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8441. Strategies and Approaches for Tracking Improvements in Patient Safety | PSNet
      psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
      June 15, 2024 - Strategies and Approaches for Tracking Improvements in Patient Safety Citation Text: Shaikh U. Strategies and Approaches for Tracking Improvements in Patient Safety . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citat…

8442. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853772/psn-pdf
      September 27, 2023 - Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable September 27, 2023 Camarillo H. Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable The Case A fourteen-ye…

8443. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41120/psn-pdf
      September 08, 2016 - The impact of anti-infective drug shortages on hospitals in the United States: trends and causes. September 8, 2016 Griffith MM, Gross AE, Sutton SH, et al. The impact of anti-infective drug shortages on hospitals in the United States: trends and causes. Clin Infect Dis. 2012;54(5):684-91. doi:10.1093/cid/cir954. …

8444. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44288/psn-pdf
      March 21, 2024 - Prevention of adverse drug events in hospitals. March 21, 2024 Zhu J, Weingart SN. UpToDate. February 29, 2024. https://psnet.ahrq.gov/issue/prevention-adverse-drug-events-hospitals Unsafe medication systems in hospitals can lead to adverse drug events (ADEs). This review discusses patient care and organizational …

8445. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42636/psn-pdf
      October 02, 2013 - How many die from medical mistakes in US hospitals? October 2, 2013 Allen M. https://psnet.ahrq.gov/issue/how-many-die-medical-mistakes-us-hospitals Reporting on results of a recent study, this news article relates that the number of preventable errors contributing to patient deaths may be much higher than previou…

8446. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41634/psn-pdf
      January 31, 2013 - Disclosure of harmful medical errors in out-of-hospital care. January 31, 2013 Lu DW, Guenther E, Wesley AK, et al. Disclosure of harmful medical errors in out-of-hospital care. Ann Emerg Med. 2013;61(2):215-21. doi:10.1016/j.annemergmed.2012.07.004. https://psnet.ahrq.gov/issue/disclosure-harmful-medical-errors-o…

8447. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35010/psn-pdf
      May 18, 2005 - Hospital-error oversight called lax: state takes too long to investigate mistakes, patient advocates say. May 18, 2005 Galloway A. Seattle Post-Intelligencer. May 4, 2005. https://psnet.ahrq.gov/issue/hospital-error-oversight-called-lax-state-takes-too-long-investigate-mistakes- patient This article explores…

8448. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34588/psn-pdf
      January 04, 2017 - The Johns Hopkins Hospital: identifying and addressing risks and safety issues. January 4, 2017 Paine LA, Baker DR, Rosenstein BJ, et al. The Johns Hopkins Hospital: identifying and addressing risks and safety issues. Jt Comm J Qual Saf. 2004;30(10):543-50. https://psnet.ahrq.gov/issue/johns-hopkins-hospital-ident…

8449. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41331/psn-pdf
      October 03, 2017 - Leading a highly visible hospital through a serious reportable event. October 3, 2017 Erickson JI. Leading a highly visible hospital through a serious reportable event. J Nurs Adm. 2012;42(3):131-3. doi:10.1097/NNA.0b013e31824808b6. https://psnet.ahrq.gov/issue/leading-highly-visible-hospital-through-serious-repor…

8450. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37181/psn-pdf
      October 06, 2011 - Inter-rater reliability of a classification system for hospital adverse drug event reports. October 6, 2011 Haynes K, Hennessy S, Morales KH, et al. Inter-rater reliability of a classification system for hospital adverse drug event reports. Clin Pharmacol Ther. 2008;83(3):485-8. https://psnet.ahrq.gov/issue/inter-…

8451. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37240/psn-pdf
      December 16, 2011 - Errors in the administration of intravenous medication in Brazilian hospitals. December 16, 2011 Anselmi ML, Peduzzi M, dos Santos CB. Errors in the administration of intravenous medication in Brazilian hospitals. J Clin Nurs. 2007;16(10). doi:10.1111/j.1365-2702.2007.01834.x. https://psnet.ahrq.gov/issue/errors-a…

8452. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39784/psn-pdf
      August 25, 2010 - Perceptions of effective and ineffective nurse–physician communication in hospitals. August 25, 2010 Robinson P, Gorman G, Slimmer LW, et al. Perceptions of effective and ineffective nurse-physician communication in hospitals. Nurs Forum. 2010;45(3):206-16. doi:10.1111/j.1744-6198.2010.00182.x. https://psnet.ahrq.…

8453. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44115/psn-pdf
      June 03, 2015 - An approach to assessing patient safety in hospitals in low-income countries. June 3, 2015 Lindfield R, Knight A, Bwonya D. An approach to assessing patient safety in hospitals in low-income countries. PLoS One. 2015;10(3):e0121628. doi:10.1371/journal.pone.0121628. https://psnet.ahrq.gov/issue/approach-assessing-…

8454. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45248/psn-pdf
      August 01, 2016 - Adverse events and near misses relating to information management in a hospital. August 1, 2016 Jylhä V, Bates DW, Saranto K. Adverse events and near misses relating to information management in a hospital. Health Inf Manag. 2016;45(2):55-63. doi:10.1177/1833358316641551. https://psnet.ahrq.gov/issue/adverse-event…

8455. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45306/psn-pdf
      August 17, 2016 - Indiana Patient Safety Center. August 17, 2016 Indiana Hospital Association; IHA. https://psnet.ahrq.gov/issue/indiana-patient-safety-center Launched in 2006, the Indiana Patient Safety Center (IPSC) is dedicated to promoting safety culture and reliable systems of care in the state. This website provides resources…

8456. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/860049/psn-pdf
      January 04, 2024 - Myasthenia Crisis after a Delayed Diagnosis in a Medically Complex Patient. January 4, 2024 Chaffin Z. Myasthenia Crisis after a Delayed Diagnosis in a Medically Complex Patient. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient The Case A 9…

8457. Miscommunication in the OR Leads to Anticoagulation Mishap | PSNet
      psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
      May 08, 2019 - Miscommunication in the OR Leads to Anticoagulation Mishap Citation Text: Solsky I, Haynes AB. Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Forma…

8458. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33597/psn-pdf
      April 10, 2024 - Long-term Care and Patient Safety April 10, 2024 Bakerjian D. Long-term Care and Patient Safety. PSNet [internet]. 2024. https://psnet.ahrq.gov/primer/long-term-care-and-patient-safety Background For many years, the patient safety field focused on improving safety in hospital and ambulatory care settings. More re…

8459. Discontinued Medications: Are They Really Discontinued? | PSNet
      psnet.ahrq.gov/web-mm/discontinued-medications-are-they-really-discontinued
      January 05, 2017 - Discontinued Medications: Are They Really Discontinued? Citation Text: Mankey CG, Varkey P. Discontinued Medications: Are They Really Discontinued?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: …

8460. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33654/psn-pdf
      August 01, 2007 - In Conversation with...James L. Reinertsen, MD August 1, 2007 In Conversation with..James L. Reinertsen, MD. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md Editor's Note: James L. Reinertsen, MD, heads the Reinertsen Group, a prominent health care consulting firm …