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psnet.ahrq.gov/issue/ethnographic-study-classifying-and-accounting-risk-sharp-end-medical-wards
June 16, 2021 - Study
An ethnographic study of classifying and accounting for risk at the sharp end of medical wards.
Citation Text:
Dixon-Woods M, Suokas A, Pitchforth E, et al. An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. Soc Sci Med. 2009;69(3):362…
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psnet.ahrq.gov/node/35378/psn-pdf
November 28, 2016 - You're the boss at the hospital.
November 28, 2016
https://psnet.ahrq.gov/issue/youre-boss-hospital
This article shares guidelines for accompanying a family member during a hospital stay and offers
strategies to facilitate communication and safety.
https://psnet.ahrq.gov/issue/youre-boss-hospital
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psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable
December 20, 2023 - Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable
Citation Text:
Camarillo H. Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
Copy Ci…
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psnet.ahrq.gov/web-mm/collegiality-vs-competence
August 28, 2024 - Collegiality vs. Competence
Citation Text:
Sagin T. Collegiality vs. Competence. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…
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psnet.ahrq.gov/node/74036/psn-pdf
November 03, 2021 - Alert burden in pediatric hospitals: a cross-sectional
analysis of six academic pediatric health systems using
novel metrics.
November 3, 2021
Orenstein EW, Kandaswamy S, Muthu N, et al. Alert burden in pediatric hospitals: a cross-sectional
analysis of six academic pediatric health systems using novel metrics. J …
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psnet.ahrq.gov/node/44962/psn-pdf
March 09, 2016 - Patient Safety: Hospitals Face Challenges Implementing
Evidence-Based Practices.
March 9, 2016
Washington, DC: United States Government Accountability Office; February 2016. Publication GAO-16-
308.
https://psnet.ahrq.gov/issue/patient-safety-hospitals-face-challenges-implementing-evidence-based-
practices
Despi…
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psnet.ahrq.gov/node/867635/psn-pdf
February 26, 2025 - Diagnostic safety: needs assessment and informed
curriculum at an academic children's hospital.
February 26, 2025
Congdon M, Rasooly IR, Toto RL, et al. Diagnostic safety: needs assessment and informed curriculum at
an academic children's hospital. Pediatr Qual Saf. 2024;9(6):e773. doi:10.1097/pq9.0000000000000773.…
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psnet.ahrq.gov/node/45459/psn-pdf
January 03, 2017 - Applying the high reliability health care maturity model to
assess hospital performance: a VA case study.
January 3, 2017
Sullivan JL, Rivard PE, Shin MH, et al. Applying the High Reliability Health Care Maturity Model to Assess
Hospital Performance: A VA Case Study. Jt Comm J Qual Patient Saf. 2016;42(9):389-411.
…
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psnet.ahrq.gov/node/73213/psn-pdf
May 05, 2021 - Root causes of adverse drug events in hospitals and
artificial intelligence capabilities for prevention.
May 5, 2021
Gordo C, Núñez?Córdoba JM, Mateo R. Root causes of adverse drug events in hospitals and artificial
intelligence capabilities for prevention. J Adv Nurs. 2021;77(7):3168-3175. doi:10.1111/jan.14779.
…
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psnet.ahrq.gov/node/45678/psn-pdf
October 11, 2017 - Is there a role for patients and their relatives in escalating
clinical deterioration in hospital? A systematic review.
October 11, 2017
Albutt AK, O'Hara JK, Conner MT, et al. Is there a role for patients and their relatives in escalating clinical
deterioration in hospital? A systematic review. Health Expect. 2017…
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psnet.ahrq.gov/node/74842/psn-pdf
February 16, 2022 - An initiative to reduce insulin-related adverse drug events
in a children's hospital.
February 16, 2022
Lawson SA, Hornung LN, Lawrence M, et al. An initiative to reduce insulin-related adverse drug events in a
children's hospital. Pediatrics. 2022;149(1):e2020004937. doi:10.1542/peds.2020-004937.
https://psnet.ah…
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psnet.ahrq.gov/node/73419/psn-pdf
June 23, 2021 - Obtaining the best possible medication history at hospital
admission: description of a pharmacy technician-driven
program to identify medication discrepancies.
June 23, 2021
Kabir R, Liaw S, Cerise J, et al. Obtaining the best possible medication history at hospital admission:
description of a pharmacy technician-…
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psnet.ahrq.gov/node/44595/psn-pdf
January 22, 2016 - Delayed rapid response team activation is associated with
increased hospital mortality, morbidity, and length of stay
in a tertiary care institution.
January 22, 2016
Barwise A, Thongprayoon C, Gajic O, et al. Delayed Rapid Response Team Activation Is Associated With
Increased Hospital Mortality, Morbidity, and Le…
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psnet.ahrq.gov/node/60581/psn-pdf
June 10, 2020 - Correlation between hospital rating agencies' data: an
analysis and recommendation.
June 10, 2020
Sondheim SE, Mattie A, Vigil J, et al. Correlation between hospital rating agencies’ data: An analysis and
recommendation. J Healthc Risk Manag. 2020;40(3):18-24. doi:10.1002/jhrm.21413.
https://psnet.ahrq.gov/issue/c…
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psnet.ahrq.gov/node/46879/psn-pdf
September 24, 2018 - Epidemiology of and risk factors for harmful anti-infective
medication errors in a pediatric hospital.
September 24, 2018
Modi A, Germain E, Soma V, et al. Epidemiology of and Risk Factors for Harmful Anti-Infective Medication
Errors in a Pediatric Hospital. Jt Comm J Qual Patient Saf. 2018;44(10):599-604.
doi:10.…
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psnet.ahrq.gov/node/844794/psn-pdf
January 01, 2020 - Hospital image repair strategies, organizational apology,
and medical errors: an analysis of the CoxHealth brain
over-radiation case.
September 18, 2019
Carmack HJ. Hospital Image Repair Strategies, Organizational Apology, and Medical Errors: An Analysis of
the CoxHealth Brain Over-Radiation Case. Health Comm. 202…
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psnet.ahrq.gov/node/37026/psn-pdf
September 15, 2011 - Residents feel unprepared and unsupervised as leaders
of cardiac arrest teams in teaching hospitals: a survey of
internal medicine residents.
September 15, 2011
Hayes CW, Rhee A, Detsky ME, et al. Residents feel unprepared and unsupervised as leaders of cardiac
arrest teams in teaching hospitals: a survey of inter…
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psnet.ahrq.gov/node/46951/psn-pdf
June 26, 2018 - Emergency department boarding and adverse
hospitalization outcomes among patients admitted to a
general medical service.
June 26, 2018
Lord K, Parwani V, Ulrich A, et al. Emergency department boarding and adverse hospitalization outcomes
among patients admitted to a general medical service. Am J Emerg Med. 2018;36…
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psnet.ahrq.gov/node/45433/psn-pdf
October 27, 2016 - Reduction in hospital-wide clinical laboratory specimen
identification errors following process interventions: a 10-
year retrospective observational study.
October 27, 2016
Ning H-C, Lin C-N, Chiu DT-Y, et al. Reduction in Hospital-Wide Clinical Laboratory Specimen Identification
Errors following Process Interven…
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psnet.ahrq.gov/node/852451/psn-pdf
August 16, 2023 - The impact of transition to a digital hospital on
medication errors (TIME study).
August 16, 2023
Engstrom T, McCourt E, Canning M, et al. The impact of transition to a digital hospital on medication errors
(TIME study). NPJ Digit Med. 2023;6(1):133. doi:10.1038/s41746-023-00877-w.
https://psnet.ahrq.gov/issue/imp…