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psnet.ahrq.gov/node/37566/psn-pdf
February 27, 2008 - Determinants of adverse events in hospitals—the
potential role of patient safety culture.
February 27, 2008
Kline TJB, Willness C, Ghali WA. Determinants of adverse events in hospitals--the potential role of patient
safety culture. J Healthc Qual. 2008;30(1):11-7.
https://psnet.ahrq.gov/issue/determinants-adverse-…
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psnet.ahrq.gov/node/40885/psn-pdf
November 26, 2014 - Hospital do-not-resuscitate orders: why they have failed
and how to fix them.
November 26, 2014
Yuen JK, Reid C, Fetters MD. Hospital do-not-resuscitate orders: why they have failed and how to fix them.
J Gen Intern Med. 2011;26(7):791-7. doi:10.1007/s11606-011-1632-x.
https://psnet.ahrq.gov/issue/hospital-do-not-…
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psnet.ahrq.gov/perspective/patient-and-family-roles-safety
June 14, 2023 - Patient and Family Roles in Safety
Beverley H. Johnson, FAAN, Merton Lee, PharmD, PhD, Sarah E. Mossburg, RN, PhD
| June 14, 2023
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Citation Text:
Johnson B, Lee M, Mossburg S. Patient and Fam…
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psnet.ahrq.gov/perspective/conversation-beverley-h-johnson-about-role-patients-family-reducing-harm
June 14, 2023 - In Conversation with... Beverley H. Johnson about The Role of Patient's Family In Reducing Harm
Beverley H. Johnson, FAAN
| June 14, 2023
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View more articles from the same authors.
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Johnson B. In Conversation with.. Beverley H…
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psnet.ahrq.gov/perspective/conversation-david-urbach-md-msc
June 12, 2019 - In Conversation With… David Urbach, MD, MSc
April 1, 2015
Citation Text:
In Conversation With… David Urbach, MD, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/node/33775/psn-pdf
December 01, 2014 - African Partnerships for Patient Safety: Lessons Learned
December 1, 2014
Syed SS. African Partnerships for Patient Safety: Lessons Learned. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned
Perspective
In the last 6 years I have had the privilege of sha…
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psnet.ahrq.gov/node/49578/psn-pdf
January 01, 2009 - Hospital Admission Due to High-Dose Methotrexate Drug
Interaction
January 1, 2009
Siegel LC, Gandhi TK. Hospital Admission Due to High-Dose Methotrexate Drug Interaction. PSNet
[internet]. 2009.
https://psnet.ahrq.gov/web-mm/hospital-admission-due-high-dose-methotrexate-drug-interaction
The Case
A 40-year-old wo…
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psnet.ahrq.gov/node/49505/psn-pdf
March 01, 2006 - Collegiality vs. Competence
March 1, 2006
Sagin T. Collegiality vs. Competence. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/collegiality-vs-competence
The Case
A 91-year-old man with coronary artery disease was taken to the operating room (OR) for semi-elective
repair of a 10-cm abdominal aortic aneurys…
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psnet.ahrq.gov/issue/association-between-unmet-nonmedication-needs-after-hospital-discharge-and-readmission-or
September 23, 2020 - Study
Association between unmet nonmedication needs after hospital discharge and readmission or death among acute respiratory failure survivors: a multicenter prospective cohort study.
Citation Text:
Bose S, Groat D, Dinglas VD, et al. Association between unmet nonmedication needs after …
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psnet.ahrq.gov/issue/national-statutory-reporting-not-even-ticking-boxes-quality-learning-deaths-reporting-quality
February 22, 2023 - Study
National statutory reporting: not even ticking the boxes? The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020.
Citation Text:
Brummell Z, Braun D, Hussein Z, et al. National statutory reporting: not even ticking the boxes? The qua…
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psnet.ahrq.gov/issue/using-medication-containers-during-pharmacist-transitional-care-visits-and-impact-medication
March 08, 2023 - Study
Using medication containers during pharmacist transitional care visits and impact on medication discrepancies identified and hospital readmission risk.
