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psnet.ahrq.gov/node/42634/psn-pdf
October 09, 2013 - Why hospitals want patients to ask doctors, 'Have you
washed your hands?'
October 9, 2013
Landro L. Wall Street Journal. September 30, 2013.
https://psnet.ahrq.gov/issue/why-hospitals-want-patients-ask-doctors-have-you-washed-your-hands
Highlighting insufficient hand hygiene in health care, this newspaper article …
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psnet.ahrq.gov/node/34897/psn-pdf
November 23, 2016 - Engaging patients and family members in patient
safety—the experience of the New York City Health and
Hospitals Corporation.
November 23, 2016
Wale JB, Moon RR. Engaging patients and family members in patient safety--the experience of the New
York City Health and Hospitals Corporation. Psychiatr Q. 2005;76(1):85-9…
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psnet.ahrq.gov/node/39829/psn-pdf
January 09, 2025 - Hospital Reporting Program: Annual Summary.
January 9, 2025
Portland, OR: Oregon Patient Safety Commission.
https://psnet.ahrq.gov/issue/hospital-reporting-program-annual-summary
This site provides data and analysis from two Oregon Patient Safety Commission patient safety
initiatives: the Patient Safety Reporting …
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psnet.ahrq.gov/node/35482/psn-pdf
May 27, 2011 - The introduction of computerized physician order entry
and change management in a tertiary pediatric hospital.
May 27, 2011
Upperman JS, Staley P, Friend K, et al. The introduction of computerized physician order entry and change
management in a tertiary pediatric hospital. Pediatrics. 2005;116(5):e634-42.
https:/…
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psnet.ahrq.gov/node/848828/psn-pdf
May 10, 2023 - Nurse Staffing Standards for Hospital Patient Safety and
Quality Care Act of 2023.
May 10, 2023
118th Cong (2023-2024).
https://psnet.ahrq.gov/issue/nurse-staffing-standards-hospital-patient-safety-and-quality-care-act-2023
Nurse staffing and patient care outcomes are linked, yet variation exists in nursing covera…
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psnet.ahrq.gov/node/39014/psn-pdf
October 14, 2009 - Bringing patients' own medications into an emergency
department by ambulance: effect on prescribing accuracy
when these patients are admitted to hospital.
October 14, 2009
Chan EW, Taylor SE, Marriott JL, et al. Bringing patients' own medications into an emergency department
by ambulance: effect on prescribing acc…
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psnet.ahrq.gov/node/44565/psn-pdf
October 14, 2015 - How to use online clinician rating systems.
October 14, 2015
Razmaria AA, Livingston EH. JAMA PATIENT PAGE. How to Use Online Clinician Rating Systems. JAMA.
2015;314(13):1418. doi:10.1001/jama.2015.11957.
https://psnet.ahrq.gov/issue/how-use-online-clinician-rating-systems
Clinician rating sites may not always pr…
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psnet.ahrq.gov/node/865881/psn-pdf
May 15, 2024 - Stranded in the ER, seniors await hospital care and suffer
avoidable harm.
May 15, 2024
Graham J. KFF Health News. May 6, 2024.
https://psnet.ahrq.gov/issue/stranded-er-seniors-await-hospital-care-and-suffer-avoidable-harm
The boarding of patients that present with emergent needs reduces safety and access to care …
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psnet.ahrq.gov/issue/making-polypharmacy-safer-children-medical-complexity
May 11, 2019 - Commentary
Making polypharmacy safer for children with medical complexity.
Citation Text:
Feinstein JA, Orth LE. Making polypharmacy safer for children with medical complexity. J Pediatr. 2023;254:4-10. doi:10.1016/j.jpeds.2022.10.012.
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psnet.ahrq.gov/issue/engagement-leadership-quality-improvement-initiatives-executive-quality-improvement-survey
October 04, 2006 - Study
Engagement of leadership in quality improvement initiatives: executive quality improvement survey results.
