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psnet.ahrq.gov/node/38091/psn-pdf
February 18, 2011 - Questionable hospital chart documentation practices by
physicians.
February 18, 2011
Sharma R, Kostis WJ, Wilson AC, et al. Questionable hospital chart documentation practices by
physicians. J Gen Intern Med. 2008;23(11):1865-70. doi:10.1007/s11606-008-0750-6.
https://psnet.ahrq.gov/issue/questionable-hospital-cha…
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psnet.ahrq.gov/node/866862/psn-pdf
October 02, 2024 - A mixed methods study exploring patient safety culture at
4 VHA Hospitals.
October 2, 2024
Sullivan JL, Shin MH, Ranusch A, et al. A mixed methods study exploring patient safety culture at 4 VHA
Hospitals. Jt Comm J Qual Patient Saf. 2024;50(11):791-800. doi:10.1016/j.jcjq.2024.07.008.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/46580/psn-pdf
June 25, 2018 - Out-of-hospital pediatric patient safety events: results of
the CSI chart review.
June 25, 2018
Meckler G, Hansen M, Lambert W, et al. Out-of-Hospital Pediatric Patient Safety Events: Results of the CSI
Chart Review. Prehosp Emerg Care. 2018;22(3):290-299. doi:10.1080/10903127.2017.1371261.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/73675/psn-pdf
September 08, 2021 - A system-wide hospital child maltreatment patient safety
program.
September 8, 2021
Hansen J, Terreros A, Sherman A, et al. A system-wide hospital child maltreatment patient safety program.
Pediatrics. 2021;148(3):e2021050555. doi:10.1542/peds.2021-050555.
https://psnet.ahrq.gov/issue/system-wide-hospital-child-ma…
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psnet.ahrq.gov/node/866108/psn-pdf
June 12, 2024 - Child age and risk of medication error: a multisite
children's hospital study.
June 12, 2024
Badgery-Parker T, Li L, Fitzpatrick E, et al. Child age and risk of medication error: a multisite children's
hospital study. J Pediatr. 2024;272:114087. doi:10.1016/j.jpeds.2024.114087.
https://psnet.ahrq.gov/issue/child-a…
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psnet.ahrq.gov/node/838134/psn-pdf
September 21, 2022 - Allergic adverse drug events after alert overrides in
hospitalized patients.
September 21, 2022
Luri M, Gastaminza G, Idoate A, et al. Allergic adverse drug events after alert overrides in hospitalized
patients. J Patient Saf. 2022;18(6):630-636. doi:10.1097/pts.0000000000001034.
https://psnet.ahrq.gov/issue/aller…
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psnet.ahrq.gov/node/45202/psn-pdf
October 08, 2016 - Towards international consensus on patient harm:
perspectives on pressure injury policy.
October 8, 2016
Jackson D, Hutchinson M, Barnason S, et al. Towards international consensus on patient harm:
perspectives on pressure injury policy. J Nurs Manag. 2016;24(7):902-914. doi:10.1111/jonm.12396.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/43703/psn-pdf
December 19, 2014 - Examining the validity of AHRQ's Patient Safety
Indicators (PSIs): is variation in PSI composite score
related to hospital organizational factors?
December 19, 2014
Shin MH, Sullivan JL, Rosen AK, et al. Examining the validity of AHRQ's patient safety indicators (PSIs): is
variation in PSI composite score related …
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psnet.ahrq.gov/node/839316/psn-pdf
January 01, 2023 - Patient voices in hospital safety during the COVID-19
pandemic.
November 2, 2022
Groves PS, Bunch JL, Hanrahan KM, et al. Patient voices in hospital safety during the COVID-19
pandemic. Clin Nurs Res. 2023;32(1):105-114. doi:10.1177/10547738221129711.
https://psnet.ahrq.gov/issue/patient-voices-hospital-safety-dur…
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psnet.ahrq.gov/node/47405/psn-pdf
January 27, 2019 - Robotic dispensing improves patient safety, inventory
management, and staff satisfaction in an outpatient
hospital pharmacy.
