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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/table2.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Table 2. Key features of ideal consumer reporting systems from stakeholder interviews
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Table of Contents
Designing Consumer Reporting Systems for Patient Safety Events
Executive Summary
Chapter 1. Background
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www.ahrq.gov/news/newsroom/case-studies/cquips0901.html
October 01, 2014 - New York City Uses AHRQ Patient Safety Culture Survey to Reduce Patient Harm
Search All Impact Case Studies
November 2008
The New York City Health and Hospitals Corporation (HHC) has integrated the use of AHRQ's Hospital Survey on Patient Safety Culture as a core component of its corporate-wide patient sa…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/HAP-one-page.docx
November 01, 2019 - Hospital-Acquired Pneumonia
Hospital-Acquired Pneumonia
Diagnosis
· Clinical symptoms of pneumonia (e.g., fever, cough, dyspnea, pleuritic chest pain) PLUS hypoxia PLUS a new radiographic infiltrate that develops at least 48 hours after hospitalization
· Microbiology: either community-associated (e.g., Stre…
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psnet.ahrq.gov/issue/causes-use-errors-ventilation-devices-systematic-review
October 12, 2022 - Review
Causes of use errors in ventilation devices--systematic review.
Citation Text:
Coldewey B, Diruf A, Röhrig R, et al. Causes of use errors in ventilation devices - systematic review. Appl Ergon. 2021;98:103544. doi:10.1016/j.apergo.2021.103544.
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psnet.ahrq.gov/issue/patient-safety-otolaryngology-descriptive-review
July 14, 2010 - Review
Patient safety in otolaryngology: a descriptive review.
Citation Text:
Danino J, Muzaffar J, Metcalfe C, et al. Patient safety in otolaryngology: a descriptive review. Eur Arch Otorhinolaryngol. 2017;274(3):1317-1326. doi:10.1007/s00405-016-4291-z.
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psnet.ahrq.gov/issue/observational-study-drug-formulation-manipulation-pediatric-versus-adult-inpatients
June 08, 2022 - Study
Observational study of drug formulation manipulation in pediatric versus adult inpatients.
Citation Text:
Spishock S, Meyers R, Robinson CA, et al. Observational Study of Drug Formulation Manipulation in Pediatric Versus Adult Inpatients. J Patient Saf. 2021;17(1):e10-e14. doi:10.1…
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psnet.ahrq.gov/issue/food-and-drug-administrations-initiative-safe-design-and-effective-use-home-medical-equipment
August 18, 2010 - Commentary
The Food and Drug Administration's initiative for safe design and effective use of home medical equipment.
Citation Text:
Weick-Brady M, Singh S. The Food and Drug Administration's initiative for safe design and effective use of home medical equipment. Home Healthc Nurse. 2014…
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psnet.ahrq.gov/issue/you-have-face-your-mistakes-street-contextual-keys-shape-health-service-access-and-health
September 06, 2017 - Study
'You have to face your mistakes in the street': the contextual keys that shape health service access and health workers' experiences in rural areas.
Citation Text:
Allan J, Ball P, Alston M. 'You have to face your mistakes in the street': the contextual keys that shape health ser…
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psnet.ahrq.gov/issue/composite-measures-profiling-hospitals-bariatric-surgery-performance
January 31, 2013 - Study
Composite measures for profiling hospitals on bariatric surgery performance.
Citation Text:
Dimick JB, Birkmeyer NJ, Finks JF, et al. Composite measures for profiling hospitals on bariatric surgery performance. JAMA Surg. 2014;149(1):10-6. doi:10.1001/jamasurg.2013.4109.
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psnet.ahrq.gov/issue/raising-awareness-inpatient-nursing-staff-about-medication-errors
February 15, 2011 - Study
Raising the awareness of inpatient nursing staff about medication errors.
Citation Text:
Elnour AA, Ellahham NH, Qassas HIA. Raising the awareness of inpatient nursing staff about medication errors. Pharm World Sci. 2008;30(2):182-90.
