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psnet.ahrq.gov/node/33895/psn-pdf
April 01, 2024 - The Leapfrog Hospital Survey.
April 1, 2024
Leapfrog Group.
https://psnet.ahrq.gov/issue/leapfrog-hospital-survey
This website offers resources related to the Leapfrog Hospital Survey investigating hospitals' progress in
implementing specific patient safety practices. Updates to the survey include increased time a…
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psnet.ahrq.gov/node/39376/psn-pdf
March 17, 2010 - Evaluation of inpatient admissions and potential
antimicrobial and analgesic dosing errors in overweight
children.
March 17, 2010
Miller JL, Johnson PN, Harrison DL, et al. Evaluation of inpatient admissions and potential antimicrobial
and analgesic dosing errors in overweight children. Ann Pharmacother. 2010;44(1…
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psnet.ahrq.gov/node/42713/psn-pdf
January 15, 2014 - Building a safer foundation: the Lessons Learnt patient
safety training programme.
January 15, 2014
Ahmed M, Arora S, Tiew S, et al. Building a safer foundation: the Lessons Learnt patient safety training
programme. BMJ Qual Saf. 2014;23(1):78-86. doi:10.1136/bmjqs-2012-001740.
https://psnet.ahrq.gov/issue/buildin…
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psnet.ahrq.gov/node/36878/psn-pdf
August 31, 2011 - Potentially inappropriate medication use and healthcare
expenditures in the US community-dwelling elderly.
August 31, 2011
Fu AZ, Jiang JZ, Reeves JH, et al. Potentially inappropriate medication use and healthcare expenditures in
the US community-dwelling elderly. Med Care. 2007;45(5):472-6.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/43293/psn-pdf
June 25, 2014 - Health-care providers want patients to read medical
records, spot errors.
June 25, 2014
Landro L. Wall Street Journal. June 9, 2014.
https://psnet.ahrq.gov/issue/health-care-providers-want-patients-read-medical-records-spot-errors
As they become more prevalent, electronic medical records (EMRs) are being used to i…
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psnet.ahrq.gov/node/37115/psn-pdf
October 04, 2011 - Evaluation of an anonymous system to report medical
errors in pediatric inpatients.
October 4, 2011
Taylor JA, Brownstein D, Klein EJ, et al. Evaluation of an anonymous system to report medical errors in
pediatric inpatients. J Hosp Med. 2007;2(4):226-33.
https://psnet.ahrq.gov/issue/evaluation-anonymous-system-re…
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psnet.ahrq.gov/node/43864/psn-pdf
January 28, 2015 - Starter Kit for Alarm Fatigue.
January 28, 2015
National Association of Clinical Nurse Specialists; NACNS.
https://psnet.ahrq.gov/issue/starter-kit-alarm-fatigue
Alarm fatigue has been identified as a serious problem that affects the safety of nursing care. This toolkit
provides checklists, resources, and implemen…
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psnet.ahrq.gov/node/43560/psn-pdf
September 24, 2014 - Burnout in Healthcare.
September 24, 2014
Laschinger H, Montgomery A, eds. Burnout Res. 2014;1:57-102.
https://psnet.ahrq.gov/issue/burnout-healthcare
Burnout has been linked to depression, work dissatisfaction, and increased rates of adverse events.
Articles in this special issue explore health professionals' exp…
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psnet.ahrq.gov/node/36256/psn-pdf
February 02, 2011 - Association of perceived medical errors with resident
distress and empathy: a prospective longitudinal study.
February 2, 2011
West CP, Huschka MM, Novotny PJ, et al. Association of perceived medical errors with resident distress
and empathy: a prospective longitudinal study. JAMA. 2006;296(9):1071-8.
https://psne…
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psnet.ahrq.gov/node/41564/psn-pdf
August 29, 2012 - Twenty-four/seven: a mixed-method systematic review of
the off-shift literature.
August 29, 2012
de Cordova PB, Phibbs CS, Bartel AP, et al. Twenty-four/seven: a mixed-method systematic review of the
off-shift literature. J Adv Nurs. 2012;68(7):1454-68.
https://psnet.ahrq.gov/issue/twenty-fourseven-mixed-method-sy…
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psnet.ahrq.gov/node/41631/psn-pdf
September 24, 2016 - Interruption handling strategies during paediatric
medication administration.
