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psnet.ahrq.gov/issue/changes-outcomes-internal-medicine-inpatients-after-work-hour-regulations
September 30, 2012 - March 30, 2022
Despite federal legislation, shortages of drugs used in acute care settings
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psnet.ahrq.gov/issue/influence-organizational-factors-patient-safety-examining-successful-handoffs-health-care
November 20, 2015 - Predicting computerized physician order entry system adoption in US hospitals: can the federal
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psnet.ahrq.gov/issue/evaluating-effect-safety-culture-error-reporting-comparison-managerial-and-staff-perspectives
January 20, 2016 - Predicting computerized physician order entry system adoption in US hospitals: can the federal
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psnet.ahrq.gov/issue/changes-weekend-and-weekday-care-quality-emergency-medical-admissions-20-hospitals-england
August 20, 2018 - Investigators say they broke federal law.
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psnet.ahrq.gov/node/841567/psn-pdf
December 14, 2022 - also inspired a shift
toward measuring safety to reduce harm to patients.1 In response to the report, federal … severe hypoglycemic event.9
Future Directions for Patient Safety
In addition to these advances, federal
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psnet.ahrq.gov/node/846935/psn-pdf
March 29, 2023 - Government
Accountability Office show that maternal mortality has increased and that continued federal … psnet.ahrq.gov/perspective/maternal-safety
https://psnet.ahrq.gov/issue/trends-pregnancy-related-deaths-and-federal-efforts-reduce-them
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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/issue/bundaberg-and-beyond-duty-disclose-adverse-events-patients
January 12, 2022 - Commentary
Bundaberg and beyond: duty to disclose adverse events to patients.
Citation Text:
Madden B, Cockburn T. Bundaberg and beyond: duty to disclose adverse events to patients. J Law Med. 2007;14(4):501-27.
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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/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/perspective/patient-safety-and-opioid-medications
January 01, 2015 - This study suggests that policies (in this case federal policies) to restrict opioid access can reduce … Future efforts should examine clinic, health system, state, and federal policy approaches to address
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psnet.ahrq.gov/node/49675/psn-pdf
February 01, 2013 - 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/49825/psn-pdf
April 01, 2018 - Legal and Regulatory Requirements
Federal law requires linguistic services for patients with LEP. … In addition, health care organizations that receive federal funds—most do in the form of
public insurance … Take-Home Points
https://psnet.ahrq.gov//#references
Federal law and regulations require provision
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psnet.ahrq.gov/node/33732/psn-pdf
July 01, 2012 - RW: In terms of the business case, why were federal incentives necessary to stimulate IT adoption in … RW: Do you think we'll reach a point in the next 5 years when people will say that the federal incentives … In the meantime, there is
a modest opportunity to collect federal funds for becoming a meaningful user
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psnet.ahrq.gov/perspective/safety-and-medical-education
December 01, 2013 - It took about 12 unsuccessful grant submissions to various federal agencies and foundations and a lot … Federal funding for patient safety is very limited. … Let's say you weren't fundamentally interested in IT-related safety issues, but you see a huge federal … I have tried not to be very opportunistic for topics just because the current public or federal interests
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psnet.ahrq.gov/perspective/diagnostic-errors
December 01, 2013 - It took about 12 unsuccessful grant submissions to various federal agencies and foundations and a lot … Federal funding for patient safety is very limited. … Let's say you weren't fundamentally interested in IT-related safety issues, but you see a huge federal … I have tried not to be very opportunistic for topics just because the current public or federal interests
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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/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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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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