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psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
August 01, 2012 - Medication Safety in Nursing Homes: What's Wrong and How to Fix It
Jerry Gurwitz, MD | August 1, 2012
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Gurwitz JH. Medication Safety in Nursing Homes: What's Wrong and How to Fix I…
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psnet.ahrq.gov/primer/diagnostic-errors
June 15, 2024 - Diagnostic Errors
Citation Text:
Diagnostic Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/issue/ihi-announces-hospitals-participating-100000-lives-campaign-have-saved-estimated-122300-lives
August 07, 2024 - Press Release/Announcement
Classic
IHI announces that hospitals participating in 100,000 Lives Campaign have saved an estimated 122,300 lives.
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psnet.ahrq.gov/node/47928/psn-pdf
January 01, 2021 - Perceptions of pediatric hospital safety culture in the
United States: an analysis of the 2016 Hospital Survey on
Patient Safety Culture.
April 24, 2019
Gampetro PJ, Segvich JP, Jordan N, et al. Perceptions of Pediatric Hospital Safety Culture in the United
States: An Analysis of the 2016 Hospital Survey on Patien…
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psnet.ahrq.gov/node/43112/psn-pdf
July 03, 2016 - A systematic review of the effects of resident duty hour
restrictions in surgery: impact on resident wellness,
training, and patient outcomes.
July 3, 2016
Ahmed N, Devitt KS, Keshet I, et al. A systematic review of the effects of resident duty hour restrictions in
surgery: impact on resident wellness, training, a…
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psnet.ahrq.gov/issue/what-correct-site-surgery
October 15, 2018 - Fact Sheet/FAQs
What is Correct-Site Surgery?
Citation Text:
What is Correct-Site Surgery? American College of Surgeons.
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psnet.ahrq.gov/node/865454/psn-pdf
March 27, 2024 - Ensuring Patient and Workforce Safety Culture in
Healthcare
March 27, 2024
Murray J, Sorra J, Gale B, et al. Ensuring Patient and Workforce Safety Culture in Healthcare. PSNet
[internet]. 2024.
https://psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
Introduction
In 2020, the I…
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psnet.ahrq.gov/node/33823/psn-pdf
January 01, 2017 - Workplace Safety in Health Care
January 1, 2017
Simon RW, Canacari EG. Workplace Safety in Health Care. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/workplace-safety-health-care
Perspective
The patient safety movement has highlighted the risks that patients face when receiving health care. But,
impo…
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psnet.ahrq.gov/node/33682/psn-pdf
April 01, 2009 - In Conversation with...Mark Chassin, MD, MPP, MPH
April 1, 2009
In Conversation with..Mark Chassin, MD, MPP, MPH . PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph
Editor's note: Mark R. Chassin, MD, MPP, MPH, is president of The Joint Commission, the preeminent
s…
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psnet.ahrq.gov/node/33695/psn-pdf
April 01, 2010 - The Role of the National Quality Forum (NQF) in the Quest
for Transparency in U.S. Hospitals' Patient Safety
Performance
April 1, 2010
Roberts LL, Ward MM, Evans TC. The Role of the National Quality Forum (NQF) in the Quest for
Transparency in U.S. Hospitals' Patient Safety Performance. PSNet [internet]. 2010.
ht…
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psnet.ahrq.gov/web-mm/dangerous-shift
July 24, 2013 - SPOTLIGHT CASE
Dangerous Shift
Citation Text:
Patterson ES. Dangerous Shift. 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/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
January 01, 2022 - Spotlight
Spotlight
Patient Safety Events Involving Opioid
Dose Stacking
Source and Credits
• This presentation is based on the January 2022 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Hollie Porras, PharmD, BCPS and Cathy Lammers…
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psnet.ahrq.gov/node/33583/psn-pdf
March 01, 2023 - Simulation Training
March 1, 2023
Edward JJ, Nichols A, Bakerjian D. Simulation Training. PSNet [internet]. 2023.
https://psnet.ahrq.gov/primer/simulation-training
Originally published in 2014 by researchers at the University of California, San Francisco. Updated in
March 2023, by Jennifer J. Edwards, MS, RN, CHSE…
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psnet.ahrq.gov/node/72689/psn-pdf
January 29, 2021 - But See the Patient First
January 29, 2021
Sinigayan VR. But See the Patient First. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/see-patient-first
The Case
A 55-year-old man with acute myeloid leukemia presented to the emergency department (ED) with a chief
complaint of fever. Five days previously, he …
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psnet.ahrq.gov/node/844540/psn-pdf
February 15, 2023 - Health technology, quality and safety in a learning health
system.
February 15, 2023
Borycki EM, Kushniruk AW. Health technology, quality and safety in a learning health system. Healthc
Manage Forum. 2023;51(2):212-221. doi:10.1177/08404704221139383.
https://psnet.ahrq.gov/issue/health-technology-quality-and-safet…
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psnet.ahrq.gov/node/46727/psn-pdf
August 21, 2021 - Alliance for Innovation on Maternal Health.
August 21, 2021
American College of Obstetricians and Gynecologists.
https://psnet.ahrq.gov/issue/alliance-innovation-maternal-health
This website provides information from a multidisciplinary collaboration whose mission was to support safe
health care for pregnant and p…
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psnet.ahrq.gov/node/42166/psn-pdf
June 10, 2018 - Drawn curtains, muted alarms, and diverted attention lead
to tragedy in the postanesthesia care unit.
June 10, 2018
ISMP Medication Safety Alert! Acute Care Edition. March 21, 2013;18:1-3.
https://psnet.ahrq.gov/issue/drawn-curtains-muted-alarms-and-diverted-attention-lead-tragedy-
postanesthesia-care-unit
This n…
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psnet.ahrq.gov/node/47827/psn-pdf
February 27, 2019 - Improving Usability, Safety and Patient Outcomes With
Health Information Technology.
February 27, 2019
Lau F, Bartle-Clar JA, Bliss G, et al, eds. Stud Health Technol Inform. 2019;257:1-539. ISBN:
9781614999508.
https://psnet.ahrq.gov/issue/improving-usability-safety-and-patient-outcomes-health-information-technol…
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psnet.ahrq.gov/node/60634/psn-pdf
January 01, 2021 - Quality & safety in the time of coronavirus--design better,
learn faster.
July 1, 2020
Fitzsimons J. Quality and safety in the time of Coronavirus: design better, learn faster. Int J Qual Health
Care. 2021;33(1):mzaa051. doi:10.1093/intqhc/mzaa051.
https://psnet.ahrq.gov/issue/quality-safety-time-coronavirus-desig…
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psnet.ahrq.gov/node/39086/psn-pdf
May 24, 2015 - Psychiatry morbidity and mortality rounds:
implementation and impact.
May 24, 2015
Goldman S, Demaso DR, Kemler B. Psychiatry morbidity and mortality rounds: implementation and impact.
Acad Psychiatry. 2009;33(5):383-8. doi:10.1176/appi.ap.33.5.383.
https://psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-r…