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  1. Survey shows room for improvement with three new best practices for hospitals. | PSNet

    psnet.ahrq.gov/issue/survey-shows-room-improvement-three-new-best-practices-hospitals
    June 01, 2022 - Newspaper/Magazine Article Survey shows room for improvement with three new best practices for hospitals. Citation Text: Survey shows room for improvement with three new best practices for hospitals. ISMP Medication Safety Alert! Acute care edition. May 5, 2022;27(9):1-5.  Copy Ci…

  2. The Patients' View: 2004 ISQSH National Survey. | PSNet

    psnet.ahrq.gov/issue/patients-view-2004-isqsh-national-survey
    July 20, 2022 - Book/Report The Patients' View: 2004 ISQSH National Survey. Citation Text: The Patients' View: 2004 ISQSH National Survey. Dublin: Irish Society for Quality and Safety in Healthcare; 2004. Copy Citation Save Save to your library Print Download PDF…

  3. Intravenous (IV) push medications – bridging the gap between education and clinical practice. | PSNet

    psnet.ahrq.gov/issue/intravenous-iv-push-medications-bridging-gap-between-education-and-clinical-practice
    November 17, 2021 - Newspaper/Magazine Article Intravenous (IV) push medications – bridging the gap between education and clinical practice. Citation Text: Intravenous (IV) push medications – bridging the gap between education and clinical practice. ISMP Medication Safety Alert! Acute Care. November 2, …

  4. Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations | PSNet

    psnet.ahrq.gov/issue/health-informatics-healthcare-quality-and-safety-and-healthcare-simulation-new-triad-advance
    April 28, 2021 - Special or Theme Issue Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations Citation Text: Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations …

  5. SHOT Annual Report. | PSNet

    psnet.ahrq.gov/issue/shot-annual-report-2019
    July 10, 2019 - Book/Report SHOT Annual Report. Citation Text: SHOT Annual Report. S Narayan, ed. Manchester, UK: Serious Hazards of Transfusion (SHOT) Steering Group; 2023. ISBN: 9781999596859. Copy Citation Save Save to your library Print Download PDF Share …

  6. The high costs of unnecessary care. | PSNet

    psnet.ahrq.gov/issue/high-costs-unnecessary-care
    June 28, 2023 - Commentary The high costs of unnecessary care. Citation Text: Carroll AE. The High Costs of Unnecessary Care. JAMA. 2017;318(18):1748-1749. doi:10.1001/jama.2017.16193. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  7. Current status of the monitoring of medication practice. | PSNet

    psnet.ahrq.gov/issue/current-status-monitoring-medication-practice
    May 28, 2015 - Commentary Current status of the monitoring of medication practice. Citation Text: Cousins D. Current status of the monitoring of medication practice. Am J Health Syst Pharm. 2009;66(5 Suppl 3):S49-56. doi:10.2146/ajhp080605. Copy Citation Format: DOI Google Scholar PubMe…

  8. Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift. | PSNet

    psnet.ahrq.gov/issue/nursing-handovers-resilient-points-care-linking-handover-strategies-treatment-errors-patient
    August 30, 2017 - Study Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift. Citation Text: Drach-Zahavy A, Hadid N. Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the p…

  9. The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy.  | PSNet

    psnet.ahrq.gov/issue/health-literacy-americas-adults-results-2003-national-assessment-adult-literacy
    January 16, 2019 - Government Resource The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy.  Citation Text: The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy.  Kutner M, Greenberg E, Jin Y, et al. Washin…

  10. Instrument count sheets and set reviews as patient safety tools. | PSNet

    psnet.ahrq.gov/issue/instrument-count-sheets-and-set-reviews-patient-safety-tools
    February 28, 2011 - Commentary Instrument count sheets and set reviews as patient safety tools. Citation Text: Spear J. Instrument Count Sheets and Set Reviews as Patient Safety Tools. AORN J. 2016;104(6):588-592. doi:10.1016/j.aorn.2016.10.007. Copy Citation Format: DOI Google Scholar PubMed …

