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psnet.ahrq.gov/issue/buried-answers
May 11, 2005 - Newspaper/Magazine Article
Buried answers.
Citation Text:
Buried answers. Dobbs D. New York Times. April 24, 2005.
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psnet.ahrq.gov/issue/patient-safety-reporting-initiative
September 12, 2016 - Multi-use Website
Patient Safety Reporting System.
Citation Text:
Patient Safety Reporting System. New Jersey Department of Health and Senior Services.
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psnet.ahrq.gov/issue/eliminating-dangerous-abbreviations-acronyms-and-symbols
June 17, 2014 - Fact Sheet/FAQs
Eliminating Dangerous Abbreviations, Acronyms and Symbols.
Citation Text:
Eliminating Dangerous Abbreviations, Acronyms and Symbols. AHA: American Hosptial Association; American Society of Health-System Pharmacists; AHSP
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psnet.ahrq.gov/issue/towel-safety-message
October 24, 2012 - Newspaper/Magazine Article
A towel with a safety message.
Citation Text:
A towel with a safety message. Lerner M.
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psnet.ahrq.gov/primer/long-term-care-and-patient-safety
February 24, 2022 - Long-term Care and Patient Safety
Citation Text:
Bakerjian D. Long-term Care and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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psnet.ahrq.gov/node/42779/psn-pdf
January 29, 2014 - Governing patient safety: lessons learned from a mixed
methods evaluation of implementing a ward-level
medication safety scorecard in two English NHS
hospitals.
January 29, 2014
Ramsay AIG, Turner S, Cavell G, et al. Governing patient safety: lessons learned from a mixed methods
evaluation of implementing a ward-…
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psnet.ahrq.gov/node/37912/psn-pdf
September 25, 2008 - Association of a clinical knowledge support system with
improved patient safety, reduced complications and
shorter length of stay among Medicare beneficiaries in
acute care hospitals in the United States.
September 25, 2008
Bonis PA, Pickens GT, Rind DM, et al. Association of a clinical knowledge support system wi…
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psnet.ahrq.gov/node/44668/psn-pdf
January 22, 2016 - Medication safety at the interface: evaluating risks
associated with discharge prescriptions from mental
health hospitals.
January 22, 2016
Keers RN, Williams SD, Vattakatuchery JJ, et al. Medication safety at the interface: evaluating risks
associated with discharge prescriptions from mental health hospitals. J C…
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psnet.ahrq.gov/node/38091/psn-pdf
February 18, 2011 - Questionable hospital chart documentation practices by
physicians.
February 18, 2011
Sharma R, Kostis WJ, Wilson AC, et al. Questionable hospital chart documentation practices by
physicians. J Gen Intern Med. 2008;23(11):1865-70. doi:10.1007/s11606-008-0750-6.
https://psnet.ahrq.gov/issue/questionable-hospital-cha…
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psnet.ahrq.gov/node/866862/psn-pdf
October 02, 2024 - A mixed methods study exploring patient safety culture at
4 VHA Hospitals.
October 2, 2024
Sullivan JL, Shin MH, Ranusch A, et al. A mixed methods study exploring patient safety culture at 4 VHA
Hospitals. Jt Comm J Qual Patient Saf. 2024;50(11):791-800. doi:10.1016/j.jcjq.2024.07.008.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/46580/psn-pdf
June 25, 2018 - Out-of-hospital pediatric patient safety events: results of
the CSI chart review.
June 25, 2018
Meckler G, Hansen M, Lambert W, et al. Out-of-Hospital Pediatric Patient Safety Events: Results of the CSI
Chart Review. Prehosp Emerg Care. 2018;22(3):290-299. doi:10.1080/10903127.2017.1371261.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/50884/psn-pdf
February 12, 2020 - Prescribing patterns of heart failure-exacerbating
medications following a heart failure hospitalization.
February 12, 2020
Goyal P, Kneifati-Hayek J, Archambault A, et al. Prescribing patterns of heart failure-exacerbating
medications following a heart failure hospitalization. JACC Heart Fail. 2019;8(1):25-34.
do…
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psnet.ahrq.gov/node/73675/psn-pdf
September 08, 2021 - A system-wide hospital child maltreatment patient safety
program.
September 8, 2021
Hansen J, Terreros A, Sherman A, et al. A system-wide hospital child maltreatment patient safety program.
Pediatrics. 2021;148(3):e2021050555. doi:10.1542/peds.2021-050555.
https://psnet.ahrq.gov/issue/system-wide-hospital-child-ma…
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psnet.ahrq.gov/node/866108/psn-pdf
June 12, 2024 - Child age and risk of medication error: a multisite
children's hospital study.
June 12, 2024
Badgery-Parker T, Li L, Fitzpatrick E, et al. Child age and risk of medication error: a multisite children's
hospital study. J Pediatr. 2024;272:114087. doi:10.1016/j.jpeds.2024.114087.
https://psnet.ahrq.gov/issue/child-a…
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psnet.ahrq.gov/node/45202/psn-pdf
October 08, 2016 - Towards international consensus on patient harm:
perspectives on pressure injury policy.
October 8, 2016
Jackson D, Hutchinson M, Barnason S, et al. Towards international consensus on patient harm:
perspectives on pressure injury policy. J Nurs Manag. 2016;24(7):902-914. doi:10.1111/jonm.12396.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/43703/psn-pdf
December 19, 2014 - Examining the validity of AHRQ's Patient Safety
Indicators (PSIs): is variation in PSI composite score
related to hospital organizational factors?
December 19, 2014
Shin MH, Sullivan JL, Rosen AK, et al. Examining the validity of AHRQ's patient safety indicators (PSIs): is
variation in PSI composite score related …
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psnet.ahrq.gov/node/839316/psn-pdf
January 01, 2023 - Patient voices in hospital safety during the COVID-19
pandemic.
November 2, 2022
Groves PS, Bunch JL, Hanrahan KM, et al. Patient voices in hospital safety during the COVID-19
pandemic. Clin Nurs Res. 2023;32(1):105-114. doi:10.1177/10547738221129711.
https://psnet.ahrq.gov/issue/patient-voices-hospital-safety-dur…
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psnet.ahrq.gov/node/47405/psn-pdf
January 27, 2019 - Robotic dispensing improves patient safety, inventory
management, and staff satisfaction in an outpatient
hospital pharmacy.
January 27, 2019
Rodriguez-Gonzalez CG, Herranz-Alonso A, Escudero-Vilaplana V, et al. Robotic dispensing improves
patient safety, inventory management, and staff satisfaction in an outpatie…
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psnet.ahrq.gov/node/60684/psn-pdf
January 01, 2021 - Post-discharge adverse events among African American
and Caucasian patients of an urban community hospital.
July 15, 2020
Costello WG, Zhang L, Schnipper JL, et al. Post-discharge adverse events among African American and
Caucasian patients of an urban community hospital. J Racial Ethn Health Disparities. 2021;8(2)…
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psnet.ahrq.gov/node/43828/psn-pdf
January 14, 2015 - Tragic error with neuromuscular blocker should prompt
risk assessment by all hospitals.
January 14, 2015
ISMP Medication Safety Alert! Acute Care Edition. December 18, 2014;19:1,4.
https://psnet.ahrq.gov/issue/tragic-error-neuromuscular-blocker-should-prompt-risk-assessment-all-
hospitals
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