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psnet.ahrq.gov/node/45301/psn-pdf
April 22, 2017 - Reviewing deaths in British and US hospitals: a study of
two scales for assessing preventability.
April 22, 2017
Manaseki-Holland S, Lilford RJ, Bishop JRB, et al. Reviewing deaths in British and US hospitals: a study of
two scales for assessing preventability. BMJ Qual Saf. 2017;26(5):408-416. doi:10.1136/bmjqs-20…
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psnet.ahrq.gov/node/41763/psn-pdf
October 10, 2012 - Latency of ECG displays of hospital telemetry systems: a
science advisory from the American Heart Association.
October 10, 2012
Turakhia MP, Estes NAM, Drew BJ, et al. Latency of ECG displays of hospital telemetry systems: a science
advisory from the American Heart Association. Circulation. 2012;126(13):1665-9.
ht…
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psnet.ahrq.gov/node/44521/psn-pdf
July 03, 2016 - Crib of horrors: one hospital's approach to promoting a
culture of safety.
July 3, 2016
Korah N, Zavalkoff S, Dubrovsky AS. Crib of Horrors: One Hospital's Approach to Promoting a Culture of
Safety. Pediatrics. 2015;136(1):4-5. doi:10.1542/peds.2014-3843.
https://psnet.ahrq.gov/issue/crib-horrors-one-hospitals-app…
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psnet.ahrq.gov/node/45416/psn-pdf
August 24, 2016 - A framework to assess patient-reported adverse
outcomes arising during hospitalization.
August 24, 2016
Okoniewska B, Santana MJ, Holroyd-Leduc J, et al. A framework to assess patient-reported adverse
outcomes arising during hospitalization. BMC Health Serv Res. 2016;16(a):357. doi:10.1186/s12913-016-
1526-z.
htt…
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psnet.ahrq.gov/node/39707/psn-pdf
January 07, 2015 - Introduction of a rapid response system at a United
States Veterans Affairs hospital reduced cardiac arrests.
January 7, 2015
Lighthall GK, Parast L, Rapoport L, et al. Introduction of a rapid response system at a United States
veterans affairs hospital reduced cardiac arrests. Anesth Analg. 2010;111(3):679-86.
do…
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psnet.ahrq.gov/node/39504/psn-pdf
May 05, 2010 - Patient whiteboards as a communication tool in the
hospital setting: A survey of practices and
recommendations.
May 5, 2010
Sehgal NL, Green A, Vidyarthi A, et al. Patient whiteboards as a communication tool in the hospital setting:
a survey of practices and recommendations. J Hosp Med. 2010;5(4):234-9. doi:10.100…
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psnet.ahrq.gov/node/43024/psn-pdf
March 05, 2014 - Speaking up for patient safety by hospital-based health
care professionals: a literature review.
March 5, 2014
Okuyama A, Wagner C, Bijnen B. Speaking up for patient safety by hospital-based health care
professionals: a literature review. BMC Health Serv Res. 2014;14:61. doi:10.1186/1472-6963-14-61.
https://psnet.…
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psnet.ahrq.gov/node/842424/psn-pdf
January 11, 2023 - Unsafe by design: infusion task reallocation and safety
perceptions in U.S. hospitals.
January 11, 2023
Pratt BR, Dunford BB, Vogus TJ, et al. Unsafe by design: infusion task reallocation and safety perceptions
in U.S. hospitals. Health Care Manage Rev. 2022;48(1):14-22. doi:10.1097/hmr.0000000000000351.
https://p…
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psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
March 01, 2014 - In Conversation With… Alison Holmes, MD, MPH
March 1, 2014
Also Read an Essay
Citation Text:
In Conversation With… Alison Holmes, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…
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psnet.ahrq.gov/issue/technical-patient-safety-solutions-medicines-reconciliation-admission-adults-hospital
October 27, 2021 - Organizational Policy/Guidelines
Technical patient safety solutions for medicines reconciliation on admission of adults to hospital.
Citation Text:
Technical patient safety solutions for medicines reconciliation on admission of adults to hospital. Manchester, UK: National Institute…
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psnet.ahrq.gov/issue/implementing-bar-code-medication-administration-system
May 11, 2014 - Commentary
Implementing a bar-code medication administration system.
Citation Text:
Weber RJ. Implementing a Bar-Code Medication Administration System. Hosp Pharm. 2010;43(12):1016-1022. doi:10.1310/hpj4312-1016.
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psnet.ahrq.gov/issue/family-woman-who-died-after-medical-error-joins-hospitals-safety-panel
May 13, 2020 - Newspaper/Magazine Article
Family of woman who died after a medical error joins hospital's safety panel.
Citation Text:
Family of woman who died after a medical error joins hospital's safety panel. Shelton DL. Chicago Tribune. October 7, 2011.
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psnet.ahrq.gov/issue/guidelines-design-and-construction
April 29, 2020 - Book/Report
Guidelines for Design and Construction.
Citation Text:
Guidelines for Design and Construction. St Louis, Missouri; Facilities Guidelines Institute; 2018.
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psnet.ahrq.gov/issue/inpatient-quality-indicators
December 22, 2014 - Multi-use Website
Inpatient Quality Indicators.
Citation Text:
Inpatient Quality Indicators. Agency for Healthcare Research and Quality; AHRQ; University of California, San Francisco-Stanford Evidence-based Practice Center.
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psnet.ahrq.gov/issue/medical-misdiagnoses-can-have-fatal-consequences
July 27, 2011 - Newspaper/Magazine Article
Medical misdiagnoses can have fatal consequences.
Citation Text:
Medical misdiagnoses can have fatal consequences. Olsen D. State Journal-Register. June 26, 2011.
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psnet.ahrq.gov/issue/making-care-safer
December 18, 2008 - Book/Report
Making Care Safer.
Citation Text:
Making Care Safer. Agency for Healthcare Research and Quality. Priorities in Focus. March 2016.
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psnet.ahrq.gov/issue/rude-providers-jeopardize-patient-safety-so-stop-it
October 11, 2017 - Newspaper/Magazine Article
Rude providers jeopardize patient safety. So stop it.
Citation Text:
Rude providers jeopardize patient safety. So stop it. Thew J. HealthLeaders Media. June 14, 2017.
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psnet.ahrq.gov/issue/toolkit-reduction-clostridium-difficile-infections-through-antimicrobial-stewardship
October 23, 2019 - Toolkit
Toolkit for Reduction of Clostridium difficile Infections Through Antimicrobial Stewardship.
Citation Text:
Toolkit for Reduction of Clostridium difficile Infections Through Antimicrobial Stewardship. Boston University School of Public Health. Rockville, MD: Agency for Healthcare…
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psnet.ahrq.gov/issue/surgical-black-box-could-reduce-errors
June 04, 2014 - Newspaper/Magazine Article
Surgical 'black box' could reduce errors.
Citation Text:
Surgical 'black box' could reduce errors. Sathya C. CNN. August 22, 2014.
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psnet.ahrq.gov/issue/complaints-about-acute-trusts-2016-2017
April 17, 2024 - Book/Report
Complaints to the Parliamentary and Health Service Ombudsman.
Citation Text:
Complaints to the Parliamentary and Health Service Ombudsman. Manchester, UK: Parliamentary and Health Service Ombudsman.
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