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psnet.ahrq.gov/issue/safely-home-what-happens-when-people-leave-hospital-care-settings
August 02, 2023 - Book/Report
Safely Home: What Happens When People Leave Hospital Care Settings?
Citation Text:
Safely Home: What Happens When People Leave Hospital Care Settings? London, UK: Healthwatch England; July 2015.
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psnet.ahrq.gov/issue/how-opioid-backlash-went-wrong
May 24, 2023 - Newspaper/Magazine Article
How the opioid backlash went wrong.
Citation Text:
How the opioid backlash went wrong. Freedman DH. Newsweek Magazine. May 12, 2023.
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psnet.ahrq.gov/issue/doctors-smartphones-and-ipads-may-be-distracting
May 15, 2024 - Newspaper/Magazine Article
Doctors' smartphones and iPads may be distracting.
Citation Text:
Doctors' smartphones and iPads may be distracting. Gold J.
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psnet.ahrq.gov/issue/avoiding-errors-associated-insulin-therapy
April 06, 2022 - Commentary
Avoiding errors associated with insulin therapy.
Citation Text:
Avoiding errors associated with insulin therapy. Cohen H. Medscape CME/CE. May 14, 2009.
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psnet.ahrq.gov/issue/medication-reconciliation-meets-its-match
May 01, 2017 - Newspaper/Magazine Article
Medication reconciliation meets its MATCH.
Citation Text:
Medication reconciliation meets its MATCH. Agency for Healthcare Research and Quality. Research Activities. May 2013:1, 3-4.
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psnet.ahrq.gov/issue/national-patient-safety-goals
May 30, 2012 - Organizational Policy/Guidelines
National Patient Safety Goals.
Citation Text:
National Patient Safety Goals. The Joint Commission.
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psnet.ahrq.gov/issue/leadership-healthcare-organizations-guide-joint-commission-leadership-standards
March 10, 2025 - Book/Report
Leadership in Healthcare Organizations: A Guide to Joint Commission Leadership Standards.
Citation Text:
Leadership in Healthcare Organizations: A Guide to Joint Commission Leadership Standards. Schyve PM. San Diego, CA: Governance Institute; 2009.
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psnet.ahrq.gov/issue/sentinel-event
May 30, 2012 - Multi-use Website
Classic
Sentinel Event.
Citation Text:
Sentinel Event. The Joint Commission.
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psnet.ahrq.gov/issue/drug-error-eskenazi-hospital-killed-prominent-cancer-researcher-heres-how-it-happened
September 09, 2015 - Newspaper/Magazine Article
Drug error at Eskenazi Hospital killed prominent cancer researcher. Here's how it happened.
Citation Text:
Drug error at Eskenazi Hospital killed prominent cancer researcher. Here's how it happened. Evans T. Indianapolis Star. October 30, 2020.
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psnet.ahrq.gov/issue/getting-your-best-health-care-real-world-stories-patient-empowerment
April 27, 2011 - Book/Report
Getting Your Best Health Care: Real-World Stories for Patient Empowerment.
Citation Text:
Getting Your Best Health Care: Real-World Stories for Patient Empowerment. Farbstein K. Rockville, MD: Access Intelligence, LLC; 2011. ISBN: 9781885461452.
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psnet.ahrq.gov/issue/leapfrog-group
January 20, 2016 - Multi-use Website
The Leapfrog Group.
Citation Text:
The Leapfrog Group. 1775 K St NW, Suite 400, Washington DC 20006. 202-292-6713, info@leapfrog-group.org.
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psnet.ahrq.gov/issue/chasing-zero-winning-war-healthcare-harm
May 18, 2012 - Audiovisual
Chasing Zero: Winning the War on Healthcare Harm.
Citation Text:
Chasing Zero: Winning the War on Healthcare Harm. Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.
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psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
March 01, 2014 - How Does Infection Prevention Fit Into a Safety Program?
Susan S. Huang, MD, MPH | March 1, 2014
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Huang SS. How Does Infection Prevention Fit Into a Safety Program?. PSNet [interne…
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psnet.ahrq.gov/node/60813/psn-pdf
January 01, 2021 - Medication-related interventions delivered both in
hospital and following discharge: a systematic review and
meta-analysis.
August 19, 2020
Daliri S, Boujarfi S, el Mokaddam A, et al. Medication-related interventions delivered both in hospital and
following discharge: a systematic review and meta-analysis. BMJ Qua…
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psnet.ahrq.gov/node/845350/psn-pdf
March 01, 2023 - Implementing human factors in anaesthesia: guidance for
clinicians, departments and hospitals: Guidelines from
the Difficult Airway Society and the Association of
Anaesthetists.
March 1, 2023
Kelly FE, Frerk C, Bailey CR, et al. Implementing human factors in anaesthesia: guidance for clinicians,
departments and h…
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psnet.ahrq.gov/node/46154/psn-pdf
June 07, 2017 - Postoperative opioid prescribing and the pain scores on
Hospital Consumer Assessment of Healthcare Providers
and Systems survey.
June 7, 2017
Lee JS, Hu HM, Brummett CM, et al. Postoperative Opioid Prescribing and the Pain Scores on Hospital
Consumer Assessment of Healthcare Providers and Systems Survey. JAMA. 201…
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psnet.ahrq.gov/node/838088/psn-pdf
September 14, 2022 - 'We had such trust, we feel such fools’: how shocking
hospital mistakes led to our daughter’s death.
September 14, 2022
Mills M. The Guardian. September 3, 2022.
https://psnet.ahrq.gov/issue/we-had-such-trust-we-feel-such-fools-how-shocking-hospital-mistakes-led-our-
daughters-death
Families experiencing medical …
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psnet.ahrq.gov/node/39264/psn-pdf
February 03, 2010 - Changing cardiac arrest and hospital mortality rates
through a medical emergency team takes time and
constant review.
February 3, 2010
Santamaria J, Tobin A, Holmes J. Changing cardiac arrest and hospital mortality rates through a medical
emergency team takes time and constant review. Crit Care Med. 2010;38(2):445…
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psnet.ahrq.gov/node/37430/psn-pdf
February 01, 2011 - Nonpayment for harms resulting from medical care:
catheter-associated urinary tract infections.
February 1, 2011
Wald HL, Kramer AM. Nonpayment for harms resulting from medical care: catheter-associated urinary tract
infections. JAMA. 2007;298(23):2782-4. doi:10.1001/jama.298.23.2782.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/47538/psn-pdf
January 23, 2019 - What causes medication administration errors in a mental
health hospital? A qualitative study with nursing staff.
January 23, 2019
Keers RN, Plácido M, Bennett K, et al. What causes medication administration errors in a mental health
hospital? A qualitative study with nursing staff. PLoS One. 2018;13(10):e0206233.
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