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Application of AHRQ patient safety indicators to English hospital data. | PSNet

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September 20, 2011 - Study Application of AHRQ patient safety indicators to English hospital data. Citation Text: Bottle A, Aylin P. Application of AHRQ patient safety indicators to English hospital data. Qual Saf Health Care. 2009;18(4):303-8. doi:10.1136/qshc.2007.026096. Copy Citation Format: …

A health system that won't learn from its mistakes. | PSNet

psnet.ahrq.gov/issue/health-system-wont-learn-its-mistakes

October 26, 2022 - Commentary A health system that won't learn from its mistakes. Citation Text: Keller C. A health system that won't learn from its mistakes. Health Aff (Millwood). 2022;41(9):1353-1356. doi:10.1377/hlthaff.2022.00581. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…

Pediatric medication safety in the emergency department. | PSNet

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November 19, 2018 - Organizational Policy/Guidelines Pediatric medication safety in the emergency department. Citation Text: Benjamin L, Frush K, Shaw KN, et al. Pediatric Medication Safety in the Emergency Department. Ann Emerg Med. 2018;71(3):e17-e24. doi:10.1016/j.annemergmed.2017.12.013. Copy Citation…

The interrelationship of isolation precautions and adverse events in an acute care facility. | PSNet

psnet.ahrq.gov/issue/interrelationship-isolation-precautions-and-adverse-events-acute-care-facility

September 24, 2010 - Study The interrelationship of isolation precautions and adverse events in an acute care facility. Citation Text: Spence MR, McQuaid M. The interrelationship of isolation precautions and adverse events in an acute care facility. Am J Infect Control. 2011;39(2):154-155. doi:10.1016/j.aj…

Elective surgical patients' narratives of hospitalization: the co-construction of safety. | PSNet

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May 29, 2012 - Study Elective surgical patients' narratives of hospitalization: the co-construction of safety. Citation Text: DOHERTY CAROLE, Saunders MNK. Elective surgical patients' narratives of hospitalization: the co-construction of safety. Soc Sci Med. 2013;98:29-36. doi:10.1016/j.socscimed.2013…

Hospital performance trends on national quality measures and the association with Joint Commission accreditation. | PSNet

psnet.ahrq.gov/issue/hospital-performance-trends-national-quality-measures-and-association-joint-commission

September 20, 2011 - Study Hospital performance trends on national quality measures and the association with Joint Commission accreditation. Citation Text: Schmaltz SP, Williams SC, Chassin MR, et al. Hospital performance trends on national quality measures and the association with joint commission accre…

America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2016. | PSNet

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November 10, 2016 - Book/Report America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2016. Citation Text: America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2016. Oakbrook Terrace, IL: The Joint Commission; November 2016. Copy Citation …

The effects of on-duty napping on intern sleep time and fatigue. | PSNet

psnet.ahrq.gov/issue/effects-duty-napping-intern-sleep-time-and-fatigue

February 03, 2011 - Study The effects of on-duty napping on intern sleep time and fatigue. Citation Text: Arora V, Dunphy C, Chang VY, et al. The effects of on-duty napping on intern sleep time and fatigue. Ann Intern Med. 2006;144(11):792-8. Copy Citation Format: Google Scholar PubMed BibTe…

The nurse's medication day. | PSNet

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September 24, 2016 - Study The nurse's medication day. Citation Text: Jennings BM, Sandelowski M, Mark BA. The nurse's medication day. Qual Health Res. 2011;21(10):1441-51. doi:10.1177/1049732311411927. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote…

What is the measure of a safe hospital? Medication errors missed by risk management, clinical staff, and surveyors. | PSNet

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September 27, 2017 - Study What is the measure of a safe hospital? Medication errors missed by risk management, clinical staff, and surveyors. Citation Text: Grasso BC, Rothschild JM, Jordan CW, et al. What is the measure of a safe hospital? Medication errors missed by risk management, clinical staff, and su…

Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. | PSNet

psnet.ahrq.gov/issue/alcohol-and-drug-testing-health-professionals-following-preventable-adverse-events-bad-idea

January 02, 2017 - Commentary Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. Citation Text: Banja J. Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. Am J Bioeth. 2014;14(12):25-36. doi:10.1080/15265161.20…

