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psnet.ahrq.gov/issue/quality-connection
October 09, 2024 - Newspaper/Magazine Article
The quality connection.
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Solovy A. The 100 most wired 2005: the quality connection. Hospitals Health Network. 2005;79(7):38-50, 2.
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psnet.ahrq.gov/issue/10-state-project-study-methods-reduce-central-line-associated-bloodstream-infections-hospital
October 23, 2019 - Press Release/Announcement
10-State project to study methods to reduce central line-associated bloodstream infections in hospital ICUs.
Citation Text:
10-State project to study methods to reduce central line-associated bloodstream infections in hospital ICUs. Rockville, MD: Agency for He…
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psnet.ahrq.gov/issue/nurse-faces-prison-deadly-error-her-colleagues-worry-could-i-be-next
May 11, 2022 - Newspaper/Magazine Article
As a nurse faces prison for a deadly error, her colleagues worry: could I be next?
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As a nurse faces prison for a deadly error, her colleagues worry: could I be next? Kelman B. Kaiser Health News. March 22, 2022
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psnet.ahrq.gov/issue/scarce-access-interpreters-immigrants-struggle-understand-doctors-orders
April 27, 2016 - Newspaper/Magazine Article
With scarce access to interpreters, immigrants struggle to understand doctors' orders.
Citation Text:
With scarce access to interpreters, immigrants struggle to understand doctors' orders. Eldred SM. Health Shots. National Public Radio. August 15, 2018.
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psnet.ahrq.gov/issue/new-2012-national-patient-safety-goal-catheter-associated-urinary-tract-infection-cauti
February 28, 2018 - Organizational Policy/Guidelines
New 2012 National Patient Safety Goal - catheter-associated urinary tract infection (CAUTI).
Citation Text:
New 2012 National Patient Safety Goal - catheter-associated urinary tract infection (CAUTI). Joint Commission.
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psnet.ahrq.gov/issue/eliminating-serious-preventable-and-costly-medical-errors-never-events
May 26, 2021 - Press Release/Announcement
Eliminating Serious, Preventable, and Costly Medical Errors - Never Events.
Citation Text:
Eliminating Serious, Preventable, and Costly Medical Errors - Never Events. Baltimore, MD: Centers for Medicare and Medicaid Services; May 18, 2006.
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psnet.ahrq.gov/issue/teaming-prevent-crashes-some-hospitals-give-patients-power-get-extra-help-stat
August 23, 2007 - Newspaper/Magazine Article
Teaming up to prevent 'crashes': some hospitals give patients the power to get extra help, stat.
Citation Text:
Teaming up to prevent 'crashes': some hospitals give patients the power to get extra help, stat. Wang SS. Washington Post. August 31, 2007.…
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psnet.ahrq.gov/issue/mea-culpa-childrens-was-confident-its-air-systems-werent-source-infection
July 19, 2010 - Newspaper/Magazine Article
Before mea culpa, Children’s was confident its air systems weren’t source of infection
Citation Text:
Before mea culpa, Children’s was confident its air systems weren’t source of infection Gilbert D, Gutman D. Seattle Times. November 26, 2019.
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psnet.ahrq.gov/issue/ashp-statement-role-medication-safety-leader
June 16, 2019 - Organizational Policy/Guidelines
ASHP statement on the role of the medication safety leader.
Citation Text:
ASHP Statement on the Role of the Medication Safety Leader. Am J Health-Syst Pharm. 2020;77(4):308-312. doi:10.1093/ajhp/zxz292.
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psnet.ahrq.gov/issue/ahrq-national-healthcare-safety-dashboard
December 04, 2024 - Multi-use Website
AHRQ National Healthcare Safety Dashboard.
Citation Text:
AHRQ National Healthcare Safety Dashboard. National Action Alliance for Patient and Workforce Safety.
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psnet.ahrq.gov/node/45758/psn-pdf
July 21, 2017 - Arrival by ambulance explains variation in mortality by
time of admission: retrospective study of admissions to
hospital following emergency department attendance in
England.
July 21, 2017
Anselmi L, Meacock R, Kristensen SR, et al. Arrival by ambulance explains variation in mortality by time of
admission: retros…
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psnet.ahrq.gov/issue/what-doctor-missed
August 17, 2016 - Newspaper/Magazine Article
What the doctor missed.
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October 6, 2010
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Reporting how mal…
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psnet.ahrq.gov/issue/doctors-say-they-need-protection-apologize
August 24, 2016 - Newspaper/Magazine Article
Doctors say they need protection to apologize.
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November 14, 2007
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psnet.ahrq.gov/issue/learning-ask-tough-questions-your-surgeon
August 17, 2016 - Newspaper/Magazine Article
Learning to ask tough questions of your surgeon.
Citation Text:
Learning to ask tough questions of your surgeon. Landro L.
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psnet.ahrq.gov/issue/wristband-standardization-initiative
January 08, 2020 - Toolkit
Wristband Standardization Initiative.
Citation Text:
Wristband Standardization Initiative. Texas Hospital Association.
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psnet.ahrq.gov/issue/how-make-surgery-safer
August 17, 2016 - Newspaper/Magazine Article
How to make surgery safer.
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February 25, 2015
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This newspaper…
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psnet.ahrq.gov/node/45206/psn-pdf
October 17, 2017 - Evaluation of the association between Hospital Survey on
Patient Safety Culture (HSOPS) measures and catheter-
associated infections: results of two national
collaboratives.
October 17, 2017
Meddings J, Reichert H, Greene T, et al. Evaluation of the association between Hospital Survey on Patient
Safety Culture (H…
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psnet.ahrq.gov/node/33763/psn-pdf
March 01, 2014 - How Does Infection Prevention Fit Into a Safety Program?
March 1, 2014
Huang SS. How Does Infection Prevention Fit Into a Safety Program? PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
Perspective
In 1999, the Institute of Medicine (IOM) released the To …
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psnet.ahrq.gov/web-mm/what-happened-telemetry
January 18, 2012 - SPOTLIGHT CASE
What Happened on Telemetry?
Citation Text:
Sandau KE, Funk M. What Happened on Telemetry?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/node/37188/psn-pdf
September 19, 2007 - Teaming up to prevent 'crashes': some hospitals give
patients the power to get extra help, stat.
September 19, 2007
Wang SS. Washington Post. August 31, 2007.
https://psnet.ahrq.gov/issue/teaming-prevent-crashes-some-hospitals-give-patients-power-get-extra-help-
stat
This article discusses the advent of rapid res…