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psnet.ahrq.gov/issue/guide-patient-and-family-engagement-hospital-quality-and-safety
December 24, 2008 - Multi-use Website
Guide to Patient and Family Engagement in Hospital Quality and Safety.
Citation Text:
Guide to Patient and Family Engagement in Hospital Quality and Safety. Rockville, MD: Agency for Healthcare Research and Quality; June 2013.
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psnet.ahrq.gov/issue/do-split-side-rails-present-increased-risk-patient-safety
November 02, 2010 - Study
Do split-side rails present an increased risk to patient safety?
Citation Text:
Hignett S, Griffiths P. Do split-side rails present an increased risk to patient safety? Qual Saf Health Care. 2005;14(2):113-6.
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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/issue/how-experiencing-preventable-medical-problems-changed-patients-interactions-primary-health
December 13, 2023 - Study
How experiencing preventable medical problems changed patients' interactions with primary health care.
Citation Text:
Elder NC, Jacobson J, Zink T, et al. How experiencing preventable medical problems changed patients' interactions with primary health care. Ann Fam Med. 2005;3(6)…
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psnet.ahrq.gov/issue/sentara-norfolk-general-hospital-accelerating-improvement-focusing-building-culture-safety
June 08, 2010 - Commentary
Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety.
Citation Text:
Yates GR, Hochman RF, Sayles SM, et al. Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety. Jt Comm J Qu…
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psnet.ahrq.gov/issue/developing-and-evaluating-trigger-response-system
August 29, 2018 - Study
Developing and evaluating a trigger response system.
Citation Text:
Cherry K, Martinek J, Esleck S, et al. Developing and Evaluating a Trigger Response System. The Joint Commission Journal on Quality and Patient Safety. 2016;35(6). doi:10.1016/s1553-7250(09)35047-3.
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psnet.ahrq.gov/issue/cognitive-processes-involved-blame-and-blame-judgments-and-forgiveness-and-forgiveness
August 23, 2017 - Study
Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments.
Citation Text:
Mullet E, Rivière S, Sastre MTM. Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments. Am J…
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psnet.ahrq.gov/issue/alarm-fatigue-use-evidence-based-alarm-management-strategy
July 24, 2024 - Commentary
Alarm fatigue: use of an evidence-based alarm management strategy.
Citation Text:
Turmell JW, Coke L, Catinella R, et al. Alarm Fatigue. J Nurs Care Qual. 2016;32(1):47-54. doi:10.1097/ncq.0000000000000223.
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psnet.ahrq.gov/issue/impact-short-notice-accreditation-assessments-hospitals-patient-safety-and-quality-culture
January 10, 2024 - Review
Impact of short-notice accreditation assessments on hospitals' patient safety and quality culture--a scoping review.
Citation Text:
Scanlan R, Flenady T, Judd J. Impact of short‐notice accreditation assessments on hospitals' patient safety and quality culture- a scoping review. J …
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psnet.ahrq.gov/issue/medication-errors-mental-healthcare-systematic-review
September 22, 2021 - Review
Medication errors in mental healthcare: a systematic review.
Citation Text:
Maidment ID, Lelliott P, Paton C. Medication errors in mental healthcare: a systematic review. Qual Saf Health Care. 2006;15(6):409-13.
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psnet.ahrq.gov/issue/pharmacist-physician-relationship-detection-ambulatory-medication-errors
September 30, 2020 - Study
The pharmacist-physician relationship in the detection of ambulatory medication errors.
Citation Text:
Brown A, Bailey JH, Lee J, et al. The pharmacist-physician relationship in the detection of ambulatory medication errors. Am J Med Sci. 2006;331(1):22-24.
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psnet.ahrq.gov/issue/maturity-hospitals-quality-improvement-systems-associated-measures-quality-and-patient-safety
May 26, 2014 - Study
Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety?
Citation Text:
Groene O, Mora N, Thompson A, et al. Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? B…
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psnet.ahrq.gov/issue/incidence-and-nature-prescribing-and-medication-administration-errors-paediatric-inpatients
July 08, 2008 - Study
The incidence and nature of prescribing and medication administration errors in paediatric inpatients.
Citation Text:
Ghaleb M, Barber N, Franklin BD, et al. The incidence and nature of prescribing and medication administration errors in paediatric inpatients. Arch Dis Child. 201…
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psnet.ahrq.gov/issue/why-engineers-are-working-build-better-pulse-oximeters
May 06, 2020 - Newspaper/Magazine Article
Why engineers are working to build better pulse oximeters.
Citation Text:
Why engineers are working to build better pulse oximeters. Willyard C. MIT Technology Review. February 9, 2024.
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psnet.ahrq.gov/issue/developing-culture-safety-ambulatory-care-settings
July 19, 2023 - Commentary
Developing a culture of safety in ambulatory care settings.
Citation Text:
Shostek K. Developing a culture of safety in ambulatory care settings. J Ambul Care Manage. 2007;30(2):105-13.
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psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
May 19, 2021 - Hyperglycemia and Switching to Subcutaneous Insulin
Citation Text:
Wetterneck TB. Hyperglycemia and Switching to Subcutaneous Insulin. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/node/866205/psn-pdf
July 10, 2024 - Hemorrhagic Shock after Elective Spine Surgery: Failure
to Rescue after Limited Response to Nursing Concerns.
July 10, 2024
Zakaluzny S. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response
to Nursing Concerns. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/hemorrhagic-sh…
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psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
November 30, 2023 - A Sweet Case of Hidden Hydrogen Ions
Citation Text:
Plante D, Falero A. A Sweet Case of Hidden Hydrogen Ions. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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psnet.ahrq.gov/issue/patient-errors-use-injectable-antidiabetic-medications-need-improved-clinic-based-education
March 17, 2021 - Commentary
Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education.
Citation Text:
Wei ET, Koh E, Kelly MS, et al. Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. J Am Pharm Assoc (…
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psnet.ahrq.gov/node/866695/psn-pdf
September 11, 2024 - Reducing ambulatory central line-associated bloodstream
infections: a family-centered approach.
September 11, 2024
Wong CI, Ilowite M, Yan A, et al. Reducing ambulatory central line?associated bloodstream infections: a
family?centered approach. Pediatr Blood Cancer. 2024;71(8):e31064. doi:10.1002/pbc.31064.
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