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psnet.ahrq.gov/issue/healthgrades-quality-study-fifth-annual-patient-safety-american-hospitals-study
August 27, 2013 - Book/Report
HealthGrades Quality Study: Fifth Annual Patient Safety in American Hospitals Study.
Citation Text:
HealthGrades Quality Study: Fifth Annual Patient Safety in American Hospitals Study. Golden, CO: HealthGrades, Inc.; April 2008.
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psnet.ahrq.gov/issue/report-announced-inspection-medication-safety-midland-regional-hospital-tullamore-county
October 23, 2013 - Book/Report
Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly.
Citation Text:
Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly. Dublin, Ireland: Health Informa…
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psnet.ahrq.gov/issue/safety-culture-childrens-hospital
October 06, 2011 - Study
The safety culture in a children's hospital.
Citation Text:
Grant MJC, Donaldson AE, Larsen G. The safety culture in a children's hospital. J Nurs Care Qual. 2006;21(3):223-229.
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psnet.ahrq.gov/issue/harms-way
July 08, 2009 - Commentary
In harm's way.
Citation Text:
Donaldson LJ, Lemer C, Titcombe J. In harm's way. BMJ. 2019;365:l2037. doi:10.1136/bmj.l2037.
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psnet.ahrq.gov/issue/complicated-medical-missteps-are-not-inevitable
August 30, 2023 - Commentary
Complicated: medical missteps are not inevitable.
Citation Text:
Yurkiewicz IR. Complicated: Medical Missteps Are Not Inevitable. Health Aff (Millwood). 2018;37(7):1178-1181. doi:10.1377/hlthaff.2017.1550.
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psnet.ahrq.gov/issue/slowly-vanishing-prescription-pad
April 08, 2019 - Commentary
The (slowly) vanishing prescription pad.
Citation Text:
Steinbrook R. The (slowly) vanishing prescription pad. N Engl J Med. 2008;359(2):115-7. doi:10.1056/NEJMp0802864.
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psnet.ahrq.gov/issue/smart-pumps-implications-nurse-leaders
February 02, 2022 - Commentary
Smart pumps: implications for nurse leaders.
Citation Text:
Kirkbride G, Vermace B. Smart pumps: implications for nurse leaders. Nurs Adm Q. 2011;35(2):110-118. doi:10.1097/NAQ.0b013e31820fbdc0.
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psnet.ahrq.gov/issue/standardizing-hand-processes
June 03, 2020 - Commentary
Standardizing hand-off processes.
Citation Text:
Gregory BSC. Standardizing hand-off processes. AORN J. 2006;84(6):1059-61.
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psnet.ahrq.gov/issue/internally-developed-online-adverse-drug-reaction-and-medication-error-reporting-systems
July 12, 2010 - Commentary
Internally-developed online adverse drug reaction and medication error reporting systems.
Citation Text:
Smith KM, Trapskin PJ, Empey PE, et al. Internally-Developed Online Adverse Drug Reaction and Medication Error Reporting Systems. Hosp Pharm. 2010;41(5):428-436. doi:10.131…
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psnet.ahrq.gov/issue/need-systems-integration-health-care
July 01, 2017 - Commentary
The need for systems integration in health care.
Citation Text:
Mathews SC, Pronovost P. The need for systems integration in health care. JAMA. 2011;305(9):934-5. doi:10.1001/jama.2011.237.
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psnet.ahrq.gov/issue/implementation-patient-safety-initiatives-us-hospitals
December 12, 2014 - Commentary
Implementation of patient safety initiatives in US hospitals.
Citation Text:
McFadden KL, Stock GN, Gowen CR. Implementation of patient safety initiatives in US hospitals. Int J Oper Prod Manag. 2006;26(3):326-347. doi:10.1108/01443570610651052.
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psnet.ahrq.gov/issue/patient-safety-movement-foundation
January 01, 2020 - Multi-use Website
Patient Safety Movement Foundation.
Citation Text:
Patient Safety Movement Foundation. 15642 Sand Canyon Ave. #51268, Irvine, CA 92619. 877-236-0279, info@psmf.org.
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psnet.ahrq.gov/issue/underreporting-patient-safety-incidents-reduces-health-cares-ability-quantify-and-accurately
June 08, 2011 - Commentary
Underreporting of patient safety incidents reduces health care's ability to quantify and accurately measure harm reduction.
Citation Text:
Noble DJ, Pronovost P. Underreporting of patient safety incidents reduces health care's ability to quantify and accurately measure harm …
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psnet.ahrq.gov/issue/helsinki-declaration-patient-safety-anaesthesiology
December 19, 2014 - Commentary
The Helsinki Declaration on Patient Safety in Anaesthesiology.
Citation Text:
Mellin-Olsen J, Staender S, Whitaker DK, et al. The Helsinki Declaration on Patient Safety in Anaesthesiology. Eur J Anaesthesiol. 2010;27(7):592-597. doi:10.1097/EJA.0b013e32833b1adf.
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psnet.ahrq.gov/issue/exploring-strategies-reducing-hospital-errors
December 12, 2014 - Study
Exploring strategies for reducing hospital errors.
Citation Text:
McFadden KL, Stock GN, Gowen CR. Exploring strategies for reducing hospital errors. J Healthc Manag. 2006;51(2):123-136.
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psnet.ahrq.gov/issue/updates-hospital-survey-patient-safety-culture
October 23, 2019 - Webinar
Introducing the New SOPS Hospital Survey 2.0.
Citation Text:
Introducing the New SOPS Hospital Survey 2.0. Agency for Healthcare Research and Quality. October 30, 2019.
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psnet.ahrq.gov/issue/time-get-pigs-back-human-factors-aspects-mismatch-between-device-and-real-world-knowledge
June 09, 2011 - Commentary
Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment.
Citation Text:
Nunnally M, Bitan Y. Time to Get Off this Pig's Back? J Patient Saf. 2008;2(3). doi:10.1097/01.jps.0000233827.90…
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psnet.ahrq.gov/issue/pathology-and-patient-safety-critical-role-pathology-informatics-error-reduction-and-quality
July 20, 2009 - Review
Pathology and patient safety: the critical role of pathology informatics in error reduction and quality initiatives.
Citation Text:
Becich MJ, Gilbertson JR, Gupta D, et al. Pathology and patient safety: the critical role of pathology informatics in error reduction and quality i…
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psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md
January 01, 2008 - In Conversation with…Jennifer Daley, MD
January 1, 2008
Also Read an Essay
Citation Text:
In Conversation with…Jennifer Daley, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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psnet.ahrq.gov/node/45549/psn-pdf
October 12, 2016 - Preventing diagnostic errors in primary care.
October 12, 2016
Ely JW, Graber ML. Preventing Diagnostic Errors in Primary Care. Am Fam Physician. 2016;94(6):426-32.
https://psnet.ahrq.gov/issue/preventing-diagnostic-errors-primary-care
The Improving Diagnosis in Health Care report advocated for enhancing patient en…