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psnet.ahrq.gov/issue/bar-coded-medication-administration-bcma
December 24, 2008 - Government Resource
Bar-Coded Medication Administration (BCMA).
Citation Text:
Bar-Coded Medication Administration (BCMA). Agency for Healthcare Research and Quality; AHRQ.
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psnet.ahrq.gov/issue/mgh-death-spurs-review-patient-monitors
October 05, 2011 - Newspaper/Magazine Article
MGH death spurs review of patient monitors.
Citation Text:
MGH death spurs review of patient monitors. Kowalczyk L. Boston Globe. February 21, 2010.
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psnet.ahrq.gov/issue/culture-disrespect-patients-lose-out
January 20, 2021 - Newspaper/Magazine Article
In a culture of disrespect, patients lose out.
Citation Text:
In a culture of disrespect, patients lose out. Ofri D. New York Times. July 18, 2013.
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psnet.ahrq.gov/issue/ecri-announces-top-10-healthcare-technology-hazards
May 22, 2013 - Newspaper/Magazine Article
ECRI announces top 10 healthcare technology hazards.
Citation Text:
ECRI announces top 10 healthcare technology hazards. Clark C. HealthLeaders Media. November 5, 2013.
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psnet.ahrq.gov/issue/man-wants-heal-health-care
January 18, 2006 - Newspaper/Magazine Article
This man wants to heal health care.
Citation Text:
This man wants to heal health care. Mullaney TJ. Bloomberg Businessweek. October 30, 2005.
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psnet.ahrq.gov/issue/tackling-tube-misconnections
August 17, 2016 - Newspaper/Magazine Article
Tackling tube misconnections.
Citation Text:
Tackling tube misconnections. Landro L.
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psnet.ahrq.gov/issue/pinpoint-beam-strays-invisibly-harming-instead-healing
March 09, 2011 - Newspaper/Magazine Article
A pinpoint beam strays invisibly, harming instead of healing.
Citation Text:
A pinpoint beam strays invisibly, harming instead of healing. Bogdanich W; Rebelo K.
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psnet.ahrq.gov/issue/rx-better-prescription-hospital-bans-doctors-using-confusing-medical-abbreviations
February 19, 2010 - Newspaper/Magazine Article
Rx for a better prescription. Hospital bans doctors from using confusing medical abbreviations.
Citation Text:
Rx for a better prescription. Hospital bans doctors from using confusing medical abbreviations. Hall J. Fredericksburg Times. September 25, 2005
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psnet.ahrq.gov/issue/medication-safety-issue-brief-medication-reconciliation
June 17, 2014 - Fact Sheet/FAQs
Medication safety issue brief. Medication reconciliation.
Citation Text:
Medication safety issue brief. Medication reconciliation. Hosp Health Netw. 2005 Sep;79(9):33-34.
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psnet.ahrq.gov/issue/standards-audits-and-saying-im-sorry-engineers-family-proposes-solutions
February 22, 2010 - Newspaper/Magazine Article
Standards, audits, and saying I'm sorry: an engineer's family proposes solutions.
Citation Text:
Standards, audits, and saying I'm sorry: an engineer's family proposes solutions. Wojcieszak D.
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psnet.ahrq.gov/node/49831/psn-pdf
June 01, 2018 - Chest Pain in a Rural Hospital
June 1, 2018
MacKinney CA, Mohr NM. Chest Pain in a Rural Hospital. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
Case Objectives
Recognize that a significant proportion of the Unites States population receives care in rural safety
net emergency dep…
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psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
October 19, 2022 - SPOTLIGHT CASE
Resuscitation Errors: A Shocking Problem
Citation Text:
Edelson DP, Abella BS. Resuscitation Errors: A Shocking Problem. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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psnet.ahrq.gov/node/46185/psn-pdf
August 20, 2018 - Incidence and trends of sepsis in US hospitals using
clinical vs claims data, 2009--2014.
August 20, 2018
Rhee C, Dantes RB, Epstein L, et al. Incidence and Trends of Sepsis in US Hospitals Using Clinical vs
Claims Data, 2009-2014. JAMA. 2017;318(13):1241-1249. doi:10.1001/jama.2017.13836.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/38524/psn-pdf
July 13, 2009 - How does patient safety culture in the operating room and
post-anesthesia care unit compare to the rest of the
hospital?
July 13, 2009
Kaafarani HMA, Itani KMF, Rosen AK, et al. How does patient safety culture in the operating room and
post-anesthesia care unit compare to the rest of the hospital? Am J Surg. 2009;…
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psnet.ahrq.gov/node/37462/psn-pdf
January 06, 2017 - Medication errors associated with code situations in U.S.
hospitals: direct and collateral damage.
January 6, 2017
Lipshutz AKM, Morlock LL, Shore AD, et al. Medication Errors Associated with Code Situations in U.S.
Hospitals: Direct and Collateral Damage. Jt Comm J Qual Patient Saf. 2016;34(1):46-56.
doi:10.1016/…
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psnet.ahrq.gov/node/43599/psn-pdf
August 04, 2015 - Support from hospital to home for elders: a randomized
trial.
August 4, 2015
Goldman E, Sarkar U, Kessell E, et al. Support from hospital to home for elders: a randomized trial. Ann
Intern Med. 2014;161(7):472-81. doi:10.7326/M14-0094.
https://psnet.ahrq.gov/issue/support-hospital-home-elders-randomized-trial
Rea…
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psnet.ahrq.gov/node/40166/psn-pdf
April 03, 2017 - A strategic approach for managing conflict in hospitals:
responding to The Joint Commission leadership
standard—part 1 and part 2.
April 3, 2017
Scott C, Gerardi D. A strategic approach for managing conflict in hospitals: responding to the Joint
Commission leadership standard, Part 1. Jt Comm J Qual Patient Saf. 2…
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psnet.ahrq.gov/node/50369/psn-pdf
January 01, 2020 - Association of registered nurse and nursing support
staffing with inpatient hospital mortality.
September 25, 2019
Needleman J, Liu J, Shang J, et al. Association of registered nurse and nursing support staffing with
inpatient hospital mortality. BMJ Qual Saf. 2020;29(1):10-18. doi:10.1136/bmjqs-2018-009219.
https…
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psnet.ahrq.gov/node/45719/psn-pdf
June 29, 2017 - Systematic review of the prevalence of medication errors
resulting in hospitalization and death of nursing home
residents.
June 29, 2017
Ferrah N, Lovell JJ, Ibrahim JE. Systematic Review of the Prevalence of Medication Errors Resulting in
Hospitalization and Death of Nursing Home Residents. J Am Geriatr Soc. 2017…
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psnet.ahrq.gov/node/46110/psn-pdf
January 01, 2019 - Examination of the relationship between management and
clinician perception of patient safety climate and patient
satisfaction.
December 21, 2018
Mazurenko O, Richter J, Kazley AS, et al. Examination of the relationship between management and
clinician perception of patient safety climate and patient satisfaction.…