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psnet.ahrq.gov/issue/program-encourages-reporting-accidents-waiting-happen-good-catch-awards
February 13, 2013 - Newspaper/Magazine Article
Program encourages reporting accidents waiting to happen: the Good Catch Awards.
Citation Text:
Program encourages reporting accidents waiting to happen: the Good Catch Awards. Minnesota Hospital Association.
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psnet.ahrq.gov/issue/scottish-patient-safety-alliance
July 29, 2015 - Multi-use Website
Scottish Patient Safety Programme.
Citation Text:
Scottish Patient Safety Programme. Health Improvement Scotland
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psnet.ahrq.gov/issue/patient-safety-authority-annual-reports
December 09, 2020 - Book/Report
Patient Safety Authority Annual Reports.
Citation Text:
Patient Safety Authority Annual Reports. Pennsylvania Patient Safety Authority. Harrisburg, PA: Patient Safety Authority; April 2024.
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psnet.ahrq.gov/node/40111/psn-pdf
December 14, 2012 - Disruptive behavior affects hospital financial health.
December 14, 2012
Rosenstein AH. Measuring and managing the economic impact of disruptive behaviors in the hospital.
Journal of healthcare risk management : the journal of the American Society for Healthcare Risk
Management. 2010;30(2):20-6. doi:10.1002/jhrm.20…
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psnet.ahrq.gov/node/39317/psn-pdf
November 02, 2010 - Exploring the causes of adverse events in hospitals and
potential prevention strategies.
November 2, 2010
Smits M, Zegers M, Groenewegen PP, et al. Exploring the causes of adverse events in hospitals and
potential prevention strategies. BMJ Qual Saf. 2010;19(5). doi:10.1136/qshc.2008.030726.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/36740/psn-pdf
July 26, 2011 - The problem of engaging hospital doctors in promoting
safety and quality in clinical care.
July 26, 2011
Neale G, Vincent CA, Darzi SA. The problem of engaging hospital doctors in promoting safety and quality
in clinical care. J R Soc Promot Health. 2007;127(2):87-94.
https://psnet.ahrq.gov/issue/problem-engaging-…
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psnet.ahrq.gov/node/40908/psn-pdf
December 08, 2011 - Patients' identification and reporting of unsafe events at
six hospitals in Japan.
December 8, 2011
Hasegawa T, Fujita S, Seto K, et al. Patients' identification and reporting of unsafe events at six hospitals in
Japan. Jt Comm J Qual Patient Saf. 2011;37(11):502-508.
https://psnet.ahrq.gov/issue/patients-identifi…
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psnet.ahrq.gov/node/36394/psn-pdf
December 22, 2010 - Is there a "July phenomenon" in pediatric neurosurgery at
teaching hospitals?
December 22, 2010
Smith ER, Butler WE, Barker FG. Is there a "July phenomenon" in pediatric neurosurgery at teaching
hospitals? J Neurosurg. 2006;105(3 Suppl):169-76.
https://psnet.ahrq.gov/issue/there-july-phenomenon-pediatric-neurosurg…
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psnet.ahrq.gov/node/35371/psn-pdf
June 17, 2014 - 2005 Quest for Quality Prize.
June 17, 2014
Association AH, Pharmacists AS of H-S, Networks H and H. Medication Safety Issue Brief. Bar Code
implementation strategies. Hosp Health Netw. 2005;79(7):65-66.
https://psnet.ahrq.gov/issue/2005-quest-quality-prize
This article highlights successful practices of the 2005 …
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psnet.ahrq.gov/node/41295/psn-pdf
April 11, 2012 - The pursuit of perfection: hospitals take heightened
actions to reduce adverse events.
April 11, 2012
May EL. The pursuit of perfection: hospitals take heightened actions to reduce adverse events. Healthcare
executive. 2012;27(2):26-8, 30-3.
https://psnet.ahrq.gov/issue/pursuit-perfection-hospitals-take-heightened…
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psnet.ahrq.gov/node/37148/psn-pdf
March 11, 2009 - CMS: your mistake, your problem.