Citation Text:
Herges JR, Garrison GM, Mara KC, et al. Using medication containers during pharmacist transitional care visits and …
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psnet.ahrq.gov/issue/cost-quality-academic-health-centers-annual-costs-its-quality-and-patient-safety
October 14, 2020 - Study
The cost of quality: an academic health center's annual costs for its quality and patient safety infrastructure.
Citation Text:
Blanchfield BB, Demehin AA, Cummings CT, et al. The cost of quality: an academic health center's annual costs for its quality and patient safety infrastru…
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psnet.ahrq.gov/issue/effect-postdischarge-virtual-ward-readmission-or-death-high-risk-patients-randomized-clinical
October 31, 2011 - Study
Classic
Effect of a postdischarge virtual ward on readmission or death for high-risk patients: a randomized clinical trial.
Citation Text:
Dhalla IA, O'Brien T, Morra D, et al. Effect of a postdischarge virtual ward on readmission or death for high-risk pa…
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psnet.ahrq.gov/issue/pharmacist-physician-communications-highly-computerised-hospital-sign-and-action-electronic
February 27, 2019 - Study
Pharmacist–physician communications in a highly computerised hospital: sign-off and action of electronic review messages.
Citation Text:
Pontefract SK, Hodson J, Marriott JF, et al. Pharmacist-Physician Communications in a Highly Computerised Hospital: Sign-Off and Action of Electr…
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psnet.ahrq.gov/issue/perception-safety-surgical-practice-among-operating-room-personnel-survey-data-associated-all
February 07, 2018 - Study
Perception of safety of surgical practice among operating room personnel from survey data is associated with all-cause 30-day postoperative death rate in South Carolina.
Citation Text:
Molina G, Berry WR, Lipsitz S, et al. Perception of Safety of Surgical Practice Among Operating R…
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psnet.ahrq.gov/issue/systematic-review-types-and-causes-prescribing-errors-generated-using-computerized-provider
July 02, 2019 - Review
A systematic review of the types and causes of prescribing errors generated from using computerized provider order entry systems in primary and secondary care.
Citation Text:
Brown CL, Mulcaster HL, Triffitt KL, et al. A systematic review of the types and causes of prescribing err…
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psnet.ahrq.gov/node/43460/psn-pdf
April 25, 2016 - Safety organizing, emotional exhaustion, and turnover in
hospital nursing units.
April 25, 2016
Vogus TJ, Cooil B, Sitterding M, et al. Safety organizing, emotional exhaustion, and turnover in hospital
nursing units. Med Care. 2014;52(10):870-6. doi:10.1097/MLR.0000000000000169.
https://psnet.ahrq.gov/issue/safety…
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psnet.ahrq.gov/node/41373/psn-pdf
May 16, 2012 - Self-reported violations during medication administration
in two paediatric hospitals.
May 16, 2012
Alper SJ, Holden RJ, Scanlon MC, et al. Self-reported violations during medication administration in two
paediatric hospitals. BMJ Qual Saf. 2012;21(5):408-15. doi:10.1136/bmjqs-2011-000007.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/35500/psn-pdf
February 22, 2010 - Toward a new paradigm in hospital-based pediatric
education: the development of an onsite simulator
program.
February 22, 2010
Weinstock PH, Kappus LJ, Kleinman ME, et al. Toward a new paradigm in hospital-based pediatric
education: the development of an onsite simulator program. Pediatr Crit Care Med. 2005;6(6):6…
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psnet.ahrq.gov/node/35602/psn-pdf
September 27, 2017 - A review of medication administration errors reported in a
large psychiatric hospital in the United Kingdom.
September 27, 2017
Haw CM, Dickens G, Stubbs J. A review of medication administration errors reported in a large psychiatric
hospital in the United kingdom. Psychiatr Serv. 2005;56(12):1610-3.
https://psnet…