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psnet.ahrq.gov/node/47609/psn-pdf
December 19, 2018 - Nurse Staffing Levels, Missed Vital Signs and Mortality in
Hospitals: Retrospective Longitudinal Observational
Study.
December 19, 2018
Griffiths P, Ball JE, Bloor K, et al. Nurse Staffing Levels, Missed Vital Signs And Mortality In Hospitals:
Retrospective Longitudinal Observational Study. Southampton, UK: NIHR J…
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psnet.ahrq.gov/node/40893/psn-pdf
November 02, 2011 - Systematic review of safety checklists for use by medical
care teams in acute hospital settings—limited evidence of
effectiveness.
November 2, 2011
Ko HCH, Turner TJ, Finnigan MA. Systematic review of safety checklists for use by medical care teams in
acute hospital settings--limited evidence of effectiveness. BMC…
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psnet.ahrq.gov/node/40852/psn-pdf
January 19, 2012 - Understanding how rapid response systems may improve
safety for the acutely ill patient: learning from the
frontline.
January 19, 2012
Mackintosh N, Rainey H, Sandall J. Understanding how rapid response systems may improve safety for the
acutely ill patient: learning from the frontline. BMJ Qual Saf. 2012;21(2):13…
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psnet.ahrq.gov/node/41590/psn-pdf
August 15, 2012 - Nurse staffing, burnout, and health care-associated
infection.
August 15, 2012
Cimiotti JP, Aiken LH, Sloane DM, et al. Nurse staffing, burnout, and health care-associated infection. Am J
Infect Control. 2012;40(6):486-490. doi:10.1016/j.ajic.2012.02.029.
https://psnet.ahrq.gov/issue/nurse-staffing-burnout-and-hea…
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psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-reduces-errors
October 30, 2024 - Verification Screen That Includes Prominent Patient Photograph Significantly Reduces Errors Caused by Orders Placed in Wrong Chart
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June 12, 2020
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psnet.ahrq.gov/node/33766/psn-pdf
May 01, 2014 - In Conversation With… Didier Pittet, MD, MS
May 1, 2014
In Conversation With… Didier Pittet, MD, MS. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms
Editor's note: Didier Pittet, MD, MS, is Professor of Medicine and Director of the Infection Control
Programme and WHO Co…
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psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
September 01, 2008 - The Role of Bar Coding and Smart Pumps in Safety
Jeffrey M. Rothschild, MD, MPH; Carol Keohane, RN, BSN | September 1, 2008
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Rothschild JM, Keohane C. The Role of Bar Coding and Sm…
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psnet.ahrq.gov/node/46295/psn-pdf
September 06, 2017 - Pain assessment and management standards for
hospitals.
September 6, 2017
R3 Report. August 29, 2017;11:1-7.
https://psnet.ahrq.gov/issue/pain-assessment-and-management-standards-hospitals
Strategies to manage pain safely have been reexamined in light of the opioid epidemic. This report
highlights Joint Commissio…
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psnet.ahrq.gov/node/44457/psn-pdf
September 29, 2017 - Hospitals slow to adopt patient apology policies.
September 29, 2017
Rice S. Hospitals slow to adopt patient apology policies. Modern healthcare. 2015;45(33):16, 29-30.
https://psnet.ahrq.gov/issue/hospitals-slow-adopt-patient-apology-policies
Communication-and-resolution approaches to medical errors have garnered …
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psnet.ahrq.gov/node/43657/psn-pdf
November 26, 2014 - Strategies for Ensuring the Safe Use of Insulin Pens in the
Hospital.
November 26, 2014
American Society of Health-System Pharmacists
https://psnet.ahrq.gov/issue/strategies-ensuring-safe-use-insulin-pens-hospital
Insulin is classified as a high-alert medication due to the potential to cause serious patient harm w…
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psnet.ahrq.gov/node/45223/psn-pdf
September 27, 2017 - Hospital safety climate and safety behavior: a social
exchange perspective.