March 11, 2009
Lubell J. CMS: your mistake, your problem. Eight hospital-acquired conditions won't be paid for. Modern
healthcare. 2007;37(33):10-1.
https://psnet.ahrq.gov/issue/cms-your-mistake-your-problem
This article discusses the challenges hospitals face in responding to rece…
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psnet.ahrq.gov/node/35651/psn-pdf
June 25, 2010 - Clinical drug interactions in outpatients of a university
hospital in Thailand.
June 25, 2010
Janchawee B, Owatranporn T, Mahatthanatrakul W, et al. Clinical drug interactions in outpatients of a
university hospital in Thailand. J Clin Pharm Ther. 2005;30(6):583-90.
https://psnet.ahrq.gov/issue/clinical-drug-inter…
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psnet.ahrq.gov/node/36685/psn-pdf
January 18, 2011 - Costs and benefits of an early-alert surveillance system
for hospital inpatients.
January 18, 2011
Marchetti A, Jacobs J, Young M, et al. Costs and benefits of an early-alert surveillance system for hospital
inpatients. Curr Med Res Opin. 2007;23(1):9-16.
https://psnet.ahrq.gov/issue/costs-and-benefits-early-alert…
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psnet.ahrq.gov/node/42061/psn-pdf
October 05, 2015 - Preventing Falls in Hospitals: A Toolkit for Improving
Quality of Care.
October 5, 2015
Ganz DA, Huang C, Saliba D, et al. Rockville, MD: Agency for Healthcare Research and Quality; January
2013. AHRQ Publication No. 13-0015-EF.
https://psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care…
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psnet.ahrq.gov/node/33967/psn-pdf
December 18, 2008 - Reducing and Preventing Adverse Drug Events to
Decrease Hospital Costs.
December 18, 2008
Research in Action, Issue 1. Rockville, MD: Agency for Healthcare Research and Quality; March 2001.
AHRQ Publication no. 01-0020
https://psnet.ahrq.gov/issue/reducing-and-preventing-adverse-drug-events-decrease-hospital-costs…
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psnet.ahrq.gov/node/35629/psn-pdf
June 24, 2010 - 'Balancing risk, that is my life': The politics of risk in a
hospital operating theatre department.
June 24, 2010
McDonald R, Waring J, Harrison S. ‘Balancing risk, that is my life’: The politics of risk in a hospital
operating theatre department. Health Risk Soc. 2005;7(4). doi:10.1080/13698570500390705.
https://…
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psnet.ahrq.gov/node/36908/psn-pdf
January 05, 2017 - Benefits of a rapid response system at a community
hospital.
January 5, 2017
Gessner P. Benefits of a Rapid Response System at a Community Hospital. The Joint Commission Journal
on Quality and Patient Safety. 2016;33(6). doi:10.1016/s1553-7250(07)33040-7.
https://psnet.ahrq.gov/issue/benefits-rapid-response-system…
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psnet.ahrq.gov/node/39379/psn-pdf
March 17, 2010 - Characteristics of Weekday and Weekend Hospital
Admissions, 2007.
March 17, 2010
Ryan K, Levit K, Davis PH. HCUP Statistical Brief #87. Rockville, MD: Agency for Healthcare Research and
Quality; March 2010.
https://psnet.ahrq.gov/issue/characteristics-weekday-and-weekend-hospital-admissions-2007
Using data from t…
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psnet.ahrq.gov/node/44906/psn-pdf
February 17, 2016 - Hospitals find a way to say, 'I'm sorry.'
February 17, 2016
Landro L.
https://psnet.ahrq.gov/issue/hospitals-find-way-say-im-sorry
Communication and resolution strategies that emphasize early disclosure after a medical error can
enhance patient safety. This newspaper article reports on communication and resolution…
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psnet.ahrq.gov/node/47176/psn-pdf
June 06, 2018 - Report faults Children's Hospital for medication errors.
June 6, 2018
Kowalczyk L. Boston Globe. May 27, 2018.
https://psnet.ahrq.gov/issue/report-faults-childrens-hospital-medication-errors
Pediatric patients are particularly vulnerable to medication errors. This news article reports on serious
medication errors …