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psnet.ahrq.gov/issue/us-drug-shortages-threatening-those-whose-lives-depend-crucial-remedies
May 17, 2006 - Newspaper/Magazine Article
US drug shortages threatening those whose lives depend on crucial remedies.
Citation Text:
US drug shortages threatening those whose lives depend on crucial remedies. Stein R. Washington Post. May 2, 2011:A10.
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psnet.ahrq.gov/issue/organ-donors-surgery-death-sparks-questions
April 06, 2016 - Newspaper/Magazine Article
Organ donor's surgery death sparks questions.
Citation Text:
Organ donor's surgery death sparks questions. Cohen E. CNN. April 9, 2012.
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psnet.ahrq.gov/issue/prescription-success-dont-bother-nurses
June 16, 2010 - Newspaper/Magazine Article
Prescription for success: don't bother nurses.
Citation Text:
Prescription for success: don't bother nurses. Colliver V. San Francisco Chronicle. October 28, 2009:A1.
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psnet.ahrq.gov/issue/health-policy-brief-improving-quality-and-safety
January 27, 2012 - Book/Report
Health Policy Brief: Improving Quality and Safety.
Citation Text:
Health Policy Brief: Improving Quality and Safety. Bethesda, MD: Health Affairs. April 15, 2011:1-7.
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psnet.ahrq.gov/issue/institute-patient-and-family-centered-care
March 17, 2011 - Multi-use Website
Institute for Patient- and Family- Centered Care.
Citation Text:
Institute for Patient- and Family- Centered Care. IPFFC. PO Box 6397, McLean, VA 22106.
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psnet.ahrq.gov/issue/preventing-medication-errors-during-codes
February 22, 2023 - Newspaper/Magazine Article
Preventing medication errors during codes.
Citation Text:
Preventing medication errors during codes. ISMP Medication Safety Alert! Acute care edition. February 9, 2011;16:1-3.
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psnet.ahrq.gov/issue/johns-hopkins-receives-10-million-open-patient-safety-institute
August 06, 2014 - Newspaper/Magazine Article
Johns Hopkins receives $10 million to open patient safety institute.
Citation Text:
Johns Hopkins receives $10 million to open patient safety institute. Cohn M. Baltimore Sun. May 27, 2011:A1.
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psnet.ahrq.gov/issue/safe-practice-environment-chapter-proposed-usp
May 02, 2018 - Newspaper/Magazine Article
Safe practice environment chapter proposed by USP.
Citation Text:
Safe practice environment chapter proposed by USP. ISMP Medication Safety Alert! Acute Care Edition. December 4, 2008;13:1-3.
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psnet.ahrq.gov/issue/critical-incident-reviews-significant-adverse-event-reports-and-action-plans
June 26, 2019 - Government Resource
Critical Incident Reviews, Significant Adverse Event Reports and Action Plans.
Citation Text:
Critical Incident Reviews, Significant Adverse Event Reports and Action Plans. St Andrews, Scotland: Scottish Information Commissioner; February 21, 2012. Reference No: 2…
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psnet.ahrq.gov/issue/transformation-through-collaboration-2018-2019-mha-keystone-center-annual-report
September 26, 2016 - Book/Report
MHA and MHA Keystone Center Annual Reports.
Citation Text:
MHA and MHA Keystone Center Annual Reports. Okemos, MI: Michigan Health & Hospital Association.
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psnet.ahrq.gov/node/37537/psn-pdf
February 13, 2008 - Hospitals to tear up bills for medical mistakes.
February 13, 2008
Ostrom CM. Seattle Times. January 29, 2008.
https://psnet.ahrq.gov/issue/hospitals-tear-bills-medical-mistakes
This article discusses a voluntary initiative in the state of Washington to cease billing patients for costs
associated with preventable …
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psnet.ahrq.gov/node/865698/psn-pdf
April 24, 2024 - Patient Safety Amid Nursing Workforce Challenges
April 24, 2024
Leary KB, Lee M, Mossburg S. Patient Safety Amid Nursing Workforce Challenges . PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges
Introduction
Nurses are essential to patient care, and having a…
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psnet.ahrq.gov/node/49844/psn-pdf
October 01, 2018 - Diffusion of Responsibility Leads to Danger
October 1, 2018
Balcezak TJ, Deshpande O. Diffusion of Responsibility Leads to Danger. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
The Case
A 70-year-old man was sent to the emergency department (ED) from a nursing facility…
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psnet.ahrq.gov/node/36937/psn-pdf
November 21, 2016 - Patients, families take up the cause of hospital safety.
November 21, 2016
Landro L.
https://psnet.ahrq.gov/issue/patients-families-take-cause-hospital-safety
This article describes several patient safety improvement efforts led by patients and families who have
been affected by medical error.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/36809/psn-pdf
May 04, 2015 - Hospitals target risks of color wristbands.
May 4, 2015
Landro L.
https://psnet.ahrq.gov/issue/hospitals-target-risks-color-wristbands
This article reports on initiatives to standardize the color designations of color-coded wristbands to avoid
confusion and reduce the risk of error.
https://psnet.ahrq.gov/issue/h…
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psnet.ahrq.gov/node/36374/psn-pdf
October 07, 2008 - Fixing America's hospitals.
October 7, 2008
Newsweek. October 15, 2006.
https://psnet.ahrq.gov/issue/fixing-americas-hospitals
This "Health for Life" series features 10 case studies about patient safety and quality improvement efforts
as well as several short articles on safety-related topics such as disclosure an…
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psnet.ahrq.gov/perspective/communication-during-transitions-care
July 10, 2024 - Annual Perspective
Communication During Transitions of Care
Ayse P. Gurses; Sarah Mossburg; Zoe Sousane
| March 27, 2024
View more articles from the same authors.
Citation Text:
Gurses AP, Sousane Z, Mossburg S. Communication During Transitions of Care. PS…
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psnet.ahrq.gov/issue/intervening-interruptions-what-exactly-risk-we-are-trying-manage
July 20, 2022 - Review
Intervening in interruptions: what exactly is the risk we are trying to manage?
Citation Text:
Gao J, Rae AJ, Dekker SWA. Intervening in Interruptions: What Exactly Is the Risk We Are Trying to Manage? J Patient Saf. 2021;17(7):e684-e688. doi:10.1097/PTS.0000000000000429.
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psnet.ahrq.gov/issue/racial-and-ethnic-differences-emergency-department-diagnostic-imaging-us-childrens-hospitals
April 22, 2020 - Study
Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019.
Citation Text:
Marin JR, Rodean J, Hall M, et al. Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019. JAMA Net…
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psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture-2011-user-comparative-database-report
November 30, 2016 - Book/Report
Nursing Home Survey on Patient Safety Culture: 2011 User Comparative Database Report.
Citation Text:
Nursing Home Survey on Patient Safety Culture: 2011 User Comparative Database Report. Sorra J, Famolaro T, Dyer N, Khanna K, Nelson D. Rockville, MD: Agency for Healthcare…