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psnet.ahrq.gov/issue/what-can-hospitalized-patients-tell-us-about-adverse-events-learning-patient-reported
June 29, 2011 - Study
Classic
What can hospitalized patients tell us about adverse events? Learning from patient-reported incidents.
Citation Text:
Weingart SN, Pagovich O, Sands DZ, et al. What can hospitalized patients tell us about adverse events? Learning from patient-rep…
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psnet.ahrq.gov/issue/development-and-performance-evaluation-medicines-optimisation-assessment-tool-moat-prognostic
March 18, 2020 - Study
Development and performance evaluation of the Medicines Optimisation Assessment Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related problems.
Citation Text:
Geeson C, Wei L, Franklin BD. Development and performance evaluation of the M…
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psnet.ahrq.gov/issue/multiple-failures-test-results-follow-patient-diagnosed-prostate-cancer-hampton-va-medical
July 26, 2023 - Book/Report
Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center in Virginia.
Citation Text:
Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center in V…
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psnet.ahrq.gov/issue/new-electronic-health-records-unknown-queue-caused-multiple-events-patient-harm
October 12, 2022 - Book/Report
The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm.
Citation Text:
The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. Washington, DC: VA Office of the Inspector General; July 14 2022. Report No. 22-011…
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psnet.ahrq.gov/issue/medication-safety-events-after-acute-myocardial-infarction-among-veterans-treated-va-versus
April 07, 2022 - Study
Medication safety events after acute myocardial infarction among veterans treated at VA versus non-VA hospitals.
Citation Text:
Weeda ER, Ward R, Gebregziabher M, et al. Medication safety events after acute myocardial infarction among veterans treated at VA versus non-VA hospitals.…
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psnet.ahrq.gov/issue/err-human-building-safer-health-system
July 08, 2016 - Book/Report
Classic
To Err Is Human: Building a Safer Health System.
Citation Text:
To Err Is Human: Building a Safer Health System. Kohn KT, Corrigan JM, Donaldson MS, eds. Washington, DC: Committee on Quality Health Care in America, Institute of Medicine: Nati…
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psnet.ahrq.gov/issue/commission-inquiry-hormone-receptor-testing
May 26, 2021 - Book/Report
Commission of Inquiry on Hormone Receptor Testing.
Citation Text:
Commission of Inquiry on Hormone Receptor Testing. Cameron M. St. John's, NL: Government of Newfoundland and Labrador; 2009. ISBN: 978551463537.
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psnet.ahrq.gov/issue/radiation-therapy-safety-critical-role-radiation-therapist
June 20, 2014 - Book/Report
Radiation Therapy Safety: The Critical Role of the Radiation Therapist.
Citation Text:
Radiation Therapy Safety: The Critical Role of the Radiation Therapist. Odle TG, Rosier N. Albuquerque, NM: American Society of Radiologic Technologists Education and Research Foundatio…
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psnet.ahrq.gov/issue/overview-environmental-scan-primary-care-based-effort-reduce-readmissions
November 01, 2016 - Book/Report
Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions.
Citation Text:
Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. Hochman M, Bourgoin A, Saluja S, et al. Rockville, MD: Agency for Healthcare Research…
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psnet.ahrq.gov/issue/evaluation-patient-safety-improvement-corps-experiences-first-two-groups-trainees
May 21, 2014 - Book/Report
Evaluation of the Patient Safety Improvement Corps: Experiences of the First Two Groups of Trainees.
Citation Text:
Evaluation of the Patient Safety Improvement Corps: Experiences of the First Two Groups of Trainees. Teleki S, Santa Monica, CA: RAND Corporation; 2006. ISBN: 9…
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psnet.ahrq.gov/issue/three-new-best-practices-2022-2023-targeted-medication-safety-best-practices-hospitals
March 15, 2022 - Newspaper/Magazine Article
Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals.
Citation Text:
Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. ISMP Medication Safety Alert! Acute care edition…
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psnet.ahrq.gov/issue/strategies-improve-patient-safety-final-report-congress-required-patient-safety-and-quality
June 21, 2016 - Book/Report
Strategies to Improve Patient Safety: Final Report to Congress Required by the Patient Safety and Quality Improvement Act of 2005.
Citation Text:
Strategies to Improve Patient Safety: Final Report to Congress Required by the Patient Safety and Quality Improvement Act of 2005.…
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psnet.ahrq.gov/issue/assessing-evidence-context-sensitive-effectiveness-and-safety-patient-safety-practices
July 27, 2018 - Book/Report
Assessing the Evidence for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria.
Citation Text:
Assessing the Evidence for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. Shekelle PG, Pron…
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psnet.ahrq.gov/issue/effectiveness-computerized-system-intravenous-heparin-administration-using-information
February 27, 2009 - Study
Effectiveness of a computerized system for intravenous heparin administration: using information technology to improve patient care and patient safety.
Citation Text:
Oyen LJ, Nishimura RA, Ou NN, et al. Effectiveness of a computerized system for intravenous heparin administration…
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psnet.ahrq.gov/node/846458/psn-pdf
March 22, 2024 - National Healthcare Quality and Disparities Report
Chartbook on Patient Safety.
March 22, 2024
Rockville, MD: Agency for Healthcare Research and Quality; March 2024. AHRQ Pub. No. 23-0046.
https://psnet.ahrq.gov/issue/national-healthcare-quality-and-disparities-report-chartbook-patient-safety-0
The Network of Pati…
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psnet.ahrq.gov/node/35690/psn-pdf
July 12, 2010 - Pharmacy clarification of prescriptions ordered in primary
care: a report from the Applied Strategies for Improving
Patient Safety (ASIPS) collaborative.
July 12, 2010
Hansen LB, Fernald D, Araya-Guerra R, et al. Pharmacy clarification of prescriptions ordered in primary
care: a report from the Applied Strategies …
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psnet.ahrq.gov/node/45196/psn-pdf
June 01, 2016 - Transforming Health Care: A Compendium of Reports
From the National Patient Safety Foundation's Lucian
Leape Institute.
June 1, 2016
Boston, MA: National Patient Safety Foundation; 2016.
https://psnet.ahrq.gov/issue/transforming-health-care-compendium-reports-national-patient-safety-
foundations-lucian-leape
Sin…
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psnet.ahrq.gov/node/35598/psn-pdf
July 10, 2008 - Residents report on adverse events and their causes.
July 10, 2008
Jagsi R, Kitch BT, Weinstein DF, et al. Residents report on adverse events and their causes. Arch Intern
Med. 2005;165(22):2607-13.
https://psnet.ahrq.gov/issue/residents-report-adverse-events-and-their-causes
This survey demonstrated that more tha…
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psnet.ahrq.gov/node/37422/psn-pdf
March 23, 2011 - Educational quality improvement report: outcomes from a
revised morbidity and mortality format that emphasised
patient safety.
March 23, 2011
Bechtold ML, Scott SD, Nelson K, et al. Educational quality improvement report: outcomes from a revised
morbidity and mortality format that emphasised patient safety. Qual S…
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psnet.ahrq.gov/node/853251/psn-pdf
July 19, 2024 - Annual Speak Up Data Reports.
July 19, 2024
Stratford, London; The National Guardian.
https://psnet.ahrq.gov/issue/annual-speak-data-reports
Organizational efforts to collect and respond to the concerns of staff and patients are a cornerstone to
patient safety improvement despite challenges to implement them. This…