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psnet.ahrq.gov/node/46220/psn-pdf
August 09, 2017 - Patient, provider, and system factors contributing to
patient safety events during medical and surgical
hospitalizations for persons with serious mental illness.
August 9, 2017
McGinty EE, Thompson DA, Pronovost P, et al. Patient, provider, and system factors contributing to patient
safety events during medical an…
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psnet.ahrq.gov/node/851450/psn-pdf
July 19, 2023 - Patient safety for people experiencing advanced dementia
in hospital: a video reflexive ethnography.
July 19, 2023
Dadich A, Rodrigues J, De Bellis A, et al. Patient safety for people experiencing advanced dementia in
hospital: a video reflexive ethnography. Dementia (London). 2023;22(5):1057-1076.
doi:10.1177/147…
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psnet.ahrq.gov/node/74869/psn-pdf
February 23, 2022 - Three new best practices in the 2022-2023 Targeted
Medication Safety Best Practices for Hospitals.
February 23, 2022
ISMP Medication Safety Alert! Acute care edition. February 10, 2022:27(3):1-6.
https://psnet.ahrq.gov/issue/three-new-best-practices-2022-2023-targeted-medication-safety-best-
practices-hospitals
B…
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psnet.ahrq.gov/node/853433/psn-pdf
September 13, 2023 - Outcomes of missed diagnosis of pediatric appendicitis,
new-onset diabetic ketoacidosis, and sepsis in five
pediatric hospitals.
September 13, 2023
Michelson KA, Bachur RG, Grubenhoff JA, et al. Outcomes of missed diagnosis of pediatric appendicitis,
new-onset diabetic ketoacidosis, and sepsis in five pediatric ho…
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psnet.ahrq.gov/node/44876/psn-pdf
February 10, 2016 - The Texas Health Presbyterian Hospital Ebola Crisis: A
Perfect Storm of Human Errors, System Failures and Lack
of Mindfulness.
February 10, 2016
Anderson-Fletcher E, Vera D, Abbott J. Houston, TX: Hobbs Center for Public Policy, University of
Houston; 2015.
https://psnet.ahrq.gov/issue/texas-health-presbyterian-h…
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psnet.ahrq.gov/node/43656/psn-pdf
September 01, 2016 - Optimization of drug–drug interaction alert rules in a
pediatric hospital's electronic health record system using
a visual analytics dashboard.
September 1, 2016
Simpao AF, Ahumada LM, Desai BR, et al. Optimization of drug-drug interaction alert rules in a pediatric
hospital's electronic health record system using…
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psnet.ahrq.gov/node/838245/psn-pdf
January 01, 2023 - A novel study of situational awareness among out-of-
hospital providers during an online clinical simulation.
October 5, 2022
Hunter J, Porter M, Williams B. A novel study of situational awareness among out-of-hospital providers
during an online clinical simulation. Australas Emerg Care. 2023;26(1):96-103.
doi:10.…
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psnet.ahrq.gov/node/39979/psn-pdf
November 03, 2010 - Does simulator-based clinical performance correlate with
actual hospital behavior? The effect of extended work
hours on patient care provided by medical interns.
November 3, 2010
Gordon JA, Alexander EK, Lockley SW, et al. Does Simulator-Based Clinical Performance Correlate With
Actual Hospital Behavior? The Effec…
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psnet.ahrq.gov/node/34680/psn-pdf
February 09, 2011 - Estimating hospital deaths due to medical errors:
preventability is in the eye of the reviewer.
February 9, 2011
Hayward RA, Hofer TP. Estimating hospital deaths due to medical errors: preventability is in the eye of the
reviewer. JAMA. 2001;286(4):415-20.
https://psnet.ahrq.gov/issue/estimating-hospital-deaths-du…
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psnet.ahrq.gov/node/851448/psn-pdf
July 19, 2023 - Medication reconciliation for patients after their discharge
from intensive care unit to the hospital ward.
