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psnet.ahrq.gov/node/40600/psn-pdf
September 09, 2011 - To make or buy patient safety solutions: a resource
dependence and transaction cost economics perspective.
September 9, 2011
Fareed N, Mick SS. To make or buy patient safety solutions: a resource dependence and transaction cost
economics perspective. Health Care Manage Rev. 2011;36(4):288-298.
doi:10.1097/HMR.0b01…
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psnet.ahrq.gov/node/41806/psn-pdf
October 31, 2012 - Computer viruses are "rampant" on medical devices in
hospitals.
October 31, 2012
Talbot D. MIT Technology Review. October 17, 2012.
https://psnet.ahrq.gov/issue/computer-viruses-are-rampant-medical-devices-hospitals
This article highlights risks associated with malicious software on medical equipment and how it ca…
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psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
August 01, 2012 - In Conversation With… Nicholas G. Castle, MHA, PhD
August 1, 2012
Also Read an Essay
Citation Text:
In Conversation With… Nicholas G. Castle, MHA, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human…
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psnet.ahrq.gov/node/37372/psn-pdf
August 06, 2008 - Hospitals look to improve informed consent process.
August 6, 2008
O'Reilly KB.
https://psnet.ahrq.gov/issue/hospitals-look-improve-informed-consent-process
This article discusses the impact of health literacy on patient care and describes initiatives to improve
patients' comprehension of informed consent for proc…
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psnet.ahrq.gov/node/39734/psn-pdf
November 14, 2011 - Man falls off surgical table; St. Joseph's Hospital sued.
November 14, 2011
Smith ML; Wolfe WA.
https://psnet.ahrq.gov/issue/man-falls-surgical-table-st-josephs-hospital-sued
This newspaper article reports on a lawsuit regarding a safety incident that led to injury and subsequent
death of a patient.
https://psnet…
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psnet.ahrq.gov/node/39507/psn-pdf
April 28, 2010 - Hospital infections hard to gauge.
April 28, 2010
https://psnet.ahrq.gov/issue/hospital-infections-hard-gauge
This news piece details efforts to collect, analyze, and utilize state-wide reports on health care–associated
infections in Pennsylvania.
https://psnet.ahrq.gov/issue/hospital-infections-hard-gauge
https:/…
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psnet.ahrq.gov/node/36298/psn-pdf
September 27, 2006 - Hospital Reporting of Deaths Related to Restraint and
Seclusion.
September 27, 2006
Levinson DR. Washington DC: Office of the Inspector General; September 2006. OEI-09-04-00350
https://psnet.ahrq.gov/issue/hospital-reporting-deaths-related-restraint-and-seclusion
This report presents findings from an investigatio…
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psnet.ahrq.gov/node/34123/psn-pdf
November 02, 2014 - Preventing Infections in the Hospital—What You As a
Patient Can Do.
November 2, 2014
National Patient Safety Foundation; NPSF
https://psnet.ahrq.gov/issue/preventing-infections-hospital-what-you-patient-can-do
Postoperative infections represent a common and often preventable event. This patient fact sheet outlines…
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psnet.ahrq.gov/node/40468/psn-pdf
May 26, 2011 - Hospitals overhaul ERs to reduce mistakes.
May 26, 2011
Landro L.
https://psnet.ahrq.gov/issue/hospitals-overhaul-ers-reduce-mistakes
This newspaper article reports on efforts to reduce errors in emergency medicine, including improving
physician–nurse communication, adopting timeouts before discharge, and using tr…
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psnet.ahrq.gov/node/40303/psn-pdf
May 16, 2019 - Safer Hospital Care: Strategies for Continuous
Innovation, Second Edition.
May 16, 2019
Raheja D. New York, NY: Productivity Press; 2019. ISBN: 9780367178482
https://psnet.ahrq.gov/issue/safer-hospital-care-strategies-continuous-innovation
This publication provides various strategies to drive innovation in patient…
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psnet.ahrq.gov/node/39066/psn-pdf
October 28, 2021 - Hospital Performance Report.
