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  1. psnet.ahrq.gov/issue/patient-centered-care-improvement-guide
    June 10, 2020 - Book/Report Patient-Centered Care Improvement Guide. Citation Text: Patient-Centered Care Improvement Guide. Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008. Copy Citation Save Save to your library Print …
  2. psnet.ahrq.gov/issue/hospital-bosses-ignored-months-doctors-warnings-about-lucy-letby
    September 01, 2010 - Newspaper/Magazine Article Hospital bosses ignored months of doctors' warnings about Lucy Letby. Citation Text: Hospital bosses ignored months of doctors' warnings about Lucy Letby. Moritz J, Coffey J, Buchanan M. BBC News. August 19, 2023. Copy Citation Save Save…
  3. psnet.ahrq.gov/issue/physicians-multiple-patient-complaints-ending-our-silence
    June 01, 2004 - Commentary Physicians with multiple patient complaints: ending our silence. Citation Text: Gallagher TH, Levinson W. Physicians with multiple patient complaints: ending our silence. BMJ Qual Saf. 2013;22(7):521-4. doi:10.1136/bmjqs-2013-001880. Copy Citation Format: DOI G…
  4. psnet.ahrq.gov/issue/day-passes-vulnerable-patients-psychiatric-hospitals-can-have-dangerous-even-fatal
    October 29, 2014 - Newspaper/Magazine Article Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. Citation Text: Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. Woodruff E. Baltimore Sun. June 9, 2…
  5. psnet.ahrq.gov/issue/ems-crews-brought-patients-hospital-misplaced-breathing-tubes-none-them-survived
    November 20, 2019 - Newspaper/Magazine Article EMS crews brought patients to the hospital with misplaced breathing tubes. None of them survived Citation Text: EMS crews brought patients to the hospital with misplaced breathing tubes. None of them survived Arditi L. Peoples Public Radio. December 3, 2019. …
  6. psnet.ahrq.gov/issue/patient-safety-investigation-report-services-university-hospital-galway-uhg-and-reflected
    June 14, 2017 - Book/Report Patient Safety Investigation report into services at University Hospital Galway (UHG) and as reflected in the care provided to Savita Halappanavar. Citation Text: Patient Safety Investigation report into services at University Hospital Galway (UHG) and as reflected in the ca…
  7. psnet.ahrq.gov/issue/next-generation-doctors-may-be-learning-bad-habits-teaching-hospitals-many-safety-violations
    June 28, 2023 - Newspaper/Magazine Article The next generation of doctors may be learning bad habits at teaching hospitals with many safety violations. Citation Text: The next generation of doctors may be learning bad habits at teaching hospitals with many safety violations. Blau M. STAT. April 20, 2018…
  8. psnet.ahrq.gov/issue/when-medical-error-becomes-personal-activism-becomes-painful
    August 21, 2019 - Newspaper/Magazine Article When medical error becomes personal, activism becomes painful. Citation Text: When medical error becomes personal, activism becomes painful. Millenson M. Forbes. September 16, 2022. Copy Citation Save Save to your library Print …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49770/psn-pdf
    September 01, 2016 - Wrong-Time Error With High-Alert Medication September 1, 2016 Yang A, Nelson LS. Wrong-Time Error With High-Alert Medication. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication The Case A 60-year-old man was admitted to the hospital for a total knee arthroplasty. During th…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35644/psn-pdf
    January 18, 2006 - Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laboratory. January 18, 2006 Tsai JJ, Yeun JY, Kumar VA, et al. Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laboratory. Am J Kidney Dis. 2005;46(5):82…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43827/psn-pdf
    January 14, 2015 - The surprising way to stay safe in the hospital. January 14, 2015 https://psnet.ahrq.gov/issue/surprising-way-stay-safe-hospital This news article summarizes the results of a survey exploring how patients' perceptions of respect from hospital staff corresponds with the potential for medical error. Recommended strat…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39436/psn-pdf
    October 25, 2013 - HealthGrades Seventh Annual Patient Safety in American Hospitals Study. October 25, 2013 Golden, CO: HealthGrades, Inc.; March 2010. https://psnet.ahrq.gov/issue/healthgrades-seventh-annual-patient-safety-american-hospitals-study This report, the latest in an annual series, uses the Agency for Healthcare Research …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46958/psn-pdf
    March 28, 2018 - Disposal of paper records containing personal information in hospitals. March 28, 2018 Ramjist JK, Coburn N, Urbach DR, et al. Disposal of Paper Records Containing Personal Information in Hospitals. JAMA. 2018;319(11):1162-1163. doi:10.1001/jama.2017.21533. https://psnet.ahrq.gov/issue/disposal-paper-records-conta…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40373/psn-pdf
    December 21, 2014 - Increases in mortality, length of stay, and cost associated with hospital-acquired infections in trauma patients. December 21, 2014 Glance LG, Stone PW, Mukamel DB, et al. Increases in mortality, length of stay, and cost associated with hospital-acquired infections in trauma patients. Arch Surg. 2011;146(7):794-801…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35385/psn-pdf
    January 02, 2017 - El Camino Hospital: using health information technology to promote patient safety. January 2, 2017 Bukunt S, Hunter C, Perkins S, et al. El Camino Hospital: Using Health Information Technology to Promote Patient Safety. Jt Comm J Qual Patient Saf. 2016;31(10):561-565. doi:10.1016/s1553-7250(05)31073-7. https://psn…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40217/psn-pdf
    April 04, 2011 - The objective impact of clinical peer review on hospital quality and safety. April 4, 2011 Edwards MT. The objective impact of clinical peer review on hospital quality and safety. Am J Med Qual. 2011;26(2):110-9. doi:10.1177/1062860610380732. https://psnet.ahrq.gov/issue/objective-impact-clinical-peer-review-hospi…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48182/psn-pdf
    August 21, 2019 - Organizational learning in hospitals: a realist review. August 21, 2019 Lyman B, Jacobs JD, Hammond EL, et al. Organizational learning in hospitals: A realist review. J Adv Nurs. 2019;75(11):2352-2377. doi:10.1111/jan.14091. https://psnet.ahrq.gov/issue/organizational-learning-hospitals-realist-review Organization…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42760/psn-pdf
    May 29, 2014 - Senior charge nurses' leadership behaviours in relation to hospital ward safety: a mixed method study. May 29, 2014 Agnew C, Flin R. Senior charge nurses' leadership behaviours in relation to hospital ward safety: a mixed method study. Int J Nurs Stud. 2014;51(5):768-80. doi:10.1016/j.ijnurstu.2013.10.001. https:/…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43541/psn-pdf
    August 28, 2017 - A step toward high reliability: implementation of a daily safety brief in a children's hospital. August 28, 2017 Saysana M, McCaskey M, Cox E, et al. A Step Toward High Reliability: Implementation of a Daily Safety Brief in a Children's Hospital. J Patient Saf. 2017;13(3):149-152. doi:10.1097/PTS.0000000000000131. …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36835/psn-pdf
    July 08, 2008 - Predicting future staffing needs at teaching hospitals: use of an analytical program with multiple variables. July 8, 2008 Mitchell CC, Ashley SW, Zinner MJ, et al. Predicting future staffing needs at teaching hospitals: use of an analytical program with multiple variables. Arch Surg. 2007;142(4):329-34. https://p…

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