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psnet.ahrq.gov/issue/disruptive-behavior-affects-hospital-financial-health
February 03, 2010 - Newspaper/Magazine Article
Disruptive behavior affects hospital financial health.
Citation Text:
Rosenstein AH. Measuring and managing the economic impact of disruptive behaviors in the hospital. Journal of healthcare risk management : the journal of the American Society for Healthcare…
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psnet.ahrq.gov/issue/health-information-technology
August 21, 2016 - Special or Theme Issue
Health Information Technology.
Citation Text:
Health Information Technology. Am J Manag Care. 2014;20(spec 17):492-554,e1-e31.
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psnet.ahrq.gov/issue/10-state-project-study-methods-reduce-central-line-associated-bloodstream-infections-hospital
October 23, 2019 - Press Release/Announcement
10-State project to study methods to reduce central line-associated bloodstream infections in hospital ICUs.
Citation Text:
10-State project to study methods to reduce central line-associated bloodstream infections in hospital ICUs. Rockville, MD: Agency for He…
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psnet.ahrq.gov/issue/analysis-reported-drug-interactions-recipe-harm-patients
January 20, 2016 - Newspaper/Magazine Article
Analysis of reported drug interactions: a recipe for harm to patients.
Citation Text:
Analysis of reported drug interactions: a recipe for harm to patients. Grissinger M. PA-PSRS Patient Saf Advis. December 2016;13:137-148.
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psnet.ahrq.gov/issue/trends-nursing-home-deficiencies-and-complaints
February 18, 2009 - Book/Report
Trends in Nursing Home Deficiencies and Complaints.
Citation Text:
Trends in Nursing Home Deficiencies and Complaints. Office of the Inspector General. Washington, DC: US Department of Health and Human Services; September 2008. Report No. OEI-02-08-00140.
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psnet.ahrq.gov/issue/error-and-uncertainty-diagnostic-radiology
December 18, 2019 - Book/Report
Error and Uncertainty in Diagnostic Radiology.
Citation Text:
Error and Uncertainty in Diagnostic Radiology. Bruno MA. New York, NY: Oxford University Press; 2019. ISBN: 9780190665395.
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psnet.ahrq.gov/issue/costs-and-benefits-health-information-technology
July 27, 2018 - Government Resource
Costs and Benefits of Health Information Technology.
Citation Text:
Costs and Benefits of Health Information Technology. Shekelle PG, Morton SC, Keeler EB. Rockville, MD: Agency for Healthcare Research and Quality; April 2006. AHRQ Publication No. 06-E006.
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psnet.ahrq.gov/issue/ismp-survey-shows-provider-text-messaging-often-runs-afoul-patient-safety
May 07, 2018 - Newspaper/Magazine Article
ISMP survey shows provider text messaging often runs afoul of patient safety.
Citation Text:
ISMP survey shows provider text messaging often runs afoul of patient safety. ISMP Medication Safety Alert! Acute Care Edition. November 16, 2017;22:1-5.
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psnet.ahrq.gov/issue/fda-advise-err-avoid-using-error-prone-abbreviation-tpa
April 29, 2015 - Newspaper/Magazine Article
FDA Advise-ERR: avoid using the error-prone abbreviation, TPA.
Citation Text:
FDA Advise-ERR: avoid using the error-prone abbreviation, TPA. ISMP Medication Safety Alert! Acute Care Edition. September 24, 2015;20:1,4-5.
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psnet.ahrq.gov/issue/chemotherapy-error-practical-approaches-increasing-patient-safety
August 04, 2021 - Commentary
Chemotherapy error: practical approaches to increasing patient safety.
Citation Text:
Harris TJ, Northfelt DW. Chemotherapy Error. J Patient Saf. 2008;1(4). doi:10.1097/01.jps.0000215340.80935.d0.
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psnet.ahrq.gov/issue/nursing-homes-fined-covid-infection-control-lapses
November 24, 2021 - Newspaper/Magazine Article
Nursing homes fined for COVID infection control lapses.
Citation Text:
Nursing homes fined for COVID infection control lapses. Jaffe S. Medpage Today. November 25, 2020.
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psnet.ahrq.gov/issue/dont-abandon-second-victims-medical-errors
September 26, 2017 - Commentary
Don't abandon the "second victims" of medical errors.
Citation Text:
Smetzer JL. Don't abandon the "second victims" of medical errors. Nursing (Brux). 2012;42(2):54-8. doi:10.1097/01.NURSE.0000410310.38734.e0.
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psnet.ahrq.gov/issue/understanding-and-learning-organisational-failure
April 19, 2011 - Commentary
Understanding and learning from organisational failure.
Citation Text:
Walshe K. Understanding and learning from organisational failure. Qual Saf Health Care. 2003;12(2):81-2.
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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/new-ahrq-sopsr-workplace-safety-supplemental-items-hospitals
May 01, 2017 - Webinar
New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals.
Citation Text:
New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals. Rockville, MD: Agency for Healthcare Research and Quality; December 16, 2021.
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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/patient-safety-and-patient-error
June 02, 2010 - Commentary
Patient safety and patient error.
Citation Text:
Buetow S, Elwyn G. Patient safety and patient error. Lancet. 2007;369(9556):158-61.
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psnet.ahrq.gov/issue/quantitative-analysis-adverse-events-neurosurgery
September 25, 2019 - Study
Quantitative analysis of adverse events in neurosurgery.
Citation Text:
Houkin K, Baba T, Minamida Y, et al. Quantitative analysis of adverse events in neurosurgery. Neurosurgery. 2009;65(3):587-94; discussion 594. doi:10.1227/01.NEU.0000350860.59902.68.
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psnet.ahrq.gov/issue/does-your-knee-make-more-click-or-clack-teaching-car-talk-new-docs
April 17, 2019 - Newspaper/Magazine Article
"Does your knee make more of a click or a clack?"; teaching "Car Talk" to new docs.
Citation Text:
"Does your knee make more of a click or a clack?"; teaching "Car Talk" to new docs. Chisholm P. Health Shots. National Public Radio. February 27, 2019.
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cds.ahrq.gov/sites/default/files/cds/artifact/136331/Benzodiazepine%20Patient%20Handout.pdf
January 01, 2018 - linked to dementia and falls
HOW TO SAFELY REDUCE OR STOP A BZRA:
• Ask your health care provider to find