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psnet.ahrq.gov/node/45980/psn-pdf
January 01, 2020 - Use of high-fidelity simulation to enhance
interdisciplinary collaboration and reduce patient falls.
May 10, 2017
Bursiek AA, Hopkins MR, Breitkopf DM, et al. Use of High-Fidelity Simulation to Enhance Interdisciplinary
Collaboration and Reduce Patient Falls. J Patient Saf. 2020;16(3):245-250.
doi:10.1097/pts.0000…
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psnet.ahrq.gov/node/39124/psn-pdf
February 18, 2011 - Adverse drug event rates in six community hospitals and
the potential impact of computerized physician order
entry for prevention.
February 18, 2011
Hug BL, Witkowski DJ, Sox CM, et al. Adverse Drug Event Rates in Six Community Hospitals and the
Potential Impact of Computerized Physician Order Entry for Prevention…
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psnet.ahrq.gov/node/36470/psn-pdf
September 27, 2010 - Prioritizing patient safety interventions in small and rural
hospitals.
September 27, 2010
Casey M, Wakefield M, Coburn AF, et al. Prioritizing patient safety interventions in small and rural
hospitals. Jt Comm J Qual Patient Saf. 2006;32(12):693-702.
https://psnet.ahrq.gov/issue/prioritizing-patient-safety-interv…
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psnet.ahrq.gov/node/860733/psn-pdf
January 17, 2024 - Staff warned about the lack of psychiatric care at a VA
clinic. They couldn’t prevent tragedy.
January 17, 2024
McGrory K, Bedi N. ProPublica, January 6, 2024.
https://psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy
Stories of mental health system failure provid…
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psnet.ahrq.gov/node/46345/psn-pdf
October 29, 2017 - Health care worker perspectives of their motivation to
reduce health care–associated infections.
October 29, 2017
McClung L, Obasi C, Knobloch MJ, et al. Health care worker perspectives of their motivation to reduce
health care-associated infections. Am J Infect Control. 2017;45(10):1064-1068.
doi:10.1016/j.ajic.2…
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psnet.ahrq.gov/node/36265/psn-pdf
April 21, 2015 - "Health courts" and accountability for patient safety.
April 21, 2015
Mello MM, Studdert DM, Kachalia A, et al. "Health courts" and accountability for patient safety. Milbank Q.
2006;84(3):459-92.
https://psnet.ahrq.gov/issue/health-courts-and-accountability-patient-safety
This article provides an overview of "hea…
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psnet.ahrq.gov/node/44106/psn-pdf
September 12, 2016 - Planning an MR suite: what can be done to enhance
safety?
September 12, 2016
Gilk TB, Kanal E. Planning an MR suite: What can be done to enhance safety? J Magn Reson Imaging.
2015;42(3):566-71. doi:10.1002/jmri.24794.
https://psnet.ahrq.gov/issue/planning-mr-suite-what-can-be-done-enhance-safety
Although rare, ad…
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www.ahrq.gov/sites/default/files/2025-02/silver-report.pdf
January 01, 2025 - Final Progress Report: Process Reliability and Organizational Learning in Home Health Care
PROL IN HOME HEALTH CARE
Title: Process Reliability and Organizational Learning in Home Health Care
Principal Investigator and Team Members:
Michael P. Silver, MPH Principal Investigator
Cher Edmonds Study Coordinator
Robert…
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psnet.ahrq.gov/node/33575/psn-pdf
March 15, 2025 - Patient Engagement and Safety
March 15, 2025
Patient Engagement and Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/patient-engagement-and-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the pati…
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digital.ahrq.gov/ahrq-funded-projects/using-evidence-based-nursing-practices-and-electronic-health-record-decision
January 01, 2023 - Using Evidence-Based Nursing Practices and Electronic Health Record Decision Support to Reduce Fall-related Patient Injuries in Acute Care
Project Final Report ( PDF , 3.56 MB)
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Annual Su…
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psnet.ahrq.gov/issue/tomorrows-operating-room-harness-net-rfid
September 09, 2015 - Newspaper/Magazine Article
Tomorrow's operating room to harness Net, RFID.
Citation Text:
Tomorrow's operating room to harness Net, RFID. Olsen S. CNET. October 19, 2005.
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psnet.ahrq.gov/issue/safety-you-go-hospital-home
November 23, 2016 - Fact Sheet/FAQs
Safety as You Go from Hospital to Home.
Citation Text:
Safety as You Go from Hospital to Home. National Patient Safety Foundation; NPSF
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psnet.ahrq.gov/issue/pharmacy-safety-and-service-what-you-should-expect
November 23, 2016 - Fact Sheet/FAQs
Pharmacy Safety and Service—What You Should Expect.
Citation Text:
Pharmacy Safety and Service—What You Should Expect. National Patient Safety Foundation.
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psnet.ahrq.gov/issue/look-alike-sound-alike-drugs-trigger-dangers
June 29, 2016 - Newspaper/Magazine Article
Look-alike, sound-alike drugs trigger dangers.
Citation Text:
Look-alike, sound-alike drugs trigger dangers. Aleccia J.
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psnet.ahrq.gov/issue/health-care-associated-infections-0
October 04, 2017 - Special or Theme Issue
Health Care-Associated Infections
Citation Text:
Health Care-Associated Infections APSF Newsletter. October 2019;34:29-56.
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psnet.ahrq.gov/issue/save-lives-clean-your-hands
July 14, 2021 - Multi-use Website
World Hand Hygiene Day.
Citation Text:
World Hand Hygiene Day. World Health Organization
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J…
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psnet.ahrq.gov/issue/teamstepps-video-toolkit
April 06, 2022 - Toolkit
TeamSTEPPS Video Toolkit.
Citation Text:
TeamSTEPPS Video Toolkit. AHA Team Training and Project Firstline. Chicago, IL: American Hospital Association, Center for Disease Control and Prevention; July 2021.
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psnet.ahrq.gov/issue/healthcare-associated-infections
January 10, 2018 - Special or Theme Issue
Healthcare-Associated Infections.
Citation Text:
Healthcare-Associated Infections. Healthc Pap. 2009;9(3):1-62.
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psnet.ahrq.gov/issue/software-symptoms
March 23, 2009 - Newspaper/Magazine Article
Software for symptoms.
Citation Text:
Software for symptoms. Borzo J. Wall Street Journal. May 23, 2005.
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psnet.ahrq.gov/issue/selling-soap
March 06, 2005 - Image/Poster
Selling soap.
Citation Text:
Selling soap. Dubner SJ; Levitt SD.
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August 5, 2008
Dubner …