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psnet.ahrq.gov/node/43547/psn-pdf
July 03, 2016 - Health care-associated infections among critically ill
children in the US, 2007-2012.
July 3, 2016
Patrick SW, Kawai AT, Kleinman K, et al. Health care-associated infections among critically ill children in
the US, 2007-2012. Pediatrics. 2014;134(4):705-712. doi:10.1542/peds.2014-0613.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/73121/psn-pdf
April 07, 2021 - The impact of introducing automated dispensing
cabinets, barcode medication administration, and closed-
loop electronic medication management systems on work
processes and safety of controlled medications in
hospitals: a systematic review.
April 7, 2021
Zheng WY, Lichtner V, Van Dort BA, et al. The impact of intr…
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psnet.ahrq.gov/node/41609/psn-pdf
October 11, 2012 - Beating the weekend trend: increased mortality in older
adult traumatic brain injury (TBI) patients admitted on
weekends.
October 11, 2012
Schneider EB, Hirani SA, Hambridge HL, et al. Beating the weekend trend: increased mortality in older
adult traumatic brain injury (TBI) patients admitted on weekends. J Surg R…
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psnet.ahrq.gov/node/44635/psn-pdf
June 21, 2016 - Evaluation of perioperative medication errors and adverse
drug events.
June 21, 2016
Nanji KC, Patel A, Shaikh S, et al. Evaluation of Perioperative Medication Errors and Adverse Drug Events.
Anesthesiology. 2016;124(1):25-34. doi:10.1097/ALN.0000000000000904.
https://psnet.ahrq.gov/issue/evaluation-perioperative-…
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psnet.ahrq.gov/web-mm/crossed-coverage
September 01, 2015 - Crossed Coverage
Citation Text:
Kayser SR. Crossed Coverage. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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…
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psnet.ahrq.gov/node/49627/psn-pdf
June 01, 2011 - The ECG Is Not Normal
June 1, 2011
Zuger A. The ECG Is Not Normal. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/ecg-not-normal
Case Objectives
State how frequently physicians care for family or relatives.
Describe the risks associated with caring for family members or relatives.
Appreciate some of the s…
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psnet.ahrq.gov/node/41786/psn-pdf
October 24, 2012 - Minnesota hospitals are testing ways to reduce return
trips.
October 24, 2012
Lerner M. Lerner M. Star Tribune. October 11, 2012.
https://psnet.ahrq.gov/issue/minnesota-hospitals-are-testing-ways-reduce-return-trips
This newspaper article reports on how transition coaches can help improve transfer and discharge
c…
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psnet.ahrq.gov/node/35727/psn-pdf
February 22, 2006 - Risk of medication errors at hospital discharge and
barriers to problem resolution.
February 22, 2006
Enguidanos SM; Brumley RD.
https://psnet.ahrq.gov/issue/risk-medication-errors-hospital-discharge-and-barriers-problem-resolution
The authors reviewed discharge medication records for elderly patients to assess do…
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psnet.ahrq.gov/node/42265/psn-pdf
December 04, 2016 - Hospital safety: your responsibility or theirs?
December 4, 2016
Teegardin C. Atlanta Journal-Constitution. April 28, 2013.
https://psnet.ahrq.gov/issue/hospital-safety-your-responsibility-or-theirs
This newspaper article reports on the role of patients and families in preventing health care–associated
infections.…
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psnet.ahrq.gov/node/42148/psn-pdf
March 27, 2013 - Healing the hospital hierarchy.
March 27, 2013
Brown T. New York Times. March 17, 2013:SR5.
https://psnet.ahrq.gov/issue/healing-hospital-hierarchy
This newspaper article relates a nursing perspective on how authority gradients and disruptive behavior
can influence health care delivery and patient safety.
https:/…
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psnet.ahrq.gov/node/41581/psn-pdf
August 08, 2012 - How-to Guides: Improving Transitions from the Hospital
to Reduce Avoidable Rehospitalizations.
August 8, 2012
Cambridge, MA: Institute for Healthcare Improvement; June 2012.
https://psnet.ahrq.gov/issue/how-guides-improving-transitions-hospital-reduce-avoidable-rehospitalizations
This series, developed in conjunct…
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psnet.ahrq.gov/node/40082/psn-pdf
December 15, 2010 - Achieving Strong Teamwork Practices in Hospital Labor
and Delivery Units.
December 15, 2010
Farley DO, Sorbero ME, Lovejoy SL, Salisbury M. Santa Monica, CA: Rand Corporation; 2010. ISBN:
9780833050557.
https://psnet.ahrq.gov/issue/achieving-strong-teamwork-practices-hospital-labor-and-delivery-units
This report …
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psnet.ahrq.gov/node/41350/psn-pdf
May 02, 2012 - Medication reconciliation in the hospital: what, why,
where, when, who and how?
May 2, 2012
Fernandes O; Shojania KG.
https://psnet.ahrq.gov/issue/medication-reconciliation-hospital-what-why-where-when-who-and-how
This commentary examines the practical considerations required to implement a high quality medication…
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psnet.ahrq.gov/issue/understanding-role-facility-design-acquisition-and-prevention-healthcare-associated
March 28, 2018 - Special or Theme Issue
Understanding the Role of Facility Design in the Acquisition and Prevention of Healthcare-Associated Infections.
Citation Text:
Understanding the Role of Facility Design in the Acquisition and Prevention of Healthcare-Associated Infections. Hamilton DK, Stichle…
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psnet.ahrq.gov/issue/call-action-safeguarding-integrity-healthcare-quality-and-safety-systems
November 09, 2022 - Book/Report
Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems.
Citation Text:
Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems. Glenview, IL: National Association of Healthcare Quality; October 2012.
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psnet.ahrq.gov/issue/learning-mistakes
March 28, 2018 - Book/Report
Learning From Mistakes.
Citation Text:
Learning From Mistakes. London, UK: Parliamentary and Health Service Ombudsman; July 18, 2016. ISBN: 9781474135764.
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psnet.ahrq.gov/issue/heartbroken
January 17, 2024 - Newspaper/Magazine Article
Heartbroken.
Citation Text:
Heartbroken. McGrory K, Bedi N. Tampa Bay Times. November 28, 2018.
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psnet.ahrq.gov/issue/mid-staffordshire-nhs-foundation-trust-quality-report
October 24, 2024 - Book/Report
Mid Staffordshire NHS Foundation Trust Quality Report.
Citation Text:
Mid Staffordshire NHS Foundation Trust Quality Report. Newcastle Upon Tyne, UK: Care Quality Commission; October 9, 2014.
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psnet.ahrq.gov/issue/medication-errors-affecting-pediatric-patients-unique-challenges-special-population
January 20, 2016 - Newspaper/Magazine Article
Medication errors affecting pediatric patients: unique challenges for this special population.
Citation Text:
Medication errors affecting pediatric patients: unique challenges for this special population. Grissinger M. PA-PSRS Patient Saf Advis. September 2015;…
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psnet.ahrq.gov/issue/how-improve-electronic-health-record-usability-and-patient-safety
February 08, 2017 - Fact Sheet/FAQs
How to Improve Electronic Health Record Usability and Patient Safety.
Citation Text:
How to Improve Electronic Health Record Usability and Patient Safety. Philadelphia, PA: Pew Charitable Trusts; September 6, 2016.
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