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psnet.ahrq.gov/issue/ahrq-health-information-technology-research-2018-year-review
May 07, 2014 - August 1, 2012
AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative
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psnet.ahrq.gov/issue/addressing-disease-related-malnutrition-hospitalized-patients-call-national-goal
June 12, 2018 - Bottom Up
June 1, 2012
Trends in Nursing Home Deficiencies and Complaints.
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psnet.ahrq.gov/issue/pharmacist-staffing-technology-use-and-implementation-medication-safety-practices-rural
September 27, 2010 - multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing … home: a before-after study.
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psnet.ahrq.gov/issue/evolution-safety-culture
March 17, 2021 - September 28, 2022
Communication disparities between nursing home team members.
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psnet.ahrq.gov/issue/learning-samples-one-or-fewer
December 21, 2017 - Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing … home.
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psnet.ahrq.gov/issue/incidence-accidental-awareness-during-general-anaesthesia-obstetrics-multicentre-prospective
December 10, 2024 - December 5, 2022
Resident Safety Practices in Nursing Home Settings.
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psnet.ahrq.gov/issue/quali-quantitative-analysis-new-model-evaluation-unusual-cases-hospital-performance
October 25, 2018 - Systematic review of the prevalence of medication errors resulting in hospitalization and death of nursing … home residents.
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psnet.ahrq.gov/issue/effects-work-hour-reduction-residents-lives-systematic-review
March 02, 2011 - A national implementation project to prevent catheter-associated urinary tract infection in nursing … home residents.
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psnet.ahrq.gov/issue/medical-problem-solving-analysis-clinical-reasoning
July 18, 2018 - Organizational readiness to change as a leverage point for improving safety: a national nursing … home survey.
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psnet.ahrq.gov/issue/quality-improvement-decrease-specimen-mislabeling-transfusion-medicine
September 11, 2024 - Study
Quality improvement to decrease specimen mislabeling in transfusion medicine.
Citation Text:
Quillen K, Murphy K. Quality improvement to decrease specimen mislabeling in transfusion medicine. Arch Pathol Lab Med. 2006;130(8):1196-1198.
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Format:
Google S…
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psnet.ahrq.gov/issue/balancing-risk-my-life-politics-risk-hospital-operating-theatre-department
July 20, 2010 - Commentary
'Balancing risk, that is my life': The politics of risk in a hospital operating theatre department.
Citation Text:
McDonald R, Waring J, Harrison S. ‘Balancing risk, that is my life’: The politics of risk in a hospital operating theatre department. Health Risk Soc. 2005;7(4)…
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psnet.ahrq.gov/issue/doctors-saved-her-life-she-didnt-want-them
November 02, 2016 - Newspaper/Magazine Article
Doctors saved her life. She didn’t want them to.
Citation Text:
Raphael K. Doctors saved her life. She didn’t want them to. New York Times. August 26, 2024;
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
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psnet.ahrq.gov/issue/reduced-postdischarge-incidents-after-implementation-hospital-home-transition-intervention
September 06, 2023 - Study
Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention for children with medical complexity.
Citation Text:
Huth K, Hotz A, Emara N, et al. Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention…
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psnet.ahrq.gov/issue/detection-adverse-events-affected-record-review-methodology-evaluation-harvard-medical
August 05, 2020 - Study
Is detection of adverse events affected by record review methodology? An evaluation of the "Harvard Medical Practice Study" method and the "Global Trigger Tool."
Citation Text:
Unbeck M, Schildmeijer K, Henriksson P, et al. Is detection of adverse events affected by record review …
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psnet.ahrq.gov/issue/healthcare-professional-and-patient-codesign-and-validation-mechanism-service-users-feedback
January 08, 2020 - Study
Healthcare professional and patient codesign and validation of a mechanism for service users to feedback patient safety experiences following a care transfer: a qualitative study.
Citation Text:
Scott J, Heavey E, Waring J, et al. Healthcare professional and patient codesign and va…
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psnet.ahrq.gov/node/854849/psn-pdf
October 31, 2023 - “Copy and Paste” Notes and Autopopulated Text in the
Electronic Health Records
October 31, 2023
MacDonald S. “Copy and Paste” Notes and Autopopulated Text in the Electronic Health Records. PSNet
[internet]. 2023.
https://psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record
Th…
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psnet.ahrq.gov/web-mm/discharged-blindly
October 26, 2022 - Discharged Blindly
Citation Text:
Iezzoni LI. Discharged Blindly. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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psnet.ahrq.gov/node/49556/psn-pdf
March 01, 2008 - Hold That Order
March 1, 2008
Grissinger M. Hold That Order. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/hold-order
The Case
A 25-year-old woman with a history of a pituitary tumor was admitted with hypernatremia. Because of her
previous pituitary resection and radiation, the patient had a long history …
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psnet.ahrq.gov/web-mm/solution-iv-or-irrigation-fluid-administration-errors-operating-room
January 29, 2021 - Is that solution for IV or irrigation?: Fluid administration errors in the operating room.
Citation Text:
Bohringer C. Is that solution for IV or irrigation?: Fluid administration errors in the operating room.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of He…
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psnet.ahrq.gov/web-mm/wrong-blade-lack-familiarity-pediatric-emergency-equipment
June 01, 2018 - The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment
Citation Text:
Katznelson J. The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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