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psnet.ahrq.gov/node/73130/psn-pdf
January 01, 2022 - Improving peripherally inserted central catheter
appropriateness and reducing device-related
complications: a quasiexperimental study in 52 Michigan
hospitals.
April 14, 2021
Chopra V, O'Malley M, Horowitz J, et al. Improving peripherally inserted central catheter appropriateness
and reducing device-related compl…
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psnet.ahrq.gov/node/844766/psn-pdf
January 01, 2020 - Validation of new ICD-10-based patient safety indicators
for identification of in-hospital complications in surgical
patients: a study of diagnostic accuracy.
September 11, 2019
McIsaac DI, Hamilton GM, Abdulla K, et al. Validation of new ICD-10-based patient safety indicators for
identification of in-hospital com…
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psnet.ahrq.gov/node/48085/psn-pdf
June 19, 2019 - A decade of preventing harm.
June 19, 2019
Woeltje KF, Olenski LK, Donatelli M, et al. A Decade of Preventing Harm. Jt Comm J Qual Patient Saf.
2019;45(7):480-486. doi:10.1016/j.jcjq.2019.04.007.
https://psnet.ahrq.gov/issue/decade-preventing-harm
Preventable patient safety problems continue to challenge health ca…
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psnet.ahrq.gov/node/40910/psn-pdf
November 09, 2011 - The effect of hospital electronic health record adoption on
nurse-assessed quality of care and patient safety.
November 9, 2011
Kutney-Lee A, Kelly D. The effect of hospital electronic health record adoption on nurse-assessed quality of
care and patient safety. J Nurs Adm. 2011;41(11):466-72. doi:10.1097/NNA.0b013e…
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psnet.ahrq.gov/node/38760/psn-pdf
July 08, 2009 - Nurses' perceptions of safety culture in long-term care
settings.
July 8, 2009
Wagner LM, Capezuti E, Rice JC. Nurses' perceptions of safety culture in long-term care settings. J Nurs
Scholarsh. 2009;41(2):184-192. doi:10.1111/j.1547-5069.2009.01270.x.
https://psnet.ahrq.gov/issue/nurses-perceptions-safety-culture…
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psnet.ahrq.gov/node/43497/psn-pdf
September 03, 2014 - In redesigned room, hospital patients may feel better
already.
September 3, 2014
Kimmelman M. New York Times. August 21, 2014.
https://psnet.ahrq.gov/issue/redesigned-room-hospital-patients-may-feel-better-already
This newspaper article reports on how design solutions for hospitals, such as rooms modeled for singl…
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psnet.ahrq.gov/node/36448/psn-pdf
November 22, 2006 - Do panels vary when assessing intrapartum adverse
events? The reproducibility of assessments by hospital
risk management groups.
November 22, 2006
Kernaghan D; Penney GC.
https://psnet.ahrq.gov/issue/do-panels-vary-when-assessing-intrapartum-adverse-events-reproducibility-
assessments-hospital
The authors analyz…
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psnet.ahrq.gov/node/36914/psn-pdf
March 21, 2017 - Reasons for after-hours calls by hospital floor nurses to
on-call physicians.
March 21, 2017
Bernstam E, Pancheri KK, Johnson CM, et al. Reasons for after-hours calls by hospital floor nurses to on-
call physicians. Jt Comm J Qual Patient Saf. 2007;33(6):342-9.
https://psnet.ahrq.gov/issue/reasons-after-hours-call…
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psnet.ahrq.gov/node/36316/psn-pdf
October 26, 2010 - Improving self-reporting of adverse drug events in a West
Virginia hospital.
October 26, 2010
Schade CP, Hannah K, Ruddick P, et al. Improving self-reporting of adverse drug events in a West Virginia
hospital. Am J Med Qual. 2006;21(5):335-41.
https://psnet.ahrq.gov/issue/improving-self-reporting-adverse-drug-even…
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psnet.ahrq.gov/node/35331/psn-pdf
July 15, 2009 - Risk of adverse drug events by patient destination after
hospital discharge.