September 24, 2016
Colligan L, Bass EJ. Interruption handling strategies during paediatric medication administration. BMJ Qual
Saf. 2012;21(11):912-7. doi:10.1136/bmjqs-2011-000292.
https://psnet.ahrq.gov/issue/interruption-handling-stra…
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psnet.ahrq.gov/node/42537/psn-pdf
October 02, 2013 - The use of a checklist in a pediatric oncology clinic.
October 2, 2013
McLean TW, White GM, Bagliani AF, et al. The use of a checklist in a pediatric oncology clinic. Pediatr
Blood Cancer. 2013;60(11):1855-9. doi:10.1002/pbc.24657.
https://psnet.ahrq.gov/issue/use-checklist-pediatric-oncology-clinic
An Institute o…
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psnet.ahrq.gov/node/45707/psn-pdf
April 18, 2018 - Costs and consequences associated with misdiagnosed
lower extremity cellulitis.
April 18, 2018
Weng QY, Raff AB, Cohen JM, et al. Costs and Consequences Associated With Misdiagnosed Lower
Extremity Cellulitis. JAMA Dermatol. 2016;153(2). doi:10.1001/jamadermatol.2016.3816.
https://psnet.ahrq.gov/issue/costs-and-co…
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psnet.ahrq.gov/node/47539/psn-pdf
November 28, 2018 - The star of the diagnostic journey: assessing patient
perspectives.
November 28, 2018
Gipson K. PA-PSRS Pa Patient Saf Advis. 2018 Oct 31;15(suppl 1):39-45.
https://psnet.ahrq.gov/issue/star-diagnostic-journey-assessing-patient-perspectives
Patients are increasingly seen as partners in efforts to improve health ca…
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psnet.ahrq.gov/node/37089/psn-pdf
July 31, 2008 - Health literacy and mortality among elderly persons.
July 31, 2008
Baker DW, Wolf MS, Feinglass J, et al. Health literacy and mortality among elderly persons. Arch Intern
Med. 2007;167(14):1503-9.
https://psnet.ahrq.gov/issue/health-literacy-and-mortality-among-elderly-persons
This prospective cohort study found i…
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psnet.ahrq.gov/node/43152/psn-pdf
May 07, 2014 - The trainee's voice: recognising the importance of
preoperative briefings for surgical trainees.
May 7, 2014
Bethune R, Blencowe NS. The trainee's voice: recognising the importance of preoperative briefings for
surgical trainees. J Perioper Pract. 2014;24(3):56-58.
https://psnet.ahrq.gov/issue/trainees-voice-recog…
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psnet.ahrq.gov/node/50717/psn-pdf
December 04, 2019 - Canada continues to lag behind other OECD countries on
measures of patient safety
December 4, 2019
Canadian Institute for Health Information. Ottawa, ON: Canadian Institute for Health Information; 2019.
https://psnet.ahrq.gov/issue/canada-continues-lag-behind-other-oecd-countries-measures-patient-safety
This fact …
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psnet.ahrq.gov/node/43619/psn-pdf
October 22, 2014 - The SAGES FUSE program: bridging a patient safety gap.
October 22, 2014
Fuchshuber PR, Robinson TN, Feldman LS, et al. The SAGES FUSE program: bridging a patient safety
gap. Bull Am Coll Surg. 2014;99(9):18-27.
https://psnet.ahrq.gov/issue/sages-fuse-program-bridging-patient-safety-gap
Surgical fires, though rare,…
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psnet.ahrq.gov/node/61055/psn-pdf
October 21, 2020 - How administrative burdens can harm health.
October 21, 2020
Herd P, Moynihan D. Health Affairs Health Policy Brief. October 2, 2020.
https://psnet.ahrq.gov/issue/how-administrative-burdens-can-harm-health
The crossover of health equity concepts to patient safety has emerged as a consideration for
improvement. Thi…
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psnet.ahrq.gov/training-catalog/improving-care-transitions-older-adults
Improving Care Transitions of Older Adults
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