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psnet.ahrq.gov/issue/steering-patients-safer-hospitals-effect-tiered-hospital-network-hospital-admissions
April 01, 2010 - Study
Steering patients to safer hospitals? The effect of a tiered hospital network on hospital admissions.
Citation Text:
Scanlon D, Lindrooth R, Christianson JB. Steering patients to safer hospitals? The effect of a tiered hospital network on hospital admissions. Health Serv Res. 200…
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psnet.ahrq.gov/node/47987/psn-pdf
May 08, 2019 - Association between night-time surgery and occurrence
of intraoperative adverse events and postoperative
pulmonary complications.
May 8, 2019
Cortegiani A, Gregoretti C, Neto AS, et al; LAS VEGAS Investigators, PROVE Network, Clinical Trial
Network of the European Society of Anaesthesiology. Br J Anaesth. 2019;122…
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psnet.ahrq.gov/issue/severe-hyperglycemia-patients-incorrectly-using-insulin-pens-home
December 15, 2021 - Press Release/Announcement
Severe hyperglycemia in patients incorrectly using insulin pens at home.
Citation Text:
Severe hyperglycemia in patients incorrectly using insulin pens at home. National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American…
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psnet.ahrq.gov/issue/safe-handling-concentrated-electrolyte-products-outsourcing-facilities-during-critical-drug
December 15, 2021 - Press Release/Announcement
Safe handling of concentrated electrolyte products from outsourcing facilities during critical drug shortages.
Citation Text:
Safe handling of concentrated electrolyte products from outsourcing facilities during critical drug shortages. National Alert Network. …
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psnet.ahrq.gov/node/60548/psn-pdf
May 28, 2020 - In Conversation With... Jeffrey Shuren, MD, JD
May 28, 2020
In Conversation With.. Jeffrey Shuren, MD, JD. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/conversation-jeffrey-shuren-md-jd
Editor’s note: Jeffrey Shuren, MD, JD is the Director of the Center for Devices and Radiological Health at
the Food…
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psnet.ahrq.gov/issue/family-centered-rounds-pediatric-wards-pris-network-survey-us-and-canadian-hospitalists
April 24, 2018 - Study
Family-centered rounds on pediatric wards: a PRIS network survey of US and Canadian hospitalists.
Citation Text:
Mittal VS, Sigrest T, Ottolini MC, et al. Family-centered rounds on pediatric wards: a PRIS network survey of US and Canadian hospitalists. Pediatrics. 2010;126(1):37-43…
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psnet.ahrq.gov/issue/using-bar-coded-medication-administration-system-prevent-medication-errors-community-hospital
October 01, 2008 - Study
Using a bar-coded medication administration system to prevent medication errors in a community hospital network.
Citation Text:
Sakowski J, Leonard T, Colburn S, et al. Using a bar-coded medication administration system to prevent medication errors in a community hospital network…
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psnet.ahrq.gov/node/45926/psn-pdf
May 17, 2017 - Toolkit To Improve Safety in Ambulatory Surgery Centers.
May 17, 2017
Rockville, MD: Agency for Healthcare Research and Quality; December 2014.
https://psnet.ahrq.gov/issue/toolkit-improve-safety-ambulatory-surgery-centers
Ambulatory surgery centers provide care to growing numbers of patients. This toolkit draws fr…
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psnet.ahrq.gov/node/848811/psn-pdf
May 10, 2023 - Types of diagnostic errors reported by paediatric
emergency providers in a global paediatric emergency
care research network.
May 10, 2023
Mahajan P, Grubenhoff JA, Cranford J, et al. Types of diagnostic errors reported by paediatric emergency
providers in a global paediatric emergency care research network. BMJ O…
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psnet.ahrq.gov/node/838220/psn-pdf
September 27, 2019 - spent with
patients and potentially increasing likelihood of
errors, lapses, and mistakes.14
“Ghost networks … Laying ghost networks to rest: combatting deceptive health plan provider directories.
