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psnet.ahrq.gov/node/39418/psn-pdf
March 31, 2010 - Take Charge of Your Hospital Stay to Avoid Medical
Mistakes.
March 31, 2010
Clarke S, Savard M. Good Morning America. ABC News. March 22, 2010.
https://psnet.ahrq.gov/issue/take-charge-your-hospital-stay-avoid-medical-mistakes
This television interview offers recommendations for patients to keep themselves safe wh…
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psnet.ahrq.gov/node/40863/psn-pdf
October 19, 2011 - Family of woman who died after a medical error joins
hospital's safety panel.
October 19, 2011
Shelton DL. Chicago Tribune. October 7, 2011.
https://psnet.ahrq.gov/issue/family-woman-who-died-after-medical-error-joins-hospitals-safety-panel
Reporting on a fatal medical error, this article describes how the family …
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psnet.ahrq.gov/node/42030/psn-pdf
April 18, 2013 - Reducing hospital errors: interventions that build safety
culture.
April 18, 2013
Singer SJ, Vogus TJ. Reducing hospital errors: interventions that build safety culture. Annu Rev Public
Health. 2013;34:373-96. doi:10.1146/annurev-publhealth-031912-114439.
https://psnet.ahrq.gov/issue/reducing-hospital-errors-inter…
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psnet.ahrq.gov/node/37450/psn-pdf
June 13, 2011 - Technical patient safety solutions for medicines
reconciliation on admission of adults to hospital.
June 13, 2011
Manchester, UK: National Institute for Health and Clinical Excellence; 2015.
https://psnet.ahrq.gov/issue/technical-patient-safety-solutions-medicines-reconciliation-admission-adults-
hospital
This gu…
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psnet.ahrq.gov/node/35774/psn-pdf
July 20, 2010 - Rules, safety and the narrativisation of identity: a hospital
operating theatre case study.
July 20, 2010
McDonald R, Waring J, Harrison S. Rules, safety and the narrativisation of identity: a hospital operating
theatre case study. Sociol Health Illn. 2006;28(2):178-202.
https://psnet.ahrq.gov/issue/rules-safety-a…
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psnet.ahrq.gov/node/35917/psn-pdf
July 23, 2010 - Audibility of patient clinical alarms to hospital nursing
personnel.
July 23, 2010
Sobieraj J, Ortega C, West I, et al. Audibility of patient clinical alarms to hospital nursing personnel. Mil
Med. 2006;171(4):306-10.
https://psnet.ahrq.gov/issue/audibility-patient-clinical-alarms-hospital-nursing-personnel
The i…
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psnet.ahrq.gov/node/50583/psn-pdf
October 23, 2019 - New round of Medicare readmission penalties hits 2,583
hospitals.
October 23, 2019
Rau J. Kaiser Health News. October 1, 2019.
https://psnet.ahrq.gov/issue/new-round-medicare-readmission-penalties-hits-2583-hospitals
The federal government strategy to incentivize reductions in hospital readmissions through lo…
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psnet.ahrq.gov/issue/ethical-challenges-child-abuse-what-harm-misdiagnosis
September 01, 2021 - Commentary
Ethical challenges in child abuse: what is the harm of a misdiagnosis?
Citation Text:
Brown SD. Ethical challenges in child abuse: what is the harm of a misdiagnosis? Pediatr Radiol. 2021;51(6):1070-1075. doi:10.1007/s00247-020-04845-4.
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psnet.ahrq.gov/issue/patient-safety-out-hours-primary-care-review-patient-records
June 16, 2021 - Study
Patient safety in out-of-hours primary care: a review of patient records.
Citation Text:
Smits M, Huibers L, Kerssemeijer B, et al. Patient safety in out-of-hours primary care: a review of patient records. BMC Health Serv Res. 2010;10:335. doi:10.1186/1472-6963-10-335.
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psnet.ahrq.gov/issue/effect-hospital-command-centre-patient-safety-interrupted-time-series-study
July 20, 2022 - Study
Effect of a hospital command centre on patient safety: an interrupted time series study.
