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Half the time, nursing homes scrutinized on safety by Medicare are still treacherous. | PSNet

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March 13, 2019 - Newspaper/Magazine Article Half the time, nursing homes scrutinized on safety by Medicare are still treacherous. Citation Text: Half the time, nursing homes scrutinized on safety by Medicare are still treacherous. Rau J. Kaiser Health News. July 6, 2017. Copy Citation S…

When public health goes wrong: toward a new concept of public health error. | PSNet

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September 02, 2020 - Commentary When public health goes wrong: toward a new concept of public health error. Citation Text: Bavli I. When public health goes wrong: toward a new concept of public health error. J Law Med Ethics. 2023;51(2):385-402. doi:10.1017/jme.2023.67. Copy Citation Format: DO…

The cost of serious fall-related injuries at three midwestern hospitals. | PSNet

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January 03, 2017 - Study The cost of serious fall-related injuries at three midwestern hospitals. Citation Text: Wong CA, Recktenwald AJ, Jones ML, et al. The cost of serious fall-related injuries at three Midwestern hospitals. Jt Comm J Qual Patient Saf. 2011;37(2):81-87. Copy Citation Format: …

Prevalence and nature of errors and near errors reported by hospital staff nurses. | PSNet

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April 24, 2018 - Study Prevalence and nature of errors and near errors reported by hospital staff nurses. Citation Text: Balas MC, Scott LD, Rogers AE. The prevalence and nature of errors and near errors reported by hospital staff nurses. Applied Nursing Research. 2005;17(4). doi:10.1016/j.apnr.2004.09…

Culture change at the source: a medical school tackles patient safety. | PSNet

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April 12, 2023 - Commentary Culture change at the source: a medical school tackles patient safety. Citation Text: Meiris DC, Clarke JL, Nash DB. Culture change at the source: a medical school tackles patient safety. Am J Med Qual. 2006;21(1):9-12. Copy Citation Format: Google Scholar PubM…

Patient safety: honoring advanced directives. | PSNet

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June 23, 2009 - Commentary Patient safety: honoring advanced directives. Citation Text: Tice MA. Patient safety: honoring advanced directives. Home Healthc Nurse. 2007;25(2):79-81. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…

Workplace violence and its effects on patient safety. | PSNet

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January 19, 2011 - Commentary Workplace violence and its effects on patient safety. Citation Text: McNamara SA. Workplace violence and its effects on patient safety. AORN J. 2010;92(6):677-82. doi:10.1016/j.aorn.2010.07.012. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 …

Preventable Hospitalizations: A Window Into Primary and Preventive Care, 2000. | PSNet

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October 06, 2016 - Government Resource Preventable Hospitalizations: A Window Into Primary and Preventive Care, 2000. Citation Text: Preventable Hospitalizations: A Window Into Primary and Preventive Care, 2000. Kruzikas DT, Jiang HJ, Remus D, et al for Agency for Healthcare Research and Quality; Rockv…

Medicare failed to investigate suspicious infection cases from 96 hospitals. | PSNet

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May 29, 2019 - Newspaper/Magazine Article Medicare failed to investigate suspicious infection cases from 96 hospitals. Citation Text: Medicare failed to investigate suspicious infection cases from 96 hospitals. Jewett C. Kaiser Health News. May 9, 2017. Copy Citation Save Save t…

Reporting adverse events to patients: a step-by-step approach. | PSNet

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November 16, 2022 - Newspaper/Magazine Article Reporting adverse events to patients: a step-by-step approach. Citation Text: Cherry RA, Marcus L, Dorn B. Reporting adverse events to patients: a step-by-step approach. Physician Executive. 2010;36(3):4-6, 8-9. Copy Citation Format: Google Schola…

ASHP guidelines on the safe use of automated dispensing devices. | PSNet

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July 05, 2017 - Organizational Policy/Guidelines ASHP guidelines on the safe use of automated dispensing devices. Citation Text: Cello R, Conley M, Cooley TW, et al. ASHP Guidelines on the Safe Use of Automated Dispensing Cabinets. Am J Health Syst Pharm. 2021;79(1):e71-e82. doi:10.1093/ajhp/zxab325. …

Eliciting the functional processes of apologizing for errors in health care: developing an explanatory model of apology. | PSNet

psnet.ahrq.gov/issue/eliciting-functional-processes-apologizing-errors-health-care-developing-explanatory-model

February 01, 2023 - Commentary Eliciting the functional processes of apologizing for errors in health care: developing an explanatory model of apology. Citation Text: Prothero MM, Morse JM. Eliciting the Functional Processes of Apologizing for Errors in Health Care: Developing an Explanatory Model of Apolog…

Medically Induced Trauma Support Services (MITSS). | PSNet

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December 07, 2016 - Newspaper/Magazine Article Medically Induced Trauma Support Services (MITSS). Citation Text: Medically Induced Trauma Support Services (MITSS). Tobin WN. Patient Safety Quality Healthcare. May/June 2013. Copy Citation Save Save to your library Print Do…

This isn't my information! The impact of accurate identity management on patient safety. | PSNet

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January 29, 2020 - Newspaper/Magazine Article This isn't my information! The impact of accurate identity management on patient safety. Citation Text: Garcia R. This isn't my information! The impact of accurate identity management on patient safety. Health management technology. 2013;34(3):10-1. Copy Cit…

Revitalizing an established rapid response team. | PSNet

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September 23, 2020 - Commentary Revitalizing an established rapid response team. Citation Text: Genardi ME, Cronin SN, Thomas LD. Revitalizing an established rapid response team. Dimens Crit Care Nurs. 2008;27(3):104-9. doi:10.1097/01.DCC.0000286837.95720.8c. Copy Citation Format: DOI Google …

Patient safety answers require outreach, in-reach, and partnerships. | PSNet

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August 23, 2023 - Commentary Patient safety answers require outreach, in-reach, and partnerships. Citation Text: Burt HA. Patient Safety Answers Require Outreach, In-reach, and Partnerships. J Hosp Librariansh. 2011;11(4). doi:10.1080/15323269.2011.611436. Copy Citation Format: DOI Google …

Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. | PSNet

psnet.ahrq.gov/issue/drawn-curtains-muted-alarms-and-diverted-attention-lead-tragedy-postanesthesia-care-unit

June 10, 2018 - Newspaper/Magazine Article Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. Citation Text: Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. ISMP Medication Safety Alert! Acute Care E…

Managing the Unexpected: Sustained Performance in a Complex World, Third Edition. | PSNet

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November 04, 2015 - Book/Report Classic Managing the Unexpected: Sustained Performance in a Complex World, Third Edition. Citation Text: Managing the Unexpected: Sustained Performance in a Complex World, Third Edition. Weick KE, Sutcliffe KM. San Francisco, CA: Jossey-Bass; 2015. I…

Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. | PSNet

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June 15, 2011 - Book/Report Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. Citation Text: Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. Grossmann C, Goolsby WA, Olsen L, McGinnis JM; Institute of Medicine and National Academy of …

Patient Safety and Quality: An Evidence-Based Handbook for Nurses. | PSNet

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May 29, 2024 - Book/Report Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Citation Text: Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Hughes RG, ed. Rockville, MD: Agency for Healthcare Research and Quality; 2008. AHRQ Publication No. 08-0043. Copy Ci…

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