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psnet.ahrq.gov/issue/scathing-report-kaiser-kidney-program-transplant-delays-assailed-medicare-threatens-end
March 29, 2023 - Newspaper/Magazine Article
Scathing report on Kaiser kidney program. Transplant delays assailed -- Medicare threatens to end coverage.
Citation Text:
Scathing report on Kaiser kidney program. Transplant delays assailed -- Medicare threatens to end coverage. Russell S.
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psnet.ahrq.gov/issue/complaints-about-acute-trusts-2016-2017
April 17, 2024 - Book/Report
Complaints to the Parliamentary and Health Service Ombudsman.
Citation Text:
Complaints to the Parliamentary and Health Service Ombudsman. Manchester, UK: Parliamentary and Health Service Ombudsman.
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psnet.ahrq.gov/issue/mistakes-even-good-doctors-make
October 12, 2022 - Newspaper/Magazine Article
Mistakes even good doctors make.
Citation Text:
Mistakes even good doctors make. Consumer Reports on Health. November 2013;25:6-7.
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psnet.ahrq.gov/issue/insulin-pens-devices
August 31, 2016 - Special or Theme Issue
Insulin Pens Devices.
Citation Text:
Insulin Pens Devices. Am J Health Syst Pharm. 2016;73(19 suppl 5);s1-s47.
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psnet.ahrq.gov/issue/use-tall-man-letters-gaining-wide-acceptance
May 02, 2018 - Newspaper/Magazine Article
Use of tall man letters is gaining wide acceptance.
Citation Text:
Use of tall man letters is gaining wide acceptance. ISMP Medication Safety Alert! Acute Care Edition. July 31, 2008;13:1-3.
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psnet.ahrq.gov/node/837152/psn-pdf
May 18, 2022 - AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI: Final Report.
May 18, 2022
Molefe A, Hung L, Hayes K, et al. Rockville MD: Agency for healthcare Research and Quality; 2022. AHRQ
Publication No. 17(22)-0019.
https://psnet.ahrq.gov/issue/ahrq-safety-program-intensive-care-units-preventing-…
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psnet.ahrq.gov/node/41414/psn-pdf
June 06, 2012 - Factors associated with reported preventable adverse
drug events: a retrospective, case-control study.
June 6, 2012
Beckett RD, Sheehan AH, Reddan JG. Factors associated with reported preventable adverse drug events:
a retrospective, case-control study. Ann Pharmacother. 2012;46(5):634-41. doi:10.1345/aph.1Q785.
h…
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psnet.ahrq.gov/node/43108/psn-pdf
September 28, 2023 - Maryland Hospital Patient Safety Program Annual Report.
September 28, 2023
Office of Health Care Quality. Baltimore, MD: Maryland Department of Health and Mental Hygiene.
https://psnet.ahrq.gov/issue/maryland-hospital-patient-safety-program-annual-report
This annual report summarizes never events in Maryland hospit…
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psnet.ahrq.gov/node/60947/psn-pdf
September 23, 2020 - FDA Advise-ERR: reported medication errors with Veklury
(remdesivir) emergency use authorization.
September 23, 2020
ISMP Medication Safety Alert! Acute care edition. September 10, 2020;25(18)
https://psnet.ahrq.gov/issue/fda-advise-err-reported-medication-errors-veklury-remdesivir-emergency-use-
authorizatio…
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psnet.ahrq.gov/node/45499/psn-pdf
May 03, 2017 - Patient safety and interprofessional education: a report of
key issues from two interprofessional workshops.
May 3, 2017
Anderson ES, Gray R, Price K. Patient safety and interprofessional education: A report of key issues from
two interprofessional workshops. J Interprof Care. 2017;31(2):154-163.
doi:10.1080/13561…
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psnet.ahrq.gov/node/43162/psn-pdf
June 16, 2014 - The use of report cards and outcome measurements to
improve the safety of surgical care: the American College
of Surgeons National Surgical Quality Improvement
Program.
June 16, 2014
Maggard-Gibbons M. The use of report cards and outcome measurements to improve the safety of surgical
care: the American College of…
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psnet.ahrq.gov/node/34813/psn-pdf
July 10, 2008 - Hospital admissions due to adverse drug reactions: a
report from the Boston Collaborative Drug Surveillance
Program.
July 10, 2008
Miller RR. Hospital admissions due to adverse drug reactions. A report from the Boston Collaborative Drug
Surveillance Program. Arch Intern Med. 1974;134(2):219-23.
https://psnet.ahrq…
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psnet.ahrq.gov/node/43962/psn-pdf
December 04, 2015 - Undergraduate baccalaureate nursing students' self-
reported confidence in learning about patient safety in the
classroom and clinical settings: an annual cross-
sectional study (2010–2013).
December 4, 2015
Lukewich J, Edge DS, Tranmer J, et al. Undergraduate baccalaureate nursing students' self-reported
confide…
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psnet.ahrq.gov/perspective/conversation-richard-kronick-phd
February 01, 2014 - surveyed perfusionists, who described accessing e-mail (21%) or the internet (15.1%), despite 78.3% reporting
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psnet.ahrq.gov/node/46027/psn-pdf
July 02, 2019 - Dissecting Leapfrog: how well do Leapfrog Safe Practices
Scores correlate with Hospital Compare ratings and
penalties, and how much do they matter?
July 2, 2019
Smith SN, Reichert HA, Ameling JM, et al. Dissecting Leapfrog: How Well Do Leapfrog Safe Practices
Scores Correlate With Hospital Compare Ratings and Pena…
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psnet.ahrq.gov/node/49780/psn-pdf
January 01, 2017 - The Missing Abscess: Radiology Reads in the Digital Era
January 1, 2017
Siegel EL. The Missing Abscess: Radiology Reads in the Digital Era. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
Case Objectives
Identify the most common complication of hysterectomy.
Descr…
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psnet.ahrq.gov/node/837596/psn-pdf
June 29, 2022 - Association of patient and family reports of hospital
safety climate with language proficiency in the US.
June 29, 2022
Khan A, Parente V, Baird JD, et al. Association of patient and family reports of hospital safety climate with
language proficiency in the US. JAMA Pediatr. 2022;176(8):776-786.
doi:10.1001/jamape…
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psnet.ahrq.gov/node/43767/psn-pdf
February 04, 2015 - Self-reported patient safety competence among Canadian
medical students and postgraduate trainees: a cross-
sectional survey.
February 4, 2015
Doyle P, VanDenKerkhof E, Edge DS, et al. Self-reported patient safety competence among Canadian
medical students and postgraduate trainees: a cross-sectional survey. BMJ Q…
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psnet.ahrq.gov/node/45743/psn-pdf
June 21, 2017 - Strategies for improving the value of the radiology report:
a retrospective analysis of errors in formally over-read
studies.
June 21, 2017
Kabadi SJ, Krishnaraj A. Strategies for improving the value of the radiology report: a retrospective analysis
of errors in formally over-read studies. J Am Coll Radiol. 2017;1…
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psnet.ahrq.gov/node/851058/psn-pdf
June 28, 2023 - The AHRQ Report on Diagnostic Errors in the Emergency
Department: the wrong answer to the wrong question.
June 28, 2023
Kelen GD, Kaji AH, Schreyer KE, et al. The AHRQ Report on Diagnostic Errors in the Emergency
Department: the wrong answer to the wrong question. Ann Emerg Med. 2023;82(3):336-340.
doi:10.1016/j.a…