October 28, 2021
Trenton, NJ: New Jersey Department of Health and Senior Services.
https://psnet.ahrq.gov/issue/hospital-performance-report
Detailing results of an error reporting initiative in New Jersey, these reports explain how consumers can
use this information and provides tips f…
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psnet.ahrq.gov/node/37785/psn-pdf
May 02, 2018 - Considering insulin pens for routine hospital use?
Consider this...
May 2, 2018
ISMP Medication Safety Alert! Acute Care Edition. May 8, 2008;13:1-3.
https://psnet.ahrq.gov/issue/considering-insulin-pens-routine-hospital-use-consider
This article describes common problems associated with insulin pen injectors and …
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psnet.ahrq.gov/node/36421/psn-pdf
August 05, 2008 - What pilots can teach hospitals about patient safety.
August 5, 2008
Murphy K
https://psnet.ahrq.gov/issue/what-pilots-can-teach-hospitals-about-patient-safety
This article discusses lessons the airline industry has learned about communication, teamwork, and error
reporting and how they might be applicable to heal…
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psnet.ahrq.gov/node/60268/psn-pdf
April 29, 2020 - Complications of ECMO During Transport
April 29, 2020
Broman M. Complications of ECMO During Transport. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
The Case
A 54-year-old woman with end-stage chronic obstructive pulmonary disease (COPD) was admitted with
acute on chro…
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psnet.ahrq.gov/node/38793/psn-pdf
August 12, 2016 - Pediatric Quality Indicators Overview.
August 12, 2016
Agency for Healthcare Research and Quality
https://psnet.ahrq.gov/issue/pediatric-quality-indicators-overview
The Agency for Healthcare Research and Quality's (AHRQ) Quality Indicators (QIs) represent quality
measures that make use of a hospital's available ad…
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psnet.ahrq.gov/node/37753/psn-pdf
May 02, 2018 - Some red rules shouldn't rule in hospitals.
May 2, 2018
ISMP Medication Safety Alert! Acute Care Edition. April 24, 2008;13:1-3.
https://psnet.ahrq.gov/issue/some-red-rules-shouldnt-rule-hospitals
This article provides a set of criteria for health care professionals to develop and implement red rules as an
effecti…
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psnet.ahrq.gov/node/37320/psn-pdf
November 07, 2007 - Ambulance crew in Chicago got lost trying to find
hospital.
November 7, 2007
News Services. Washington Post. October 25, 2007
https://psnet.ahrq.gov/issue/ambulance-crew-chicago-got-lost-trying-find-hospital
An emergency crew from a suburb failed to efficiently transport a marathon runner in cardiac arre…
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psnet.ahrq.gov/node/41003/psn-pdf
April 16, 2018 - Gap assessment of hospitals' adoption of the just culture
principles.
April 16, 2018
Barger DM; Marella W; Charney FJ.
https://psnet.ahrq.gov/issue/gap-assessment-hospitals-adoption-just-culture-principles
This article reports that Pennsylvania health care organizations overestimated their adoption of just culture…
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psnet.ahrq.gov/node/39630/psn-pdf
June 23, 2010 - Using Workforce Practices to Drive Quality Improvement:
A Guide for Hospitals.
June 23, 2010
McHugh M, Garman A, McAlearney A, Song P, Harrison M. Chicago, IL: Health Research & Educational
Trust; June 2010.
https://psnet.ahrq.gov/issue/using-workforce-practices-drive-quality-improvement-guide-hospitals
This publ…
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psnet.ahrq.gov/node/37407/psn-pdf
September 02, 2014 - HSMR: A New Approach for Measuring Hospital Mortality
Trends in Canada.
September 2, 2014
Ottowa, Ontario, CA: Canadian Institute for Health Information; 2007. ISBN 9781554651832.
https://psnet.ahrq.gov/issue/hsmr-new-approach-measuring-hospital-mortality-trends-canada
This report describes a new metric used to an…