Citation Text:
Engagement of leadership in quality improvement initiatives: executive quality improvement survey results. Vaughn T, Koepke M, Kroch E, et al. J Patient Saf…
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psnet.ahrq.gov/issue/evaluation-collaborative-safety-focused-nurse-pharmacist-intervention-improving-accuracy
April 28, 2010 - Study
An evaluation of a collaborative, safety focused, nurse–pharmacist intervention for improving the accuracy of the medication history.
Citation Text:
Henneman EA, Tessier EG, Nathanson BH, et al. An evaluation of a collaborative, safety focused, nurse-pharmacist intervention for imp…
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psnet.ahrq.gov/issue/correlates-third-victim-phenomenon
September 18, 2019 - Review
Correlates of the third victim phenomenon.
Citation Text:
Russ MJ. Correlates of the Third Victim Phenomenon. Psychiatr Q. 2017;88(4):917-920. doi:10.1007/s11126-017-9511-1.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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psnet.ahrq.gov/issue/high-reliability-leadership-conceptual-framework
March 09, 2022 - Commentary
High reliability leadership: a conceptual framework.
Citation Text:
Martínez-Córcoles M. High reliability leadership: A conceptual framework. J Contingencies Crisis Manage. 2017;26(2):237-246. doi:10.1111/1468-5973.12187.
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psnet.ahrq.gov/issue/association-between-organizational-culture-and-ability-benefit-just-culture-training
August 04, 2021 - Study
The association between organizational culture and the ability to benefit from "just culture" training.
Citation Text:
David DS. The Association Between Organizational Culture and the Ability to Benefit From "Just Culture" Training. J Patient Saf. 2019;15(1):e3-e7. doi:10.1097/PTS.…
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psnet.ahrq.gov/issue/what-can-we-learn-coroners-reports-preventable-deaths
October 28, 2020 - Commentary
What can we learn from coroners’ reports on preventable deaths?
Citation Text:
Jeraj S. What can we learn from coroners’ reports on preventable deaths? BMJ. 2024;386:q1943.
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psnet.ahrq.gov/issue/she-hoped-shine-light-maternal-mortality-among-native-americans-instead-she-became-statistic
July 22, 2020 - Newspaper/Magazine Article
She hoped to shine a light on maternal mortality among Native Americans. Instead, she became a statistic of it.
Citation Text:
She hoped to shine a light on maternal mortality among Native Americans. Instead, she became a statistic of it. Chuck E, Assefa H. N…
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psnet.ahrq.gov/issue/why-do-hundreds-us-women-die-annually-childbirth
June 14, 2019 - Commentary
Why do hundreds of US women die annually in childbirth?
Citation Text:
Slomski A. Why Do Hundreds of US Women Die Annually in Childbirth? JAMA. 2019;321(13):1239-1241. doi:10.1001/jama.2019.0714.
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psnet.ahrq.gov/issue/pediatric-antidepressant-medication-errors-national-error-reporting-database
September 21, 2008 - Study
Pediatric antidepressant medication errors in a national error reporting database.
Citation Text:
Rinke ML, Bundy DG, Shore AD, et al. Pediatric antidepressant medication errors in a national error reporting database. J Dev Behav Pediatr. 2010;31(2):129-36. doi:10.1097/DBP.0b013e…
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psnet.ahrq.gov/issue/interventions-reduce-medication-errors-pediatric-intensive-care
March 12, 2014 - Review
Interventions to reduce medication errors in pediatric intensive care.
Citation Text:
Manias E, Kinney S, Cranswick N, et al. Interventions to reduce medication errors in pediatric intensive care. Ann Pharmacother. 2014;48(10):1313-31. doi:10.1177/1060028014543795.
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psnet.ahrq.gov/issue/advancing-medication-safety-establishing-national-action-plan-adverse-drug-event-prevention
September 29, 2017 - Commentary
Advancing medication safety: establishing a National Action Plan for Adverse Drug Event Prevention.
Citation Text:
Harris Y, Hu DJ, Lee C, et al. Advancing Medication Safety: Establishing a National Action Plan for Adverse Drug Event Prevention. Jt Comm J Qual Patient Saf. 201…