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psnet.ahrq.gov/web-mm/triaging-interhospital-transfers
April 12, 2023 - SPOTLIGHT CASE
Triaging Interhospital Transfers
Citation Text:
Mueller SK. Triaging Interhospital Transfers. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/web-mm/code-status-confusion
September 01, 2006 - SPOTLIGHT CASE
Code Status Confusion
Citation Text:
Lo B, Tulsky JA. Code Status Confusion. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/issue/giving-back-pen-disclosure-apology-and-early-compensation-discussions-after-harm-healthcare
April 26, 2012 - Commentary
Giving back the pen: disclosure, apology and early compensation discussions after harm in the healthcare setting.
Citation Text:
Giving back the pen: disclosure, apology and early compensation discussions after harm in the healthcare setting. Pelletier E, Robson. Healthc Q…
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psnet.ahrq.gov/issue/socio-cultural-perspective-patient-safety
August 06, 2016 - Book/Report
A Socio-cultural Perspective on Patient Safety.
Citation Text:
A Socio-cultural Perspective on Patient Safety. Rowley E, Waring J, eds. Farnham Surrey, UK: Ashgate Publishing Limited; 2011. ISBN: 9781409408628.
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psnet.ahrq.gov/issue/requires-dhss-make-reported-information-about-certain-adverse-events-publicly-available
January 31, 2018 - Legislation/Case Law
Requires DHSS to make reported information about certain adverse events publicly available.
Citation Text:
Requires DHSS to make reported information about certain adverse events publicly available. 212 New Jersey Legislature. Assembly, No. 4327. June 11, 2017.
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psnet.ahrq.gov/web-mm/what-happened-telemetry
January 18, 2012 - monitoring may be a growing trend as hospitals are consolidated into larger health systems and may even occur … Remote Telemetry Monitoring.*
Equipment, Location, Supervision
Will remote monitoring occur
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psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
November 01, 2008 - cUTIs are asymptomatic and do not require antimicrobial treatment.( 2 ) However, symptomatic cUTIs may occur … Severe presentations with sepsis syndrome occasionally occur.( 5 ) Indwelling urethral catheters are
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psnet.ahrq.gov/issue/learning-disasters-management-approach-third-ed
June 18, 2013 - Book/Report
Learning from Disasters: A Management Approach. Third ed.
Citation Text:
Learning from Disasters: A Management Approach. Third ed. Toft B, Reynolds S. Leicester, UK: Perpetuity Press Limited; 2005. ISBN: 9781349279029.
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psnet.ahrq.gov/issue/safety-ems
March 14, 2018 - Special or Theme Issue
Safety in EMS.
Citation Text:
Safety in EMS. Brice JH, Patterson PD, eds. Prehosp Emerg Care. 2012;16:1-108.
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psnet.ahrq.gov/node/49503/psn-pdf
February 01, 2006 - proposed to decrease medication errors.(2) However, the use of ADMs may lead to workarounds, just
as occur
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psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
August 01, 2009 - discovery—doing your work with a close eye toward what you don't understand, seeing problems as they occur
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psnet.ahrq.gov/perspective/maternal-safety
January 01, 2015 - Annual Perspective
Maternal Safety
Audrey Lyndon, RN, PhD | December 22, 2018
View more articles from the same authors.
Citation Text:
Lyndon A. Maternal Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of H…
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psnet.ahrq.gov/Webmm/submit-case-info
Selection Criteria and Honorarium Information
How it works
Health care professionals may submit de-identified cases that highlight medical errors or other patient
safety/quality
issues. Note that you can choose to submit cases either …
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psnet.ahrq.gov/issue/patient-safety-private-hospitals-known-and-unknown-risk
June 18, 2013 - Book/Report
Patient Safety in Private Hospitals: the Known and the Unknown Risk.
Citation Text:
Patient Safety in Private Hospitals: the Known and the Unknown Risk. Leys C, Toft B. London, UK: Centre for Health and the Public Interest; August 2014.
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psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea-involuntary-manslaughter
May 07, 2018 - Newspaper/Magazine Article
Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter.
Citation Text:
Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter. ISMP Medication Safety Alert! Ac…
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psnet.ahrq.gov/issue/achieving-safe-health-care-delivery-safe-patient-care-baylor-scott-white-health
October 11, 2016 - Book/Report
Achieving Safe Health Care: Delivery of Safe Patient Care at Baylor Scott & White Health.
Citation Text:
Achieving Safe Health Care: Delivery of Safe Patient Care at Baylor Scott & White Health. Compton J. Boca Raton, FL: CRC Press; 2016. ISBN: 9781498732390.
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psnet.ahrq.gov/issue/diagnosis-interpreting-shadows
June 29, 2016 - Book/Report
Diagnosis: Interpreting the Shadows.
Citation Text:
Diagnosis: Interpreting the Shadows. Croskerry P, Cosby KS, Graber ML, Singh H. Boca Raton, FL: CRC Press; 2017. ISBN: 9781409432333.
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psnet.ahrq.gov/issue/ismps-list-confused-drug-names
August 21, 2015 - Fact Sheet/FAQs
Classic
ISMP's List of Confused Drug Names.
Citation Text:
ISMP's List of Confused Drug Names. Horsham, PA; Institute for Safe Medication Practices: July 2023.
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psnet.ahrq.gov/web-mm/antibiotics-urisinusitis-simple-decision-gone-bad
January 01, 2014 - potential adverse effects, ranging from common problems like antibiotic-associated diarrhea (which can occur
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psnet.ahrq.gov/web-mm/failure-report
July 01, 2008 - SPOTLIGHT CASE
Failure to Report
Citation Text:
Spath P. Failure to Report. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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