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Fall prevention in acute care hospitals: a randomized trial. | PSNet

psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial

February 01, 2023 - Study Classic Fall prevention in acute care hospitals: a randomized trial. Citation Text: Dykes PC, Carroll DL, Hurley A, et al. Fall prevention in acute care hospitals: a randomized trial. JAMA. 2010;304(17):1912-1918. doi:10.1001/jama.2010.1567. Copy Citat…

Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients. | PSNet

psnet.ahrq.gov/issue/associations-between-double-checking-and-medication-administration-errors-direct

January 18, 2023 - Study Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients. Citation Text: Westbrook JI, Li L, Raban MZ, et al. Associations between double-checking and medication administration errors: a direct observational st…

Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. | PSNet

psnet.ahrq.gov/issue/disparities-after-discharge-association-limited-english-proficiency-and-postdischarge-patient

October 14, 2020 - Study Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. Citation Text: Malevanchik L, Wheeler M, Gagliardi K, et al. Disparities after discharge: the association of limited English proficiency and postdischarge patient…

We want to know: patient comfort speaking up about breakdowns in care and patient experience. | PSNet

psnet.ahrq.gov/issue/we-want-know-patient-comfort-speaking-about-breakdowns-care-and-patient-experience

May 20, 2020 - Study Emerging Classic We want to know: patient comfort speaking up about breakdowns in care and patient experience. Citation Text: Fisher K, Smith KM, Gallagher TH, et al. We want to know: patient comfort speaking up about breakdowns in care and patient experie…

Sentinel Event. | PSNet

psnet.ahrq.gov/issue/sentinel-event

May 30, 2012 - Multi-use Website Classic Sentinel Event. Citation Text: Sentinel Event. The Joint Commission. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

Cedars-Sinai doctors cling to pen and paper: transition to electronic medical records proves difficult. | PSNet

psnet.ahrq.gov/issue/cedars-sinai-doctors-cling-pen-and-paper-transition-electronic-medical-records-proves

June 15, 2005 - Newspaper/Magazine Article Cedars-Sinai doctors cling to pen and paper: transition to electronic medical records proves difficult. Citation Text: Cedars-Sinai doctors cling to pen and paper: transition to electronic medical records proves difficult. Connolly C. Washington Post. March…

Two words can soothe patients who have been harmed: we're sorry. | PSNet

psnet.ahrq.gov/issue/two-words-can-soothe-patients-who-have-been-harmed-were-sorry

July 26, 2017 - Newspaper/Magazine Article Two words can soothe patients who have been harmed: we're sorry. Citation Text: Two words can soothe patients who have been harmed: we're sorry. Boodman SG. Kaiser Health News. March 15, 2017. Copy Citation Save Save to your library …

A boy's life is lost to sepsis. Thousands are saved in his wake. | PSNet

psnet.ahrq.gov/issue/boys-life-lost-sepsis-thousands-are-saved-his-wake

November 07, 2012 - Newspaper/Magazine Article A boy's life is lost to sepsis. Thousands are saved in his wake. Citation Text: A boy's life is lost to sepsis. Thousands are saved in his wake. Dwyer J. New York Times. April 13, 2017. Copy Citation Save Save to your library Print…

Radiation offers new cures, and ways to do harm. | PSNet

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January 20, 2010 - Newspaper/Magazine Article Radiation offers new cures, and ways to do harm. Citation Text: Radiation offers new cures, and ways to do harm. Bogdanich W. New York Times. January 24, 2010:A1. Copy Citation Save Save to your library Print Downl…

I can't turn my brain off. | PSNet

psnet.ahrq.gov/issue/i-cant-turn-my-brain

December 14, 2016 - Newspaper/Magazine Article I can't turn my brain off. Citation Text: I can't turn my brain off. Hoffman J. New York Times. May 16, 2020. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

