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psnet.ahrq.gov/node/39576/psn-pdf
September 25, 2010 - Taking Care of Myself: A Guide for When I Leave the
Hospital.
September 25, 2010
Rockville, MD: Agency for Healthcare Research and Quality; April 2010. AHRQ Publication No. 10-0059.
https://psnet.ahrq.gov/issue/taking-care-myself-guide-when-i-leave-hospital
This guide provides patients with information they need t…
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psnet.ahrq.gov/node/43351/psn-pdf
July 16, 2014 - Patient involvement in medication safety in hospital: an
exploratory study.
July 16, 2014
Mohsin-Shaikh S, Garfield S, Franklin BD. Patient involvement in medication safety in hospital: an
exploratory study. Int J Clin Pharm. 2014;36(3):657-66. doi:10.1007/s11096-014-9951-8.
https://psnet.ahrq.gov/issue/patient-in…
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psnet.ahrq.gov/node/35989/psn-pdf
September 17, 2010 - Using preprinted medication order forms to improve the
safety of investigational drug use.
September 17, 2010
Tamer H, Shehab N. Using preprinted medication order forms to improve the safety of investigational drug
use. Am J Health Syst Pharm. 2006;63(11):1022, 1025-1026, 1028.
https://psnet.ahrq.gov/issue/using-p…
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psnet.ahrq.gov/node/35133/psn-pdf
March 11, 2011 - Parents as partners in obtaining the medication history.
March 11, 2011
Porter SC, Kohane IS, Goldmann DA. Parents as partners in obtaining the medication history. J Am Med
Inform Assoc. 2005;12(3):299-305.
https://psnet.ahrq.gov/issue/parents-partners-obtaining-medication-history
This study examined the utility o…
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psnet.ahrq.gov/node/36234/psn-pdf
October 21, 2010 - Conceptual Framework for the International Classification
for Patient Safety Version 1.1. Final Technical Report
January 2009.
October 21, 2010
World Alliance for Patient Safety. Geneva, Switzerland: World Health Organization; 2009.
https://psnet.ahrq.gov/issue/conceptual-framework-international-classification-pat…
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psnet.ahrq.gov/node/45558/psn-pdf
May 10, 2017 - Prevention Is Better Than Cure: Learning From Adverse
Events in Healthcare.
May 10, 2017
Leistikow I. Boca Raton, FL: CRC Press; 2017. ISBN: 9781138197763.
https://psnet.ahrq.gov/issue/prevention-better-cure-learning-adverse-events-healthcare
Patients continue to experience preventable health care–associated harm.…
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psnet.ahrq.gov/node/46218/psn-pdf
October 29, 2017 - Nurses' knowledge and teaching of possible postpartum
complications.
October 29, 2017
Suplee PD, Bingham D, Kleppel L. Nurses' Knowledge and Teaching of Possible Postpartum
Complications. MCN Am J Matern Child Nurs. 2017;42(6):338-344. doi:10.1097/NMC.0000000000000371.
https://psnet.ahrq.gov/issue/nurses-knowledge…
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psnet.ahrq.gov/node/45241/psn-pdf
October 31, 2023 - Hospital Harm Project.
October 31, 2023
Canadian Institute for Health Information, Health Excellence Canada.
https://psnet.ahrq.gov/issue/hospital-harm-project
Reducing preventable harm associated with health care is a worldwide goal. This Canadian initiative
developed a measure to track unintended harm in acute c…
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psnet.ahrq.gov/node/42563/psn-pdf
October 09, 2013 - Quick Response codes for surgical safety: a prospective
pilot study.
October 9, 2013
Dixon JL, Smythe WR, Momsen LS, et al. Quick Response codes for surgical safety: a prospective pilot
study. Journal of Surgical Research. 2013;184(1). doi:10.1016/j.jss.2013.06.036.
https://psnet.ahrq.gov/issue/quick-response-code…
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psnet.ahrq.gov/node/42957/psn-pdf
March 05, 2014 - Massachusetts Alliance for Communication and
Resolution Following Medical Injury.