January 27, 2019
Rodriguez-Gonzalez CG, Herranz-Alonso A, Escudero-Vilaplana V, et al. Robotic dispensing improves
patient safety, inventory management, and staff satisfaction in an outpatie…
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psnet.ahrq.gov/node/60684/psn-pdf
January 01, 2021 - Post-discharge adverse events among African American
and Caucasian patients of an urban community hospital.
July 15, 2020
Costello WG, Zhang L, Schnipper JL, et al. Post-discharge adverse events among African American and
Caucasian patients of an urban community hospital. J Racial Ethn Health Disparities. 2021;8(2)…
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psnet.ahrq.gov/node/43828/psn-pdf
January 14, 2015 - Tragic error with neuromuscular blocker should prompt
risk assessment by all hospitals.
January 14, 2015
ISMP Medication Safety Alert! Acute Care Edition. December 18, 2014;19:1,4.
https://psnet.ahrq.gov/issue/tragic-error-neuromuscular-blocker-should-prompt-risk-assessment-all-
hospitals
This newsletter article …
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psnet.ahrq.gov/node/856592/psn-pdf
January 01, 2024 - Talking about falls: a qualitative exploration of spoken
communication of patients' fall risks in hospitals and
implications for multifactorial approaches to fall
prevention.
November 29, 2023
McVey L, Alvarado N, Healey F, et al. Talking about falls: a qualitative exploration of spoken
communication of patients’…
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psnet.ahrq.gov/node/850673/psn-pdf
June 14, 2023 - In Conversation with... Beverley H. Johnson about The
Role of Patient's Family In Reducing Harm
June 14, 2023
Johnson B. In Conversation with.. Beverley H. Johnson about The Role of Patient's Family In Reducing
Harm. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/conversation-beverley-h-johnson-about-r…
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psnet.ahrq.gov/node/33695/psn-pdf
April 01, 2010 - The Role of the National Quality Forum (NQF) in the Quest
for Transparency in U.S. Hospitals' Patient Safety
Performance
April 1, 2010
Roberts LL, Ward MM, Evans TC. The Role of the National Quality Forum (NQF) in the Quest for
Transparency in U.S. Hospitals' Patient Safety Performance. PSNet [internet]. 2010.
ht…
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psnet.ahrq.gov/node/33762/psn-pdf
March 01, 2014 - In Conversation With… Alison Holmes, MD, MPH
March 1, 2014
In Conversation With… Alison Holmes, MD, MPH. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
Editor's note: Dr. Alison Holmes is Director of Infection Prevention and Control at Imperial College
Healthcare NHS …
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psnet.ahrq.gov/node/33634/psn-pdf
May 04, 2006 - The Wild West: Patient Safety in Office-Based Anesthesia
May 1, 2006
Kaushal R, Upadhyayula S, Gaba DM, et al. The Wild West: Patient Safety in Office-Based Anesthesia.
PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia
Perspective
Over the last decade, sur…
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psnet.ahrq.gov/node/866899/psn-pdf
October 09, 2024 - Diagnostic discordance, uncertainty, and treatment
ambiguity in community-acquired pneumonia: a national
cohort study of 115 U.S. Veterans Affairs hospitals.
October 9, 2024
Jones BE, Chapman AB, Ying J, et al. Diagnostic discordance, uncertainty, and treatment ambiguity in
community-acquired pneumonia: a national…
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psnet.ahrq.gov/node/73400/psn-pdf
June 16, 2021 - Older patients' engagement in hospital medication safety
behaviours.
June 16, 2021
Tobiano G, Chaboyer W, Dornan G, et al. Older patients’ engagement in hospital medication safety
behaviours. Aging Clin Exp Res. 2021;33(12):3353-3361. doi:10.1007/s40520-021-01866-3.
https://psnet.ahrq.gov/issue/older-patients-enga…
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psnet.ahrq.gov/node/837859/psn-pdf
August 17, 2022 - The barriers and enhancers to trust in a just culture in
hospital settings: a systematic review.
August 17, 2022
van Marum S, Verhoeven D, de Rooy D. The barriers and enhancers to trust in a just culture in hospital
settings: a systematic review. J Patient Saf. 2022;18(7):e1067-e1075. doi:10.1097/pts.00000000000010…