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psnet.ahrq.gov/issue/healthgrades-eighth-annual-patient-safety-american-hospitals-study
January 04, 2017 - Book/Report
HealthGrades Eighth Annual Patient Safety in American Hospitals Study.
Citation Text:
HealthGrades Eighth Annual Patient Safety in American Hospitals Study. Reed K, May R. Denver, CO: HealthGrades, Inc.; March 2011.
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psnet.ahrq.gov/issue/nhs-improvement
April 15, 2020 - Government Resource
NHS Improvement.
Citation Text:
NHS Improvement. NHS England.
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May 18, 2019
NHS Engla…
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psnet.ahrq.gov/issue/healthgrades-quality-study-second-annual-patient-safety-american-hospitals-study
October 25, 2013 - Book/Report
HealthGrades Quality Study: Second Annual Patient Safety in American Hospitals Study.
Citation Text:
HealthGrades Quality Study: Second Annual Patient Safety in American Hospitals Study. Health Grades, Inc; 2005.
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psnet.ahrq.gov/issue/quick-safety
May 30, 2012 - Newsletter/Journal
Quick Safety.
Citation Text:
Quick Safety. Oakbrook Terrace, IL: The Joint Commission.
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psnet.ahrq.gov/issue/fatal-drug-mix-exposes-hospital-flaws
March 02, 2016 - Newspaper/Magazine Article
Fatal drug mix-up exposes hospital flaws.
Citation Text:
Fatal drug mix-up exposes hospital flaws. Davies T.
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psnet.ahrq.gov/issue/implementing-program-patient-safety-small-rural-hospitals
December 24, 2008 - Book/Report
Implementing a Program of Patient Safety in Small Rural Hospitals.
Citation Text:
Implementing a Program of Patient Safety in Small Rural Hospitals. Rockville, MD: Agency for Healthcare Research and Quality; October 2004.
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psnet.ahrq.gov/issue/surgery-safer-teaching-hospital
September 28, 2016 - Newspaper/Magazine Article
Is surgery safer at a teaching hospital?
Citation Text:
Is surgery safer at a teaching hospital? Webster H. US News & World Report. October 27, 2014.
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psnet.ahrq.gov/issue/ongoing-preventable-fatal-events-fentanyl-transdermal-patches-are-alarming
May 07, 2018 - Newspaper/Magazine Article
Ongoing, preventable fatal events with fentanyl transdermal patches are alarming!
Citation Text:
Ongoing, preventable fatal events with fentanyl transdermal patches are alarming! ISMP Medication Safety Alert! Acute Care Edition. June 28, 2007;12:1-3.
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psnet.ahrq.gov/issue/adc-survey-shows-some-improvements-unnecessary-risks-still-exist
January 23, 2019 - Newspaper/Magazine Article
ADC survey shows some improvements, but unnecessary risks still exist.
Citation Text:
ADC survey shows some improvements, but unnecessary risks still exist. ISMP Medication Safety Alert! Acute care edition. January 17, 2008.
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psnet.ahrq.gov/issue/hidden-mistakes-hospitals
December 02, 2009 - Newspaper/Magazine Article
Hidden mistakes in hospitals.
Citation Text:
Hidden mistakes in hospitals. Kauffman M, Altimari D. The Hartford Courant. November 15, 2009;Final:A1.
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psnet.ahrq.gov/issue/habits-improver-thinking-about-learning-improvement-health-care
November 25, 2015 - Book/Report
The Habits of an Improver. Thinking About Learning for Improvement in Health Care.
Citation Text:
The Habits of an Improver. Thinking About Learning for Improvement in Health Care. Lucas B, Nacer H. London, UK: Health Foundation; October 2015. ISBN: 9781906461676.
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psnet.ahrq.gov/issue/classifying-laboratory-incident-reports-identify-problems-jeopardize-patient-safety
May 13, 2020 - Study
Classifying laboratory incident reports to identify problems that jeopardize patient safety.
Citation Text:
Classifying laboratory incident reports to identify problems that jeopardize patient safety. Astion ML; Shojania KG; Hamill TR; Kim S; Ng VL.
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psnet.ahrq.gov/issue/sway-unravelling-unconscious-bias
August 02, 2016 - Book/Report
Sway: Unravelling Unconscious Bias
Citation Text:
Sway: Unravelling Unconscious Bias Agarwal P. London, UK: Bloomsbury Sigma; 2020. ISBN 9781472971357.
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psnet.ahrq.gov/issue/misprogramming-pca-concentration-leads-dosing-errors
May 02, 2018 - Newspaper/Magazine Article
Misprogramming PCA concentration leads to dosing errors.
Citation Text:
Misprogramming PCA concentration leads to dosing errors. ISMP Medication Safety Alert! Acute Care Edition. August 28, 2008;13:1-3.
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psnet.ahrq.gov/issue/jcaho-proposal-patient-centered-care-brings-concept-mainstream-healthcare-settings
September 03, 2008 - Commentary
JCAHO proposal for patient-centered care brings concept to mainstream healthcare settings.
Citation Text:
JCAHO proposal for patient-centered care brings concept to mainstream healthcare settings. ECRI. Risk Management Reporter. June 2005.
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psnet.ahrq.gov/node/837637/psn-pdf
July 06, 2022 - Variation in the reporting of elective surgeries and its
influence on patient safety indicators.
July 6, 2022
Locey KJ, Webb TA, Stein BD, et al. Variation in the reporting of elective surgeries and its influence on
patient safety indicators. Jt Comm J Qual Patient Saf. 2022;48(8):403-410. doi:10.1016/j.jcjq.2022.0…
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psnet.ahrq.gov/node/73678/psn-pdf
September 08, 2021 - A report of information technology and health
deficiencies in U.S. nursing homes.
September 8, 2021
Alexander GL, Madsen RW. A report of information technology and health deficiencies in U.S. nursing
homes. J Patient Saf. 2021;17(6):e483-e489. doi:10.1097/pts.0000000000000390.
https://psnet.ahrq.gov/issue/report-i…
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psnet.ahrq.gov/node/45560/psn-pdf
October 19, 2016 - Learning from excellence in healthcare: a new approach
to incident reporting.
October 19, 2016
Kelly N, Blake S, Plunkett A. Learning from excellence in healthcare: a new approach to incident reporting.
Arch Dis Child. 2016;101(9):788-791. doi:10.1136/archdischild-2015-310021.
https://psnet.ahrq.gov/issue/learning…
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psnet.ahrq.gov/node/72711/psn-pdf
February 03, 2021 - Never Events Analysis of HSIB's National Investigations
Report.
February 3, 2021
Farnborough, UK: Healthcare Safety Investigation Branch; January 2021.
https://psnet.ahrq.gov/issue/never-events-analysis-hsibs-national-investigations-report
Never events provide organizations with motivation to analyze …
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psnet.ahrq.gov/node/42468/psn-pdf
August 07, 2013 - A comprehensive quality assurance program for
personnel and procedures in radiation oncology: value of
voluntary error reporting and checklists.
August 7, 2013
Kalapurakal JA, Zafirovski A, Smith J, et al. A comprehensive quality assurance program for personnel and
procedures in radiation oncology: value of volunt…