Opioid Overdose as a Patient Safety Problem | PSNet

psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem

May 01, 2017 - ) Diversion is common Striking rates of addiction, injuries, and deaths from opioids highlight the question

Call to Action: Preventable Health Care Harm Is a Public Health Crisis and Patient Safety Requires a Coordinated Public Health Response. | PSNet

psnet.ahrq.gov/issue/call-action-preventable-health-care-harm-public-health-crisis-and-patient-safety-requires

November 23, 2016 - Book/Report Call to Action: Preventable Health Care Harm Is a Public Health Crisis and Patient Safety Requires a Coordinated Public Health Response. Citation Text: Call to Action: Preventable Health Care Harm Is a Public Health Crisis and Patient Safety Requires a Coordinated Public Heal…

Perceived impact of duty hours limits on the fragmentation of patient care: results from an academic health center. | PSNet

psnet.ahrq.gov/issue/perceived-impact-duty-hours-limits-fragmentation-patient-care-results-academic-health-center

March 06, 2005 - Study Perceived impact of duty hours limits on the fragmentation of patient care: results from an academic health center. Citation Text: Perceived impact of duty hours limits on the fragmentation of patient care: results from an academic health center. Keating RJ; LaRusso NF; Kolars …

Patient and Family Engagement in Primary Care: Case Studies. | PSNet

psnet.ahrq.gov/issue/patient-and-family-engagement-primary-care-case-studies

November 01, 2016 - Book/Report Patient and Family Engagement in Primary Care: Case Studies. Citation Text: Patient and Family Engagement in Primary Care: Case Studies. Rockville, MD: Agency for Healthcare Research and Quality; September 2016. AHRQ Publication No. 16-0035-2-EF. Copy Citation …

Terms & Conditions/Copyright | PSNet

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Terms & Conditions Security For site security purposes and to ensure that this service remains available to all users, we employ software programs to monitor traffic to identify unauthorized attempts to upload or change information, or otherwise cause damage. Such attempts are strictly prohibited and may be punisha…

Requires DHSS to make reported information about certain adverse events publicly available. | PSNet

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. …

Ranking of the Rate of State Medical Boards’ Serious Disciplinary Actions, 2019-2021. | PSNet

psnet.ahrq.gov/issue/ranking-rate-state-medical-boards-serious-disciplinary-actions-2019-2021

October 05, 2016 - Book/Report Ranking of the Rate of State Medical Boards’ Serious Disciplinary Actions, 2019-2021. Citation Text: Ranking of the Rate of State Medical Boards’ Serious Disciplinary Actions, 2019-2021. Wolfe SW, Oshel RE. Washington, DC: Public Citizen; August 16, 2023. Copy C…

10 Patient Safety Tips for Hospitals. | PSNet

psnet.ahrq.gov/issue/10-patient-safety-tips-hospitals

December 09, 2009 - Fact Sheet/FAQs Classic 10 Patient Safety Tips for Hospitals. Citation Text: 10 Patient Safety Tips for Hospitals. Rockville, MD: Agency for Healthcare Research and Quality; December 2009. AHRQ Publication No. 10-M008. Copy Citation Save …

Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2. | PSNet

psnet.ahrq.gov/issue/selected-medication-safety-risks-manage-2016-might-otherwise-fall-radar-screen-part-1-and

March 09, 2016 - Newspaper/Magazine Article Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2. Citation Text: Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2. ISMP Medicat…

Saving without compromising: teaching trainees to safely provide high value care. | PSNet

psnet.ahrq.gov/issue/saving-without-compromising-teaching-trainees-safely-provide-high-value-care

August 02, 2015 - Commentary Saving without compromising: teaching trainees to safely provide high value care. Citation Text: Judson TJ, Press MJ, Detsky AS. Saving without compromising: Teaching trainees to safely provide high value care. Healthc (Amst). 2019;7(1):4-6. doi:10.1016/j.hjdsi.2018.05.003. …

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