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psnet.ahrq.gov/node/40015/psn-pdf
November 17, 2010 - Medication prescribing and monitoring errors in primary
care: a report from the Practice Partner Research
Network.
November 17, 2010
Wessell AM, Litvin C, Jenkins RG, et al. Medication prescribing and monitoring errors in primary care: a
report from the Practice Partner Research Network. Qual Saf Health Care. 2010…
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psnet.ahrq.gov/node/42153/psn-pdf
April 03, 2013 - Creating an infrastructure for safety event reporting and
analysis in a multicenter pediatric emergency department
network.
April 3, 2013
Chamberlain JM, Shaw KN, Lillis KA, et al. Creating an infrastructure for safety event reporting and
analysis in a multicenter pediatric emergency department network. Pediatr Em…
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psnet.ahrq.gov/node/35583/psn-pdf
June 17, 2010 - Using a bar-coded medication administration system to
prevent medication errors in a community hospital
network.
June 17, 2010
Sakowski J, Leonard T, Colburn S, et al. Using a bar-coded medication administration system to prevent
medication errors in a community hospital network. American Journal of Health-System …
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psnet.ahrq.gov/issue/national-healthcare-quality-and-disparities-report-chartbook-patient-safety-0
May 02, 2017 - Book/Report
National Healthcare Quality and Disparities Report Chartbook on Patient Safety.
Citation Text:
National Healthcare Quality and Disparities Report Chartbook on Patient Safety. Rockville, MD: Agency for Healthcare Research and Quality; March 2024. AHRQ Pub. No. 23-0046.
Cop…
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psnet.ahrq.gov/node/72843/psn-pdf
March 17, 2021 - COVID-19 increased the risk of ICU-acquired bloodstream
infections: a case-cohort study from the multicentric
OUTCOMEREA network.
March 17, 2021
Buetti N, Ruckly S, de Montmollin E, et al. COVID-19 increased the risk of ICU-acquired bloodstream
infections: a case–cohort study from the multicentric OUTCOMEREA netwo…
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psnet.ahrq.gov/sites/default/files/2020-04/spotlight-slides-wright-schiff.pdf
January 01, 2020 - Spotlight
The Lost Start Date, an Unknown
Risk of E-prescribing
Source and Credits
• This presentation is based on the October 2019
AHRQ WebM&M Spotlight Case
○ See the full article at https://psnet.ahrq.gov/webmm
○ CME credit is available
• Commentary by: Adam Wright, PhD, and Gordon
Schiff, MD
○ Editor, AHRQ…
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psnet.ahrq.gov/node/40545/psn-pdf
June 22, 2011 - Using ORA to explore the relationship of nursing unit
communication to patient safety and quality outcomes.
June 22, 2011
Effken JA, Carley KM, Gephart SM, et al. Using ORA to explore the relationship of nursing unit
communication to patient safety and quality outcomes. Int J Med Inform. 2011;80(7):507-17.
doi:10.…
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psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet
April 01, 2005 - Introducing the New AHRQ WebM&M and AHRQ Patient Safety Network (PSNet)
Robert M. Wachter, MD | April 1, 2005
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Wachter R. Introducing the New AHRQ WebM&M and AHRQ Patient Safety Ne…
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psnet.ahrq.gov/issue/quality-measures-patients-risk-adverse-outcomes-veterans-health-administration-expert-panel
June 22, 2022 - Commentary
Quality measures for patients at risk of adverse outcomes in the Veterans Health Administration: expert panel recommendations.
Citation Text:
Chang ET, Newberry S, Rubenstein LV, et al. Quality Measures for Patients at Risk of Adverse Outcomes in the Veterans Health Administra…
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psnet.ahrq.gov/issue/racialethnic-disparities-interhospital-transfer-conditions-mortality-benefit-transfer-among
April 14, 2021 - Study
Racial/ethnic disparities in interhospital transfer for conditions with a mortality benefit to transfer among patients with Medicare.
Citation Text:
Racial/ethnic disparities in interhospital transfer for conditions with a mortality benefit to transfer among patients with Medicare.…