Citation Text:
Effect of a hospital command centre on patient safety: an interrupted time series study. Mebrahtu TF, McInerney CD, Benn J, et al. BMJ Health Care Inform. 2023;30(1):e100653…
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psnet.ahrq.gov/issue/perceived-causes-prescribing-errors-junior-doctors-hospital-inpatients-study-protect
April 19, 2011 - Study
Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programme.
Citation Text:
Ross S, Ryan C, Duncan EM, et al. Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programm…
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psnet.ahrq.gov/issue/development-and-psychometric-testing-tool-measure-missed-nursing-care
August 20, 2018 - Study
Development and psychometric testing of a tool to measure missed nursing care.
Citation Text:
Kalisch BJ, Williams RA. Development and psychometric testing of a tool to measure missed nursing care. J Nurs Adm. 2009;39(5):211-9. doi:10.1097/NNA.0b013e3181a23cf5.
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psnet.ahrq.gov/issue/process-indicators-quality-clinical-pharmacy-services-during-transitions-care
December 05, 2012 - Commentary
Process indicators of quality clinical pharmacy services during transitions of care.
Citation Text:
Pharmacy AC of C, Kirwin J, Canales AE, et al. Process indicators of quality clinical pharmacy services during transitions of care. Pharmacotherapy. 2012;32(11):e338-e347. doi…
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psnet.ahrq.gov/issue/patient-safety-dialogue-evaluation-intervention-aimed-achieving-improved-patient-safety
December 09, 2020 - Study
Patient Safety Dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture.
Citation Text:
Öhrn A, Rutberg H, Nilsen P. Patient safety dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture. J Patient Saf. …
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psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-chemotherapy-and-biotherapy
September 07, 2016 - Organizational Policy/Guidelines
ASHP guidelines on preventing medication errors with chemotherapy and biotherapy.
Citation Text:
Goldspiel B, Hoffman JM, Griffith NL, et al. ASHP guidelines on preventing medication errors with chemotherapy and biotherapy. Am J Health Syst Pharm. 2015;72…
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psnet.ahrq.gov/issue/impact-pharmacist-directed-pain-management-service-inpatient-opioid-use-pain-control-and
February 11, 2015 - Study
Impact of a pharmacist-directed pain management service on inpatient opioid use, pain control, and patient safety.
Citation Text:
Impact of a pharmacist-directed pain management service on inpatient opioid use, pain control, and patient safety. Poirier RH; Brown CS; Baggenstos YT; …
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psnet.ahrq.gov/issue/fatigue-performance-and-work-environment-survey-registered-nurses
November 18, 2020 - Study
Fatigue, performance and the work environment: a survey of registered nurses.
Citation Text:
Barker LM, Nussbaum MA. Fatigue, performance and the work environment: a survey of registered nurses. J Adv Nurs. 2011;67(6):1370-82. doi:10.1111/j.1365-2648.2010.05597.x.
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psnet.ahrq.gov/issue/iatrogenic-harm-caused-diagnostic-errors-fibrodysplasia-ossificans-progressiva
November 16, 2022 - Study
Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva.
Citation Text:
Kitterman JA, Kantanie S, Rocke DM, et al. Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva. Pediatrics. 2005;116(5):e654-61.
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psnet.ahrq.gov/issue/what-nhs-safety-thermometer
November 02, 2016 - Commentary
What is the NHS Safety Thermometer?
Citation Text:
Power M, Stewart K, Brotherton A. What is the NHS Safety Thermometer? Clin Risk. 2012;18(5):163-169.
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psnet.ahrq.gov/issue/nighttime-and-weekend-medication-error-rates-inpatient-pediatric-population
October 19, 2022 - Study
Nighttime and weekend medication error rates in an inpatient pediatric population.
Citation Text:
Miller AD, Piro CC, Rudisill CN, et al. Nighttime and weekend medication error rates in an inpatient pediatric population. Ann Pharmacother. 2010;44(11):1739-46. doi:10.1345/aph.1P25…