March 5, 2014
Betsy Lehman Center for Patient Safety.
https://psnet.ahrq.gov/issue/massachusetts-alliance-communication-and-resolution-following-medical-injury
Communication-and-response programs emphasize early disclosure of adverse…
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psnet.ahrq.gov/node/36288/psn-pdf
December 23, 2016 - Preventing adverse events caused by emergency
electrical power system failures.
December 23, 2016
Preventing adverse events caused by emergency electrical power system failures. Sentinel Event Alert.
2006;37(37):1-3.
https://psnet.ahrq.gov/issue/preventing-adverse-events-caused-emergency-electrical-power-system-
…
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psnet.ahrq.gov/node/37039/psn-pdf
September 14, 2007 - Corporate Responsibility and Health Care Quality: A
Resource for Health Care Boards of Directors.
September 14, 2007
Callender AN, Hastings DA, Hemsley MC, et al. Washington DC: Office of the Inspector General of the US
Department of Health and Human Services, American Health Lawyers Association; September 2007.
h…
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psnet.ahrq.gov/node/37017/psn-pdf
September 15, 2011 - The association between culture, climate and quality of
care in primary health care teams.
September 15, 2011
Hann M, Bower P, Campbell S, et al. The association between culture, climate and quality of care in
primary health care teams. Fam Pract. 2007;24(4):323-9.
https://psnet.ahrq.gov/issue/association-between-…
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psnet.ahrq.gov/node/35414/psn-pdf
May 21, 2014 - Assessment of the National Patient Safety Initiative:
Context and Baseline Evaluation Report 1.
May 21, 2014
Santa Monica, CA: RAND Corporation; 2005. ISBN 0833037870.
https://psnet.ahrq.gov/issue/assessment-national-patient-safety-initiative-context-and-baseline-evaluation-
report-1
The authors report on the his…
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psnet.ahrq.gov/node/37432/psn-pdf
November 29, 2009 - The Pennsylvania Learning Exchange: Helping States
Improve and Integrate Patient Safety
Initiatives—Summary Report.
November 29, 2009
Hanlon C; Rosenthal J. Portland, ME: National Academy for State Health Policy; 2007.
https://psnet.ahrq.gov/issue/pennsylvania-learning-exchange-helping-states-improve-and-integrate…
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psnet.ahrq.gov/node/73124/psn-pdf
April 07, 2021 - Safety and Quality in Perioperative Anesthesia Care.
April 7, 2021
Preckel B, ed. Best Pract Res Clin Anaesthesiol. 2021;35(1):1-154.
https://psnet.ahrq.gov/issue/safety-and-quality-perioperative-anesthesia-care
The field of anesthesiology has realized impressive improvements in safety, yet challenges still ex…
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psnet.ahrq.gov/node/38529/psn-pdf
April 01, 2009 - Standardized admission order set improves perceived
quality of pediatric inpatient care.
April 1, 2009
Bekmezian A, Chung PJ, Yazdani S. Standardized admission order set improves perceived quality of
pediatric inpatient care. J Hosp Med. 2009;4(2):90-6. doi:10.1002/jhm.403.
https://psnet.ahrq.gov/issue/standardize…
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psnet.ahrq.gov/node/35723/psn-pdf
March 28, 2011 - Impact of nursing on hospital patient mortality: a focused
review and related policy implications.
March 28, 2011
Tourangeau AE, Cranley LA, Jeffs L. Impact of nursing on hospital patient mortality: a focused review and
related policy implications. Qual Saf Health Care. 2006;15(1):4-8.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/867699/psn-pdf
June 01, 2023 - Toolkit for Improving Surgical Care and Recovery.
June 1, 2023
Agency for Healthcare Research and Quality. Toolkit for Improving Surgical Care and Recovery. June
2023.
https://psnet.ahrq.gov/issue/toolkit-improving-surgical-care-and-recovery
Improving patient experience fosters better communication, trust, and col…
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psnet.ahrq.gov/node/36050/psn-pdf
January 02, 2017 - Improving the safety of intravenous admixtures: lessons
learned from a Pentostam® overdose.
January 2, 2017
Just S, Schepers G, Piotrowski MM, et al. Improving the safety of intravenous admixtures: lessons learned
from a Pentostam overdose. Jt Comm J Qual Patient Saf. 2006;32(7):366-72.
https://psnet.ahrq.gov/issu…