  11. Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly. | PSNet

    psnet.ahrq.gov/issue/report-announced-inspection-medication-safety-midland-regional-hospital-tullamore-county
    October 23, 2013 - Book/Report Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly. Citation Text: Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly. Dublin, Ireland: Health Informa…

  12. FDA public health notification: unretrieved device fragments. | PSNet

    psnet.ahrq.gov/issue/fda-public-health-notification-unretrieved-device-fragments
    June 02, 2021 - Press Release/Announcement FDA public health notification: unretrieved device fragments. Citation Text: FDA public health notification: unretrieved device fragments. Silver Spring MD, Center for Devices and Radiological Health, US Food and Drug Administration; January 15, 2008. Copy Ci…

  13. Incidence of Adverse Events in Indian Health Service Hospitals. | PSNet

    psnet.ahrq.gov/issue/incidence-adverse-events-indian-health-service-hospitals
    May 20, 2020 - Book/Report Incidence of Adverse Events in Indian Health Service Hospitals. Citation Text: Incidence of Adverse Events in Indian Health Service Hospitals. Office of the Inspector General: Washington DC; December 2020. OIG report OEI-06-17-00530. Copy Citation Sav…

  14. Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation Report IV. | PSNet

    psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-final-report-evaluation-report-iv
    May 21, 2014 - Book/Report Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation Report IV. Citation Text: Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation Report IV. Farley DO, Damberg CL, Ridgely MS, et al. Santa Monica, CA: RAND Corporation; 2008. ISBN: 9…

  15. In harm's way. | PSNet

    psnet.ahrq.gov/issue/harms-way
    July 08, 2009 - Commentary In harm's way. Citation Text: Donaldson LJ, Lemer C, Titcombe J. In harm's way. BMJ. 2019;365:l2037. doi:10.1136/bmj.l2037. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation…

  16. Patient safety in obstetrics and gynecology: an agenda for the future. | PSNet

    psnet.ahrq.gov/issue/patient-safety-obstetrics-and-gynecology-agenda-future
    January 12, 2011 - Commentary Patient safety in obstetrics and gynecology: an agenda for the future. Citation Text: Pearlman MD. Patient safety in obstetrics and gynecology: an agenda for the future. Obstet Gynecol. 2006;108(5):1266-71. Copy Citation Format: Google Scholar PubMed BibTeX End…

  17. Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. | PSNet

    psnet.ahrq.gov/issue/clearing-error-using-public-deliberation-define-patient-roles-partners-diagnostic-process
    September 13, 2016 - Book/Report Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. Citation Text: Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. St. Paul, MN: Society to Improve Diagnosis …

  18. New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings. | PSNet

    psnet.ahrq.gov/issue/new-hhs-data-shows-major-strides-made-patient-safety-leading-improved-care-and-savings
    October 31, 2014 - Book/Report New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings. Citation Text: New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings. Washington, DC: US Department of Health and Human Services; May 7, 2014…

  19. Many people of color worry good health care is tied to their appearance. | PSNet

    psnet.ahrq.gov/issue/many-people-color-worry-good-health-care-tied-their-appearance
    September 20, 2023 - Newspaper/Magazine Article Many people of color worry good health care is tied to their appearance. Citation Text: Many people of color worry good health care is tied to their appearance. DeGuzman C. KFF Health News. December 5, 2023 Copy Citation Save Save to y…

  20. The frustrating case of incident-reporting systems. | PSNet

    psnet.ahrq.gov/issue/frustrating-case-incident-reporting-systems
    June 22, 2022 - Commentary The frustrating case of incident-reporting systems. Citation Text: Shojania KG. The frustrating case of incident-reporting systems. Qual Saf Health Care. 2008;17(6):400-2. doi:10.1136/qshc.2008.029496. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndN…
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