July 15, 2009
Triller DM, Clause SL, Hamilton RA. Risk of adverse drug events by patient destination after hospital
discharge. Am J Health Syst Pharm. 2005;62(18):1883-9.
https://psnet.ahrq.gov/issue/risk-adverse-drug-events-patient-desti…
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psnet.ahrq.gov/node/36879/psn-pdf
June 13, 2011 - Medication Safety and Hospital Referrals: A Report by the
Health and Disability Commissioner.
June 13, 2011
Paterson R. Auckland, NZ; Office of the Health and Disability Commissioner: April 2007.
https://psnet.ahrq.gov/issue/medication-safety-and-hospital-referrals-report-health-and-disability-
commissioner
…
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psnet.ahrq.gov/node/33900/psn-pdf
December 06, 2011 - Patient Safety: Supporting a Culture of Continuous
Quality Improvement in Hospitals and Other Health Care
Organizations.
December 6, 2011
Clancy CM, Agency for Health Research and Quality; AHRQ.
https://psnet.ahrq.gov/issue/patient-safety-supporting-culture-continuous-quality-improvement-hospitals-
and-other-heal…
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psnet.ahrq.gov/node/43564/psn-pdf
January 15, 2019 - Are hospitals in a med safety standard slump?
January 15, 2019
Wild D. Pharmacy Practice News. September 8, 2014.
https://psnet.ahrq.gov/issue/are-hospitals-med-safety-standard-slump
Highlighting how hospital compliance rates with Joint Commission medication–related standards have
remained mostly unchanged from 20…
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psnet.ahrq.gov/node/34791/psn-pdf
March 28, 2005 - Drug-related hospital admissions.
March 28, 2005
Einarson TR
https://psnet.ahrq.gov/issue/drug-related-hospital-admissions
This systematic review summarizes reported rates of drug-related hospital admissions from 36 different
studies. The findings suggest that approximately 5% of all admissions are attributable to…
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psnet.ahrq.gov/node/36410/psn-pdf
June 29, 2011 - Voluntary incident reporting by anaesthetic trainees in an
Australian hospital.
June 29, 2011
Freestone L, Bolsin S, Colson M, et al. Voluntary incident reporting by anaesthetic trainees in an Australian
hospital. Int J Qual Health Care. 2006;18(6):452-7.
https://psnet.ahrq.gov/issue/voluntary-incident-reporting-a…
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psnet.ahrq.gov/node/37218/psn-pdf
March 04, 2011 - Medicaid markets and pediatric patient safety in
hospitals.
March 4, 2011
Smith RB, Cheung R, Owens P, et al. Medicaid markets and pediatric patient safety in hospitals. Health
Serv Res. 2007;42(5):1981-98.
https://psnet.ahrq.gov/issue/medicaid-markets-and-pediatric-patient-safety-hospitals
This study examined th…
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psnet.ahrq.gov/perspective/conversation-anjali-joseph-phd-edac-and-molly-m-scanlon-phd-faia-facha
June 30, 2021 - In Conversation With... Anjali Joseph, PhD, EDAC and Molly M. Scanlon, PhD, FAIA, FACHA
June 30, 2021
Also Read the Essay
Citation Text:
In Conversation With.. Anjali Joseph, PhD, EDAC and Molly M. Scanlon, PhD, FAIA, FACHA. PSNet [internet]. 2021.In Conversation…
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psnet.ahrq.gov/perspective/covid-19-and-built-environment
June 30, 2021 - COVID-19 and the Built Environment
June 30, 2021
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Joseph A, Scanlon MM, Fitall E, et al. COVID-19 and the Built Environment. PSNet [internet]. Rockville (MD): Agency for Healthca…
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psnet.ahrq.gov/node/33808/psn-pdf
May 01, 2016 - Reducing the Safety Hazards of Monitor Alert and Alarm
Fatigue
May 1, 2016
Jacques S, Williams E. Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue. PSNet [internet].
2016.
https://psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
Perspective
Alarm fatigue occurs whe…
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psnet.ahrq.gov/node/49814/psn-pdf
December 01, 2017 - Miscommunication in the OR Leads to Anticoagulation
Mishap
December 1, 2017
Solsky I, Haynes AB. Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet].
2017.
https://psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
The Case
A 63-year-old man with a history of coronary…