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psnet.ahrq.gov/issue/alarm-fatigue-factor-2nd-death
September 30, 2015 - Newspaper/Magazine Article
'Alarm fatigue’ a factor in 2nd death.
Citation Text:
'Alarm fatigue’ a factor in 2nd death. Kowalczyk L. Boston Globe. September 21, 2011.
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psnet.ahrq.gov/sites/default/files/2025-01/ACPE%20Home%20Study%20Activity%20Announcement%20-%20Mismanagement%20of%20Acute%20Decompensated%20Heart%20Failure.pdf
January 01, 2025 - HTTPS://PSNET.AHRQ.GOV 1
AHRQ’S PATIENT SAFETY NETWORK (PSNET) SPOTLIGHT CASE
SERIES:
MISMANAGEMENT OF ACUTE DECOMPENSATED HEART FAILURE
WITH HYPERTENSIVE EMERGENCY
INITIAL RELEASE DATE: JANAURY 1, 2025
EXPIRATION DATE: JULY 31, 2027
SPEAKERS:
Jaenic Lee, MD
Resident Physician
Department of In…
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psnet.ahrq.gov/issue/front-line-ownership-generating-cure-mindset-patient-safety
November 10, 2010 - Special or Theme Issue
Front-Line Ownership: Generating a Cure Mindset for Patient Safety.
Citation Text:
Front-Line Ownership: Generating a Cure Mindset for Patient Safety. Kitts J, ed. Healthcare Papers. 2013;13:1-82.
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digital.ahrq.gov/sites/default/files/docs/medicaid/health-it-acronyms.pdf
April 30, 2013 - Acronyms
This page provides explanations of many abbreviations (acronyms) used throughout the site. It is
organized in alphabetical order.
AHIC American Health Information Community
AHIMA American Health Information Management Association
AHRQ Agency for Healthcare Research and Quality
ANSI American Natio…
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psnet.ahrq.gov/issue/rx-reality-clinicians-confront-medical-gaslighting
May 29, 2024 - Audiovisual
Rx for reality: clinicians confront medical gaslighting.
Citation Text:
Rx for reality: clinicians confront medical gaslighting. Booth G, ed. Anamnesis. MedPage Today. March 1, 2024.
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psnet.ahrq.gov/issue/ahrq-risk-informed-intervention-development-and-implementation-safe-practices-ambulatory-care
December 24, 2008 - Grant Recipient
AHRQ Risk-informed Intervention Development and Implementation of Safe Practices in Ambulatory Care.
Citation Text:
AHRQ Risk-informed Intervention Development and Implementation of Safe Practices in Ambulatory Care. Rockville, MD: Agency for Healthcare Research and…
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psnet.ahrq.gov/issue/patient-alarms-often-unheard-unheeded
August 24, 2016 - Newspaper/Magazine Article
Patient alarms often unheard, unheeded.
Citation Text:
Patient alarms often unheard, unheeded. Kowalczyk L. Boston Globe. February 13–14, 2011.
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www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/index.html
July 01, 2021 - Pediatric Asthma Emergency Department Use Toolkit
Next Page
Table of Contents
Pediatric Asthma Emergency Department Use Toolkit
Introduction
Overview
About the Measure
Key Driver Diagram
Quality Improvement Strategies
Pediatric Quality Measures Program
Acknowledgements
In…
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psnet.ahrq.gov/issue/capturing-more-emergency-department-errors-anonymous-web-based-reporting-system
July 22, 2019 - Commentary
Capturing more emergency department errors via an anonymous web-based reporting system.
Citation Text:
Capturing more emergency department errors via an anonymous web-based reporting system. Khare RK; Uren B; Wears RL.
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psnet.ahrq.gov/issue/prep-stop-block
March 14, 2018 - Tools/Toolkit
Prep, Stop, Block.
Citation Text:
Prep, Stop, Block. RA-UK, the Faculty of Pain Medicine, RCoA Simulation and NHS Improvement
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psnet.ahrq.gov/issue/unaccountable-what-hospitals-wont-tell-you-and-how-transparency-can-revolutionize-health-care
July 07, 2021 - Book/Report
Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care.
Citation Text:
Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care. Makary M. New York, NY: Bloomsbury Press; 2012. ISBN: 9781608198368…
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psnet.ahrq.gov/issue/disuse-system-cited-gaps-soldiers-care
September 28, 2005 - Newspaper/Magazine Article
Disuse of system is cited in gaps in soldiers' care.
Citation Text:
Disuse of system is cited in gaps in soldiers' care. Urbina I; Nixon R.
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psnet.ahrq.gov/issue/emergency-nursing-and-medical-error-survey-two-states
January 25, 2010 - Study
Emergency nursing and medical error—a survey of two states.
Citation Text:
Emergency nursing and medical error—a survey of two states. Hohenhaus SM.
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psnet.ahrq.gov/issue/youve-detailed-your-last-wishes-doctors-may-not-see-them
October 07, 2008 - Newspaper/Magazine Article
You've detailed your last wishes, but doctors may not see them.
Citation Text:
You've detailed your last wishes, but doctors may not see them. Lamas D.
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psnet.ahrq.gov/issue/fear-punitive-response-hospital-errors-lingers
October 30, 2008 - Newspaper/Magazine Article
Fear of punitive response to hospital errors lingers.
Citation Text:
Fear of punitive response to hospital errors lingers. O'Reilly KB. American Medical News. February 20, 2012.
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psnet.ahrq.gov/issue/discharge-missteps-can-send-seniors-back-hospital
March 28, 2012 - Newspaper/Magazine Article
Discharge missteps can send seniors back to hospital.
Citation Text:
Discharge missteps can send seniors back to hospital. Korc B, Landers SJ. American Medical News. February 15, 2010.
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psnet.ahrq.gov/issue/monday-mornings
January 09, 2018 - Book/Report
Monday Mornings.
Citation Text:
Monday Mornings. Gupta S. New York, NY: Grand Central Publishing; 2012. ISBN: 9780446583855.
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psnet.ahrq.gov/issue/wrong-goodbye
October 05, 2022 - Newspaper/Magazine Article
The wrong goodbye.
Citation Text:
The wrong goodbye. Sexton J, Schweber N. ProPublica. October 31, 2019.
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psnet.ahrq.gov/issue/patient-safety-initiative-hospital-executive-and-physician-leadership-strategies
November 27, 2018 - Toolkit
Patient Safety Initiative: Hospital Executive and Physician Leadership Strategies.
Citation Text:
Patient Safety Initiative: Hospital Executive and Physician Leadership Strategies. Oakbrook, IL: Joint Commission Resources; January 2014.
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psnet.ahrq.gov/issue/enhancing-patient-care-practical-guide-improving-quality-and-safety-hospitals
January 13, 2010 - Book/Report
Enhancing Patient Care: A Practical Guide to Improving Quality and Safety in Hospitals.
Citation Text:
Enhancing Patient Care: A Practical Guide to Improving Quality and Safety in Hospitals. Wolff A, Taylor S. Sydney, Australia: MJA Books; 2009. ISBN: 9780977578665.
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