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psnet.ahrq.gov/issue/lives-lost-lives-saved-updated-comparative-analysis-avoidable-deaths-hospitals-graded
July 09, 2019 - Book/Report
Lives Lost, Lives Saved: An Updated Comparative Analysis of Avoidable Deaths at Hospitals Graded by The Leapfrog Group.
Citation Text:
Lives Lost, Lives Saved: An Updated Comparative Analysis of Avoidable Deaths at Hospitals Graded by The Leapfrog Group. Austin M, Derk J. Bal…
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psnet.ahrq.gov/issue/pharmacist-and-prescriber-responsibilities-avoiding-prescription-drug-misuse
October 13, 2018 - Commentary
Pharmacist and prescriber responsibilities for avoiding prescription drug misuse.
Citation Text:
Pharmacist and prescriber responsibilities for avoiding prescription drug misuse. AMA J Ethics. 2021;23(6):E471-479. doi:10.1001/amajethics.2021.471.
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psnet.ahrq.gov/issue/barriers-and-facilitators-communicating-nursing-errors-long-term-care-settings
March 27, 2018 - Study
Barriers and facilitators to communicating nursing errors in long-term care settings.
Citation Text:
Wagner LM, Damianakis T, Pho L, et al. Barriers and facilitators to communicating nursing errors in long-term care settings. J Patient Saf. 2013;9(1):1-7. doi:10.1097/PTS.0b013e31…
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psnet.ahrq.gov/issue/ihi-skilled-nursing-facility-trigger-tool-measuring-adverse-events
February 15, 2017 - Book/Report
IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events.
Citation Text:
IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. Adler L, Moore J, Federico F. Cambridge, MA: Institute for Healthcare Improvement; November 2015.
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psnet.ahrq.gov/issue/new-legal-protections-reporting-patient-errors-under-patient-safety-and-quality-improvement
November 16, 2022 - Review
New legal protections for reporting patient errors under the Patient Safety and Quality Improvement Act: a review of the medical literature and analysis.
Citation Text:
Howard J, Levy F, Mareiniss DP, et al. New legal protections for reporting patient errors under the Patient Sa…
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psnet.ahrq.gov/issue/findings-ismp-medication-safety-self-assessment-hospitals
September 26, 2017 - Study
Findings from the ISMP Medication Safety Self-Assessment for hospitals.
Citation Text:
Smetzer JL, Vaida AJ, Cohen MR, et al. Findings from the ISMP Medication Safety Self-Assessment for hospitals. Jt Comm J Qual Patient Saf. 2003;29(11):586-597.
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psnet.ahrq.gov/issue/jcaho-patient-safety-event-taxonomy-standardized-terminology-and-classification-schema-near
June 04, 2014 - Commentary
Classic
The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events.
Citation Text:
Chang A, Schyve PM, Croteau RJ, et al. The JCAHO patient safety event taxonomy: a standardized t…
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psnet.ahrq.gov/issue/use-beers-criteria-predict-adverse-drug-reactions-among-first-visit-elderly-outpatients
October 27, 2016 - Study
Use of the Beers criteria to predict adverse drug reactions among first-visit elderly outpatients.
Citation Text:
Chang C-M, Liu P-YY, Yang Y-HK, et al. Use of the Beers criteria to predict adverse drug reactions among first-visit elderly outpatients. Pharmacotherapy. 2005;25(6):…
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psnet.ahrq.gov/issue/talking-pill-bottle-aims-curb-medical-errors
March 03, 2021 - Audiovisual
Talking pill bottle aims to curb medical errors.
Citation Text:
Cohen B.
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August 17, 2005
Cohen B.
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psnet.ahrq.gov/issue/patient-safety-measures-complications
March 23, 2012 - Multi-use Website
Patient Safety Measures: Complications.
Citation Text:
Patient Safety Measures: Complications. Washington, DC: National Quality Forum; December 2012.
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psnet.ahrq.gov/issue/practice-advisory-anesthetic-care-magnetic-resonance-imaging-report-american-society
August 09, 2023 - Commentary
Practice advisory on anesthetic care for magnetic resonance imaging: a report by the American Society of Anesthesiologists Task Force on Anesthetic Care for Magnetic Resonance Imaging.
Citation Text:
Practice advisory on anesthetic care for magnetic resonance imaging: an updat…
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psnet.ahrq.gov/issue/tennessee-center-patient-safety
May 03, 2023 - Multi-use Website
Tennessee Center for Patient Safety.
Citation Text:
Tennessee Center for Patient Safety. Tennessee Center for Patient Safety.
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psnet.ahrq.gov/issue/national-patient-safety-agency-npsa
October 26, 2007 - Multi-use Website
National Patient Safety Agency (NPSA).
Citation Text:
National Patient Safety Agency (NPSA). National Patient Safety Agency.
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psnet.ahrq.gov/issue/patient-safety-collaboration
April 15, 2005 - Multi-use Website
Patient Safety Collaboration.
Citation Text:
Patient Safety Collaboration. National Quality Forum; NQF.
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psnet.ahrq.gov/issue/advancing-health-care-safety-all
July 19, 2024 - Fact Sheet/FAQs
Advancing Health Care Safety for All.
Citation Text:
Advancing Health Care Safety for All. Centers for Medicare and Medicaid Services. 2024.
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psnet.ahrq.gov/issue/2005-safety-alert-zyprexa-olanzapine
February 13, 2008 - Press Release/Announcement
2005 Safety Alert: ZyPREXA (olanzapine).
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March 27, 2005
A "Dear Healthcare Professional" announcement reporting on confusion betwee…
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psnet.ahrq.gov/issue/plan-would-compile-analyze-medical-errors
December 07, 2005 - Newspaper/Magazine Article
Plan would compile, analyze medical errors.
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August 3, 2005
This article presents the newly passed Patient Safety and Qu…
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psnet.ahrq.gov/node/50839/psn-pdf
January 29, 2020 - Mid Staffs scandal: 10 years on, inquiry chair worries NHS
staff too scared to speak up.
January 29, 2020
Lintern S. The Independent. January 15, 2020.
https://psnet.ahrq.gov/issue/mid-staffs-scandal-10-years-inquiry-chair-worries-nhs-staff-too-scared-speak
The Francis report is a primary example of a large-scale …
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psnet.ahrq.gov/node/43811/psn-pdf
July 18, 2018 - 2014 Annual Benchmarking Report: Malpractice Risks in
the Diagnostic Process.
July 18, 2018
Hoffman J, ed. Cambridge, MA: CRICO Strategies; 2014.
https://psnet.ahrq.gov/issue/2014-annual-benchmarking-report-malpractice-risks-diagnostic-process
This analysis of more than 4700 diagnosis-related malpractice claims fo…
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psnet.ahrq.gov/node/47344/psn-pdf
September 11, 2018 - Quality and Safety Between Ward and Board: a Biography
of Artefacts Study.
September 11, 2018
Keen J, Nicklin E, Long A, et al. Health Services and Delivery Research. Southampton, UK: NIHR Journals
Library; 2018.
https://psnet.ahrq.gov/issue/quality-and-safety-between-ward-and-board-biography-artefacts-study
The …