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psnet.ahrq.gov/issue/mother-claims-hospital-error-kept-her-newborn-daughter
June 13, 2011 - Newspaper/Magazine Article
Mother claims hospital error kept her from newborn daughter.
Citation Text:
Mother claims hospital error kept her from newborn daughter. Barbella M. Drug Topics. October 8, 2007.
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psnet.ahrq.gov/issue/high-reliability-truly-achieving-healthcare-quality-and-safety
March 18, 2019 - Commentary
High reliability: truly achieving healthcare quality and safety.
Citation Text:
Kaplan GS. Pursuing the perfect patient experience. Front Health Serv Manage. 2013;29(3):16-27.
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psnet.ahrq.gov/issue/randomized-field-study-leadership-walkrounds-based-intervention
May 24, 2016 - Book/Report
A Randomized Field Study of a Leadership WalkRounds-Based Intervention.
Citation Text:
A Randomized Field Study of a Leadership WalkRounds-Based Intervention. Tucker AL, Singer SJ. Cambridge, MA: Harvard Business School; June 25, 2012. HBS Working Paper No. 12-113.
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psnet.ahrq.gov/issue/report-announced-inspection-medication-safety-midland-regional-hospital-tullamore-county
October 23, 2013 - Book/Report
Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly.
Citation Text:
Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly. Dublin, Ireland: Health Informa…
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psnet.ahrq.gov/issue/new-hhs-data-shows-major-strides-made-patient-safety-leading-improved-care-and-savings
October 31, 2014 - Book/Report
New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings.
Citation Text:
New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings. Washington, DC: US Department of Health and Human Services; May 7, 2014…
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psnet.ahrq.gov/issue/science-implementation-ahrqs-program-prevent-hais-results-and-lessons
May 06, 2015 - Special or Theme Issue
From Science to Implementation: AHRQ's Program to Prevent HAIs—Results and Lessons.
Citation Text:
From Science to Implementation: AHRQ's Program to Prevent HAIs—Results and Lessons. Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Am J Infect Control. 2014;42(su…
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psnet.ahrq.gov/issue/leading-your-organization-high-reliability
August 18, 2021 - Commentary
Leading your organization to high reliability.
Citation Text:
Kemper C, Boyle DK. Leading your organization to high reliability. Nurs Manag. 2009;40(4):14-18. doi:10.1097/01.NUMA.0000349684.24165.68.
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psnet.ahrq.gov/node/47116/psn-pdf
August 15, 2018 - Thematic analysis of women's perspectives on the
meaning of safety during hospital-based birth.
August 15, 2018
Lyndon A, Malana J, Hedli LC, et al. Thematic Analysis of Women's Perspectives on the Meaning of Safety
During Hospital-Based Birth. J Obstet Gynecol Neonatal Nurs. 2018;47(3):324-332.
doi:10.1016/j.jogn…
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psnet.ahrq.gov/node/47633/psn-pdf
June 02, 2019 - Manifestations of high-reliability principles on hospital
units with varying safety profiles: a qualitative analysis.
June 2, 2019
Mossburg SE, Weaver SJ, Pillari MS, et al. Manifestations of High-Reliability Principles on Hospital Units
With Varying Safety Profiles: A Qualitative Analysis. J Nurs Care Qual. 2019;3…
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psnet.ahrq.gov/node/46972/psn-pdf
March 28, 2018 - SOPS Health Information Technology Patient Safety
Supplemental Item Set for the Hospital Survey.
March 28, 2018
Rockville, MD: Agency for Healthcare Research and Quality; March 2018.
https://psnet.ahrq.gov/issue/sops-health-information-technology-patient-safety-supplemental-item-set-
hospital-survey
Organizationa…
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psnet.ahrq.gov/node/43907/psn-pdf
April 27, 2015 - Association of hospital participation in a surgical
outcomes monitoring program with inpatient
complications and mortality.