The 80-hour duty week: rationale, early attitudes, and future questions. | PSNet

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September 28, 2010 - Commentary The 80-hour duty week: rationale, early attitudes, and future questions. Citation Text: Friedlaender GE. The 80-hour duty week: rationale, early attitudes, and future questions. Clin Orthop Relat Res. 2006;449:138-142. Copy Citation Format: Google Scholar PubMe…

Longitudinal analyses of nurse staffing and patient outcomes: more about failure to rescue. | PSNet

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February 24, 2021 - Study Longitudinal analyses of nurse staffing and patient outcomes: more about failure to rescue. Citation Text: Seago JA, Williamson A, Atwood C. Longitudinal Analyses of Nurse Staffing and Patient Outcomes. J Nurs Admin. 2006;36(1):13-21. doi:10.1097/00005110-200601000-00005. Copy Ci…

Limits on opioid prescribing leave patients with chronic pain vulnerable. | PSNet

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March 27, 2019 - Commentary Limits on opioid prescribing leave patients with chronic pain vulnerable. Citation Text: Rubin R. Limits on Opioid Prescribing Leave Patients With Chronic Pain Vulnerable. JAMA. 2019;321(21):2059-2062. doi:10.1001/jama.2019.5188. Copy Citation Format: DOI Google …

Pediatric rapid response teams in the academic medical center. | PSNet

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November 21, 2016 - Study Pediatric rapid response teams in the academic medical center. Citation Text: Mistry KP, Turi J, Hueckel RM, et al. Pediatric Rapid Response Teams in the Academic Medical Center. Clin Pediatr Emerg Med. 2006;7(4). doi:10.1016/j.cpem.2006.08.010. Copy Citation Format: …

Detection and prevention of medication errors using real-time bedside nurse charting. | PSNet

psnet.ahrq.gov/issue/detection-and-prevention-medication-errors-using-real-time-bedside-nurse-charting

September 27, 2017 - Study Detection and prevention of medication errors using real-time bedside nurse charting. Citation Text: Nelson NC, Evans RS, Samore MH, et al. Detection and Prevention of Medication Errors Using Real-Time Bedside Nurse Charting. Journal of the American Medical Informatics Associatio…

Supervision, autonomy, and medical error in the teaching clinic. | PSNet

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November 26, 2014 - Commentary Supervision, autonomy, and medical error in the teaching clinic. Citation Text: Cossman JP, Wang M, Fischer AA. Supervision, autonomy, and medical error in the teaching clinic. J Am Acad Dermatol. 2018;79(5):981-983. doi:10.1016/j.jaad.2017.12.033. Copy Citation Format: …

A multicenter, multidisciplinary, high-alert medication collaborative to improve patient safety: the Singapore experience. | PSNet

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December 04, 2016 - Study A multicenter, multidisciplinary, high-alert medication collaborative to improve patient safety: the Singapore experience. Citation Text: Khoo AL, Teng M, Lim BP, et al. A multicenter, multidisciplinary, high-alert medication collaborative to improve patient safety: the Singapor…

Measure Dx: implementing pathways to discover and learn from diagnostic errors. | PSNet

psnet.ahrq.gov/issue/measure-dx-implementing-pathways-discover-and-learn-diagnostic-errors

August 25, 2021 - Commentary Measure Dx: implementing pathways to discover and learn from diagnostic errors. Citation Text: Bradford A, Shofer M, Singh H. Measure Dx: Implementing pathways to discover and learn from diagnostic errors. Int J Qual Health Care. 2022;34(3):mzac068. doi:10.1093/intqhc/mzac068.…

Incidence and types of non-ideal care events in an emergency department. | PSNet

psnet.ahrq.gov/issue/incidence-and-types-non-ideal-care-events-emergency-department

April 27, 2010 - Study Incidence and types of non-ideal care events in an emergency department. Citation Text: Hall KK, Schenkel SM, Hirshon JM, et al. Incidence and types of non-ideal care events in an emergency department. Qual Saf Health Care. 2010;19 Suppl 3:i20-5. doi:10.1136/qshc.2010.040246. C…

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