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psnet.ahrq.gov/issue/what-every-health-care-organization-should-know-about-sentinel-events
November 27, 2018 - Book/Report
What Every Health Care Organization Should Know about Sentinel Events.
Citation Text:
What Every Health Care Organization Should Know about Sentinel Events. Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2005. ISBN 9780866889117.
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psnet.ahrq.gov/issue/avoiding-errors-associated-insulin-therapy
April 06, 2022 - Commentary
Avoiding errors associated with insulin therapy.
Citation Text:
Avoiding errors associated with insulin therapy. Cohen H. Medscape CME/CE. May 14, 2009.
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psnet.ahrq.gov/issue/burnout-engagement-and-dental-errors-among-us-dentists
October 28, 2020 - Study
Burnout, engagement, and dental errors among U.S. dentists.
Citation Text:
Yansane A, Tokede O, Walji MF, et al. Burnout, engagement, and dental errors among U.S. dentists. J Patient Saf. 2021;17(8):e1050-e1056. doi:10.1097/pts.0000000000000673.
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psnet.ahrq.gov/web-mm/poor-prognosis
March 15, 2016 - SPOTLIGHT CASE
Poor Prognosis
Citation Text:
Lamont EB. Poor Prognosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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psnet.ahrq.gov/issue/factfinders
February 17, 2021 - Commentary
FactFinders.
Citation Text:
FactFinders. SIS Patient Safety Committee. Spine Intervention Society.
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psnet.ahrq.gov/issue/warning-severe-burns-and-permanent-scarring-after-glacial-acetic-acid-995-mistakenly-applied
September 30, 2020 - Press Release/Announcement
Warning! Severe burns and permanent scarring after glacial acetic acid (≥99.5%) mistakenly applied topically.
Citation Text:
Warning! Severe burns and permanent scarring after glacial acetic acid (≥99.5%) mistakenly applied topically. National Alert Net…
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psnet.ahrq.gov/print/pdf/node/74279
January 01, 2022 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
COVID-19 Pandemic Impact on Healthcare
Associated Conditions
Curated Library
All Library Content
The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a
summary of data reported to the National Healt…
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psnet.ahrq.gov/issue/predictors-nursing-home-nurses-willingness-report-medication-near-misses
July 31, 2024 - Study
Predictors of nursing home nurses' willingness to report medication near-misses.
Citation Text:
Farag A, Vogelsmeier A, Knox K, et al. Predictors of nursing home nurses' willingness to report medication near-misses. J Gerontol Nurs. 2020;46(4):21-30. doi:10.3928/00989134-20200303-0…
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psnet.ahrq.gov/issue/pay-performance-and-patient-safety-acute-care-systematic-review
October 09, 2024 - Review
Pay-for-performance and patient safety in acute care: a systematic review.
Citation Text:
Slawomirski L, Hensher M, Campbell JL, et al. Pay-for-performance and patient safety in acute care: a systematic review. Health Policy. 2024;143:105051. doi:10.1016/j.healthpol.2024.105051.
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psnet.ahrq.gov/issue/healthcare-safety-nursing-personnel-organizational-guide-achieving-results
February 11, 2015 - Book/Report
Healthcare Safety for Nursing Personnel: An Organizational Guide to Achieving Results.
Citation Text:
Healthcare Safety for Nursing Personnel: An Organizational Guide to Achieving Results. Tweedy JT. Boca Raton, FL: CRC Press; 2014. ISBN: 9781482230277.
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psnet.ahrq.gov/issue/medication-reconciliation-handbook-2nd-edition
May 04, 2015 - Book/Report
Medication Reconciliation Handbook, 2nd edition.
Citation Text:
Medication Reconciliation Handbook, 2nd edition. American Society of Health-System Pharmacists, Joint Commission on Accreditation of Healthcare Organizations. Oakbrook Terrace IL; Joint Commission Resources: 2009…
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psnet.ahrq.gov/issue/patient-identification-and-tube-labelling-call-harmonisation
April 29, 2020 - Commentary
Patient identification and tube labelling—a call for harmonisation.
Citation Text:
van Dongen-Lases EC, Cornes MP, Grankvist K, et al. Patient identification and tube labelling – a call for harmonisation. Clinical Chemistry and Laboratory Medicine (CCLM). 2016;54(7). doi:10.15…
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psnet.ahrq.gov/issue/leadership-style-and-patient-safety-implications-nurse-managers
September 21, 2022 - Study
Leadership style and patient safety: implications for nurse managers.
Citation Text:
Merrill KC. Leadership style and patient safety: implications for nurse managers. J Nurs Adm. 2015;45(6):319-324. doi:10.1097/NNA.0000000000000207.
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psnet.ahrq.gov/issue/josies-story-patient-safety-curriculum
July 24, 2019 - Toolkit
Josie's Story: A Patient Safety Curriculum.
Citation Text:
Josie's Story: A Patient Safety Curriculum. Kaprielian VS, Sullivan DT, eds. Chapel Hill, NC: Josie King Foundation; Duke University School of Medicine; 2013.
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psnet.ahrq.gov/issue/wicked-problem-patient-misidentification-how-could-technological-revolution-help-address
July 10, 2024 - Commentary
The wicked problem of patient misidentification: how could the technological revolution help address patient safety?
Citation Text:
Ferguson C, Hickman L, Macbean C, et al. The wicked problem of patient misidentification: How could the technological revolution help address pat…
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psnet.ahrq.gov/issue/patient-misidentification-laboratory-medicine-qualitative-analysis-227-root-cause-analysis
August 28, 2024 - Study
Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports in the Veterans Health Administration.
Citation Text:
Dunn EJ, Moga PJ. Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis …
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psnet.ahrq.gov/issue/improving-hand-communication
April 24, 2007 - Book/Report
Classic
Improving Hand-Off Communication.
Citation Text:
Improving Hand-Off Communication. Oakbrook Terrace lL: Joint Commission Resources; 2007. ISBN 9781599400907.
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psnet.ahrq.gov/issue/diagnostic-safety-needs-assessment-and-informed-curriculum-academic-childrens-hospital
June 28, 2023 - Study
Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital.
Citation Text:
Congdon M, Rasooly IR, Toto RL, et al. Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. Pediatr Qual Saf. 2024;9(6):e773. do…
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psnet.ahrq.gov/issue/scoping-review-methodological-approaches-used-retrospective-chart-reviews-validate-adverse
April 29, 2020 - Review
A scoping review of the methodological approaches used in retrospective chart reviews to validate adverse event rates in administrative data.
Citation Text:
Connolly A, Kirwan M, Matthews A. A scoping review of the methodological approaches used in retrospective chart reviews to v…
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psnet.ahrq.gov/issue/risk-medication-errors-and-nurses-quality-sleep-national-cross-sectional-web-survey-study
February 09, 2022 - Study
Risk of medication errors and nurses' quality of sleep: a national cross-sectional web survey study.
Citation Text:
Di Simone E, Fabbian F, Giannetta N, et al. Risk of medication errors and nurses' quality of sleep: a national cross-sectional web survey study. Eur Rev Med Pharmacol…