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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43237/psn-pdf
    June 04, 2014 - After a medical error, patients could become hospital insiders. June 4, 2014 Clark C. HealthLeaders Media. May 22, 2014. https://psnet.ahrq.gov/issue/after-medical-error-patients-could-become-hospital-insiders Highlighting examples of patients who have experienced errors partnering in safety efforts, this news art…
  2. psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
    April 26, 2023 - In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring April 26, 2023  Also Read the Essay Citation Text: In Conversation with.. Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring. PSNet [internet]. 2023.In…
  3. psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp
    November 01, 2005 - In Conversation with…Donald M. Berwick, MD, MPP November 1, 2005  Also Read an Essay Citation Text: In Conversation with…Donald M. Berwick, MD, MPP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Ser…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41833/psn-pdf
    November 14, 2012 - Risks related to patient bed safety. November 14, 2012 Sharkey JE, Van Leuven K, Radovich P. Risks related to patient bed safety. J Nurs Care Qual. 2012;27(4):346-51. doi:10.1097/NCQ.0b013e318264744b. https://psnet.ahrq.gov/issue/risks-related-patient-bed-safety Reviewing the three major contributing factors to me…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50647/psn-pdf
    November 06, 2019 - ‘Fear of falling’: how hospitals do even more harm by keeping patients in bed. November 6, 2019 Bailey M. Kaiser Health News. October 17, 2019. https://psnet.ahrq.gov/issue/fear-falling-how-hospitals-do-even-more-harm-keeping-patients-bed Patient falls with harm are a common sentinel event. This news story discuss…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39847/psn-pdf
    September 15, 2010 - Adult Hospital Stays with Infections Due to Medical Care, 2007. September 15, 2010 Lucado J, Paez K, Andrews R, Steiner C. HCUP Statistical Brief #94. Rockville, MD: Agency for Healthcare Research and Quality; August 2010. https://psnet.ahrq.gov/issue/adult-hospital-stays-infections-due-medical-care-2007 This rep…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38041/psn-pdf
    July 02, 2009 - Never events: Utah hospitals saw nearly 60 serious errors in 2007. July 2, 2009 May H. Salt Lake Tribune. August 18, 2008. https://psnet.ahrq.gov/issue/never-events-utah-hospitals-saw-nearly-60-serious-errors-2007 This article examines 2007 state health data on never events in the context of a label-related medica…
  8. psnet.ahrq.gov/issue/patient-safety-culture-nephrology-nurse-practice-settings-initial-findings
    August 10, 2022 - Study Patient safety culture in nephrology nurse practice settings: initial findings. Citation Text: Patient safety culture in nephrology nurse practice settings: initial findings. Ulrich B, Kear T. Nephrol Nurs J. 2014;41:459-476. Copy Citation Save Save to your …
  9. psnet.ahrq.gov/issue/medication-safety-issue-brief-bar-code-implementation-strategies
    June 17, 2014 - Fact Sheet/FAQs Medication safety issue brief. Bar code implementation strategies. Citation Text: Association AH, Pharmacists AS of H-S, Networks H and H. Medication Safety Issue Brief. Bar Code implementation strategies. Hospitals & health networks. 2005;79(7):65-6. Copy Citation …
  10. psnet.ahrq.gov/issue/transitioning-newborns-nicu-home-resource-toolkit
    August 01, 2012 - Government Resource Transitioning Newborns From NICU to Home: A Resource Toolkit. Citation Text: Transitioning Newborns From NICU to Home: A Resource Toolkit. Rockville, MD: Agency for Healthcare Research and Quality; December 2013. AHRQ Publication No. 12(14)-0054-EF. Copy Citation…
  11. psnet.ahrq.gov/issue/insulin-pumps-have-most-reported-problems-fda-database
    October 03, 2018 - Newspaper/Magazine Article Insulin pumps have most reported problems in FDA database. Citation Text: Insulin pumps have most reported problems in FDA database. Mohr H, Weiss M. Associated Press. November 27, 2018. Copy Citation Save Save to your library Prin…
  12. psnet.ahrq.gov/issue/vaught-says-some-system-practices-contributed-fatal-mistake
    September 29, 2021 - Newspaper/Magazine Article RaDonda Vaught says some system practices contributed to fatal mistake. Citation Text: RaDonda Vaught says some system practices contributed to fatal mistake. Clark C. MedPage Today. March 14, 2024. Copy Citation Save Save to…
  13. psnet.ahrq.gov/issue/biased-test-kept-thousands-black-people-getting-kidney-transplant
    September 02, 2016 - Newspaper/Magazine Article A biased test kept thousands of Black people from getting a kidney transplant. Citation Text: A biased test kept thousands of Black people from getting a kidney transplant. Neergaard L. Associated Press. April 1, 2024. Copy Citation Save …
  14. psnet.ahrq.gov/issue/using-ismp-medication-safety-self-assessment-improve-medication-use-processes
    January 05, 2017 - Study Using the ISMP Medication Safety Self-Assessment to improve medication use processes. Citation Text: Lesar TS, Mattis A, Anderson E, et al. Using the ISMP Medication Safety Self-Assessment to improve medication use processes. Jt Comm J Qual Saf. 2003;29(5):211-26. Copy Citation …
  15. psnet.ahrq.gov/issue/medication-prescribing-errors-involving-route-administration
    January 12, 2011 - Study Medication prescribing errors involving the route of administration. Citation Text: Lesar TS. Medication Prescribing Errors Involving the Route of Administration. Hosp Pharm. 2010;41(11):1053-1066. doi:10.1310/hpj4111-1053. Copy Citation Format: DOI Google Scholar Bib…
  16. psnet.ahrq.gov/issue/guide-patient-and-family-engagement-environmental-scan-report
    August 01, 2012 - Book/Report Guide to Patient and Family Engagement: Environmental Scan Report. Citation Text: Guide to Patient and Family Engagement: Environmental Scan Report. Maurer M, Dardess P, Carman KL, Frazier K, Smeeding L. Rockville, MD: Agency for Healthcare Research and Quality; May 2012. AHR…
  17. psnet.ahrq.gov/issue/covid-19-bears-down-doctors-confront-difficult-choices-elective-surgeries
    March 31, 2010 - Newspaper/Magazine Article As COVID-19 bears down, doctors confront difficult choices on elective surgeries. Citation Text: As COVID-19 bears down, doctors confront difficult choices on elective surgeries. Alesse L, Dukakis A, Tatum S, Mosk M. ABC News. March 20, 2020. Copy Citation …
  18. psnet.ahrq.gov/issue/when-nurse-prosecuted-fatal-medical-mistake-does-it-make-medicine-safer
    March 13, 2019 - Newspaper/Magazine Article When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? Citation Text: When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? Gordon M. Health Shots. National Public Radio. April 10, 2019. Copy Citati…
  19. psnet.ahrq.gov/issue/using-information-external-errors-signal-clear-and-present-danger
    March 14, 2023 - Newspaper/Magazine Article Using information from external errors to signal a "clear and present danger." Citation Text: Using information from external errors to signal a "clear and present danger." ISMP Medication Safety Alert! Acute care edition. February 9, 2017;22:1-5. Copy Citati…
  20. psnet.ahrq.gov/issue/us-nursing-homes-where-covid-19-killed-scores-even-reports-maggots-and-rape-dont-dock-five
    December 22, 2021 - Newspaper/Magazine Article In U.S. nursing homes, where Covid-19 killed scores, even reports of maggots and rape don’t dock five-star ratings. Citation Text: In U.S. nursing homes, where Covid-19 killed scores, even reports of maggots and rape don’t dock five-star ratings. Silver-Greenbe…

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