April 27, 2015
Etzioni DA, Wasif N, Dueck AC, et al. Association of hospital participation in a surgical outcomes
monitoring program with inpatient complications and mortality. JAMA. 2015;313…
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psnet.ahrq.gov/node/45940/psn-pdf
October 31, 2017 - Crossing the communication chasm: challenges and
opportunities in transitions of care from the hospital to
the primary care clinic.
October 31, 2017
Rattray NA, Sico JJ, Cox LAM, et al. Crossing the Communication Chasm: Challenges and Opportunities in
Transitions of Care from the Hospital to the Primary Care Clini…
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psnet.ahrq.gov/node/43108/psn-pdf
September 28, 2023 - Maryland Hospital Patient Safety Program Annual Report.
September 28, 2023
Office of Health Care Quality. Baltimore, MD: Maryland Department of Health and Mental Hygiene.
https://psnet.ahrq.gov/issue/maryland-hospital-patient-safety-program-annual-report
This annual report summarizes never events in Maryland hospit…
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psnet.ahrq.gov/node/44498/psn-pdf
December 04, 2016 - State-mandated hospital infection reporting is not
associated with decreased pediatric health
care–associated infections.
December 4, 2016
Rinke ML, Bundy DG, Abdullah F, et al. State-Mandated Hospital Infection Reporting Is Not Associated
With Decreased Pediatric Health Care-Associated Infections. J Patient Saf. …
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psnet.ahrq.gov/node/47230/psn-pdf
August 15, 2018 - Experience feedback committees: a way of implementing
a root cause analysis practice in hospital medical
departments.
August 15, 2018
François P, Lecoanet A, Caporossi A, et al. Experience feedback committees: A way of implementing a
root cause analysis practice in hospital medical departments. PLoS One. 2018;13(7…
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psnet.ahrq.gov/node/74102/psn-pdf
January 01, 2022 - Workforce planning and safe workload in sterile
compounding hospital pharmacy services.
November 24, 2021
Chaker A, Omair I, Mohamed WH, et al. Workforce planning and safe workload in sterile compounding
hospital pharmacy services. Am J Health Syst Pharm. 2022;79(3):187–192. doi:10.1093/ajhp/zxab379.
https://psnet…
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psnet.ahrq.gov/node/38784/psn-pdf
July 13, 2010 - A survey of nurses' beliefs about the medical emergency
team system in a Canadian tertiary hospital.
July 13, 2010
Bagshaw SM, Mondor EE, Scouten C, et al. A survey of nurses' beliefs about the medical emergency team
system in a canadian tertiary hospital. Am J Crit Care. 2010;19(1):74-83. doi:10.4037/ajcc2009532.
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psnet.ahrq.gov/node/43730/psn-pdf
December 03, 2014 - A qualitative study of senior hospital managers' views on
current and innovative strategies to improve hand
hygiene.
December 3, 2014
McInnes E, Phillips R, Middleton S, et al. A qualitative study of senior hospital managers' views on current
and innovative strategies to improve hand hygiene. BMC Infect Dis. 2014;…
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psnet.ahrq.gov/node/44060/psn-pdf
November 16, 2015 - Developing person-centred analysis of harm in a
paediatric hospital: a quality improvement report.
November 16, 2015
Lachman P, Linkson L, Evans T, et al. Developing person-centred analysis of harm in a paediatric hospital:
a quality improvement report. BMJ Qual Saf. 2015;24(5):337-44. doi:10.1136/bmjqs-2014-003795…
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psnet.ahrq.gov/node/73125/psn-pdf
April 07, 2021 - Black Patients are More Likely Than White Patients to be
in Hospitals with Worse Patient Safety Conditions.
April 7, 2021
Gangopadhyaya A. Washington DC: Urban Institute; March 29, 2021.
https://psnet.ahrq.gov/issue/black-patients-are-more-likely-white-patients-be-hospitals-worse-patient-
safety-conditions
Racial…