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psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
April 01, 2010 - Since NQF's inception, the Institute of Medicine (IOM), federal task forces, and major stakeholders have … JC: Well, probably the biggest carrot is when the federal government uses standardized performance measures … NQF-endorsed measures are the measures of first choice by the federal government and private purchasers
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psnet.ahrq.gov/issue/quality-safety-and-noninterpretive-skills
November 11, 2015 - Special or Theme Issue
Quality, Safety, and Noninterpretive Skills.
Citation Text:
Quality, Safety, and Noninterpretive Skills. Kruskal JB, Kung JW, eds. Radiographics. 2015;35(6):1627-1848.
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psnet.ahrq.gov/node/33694/psn-pdf
April 01, 2010 - JC: Well, probably the biggest carrot is when the federal government uses standardized performance
measures … NQF-endorsed measures are the measures of first
choice by the federal government and private purchasers
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psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
February 01, 2004 - Proposed federal regulations would require clinical laboratories to release test results directly to … patients if requested.( 9 ) The federal Mammography Quality Standards Act has long required facilities … Federal Register. 2011;76:56712-56724. [Available at] 10.
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psnet.ahrq.gov/node/33863/psn-pdf
August 01, 2018 - Federal funding hasn't been near as generous in
safety in general, but in simulation in particular, … Simulation will also be more widely used if
federal regulators intervene. … I am also disappointed in the relative lack of federal funding
for simulation-based research and the
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psnet.ahrq.gov/perspective/conversation-david-m-gaba-md
March 01, 2013 - In aviation, for example, one federal agency is responsible for regulating the operation and safety of … aviation, the Federal Aviation Administration. … No federal agency regulates the practice of medicine. … The states and the three federal jurisdictions of health care control the regulation of who can practice
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psnet.ahrq.gov/node/33750/psn-pdf
May 01, 2013 - It seems less about federal research funding—maybe
research with a capital R? … We now have a federal incentive program sprinkling around about $20 billion
https://psnet.ahrq.gov/issue … The way I think about this is this is
not just a federal government giving out incentives, this is Medicare
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psnet.ahrq.gov/perspective/literature-health-care-simulation-education-what-does-it-show
March 01, 2013 - In aviation, for example, one federal agency is responsible for regulating the operation and safety of … aviation, the Federal Aviation Administration. … No federal agency regulates the practice of medicine. … The states and the three federal jurisdictions of health care control the regulation of who can practice
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psnet.ahrq.gov/issue/policy-and-future-adverse-event-detection-using-information-technology
August 31, 2011 - Commentary
Policy and the future of adverse event detection using information technology.
Citation Text:
Bates DW, Evans S, Murff HJ, et al. Policy and the future of adverse event detection using information technology. J Am Med Inform Assoc. 2003;10(2):226-8.
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psnet.ahrq.gov/issue/customer-focused-incident-monitoring-anaesthesia
April 24, 2018 - Study
Customer focused incident monitoring in anaesthesia.
Citation Text:
Khan FA, Khimani S. Customer focused incident monitoring in anaesthesia. Anaesthesia. 2007;62(6):586-90.
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psnet.ahrq.gov/issue/root-cause-analysis
June 15, 2016 - Commentary
Root cause analysis.
Citation Text:
Stecker MS. Root cause analysis. J Vasc Interv Radiol. 2007;18(1 Pt 1):5-8.
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psnet.ahrq.gov/issue/establishing-culture-patient-safety-role-education
August 23, 2017 - Commentary
Establishing a culture for patient safety - the role of education.
Citation Text:
Milligan FJ. Establishing a culture for patient safety - the role of education. Nurse Educ Today. 2007;27(2):95-102.
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