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psnet.ahrq.gov/issue/surgical-management-and-outcomes-165-colonoscopic-perforations-single-institution
November 16, 2022 - Study
Surgical management and outcomes of 165 colonoscopic perforations from a single institution.
Citation Text:
Iqbal CW, Cullinane DC, Schiller HJ, et al. Surgical management and outcomes of 165 colonoscopic perforations from a single institution. Arch Surg. 2008;143(7):701-6; discu…
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psnet.ahrq.gov/issue/point-care-testing-error-sources-and-amplifiers-taxonomy-prevention-strategies-and-detection
January 08, 2016 - Study
Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection monitors.
Citation Text:
Meier FA, Jones BA. Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection monitors. Arch Pathol Lab Med. 2005…
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psnet.ahrq.gov/issue/avoidable-iatrogenic-complications-urethral-catheterization-and-inadequate-intern-training
March 02, 2011 - Study
Avoidable iatrogenic complications of urethral catheterization and inadequate intern training in a tertiary-care teaching hospital.
Citation Text:
Thomas AZ, Giri SK, Meagher D, et al. Avoidable iatrogenic complications of urethral catheterization and inadequate intern training i…
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psnet.ahrq.gov/issue/patient-safety-education-change-medical-students-attitudes-and-sense-responsibility
January 20, 2021 - Study
Patient safety education to change medical students' attitudes and sense of responsibility.
Citation Text:
Roh H, Park SJ, Kim T. Patient safety education to change medical students' attitudes and sense of responsibility. Med Teach. 2015;37(10):908-14. doi:10.3109/0142159X.2014.970…
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psnet.ahrq.gov/issue/prevalence-and-patterns-potentially-avoidable-hospitalizations-us-long-term-care-setting
August 04, 2021 - Study
Prevalence and patterns of potentially avoidable hospitalizations in the US long-term care setting.
Citation Text:
Mcandrew RM, Grabowski DC, Dangi A, et al. Prevalence and patterns of potentially avoidable hospitalizations in the US long-term care setting. Int J Qual Health Care. …
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psnet.ahrq.gov/issue/defining-patient-safety-events-inpatient-psychiatry
January 30, 2019 - Study
Defining patient safety events in inpatient psychiatry.
Citation Text:
Marcus SC, Hermann R, Cullen SW. Defining Patient Safety Events in Inpatient Psychiatry. J Patient Saf. 2018;17(8):e1452-e1457. doi:10.1097/PTS.0000000000000520.
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psnet.ahrq.gov/issue/prioritizing-patient-safety-interventions-small-and-rural-hospitals
October 14, 2009 - Study
Prioritizing patient safety interventions in small and rural hospitals.
Citation Text:
Casey M, Wakefield M, Coburn AF, et al. Prioritizing patient safety interventions in small and rural hospitals. Jt Comm J Qual Patient Saf. 2006;32(12):693-702.
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psnet.ahrq.gov/issue/increased-mortality-associated-after-hours-and-weekend-admission-intensive-care-unit
May 31, 2023 - Study
Increased mortality associated with after-hours and weekend admission to the intensive care unit: a retrospective analysis.
Citation Text:
Bhonagiri D, Pilcher D, Bailey MJ. Increased mortality associated with after-hours and weekend admission to the intensive care unit: a retros…
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psnet.ahrq.gov/issue/seasoned-surgeons-assessed-laparoscopic-surgical-crisis
July 02, 2008 - Study
Seasoned surgeons assessed in a laparoscopic surgical crisis.
Citation Text:
Powers K, Rehrig ST, Schwaitzberg SD, et al. Seasoned surgeons assessed in a laparoscopic surgical crisis. J Gastrointest Surg. 2009;13(5):994-1003. doi:10.1007/s11605-009-0802-1.
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psnet.ahrq.gov/issue/types-prevalence-and-potential-clinical-significance-medication-administration-errors
October 11, 2023 - Study
Types, prevalence, and potential clinical significance of medication administration errors in assisted living.
Citation Text:
Young HM, Gray SL, McCormick WC, et al. Types, prevalence, and potential clinical significance of medication administration errors in assisted living. J A…