September 27, 2017
Ancarani A, Di Mauro C, Giammanco MD. Hospital safety climate and safety behavior: A social exchange
perspective. Health Care Manage Rev. 2017;42(4):341-351. doi:10.1097/HMR.0000000000000118.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/853076/psn-pdf
August 30, 2023 - Hospital bosses ignored months of doctors' warnings
about Lucy Letby.
August 30, 2023
Moritz J, Coffey J, Buchanan M. BBC News. August 19, 2023.
https://psnet.ahrq.gov/issue/hospital-bosses-ignored-months-doctors-warnings-about-lucy-letby
Whistleblowers can identify the presence of systemic failures, but the organ…
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psnet.ahrq.gov/node/46167/psn-pdf
June 07, 2017 - Identifying patients with sepsis on the hospital wards.
June 7, 2017
Bhattacharjee P, Edelson DP, Churpek MM. Identifying Patients With Sepsis on the Hospital Wards. Chest.
2016;151(4). doi:10.1016/j.chest.2016.06.020.
https://psnet.ahrq.gov/issue/identifying-patients-sepsis-hospital-wards
Undiagnosed sepsis can l…
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psnet.ahrq.gov/node/39498/psn-pdf
February 10, 2015 - The effect of health information technology on quality in
U.S. hospitals.
February 10, 2015
McCullough JS, Casey M, Moscovice I, et al. The effect of health information technology on quality in U.S.
hospitals. Health Aff (Millwood). 2010;29(4):647-654. doi:10.1377/hlthaff.2010.0155.
https://psnet.ahrq.gov/issue/ef…
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psnet.ahrq.gov/node/44531/psn-pdf
September 30, 2015 - Never Events for Hospital Care in Canada: Safer Care for
Patients.
September 30, 2015
Toronto, ON: Health Quality Ontario and the Canadian Patient Safety Institute; September 2015. ISBN:
9781460666180.
https://psnet.ahrq.gov/issue/never-events-hospital-care-canada-safer-care-patients
The never events list was dev…
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psnet.ahrq.gov/node/36717/psn-pdf
July 26, 2011 - Design of a retrospective patient record study on the
occurrence of adverse events among patients in Dutch
hospitals.
July 26, 2011
Zegers M, de Bruijne M, Wagner C, et al. Design of a retrospective patient record study on the occurrence
of adverse events among patients in Dutch hospitals. BMC Health Serv Res. 200…
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psnet.ahrq.gov/node/39647/psn-pdf
November 02, 2010 - Validation of hospital administrative dataset for adverse
event screening.
November 2, 2010
Verelst S, Jacques J, Van den Heede K, et al. Validation of Hospital Administrative Dataset for adverse
event screening. Qual Saf Health Care. 2010;19(5):e25. doi:10.1136/qshc.2009.034306.
https://psnet.ahrq.gov/issue/valid…
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psnet.ahrq.gov/node/40329/psn-pdf
August 25, 2011 - Using prospective clinical surveillance to identify adverse
events in hospital.
August 25, 2011
Forster AJ, Worthington JR, Hawken S, et al. Using prospective clinical surveillance to identify adverse
events in hospital. BMJ Qual Saf. 2011;20(9):756-63. doi:10.1136/bmjqs.2010.048694.
https://psnet.ahrq.gov/issue/u…
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psnet.ahrq.gov/node/867395/psn-pdf
December 18, 2024 - AHRQ National Healthcare Safety Dashboard.
December 18, 2024
AHRQ National Healthcare Safety Dashboard. National Action Alliance for Patient and Workforce Safety.
https://psnet.ahrq.gov/issue/ahrq-national-healthcare-safety-dashboard
The AHRQ National Healthcare Safety Dashboard is one approach to tracking progress…
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psnet.ahrq.gov/node/39059/psn-pdf
October 28, 2009 - Communication and information deficits in patients
discharged to rehabilitation facilities: an evaluation of five
acute care hospitals.
October 28, 2009
Gandara E, Moniz T, Ungar J, et al. Communication and information deficits in patients discharged to
rehabilitation facilities: An evaluation of five acute care h…