July 19, 2023
Pradeda AM, Pérez MSA, Oliveira CF, et al. Medication reconciliation for patients after their discharge from
intensive care unit to the hospital ward. Farm Hosp. 2023;47(3):121-126. doi:10.1016/…
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psnet.ahrq.gov/node/866639/psn-pdf
September 04, 2024 - Relationship between patient safety culture and patient
experience in hospital settings: a scoping review.
September 4, 2024
Alabdaly A, Hinchcliff R, Debono D, et al. Relationship between patient safety culture and patient
experience in hospital settings: a scoping review. BMC Health Serv Res. 2024;24(1):906.
doi…
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psnet.ahrq.gov/node/43479/psn-pdf
October 30, 2017 - The human factor. To improve patients safety, hospitals
urged to adjust for how staff use new technology.
October 30, 2017
Rice S, Tahir D. The human factor. To improve patients safety, hospitals urged to adjust for how staff use
new technology. Modern healthcare. 2014;44(33):12-5.
https://psnet.ahrq.gov/issue/hum…
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psnet.ahrq.gov/node/841473/psn-pdf
December 14, 2022 - Examination of maternal near-miss experiences in the
hospital setting among Black women in the United States.
December 14, 2022
Byrd TE, Ingram LA, Okpara N. Examination of maternal near-miss experiences in the hospital setting
among Black women in the United States. Womens Health (Lond). 2022;18:174550572211338.
…
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psnet.ahrq.gov/node/40605/psn-pdf
July 22, 2011 - Work-related critical incidents in hospital-based health
care providers and the risk of post-traumatic stress
symptoms, anxiety, and depression: a meta-analysis.
July 22, 2011
de Boer J, Lok A, Verlaat EV't, et al. Work-related critical incidents in hospital-based health care providers
and the risk of post-traumat…
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psnet.ahrq.gov/node/72599/psn-pdf
December 23, 2020 - In the eye of the storm: the role of the pharmacist in
medication safety during the COVID-19 pandemic at an
urban teaching hospital.
December 23, 2020
Kanaan AO, Sullivan KM, Seed SM, et al. In the eye of the storm: the role of the pharmacist in medication
safety during the COVID-19 pandemic at an urban teaching h…
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psnet.ahrq.gov/node/42879/psn-pdf
January 22, 2014 - Prevalence, patterns and predictors of nursing care left
undone in European hospitals: results from the
multicountry cross-sectional RN4CAST study.
January 22, 2014
Ausserhofer D, Zander B, Busse R, et al. Prevalence, patterns and predictors of nursing care left undone in
European hospitals: results from the multi…
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psnet.ahrq.gov/node/35566/psn-pdf
December 14, 2005 - Hospitals try to break a deadly 'code.'
December 14, 2005
Kowalczyk L.
https://psnet.ahrq.gov/issue/hospitals-try-break-deadly-code
This article reports on the implementation of rapid response teams in Boston hospitals and the potential for
reducing patient mortality.
https://psnet.ahrq.gov/issue/hospitals-try-br…
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psnet.ahrq.gov/node/37043/psn-pdf
May 04, 2015 - To reduce risks, hospitals enlist 'proceduralists.'
May 4, 2015
Landro L.
https://psnet.ahrq.gov/issue/reduce-risks-hospitals-enlist-proceduralists
This article reports on hospitals that are creating dedicated teams of experts who have the skills to
perform risky medical procedures.
https://psnet.ahrq.gov/issue/r…
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psnet.ahrq.gov/node/35102/psn-pdf
November 04, 2015 - Plan aims to cut hospital deaths.
November 4, 2015
Appleby J.
https://psnet.ahrq.gov/issue/plan-aims-cut-hospital-deaths
This article reports on the 100,000 Lives Campaign and its mission, highlighting improvements in two
hospitals that have joined the campaign.
https://psnet.ahrq.gov/issue/plan-aims-cut-hospital…
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psnet.ahrq.gov/perspective/becoming-patient-safety-organization
July 01, 2011 - Becoming a Patient Safety Organization
Rory Jaffe, MD, MBA | July 1, 2011
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Jaffe R. Becoming a Patient Safety Organization. PSNet [internet]. Rockville (MD): Agency for Healthcare …