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psnet.ahrq.gov/issue/us-hospitals-drug-mix-just-few-keystrokes-away
March 30, 2022 - Newspaper/Magazine Article
At US hospitals, a drug mix-up is just a few keystrokes away.
Citation Text:
At US hospitals, a drug mix-up is just a few keystrokes away. Kelman B. Kaiser Health News. April 29, 2022.
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psnet.ahrq.gov/issue/nutrition-support-safety
July 10, 2024 - Special or Theme Issue
Nutrition Support Safety.
Citation Text:
Nutrition Support Safety. Nutr Clin Pract. 2023;38(6):1181-1415.
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psnet.ahrq.gov/issue/insurers-medical-loss-ratios-and-quality-improvement-spending-2011
March 05, 2010 - Book/Report
Insurers' Medical Loss Ratios and Quality Improvement Spending in 2011.
Citation Text:
Insurers' Medical Loss Ratios and Quality Improvement Spending in 2011. Hall M, McCue MJ. New York, NY: The Commonwealth Fund; March 22, 2013.
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psnet.ahrq.gov/issue/organisation-economic-co-operation-and-development-health-glance-2019
June 05, 2019 - Book/Report
Organisation for Economic Co-operation and Development: Health at a Glance 2019.
Citation Text:
Organisation for Economic Co-operation and Development: Health at a Glance 2019. Paris, France: OECD Publishing: 2019.
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psnet.ahrq.gov/issue/nhs-patient-safety-strategy
April 15, 2020 - Organizational Policy/Guidelines
The NHS Patient Safety Strategy.
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The NHS Patient Safety Strategy. NHS England
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psnet.ahrq.gov/issue/your-hospital-really-safe-you-think-our-updated-hospital-safety-score-can-help-you-find-out
November 23, 2016 - Newspaper/Magazine Article
Is your hospital really as safe as you think? Our updated hospital safety score can help you find out.
Citation Text:
Is your hospital really as safe as you think? Our updated hospital safety score can help you find out. Consumer Reports. March 27, 2014.
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psnet.ahrq.gov/issue/healthcare-professionals-views-feedback-patient-safety-culture-assessment
October 25, 2023 - Study
Healthcare professionals' views on feedback of a patient safety culture assessment.
Citation Text:
Zwijnenberg NC, Hendriks M, Hoogervorst-Schilp J, et al. Healthcare professionals' views on feedback of a patient safety culture assessment. BMC Health Serv Res. 2016;16:199. doi:10.1…
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psnet.ahrq.gov/issue/deficiencies-inpatient-mental-health-care-coordination-and-processes-prior-patients-death
May 26, 2021 - Book/Report
Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death by Suicide, Harry S. Truman Memorial Veterans' Hospital in Columbia, Missouri.
Citation Text:
Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a…
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psnet.ahrq.gov/issue/good-bad-and-ugly-what-do-we-really-do-when-we-identify-best-and-worst-organisations
August 20, 2018 - Commentary
The good, the bad and the ugly: what do we really do when we identify the best and the worst organisations?.
Citation Text:
Abel GA, Agniel D, Elliott MN. The good, the bad and the ugly: what do we really do when we identify the best and the worst organisations? BMJ Qual Saf. …
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psnet.ahrq.gov/issue/serious-experience-events-applying-patient-safety-concepts-improve-patient-experience
August 04, 2021 - Commentary
Serious experience events: applying patient safety concepts to improve patient experience.
Citation Text:
Donnelly LF, Uhlhorn E, Bargmann-Losche J, et al. Serious experience events: applying patient safety concepts to improve patient experience. J Patient Exp. 2022;9:23743735…
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psnet.ahrq.gov/issue/improving-resident-morning-sign-out-use-daily-events-reports
March 04, 2020 - Study
Improving resident morning sign-out by use of daily events reports.
Citation Text:
Nabors C, Patel D, Khera S, et al. Improving resident morning sign-out by use of daily events reports. J Patient Saf. 2015;11(1):36-41. doi:10.1097/PTS.0b013e31829e4f56.
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psnet.ahrq.gov/issue/improving-patient-safety-automated-laboratory-based-adverse-event-grading
October 19, 2022 - Study
Improving patient safety via automated laboratory-based adverse event grading.
Citation Text:
Niland JC, Stiller T, Neat J, et al. Improving patient safety via automated laboratory-based adverse event grading. J Am Med Inform Assoc. 2012;19(1):111-5. doi:10.1136/amiajnl-2011-0005…
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psnet.ahrq.gov/issue/quality-assessment-spontaneous-triggered-adverse-event-reports-received-food-and-drug
August 07, 2024 - Study
Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administration.
Citation Text:
Brajovic S, Piazza-Hepp T, Swartz L, et al. Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administratio…
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psnet.ahrq.gov/issue/medication-errors-pediatric-anesthesia-report-wake-safe-quality-improvement-initiative
October 14, 2020 - Study
Medication errors in pediatric anesthesia: a report from the Wake Up Safe quality improvement initiative.
Citation Text:
M Y Lobaugh L, Martin LD, Schleelein LE, et al. Medication errors in pediatric anesthesia: a report from the Wake Up Safe quality improvement initiative. Anesth …
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psnet.ahrq.gov/issue/classifying-safety-events-related-diagnostic-imaging-safety-reporting-system-using-human
November 02, 2018 - Study
Classifying safety events related to diagnostic imaging from a safety reporting system using a human factors framework.
Citation Text:
Lacson R, Cochon L, Ip I, et al. Classifying Safety Events Related to Diagnostic Imaging From a Safety Reporting System Using a Human Factors Frame…
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psnet.ahrq.gov/issue/electronic-health-record-modernization-caused-pharmacy-related-patient-safety-issues
January 31, 2024 - Book/Report
Electronic Health Record Modernization Caused Pharmacy-Related Patient Safety Issues Nationally and at the VA Central Ohio Healthcare System in Columbus.
Citation Text:
Electronic Health Record Modernization Caused Pharmacy-Related Patient Safety Issues Nationally and at the …
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psnet.ahrq.gov/issue/deficiencies-emergent-and-outpatient-care-patient-alcohol-use-disorder-richard-l-roudebush-va
July 13, 2022 - Book/Report
Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Roudebush VA Medical Center in Indianapolis, Indiana.
Citation Text:
Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Rou…
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psnet.ahrq.gov/issue/implementation-online-reporting-system-identify-unprofessional-behaviors-and-mistreatment
July 13, 2022 - Study
Implementation of an online reporting system to identify unprofessional behaviors and mistreatment directed at trainees at an academic medical center.
Citation Text:
Leitman IM, Muller D, Miller S, et al. Implementation of an online reporting system to identify unprofessional behav…
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psnet.ahrq.gov/issue/shining-light-safer-health-care-through-transparency
November 23, 2016 - Book/Report
Shining a Light: Safer Health Care Through Transparency.
Citation Text:
Shining a Light: Safer Health Care Through Transparency. Boston, MA: National Patient Safety Foundation Lucian Leape Institute; January 2015.
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psnet.ahrq.gov/issue/learning-experience-qualitative-study-surgeons-perspectives-reporting-and-dealing-serious
June 12, 2024 - Study
Learning from experience: a qualitative study of surgeons' perspectives on reporting and dealing with serious adverse events.
Citation Text:
Øyri SF, Søreide K, Søreide E, et al. Learning from experience: a qualitative study of surgeons’ perspectives on reporting and dealing with s…