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psnet.ahrq.gov/issue/health-factory
December 23, 2008 - Newspaper/Magazine Article
The health factory.
Citation Text:
The health factory. Spear SJ.
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August 31, …
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psnet.ahrq.gov/issue/most-adverse-events-hospitals-still-go-unreported
September 05, 2012 - Newspaper/Magazine Article
Most adverse events at hospitals still go unreported.
Citation Text:
Most adverse events at hospitals still go unreported. Shaw G. The Hospitalist. August 2012.
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psnet.ahrq.gov/issue/center-diagnostic-excellence
July 09, 2019 - Multi-use Website
Center for Diagnostic Excellence.
Citation Text:
Center for Diagnostic Excellence. Armstrong Institute for Patient Safety and Quality
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psnet.ahrq.gov/issue/understanding-care-transitions-patient-safety-issue
August 22, 2007 - Newspaper/Magazine Article
Understanding care transitions as a patient safety issue.
Citation Text:
Understanding care transitions as a patient safety issue. Butterfield S; Stegel C; Glock S; Tartaglia D.
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psnet.ahrq.gov/issue/special-issue-health-literacy
December 23, 2011 - Special or Theme Issue
Special Issue on Health Literacy.
Citation Text:
Special Issue on Health Literacy. Am J Health Behav. 2007;31 Suppl 1:1-133.
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psnet.ahrq.gov/node/37069/psn-pdf
December 20, 2007 - Standardising wristbands improves patient safety.
December 20, 2007
National Patient Safety Agency. Safer Practice Notice. July 2007;(24):1-2.
https://psnet.ahrq.gov/issue/standardising-wristbands-improves-patient-safety
This notice highlights the importance of standardizing wristband design and information to make…
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psnet.ahrq.gov/node/42701/psn-pdf
June 27, 2018 - Improving reliability with root cause analysis.
June 27, 2018
Latino RJ
https://psnet.ahrq.gov/issue/improving-reliability-root-cause-analysis
This article relates how root cause analysis, typically used after an adverse event, can be utilized as a
proactive risk assessment tool to enhance reliability.
https://ps…
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psnet.ahrq.gov/node/36092/psn-pdf
March 18, 2010 - Improving the safety of telephone or verbal orders.
March 18, 2010
PA-PSRS Patient Saf Advis. 2006 Jun;3(2):1,3-7.
https://psnet.ahrq.gov/issue/improving-safety-telephone-or-verbal-orders
This article shares several examples of errors made while verbally communicating medication orders and
includes recommendations…
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psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
September 01, 2012 - Without payment that supports the improved staffing, hospitals have to look at other ways to meet the
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psnet.ahrq.gov/perspective/safety-and-medical-education
December 01, 2013 - Annual Perspective
Safety and Medical Education
Sumant Ranji, MD | January 1, 2014
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Ranji SR. Safety and Medical Education. PSNet [internet]. Rockville (MD): Agency for Healt…
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psnet.ahrq.gov/node/41437/psn-pdf
January 03, 2017 - Making the transition to nursing bedside shift reports.
January 3, 2017
Wakefield DS, Ragan R, Brandt J, et al. Making the transition to nursing bedside shift reports. Jt Comm J
Qual Patient Saf. 2012;38(6):243-53.
https://psnet.ahrq.gov/issue/making-transition-nursing-bedside-shift-reports
Efforts to improve comm…
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psnet.ahrq.gov/node/38673/psn-pdf
April 30, 2014 - New world of patient safety. 23rd Annual Samuel Jason
Mixter Lecture.
April 30, 2014
Leape L. New world of patient safety: 23rd Annual Samuel Jason Mixter lecture. Arch Surg.
2009;144(5):394-8. doi:10.1001/archsurg.2009.78.
https://psnet.ahrq.gov/issue/new-world-patient-safety-23rd-annual-samuel-jason-mixter-lectu…
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psnet.ahrq.gov/node/39670/psn-pdf
July 07, 2010 - The Power of Safety: State Reporting Provides Lessons in
Reducing Harm, Improving Care.
July 7, 2010
Washington DC: National Quality Forum; 2010.
https://psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care
The landmark Institute of Medicine (IOM) report, To Err Is Human,…
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psnet.ahrq.gov/node/850342/psn-pdf
June 14, 2023 - Eliminating central line associated bloodstream infections
in pediatric oncology patients: a quality improvement
effort.
June 14, 2023
Willis DN, Looper K, Malone RA, et al. Eliminating central line associated bloodstream infections in
pediatric oncology patients: a quality improvement effort. Pediatr Qual Saf. 20…
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psnet.ahrq.gov/node/50704/psn-pdf
December 04, 2019 - Hospital-Acquired Condition Reduction Program is not
associated with additional patient safety improvement.
December 4, 2019
Sheetz KH, Dimick JB, Englesbe MJ, et al. Hospital-Acquired Condition Reduction Program Is Not
Associated With Additional Patient Safety Improvement. Health Aff (Millwood). 2019;38(11):1858-1…
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psnet.ahrq.gov/node/50702/psn-pdf
December 04, 2019 - Smart pumps improve medication safety but increase
alert burden in neonatal care
December 4, 2019
Melton KR, Timmons K, Walsh KE, et al. Smart pumps improve medication safety but increase alert burden
in neonatal care. BMC Medical Inform Decis Mak. 2019;19(1):213. doi:10.1186/s12911-019-0945-2.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/43436/psn-pdf
August 13, 2014 - Decreasing handoff-related care failures in children's
hospitals.
August 13, 2014
Bigham MT, Logsdon TR, Manicone PE, et al. Decreasing handoff-related care failures in children's
hospitals. Pediatrics. 2014;134(2):e572-e579. doi:10.1542/peds.2013-1844.
https://psnet.ahrq.gov/issue/decreasing-handoff-related-care-…
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psnet.ahrq.gov/node/42759/psn-pdf
April 24, 2017 - A longitudinal study of clinical peer review's impact on
quality and safety in US hospitals.
April 24, 2017
Edwards MT. A longitudinal study of clinical peer review's impact on quality and safety in U.S. hospitals. J
Healthc Manag. 2013;58(5):369-85.
https://psnet.ahrq.gov/issue/longitudinal-study-clinical-peer-re…
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psnet.ahrq.gov/node/37368/psn-pdf
January 10, 2017 - Effective implementation of work-hour limits and
systemic improvements.
January 10, 2017
Landrigan CP, Czeisler CA, Barger LK, et al. Effective implementation of work-hour limits and systemic
improvements. Jt Comm J Qual Patient Saf. 2007;33(11 Suppl):19-29.
https://psnet.ahrq.gov/issue/effective-implementation-wo…
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psnet.ahrq.gov/node/35320/psn-pdf
September 14, 2005 - How business intelligence can improve patient safety.
September 14, 2005
Wanless S, McManaway J. Metaphor Analytics. August 30, 2005.
https://psnet.ahrq.gov/issue/how-business-intelligence-can-improve-patient-safety
This article illustrates how hospitals can use their own administrative and patient data to reduce h…