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psnet.ahrq.gov/issue/safety-first
June 09, 2011 - Newspaper/Magazine Article
Safety first.
Citation Text:
Feinmann J. Safety first. BMJ. 2009;338:b420. doi:10.1136/bmj.b420.
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psnet.ahrq.gov/issue/you-can-say-sorry
February 25, 2009 - Commentary
You can say sorry.
Citation Text:
Feinmann J. You can say sorry. BMJ. 2009;339:b3057. doi:10.1136/bmj.40018.430972.4D.
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psnet.ahrq.gov/node/33733/psn-pdf
July 01, 2012 - Patient Safety and Health Information Technology:
Learning from Our Mistakes
July 1, 2012
Koppel R. Patient Safety and Health Information Technology: Learning from Our Mistakes. PSNet
[internet]. 2012.
https://psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes
Perspe…
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psnet.ahrq.gov/issue/teaching-quality-improvement
July 19, 2023 - Commentary
Teaching quality improvement.
Citation Text:
Murray ME, Douglas S, Girdley D, et al. Teaching quality improvement. J Nurs Educ. 2010;49(8):466-9. doi:10.3928/01484834-20100430-09.
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psnet.ahrq.gov/issue/silence-unblown-whistle-nevada-hepatitis-c-public-health-crisis
July 19, 2023 - Commentary
The silence of the unblown whistle: the Nevada hepatitis C public health crisis.
Citation Text:
Leary E, Diers D. The silence of the unblown whistle: the Nevada hepatitis C public health crisis. Yale J Biol Med. 2013;86(1):79-87.
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psnet.ahrq.gov/node/33720/psn-pdf
November 01, 2011 - Now, it's a little different; but back then there was a lot more resistance, a lot more pushback, a lot … Some of the resistance stems from the
nature of the training and the education physicians are receiving
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psnet.ahrq.gov/node/49737/psn-pdf
June 01, 2015 - The RN attempted to irrigate the catheter but met resistance. … trauma and increasing bladder distension; and the nurse was unable to irrigate the
catheter and met resistance
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psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md
January 01, 2008 - MRSA [methicillin-resistant Staphylococcus aureus ], C-Diff [ Clostridium difficile ], and vancomycin resistance … In time, it will also have the antibiotic resistance patterns on them so that we could actually look … At Tenet, the resistance was often from people who hadn't kept up as much with the latest.
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psnet.ahrq.gov/issue/exploratory-analysis-association-between-healthcare-associated-infections-hospital-financial
June 12, 2024 - Study
An exploratory analysis of the association between healthcare associated infections & hospital financial performance.
Citation Text:
Beauvais B, Dolezel D, Shanmugam R, et al. An exploratory analysis of the association between healthcare associated infections & hospital financial p…
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psnet.ahrq.gov/issue/public-comment-period-extended-strategies-improve-patient-safety-draft-report-congress-public
June 16, 2021 - Press Release/Announcement
Public comment period extended for strategies to improve patient safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine.
Citation Text:
Public comment period extended for strategies to improve patient safety: Draft Re…
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psnet.ahrq.gov/issue/agency-information-collection-activities-ambulatory-surgery-center-survey-patient-safety
June 16, 2021 - Press Release/Announcement
Agency information collection activities: Ambulatory Surgery Center Survey on Patient Safety Culture Database; comment request.
Citation Text:
Agency information collection activities: Ambulatory Surgery Center Survey on Patient Safety Culture Database; comment…
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psnet.ahrq.gov/issue/request-information-creating-national-healthcare-system-action-alliance-advance-patient
June 22, 2022 - Press Release/Announcement
Request for Information: Creating a National Healthcare System Action Alliance to Advance Patient Safety.
Citation Text:
Request for Information: Creating a National Healthcare System Action Alliance to Advance Patient Safety. Agency for Healthcare Research and…
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psnet.ahrq.gov/issue/state-sepsis-mandates-new-era-regulation-hospital-quality
October 02, 2019 - Commentary
State sepsis mandates—a new era for regulation of hospital quality.
Citation Text:
Hershey TB, Kahn JM. State Sepsis Mandates - A New Era for Regulation of Hospital Quality. N Engl J Med. 2017;376(24):2311-2313. doi:10.1056/NEJMp1611928.
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psnet.ahrq.gov/issue/patient-safety-dialogue-evaluation-intervention-aimed-achieving-improved-patient-safety
December 09, 2020 - Study
Patient Safety Dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture.
Citation Text:
Öhrn A, Rutberg H, Nilsen P. Patient safety dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture. J Patient Saf. …
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psnet.ahrq.gov/issue/agency-information-collection-activities-proposed-collection-comment-request-hospital-survey
December 21, 2022 - Press Release/Announcement
Agency Information Collection Activities: Proposed Collection; Comment Request, "Hospital Survey on Patient Safety Culture Comparative Database.''
Citation Text:
Agency Information Collection Activities: Proposed Collection; Comment Request, "Hospital Survey on…
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psnet.ahrq.gov/issue/physician-engagement-malpractice-risk-reduction-uphs-case-study
June 02, 2019 - Commentary
Physician engagement in malpractice risk reduction: a UPHS case study.
Citation Text:
Diraviam SP, Sullivan P, Sestito JA, et al. Physician Engagement in Malpractice Risk Reduction: A UPHS Case Study. Jt Comm J Qual Patient Saf. 2018;44(10):605-612. doi:10.1016/j.jcjq.2018.03.…
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psnet.ahrq.gov/issue/quali-quantitative-analysis-new-model-evaluation-unusual-cases-hospital-performance
October 25, 2018 - Review
Quali-quantitative analysis: a new model for evaluation of unusual cases in hospital performance?
Citation Text:
Bell E. Quali-quantitative analysis: a new model for evaluation of unusual cases in hospital performance? Aust Health Rev. 2007;31 Suppl 1:S86-97.
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psnet.ahrq.gov/issue/method-addressing-proprietary-name-similarity-us-prescription-drugs
June 10, 2020 - Commentary
A method of addressing proprietary name similarity for US prescription drugs.
Citation Text:
Stockbridge MD, Taylor K. A Method of Addressing Proprietary Name Similarity for US Prescription Drugs. Ther Innov Regul Sci. 2015;49(4). doi:10.1177/2168479015570331.
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psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use
October 19, 2022 - Commentary
One hospital's initiatives to encourage safe opioid use.
Citation Text:
Surprise JK, Simpson MH. One Hospital's Initiatives to Encourage Safe Opioid Use. J Infus Nurs. 2015;38(4):278-83. doi:10.1097/NAN.0000000000000110.
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psnet.ahrq.gov/issue/inpatient-fall-prevention-initiative-tertiary-care-hospital
October 19, 2022 - Study
An inpatient fall prevention initiative in a tertiary care hospital.
Citation Text:
Weinberg J, Proske D, Szerszen A, et al. An inpatient fall prevention initiative in a tertiary care hospital. Jt Comm J Qual Patient Saf. 2011;37(7):317-325.
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