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psnet.ahrq.gov/issue/investigators-find-hospital-error-caused-mothers-death-brooklyn
February 01, 2023 - Maternal safety is challenged in the Unites States and particularly for minorities .
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psnet.ahrq.gov/issue/canada-continues-lag-behind-other-oecd-countries-measures-patient-safety
March 26, 2014 - November 8, 2023
COVID-19 has united patients and providers against institutional betrayal
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psnet.ahrq.gov/issue/listening-learning-responding-concerns
June 12, 2024 - Book/Report
Listening, Learning, Responding to Concerns.
Citation Text:
Listening, Learning, Responding to Concerns. Newcastle Upon Tyne, UK: Care Quality Commission; March 2023.
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psnet.ahrq.gov/issue/human-contribution-unsafe-acts-accidents-and-heroic-recoveries
August 06, 2016 - Book/Report
Classic
The Human Contribution: Unsafe Acts, Accidents and Heroic Recoveries.
Citation Text:
The Human Contribution: Unsafe Acts, Accidents and Heroic Recoveries. Reason J. Farnham Surrey, UK: Ashgate; 2008. ISBN: 9780754674023.
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psnet.ahrq.gov/issue/hand-hygiene-project-best-practices-hospitals-participating-joint-commission-center
May 06, 2015 - Book/Report
Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center for Transforming Healthcare Project.
Citation Text:
Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center for Transforming Healthcare…
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psnet.ahrq.gov/issue/patient-safety-records-silent-witness
September 01, 2017 - This article describes the state of general practitioner incident reporting in the United Kingdom.
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psnet.ahrq.gov/issue/opening-door-change-nhs-safety-culture-and-need-transformation
February 08, 2017 - Book/Report
Opening the Door to Change. NHS Safety Culture and the Need for Transformation.
Citation Text:
Opening the Door to Change. NHS Safety Culture and the Need for Transformation. Newcastle upon Tyne, UK: Care Quality Commission; December 2018.
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psnet.ahrq.gov/issue/building-case-health-literacy-proceedings-workshop
September 12, 2018 - Meeting/Conference Proceedings
Building the Case for Health Literacy: Proceedings of a Workshop.
Citation Text:
Building the Case for Health Literacy: Proceedings of a Workshop. National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press; 2018. ISB…
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psnet.ahrq.gov/issue/designing-patient-safety-developing-methods-integrate-patient-safety-concerns-design-process
December 14, 2010 - Book/Report
Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process.
Citation Text:
Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process. Joseph A, Quan X, Taylor E, Jelen M. Co…
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psnet.ahrq.gov/issue/2010-john-m-eisenberg-patient-safety-and-quality-awards
September 03, 2011 - Special or Theme Issue
2010 John M. Eisenberg Patient Safety and Quality Awards.
Citation Text:
2010 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2011;37(5):194-239.
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psnet.ahrq.gov/issue/audit-missed-or-delayed-antimicrobial-drugs
August 01, 2012 - found that omitted doses of antimicrobial medications occur frequently in hospital settings in the United
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psnet.ahrq.gov/issue/learning-investigations
July 28, 2013 - Analyzing health care failures from 2004-2007 in the United Kingdom, this report identifies common themes
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psnet.ahrq.gov/issue/patient-death-tied-lack-proper-escalation-process-barcode-scanning-failures
November 01, 2023 - Newspaper/Magazine Article
Patient death tied to lack of proper escalation process for barcode scanning failures.
Citation Text:
Patient death tied to lack of proper escalation process for barcode scanning failures. ISMP Medication Safety Alert! Acute Care edition. 2023;28(19):1-3.
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psnet.ahrq.gov/issue/phony-diagnoses-hide-high-rates-drugging-nursing-homes
December 22, 2021 - September 16, 2020
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Related Resources
Hospitals in two states
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psnet.ahrq.gov/issue/mid-staffordshire-nhs-foundation-trust-quality-report
October 24, 2024 - Book/Report
Mid Staffordshire NHS Foundation Trust Quality Report.
Citation Text:
Mid Staffordshire NHS Foundation Trust Quality Report. Newcastle Upon Tyne, UK: Care Quality Commission; October 9, 2014.
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psnet.ahrq.gov/issue/comprehensive-grassroots-model-statewide-safety-improvement
February 25, 2009 - winner, and propose that their approach can be used as a model for patient safety programs in other states
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psnet.ahrq.gov/issue/unlabeled-containers-lead-patients-death
September 26, 2017 - Commentary
Unlabeled containers lead to patient's death.
Citation Text:
Cohen MR, Smetzer JL. Unlabeled containers lead to patient's death. Jt Comm J Qual Patient Saf. 2005;31(7):414-7.
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psnet.ahrq.gov/issue/nurses-role-communication-and-patient-safety
July 23, 2008 - Commentary
Nurses' role in communication and patient safety.
Citation Text:
Nadzam DM. Nurses' role in communication and patient safety. J Nurs Care Qual. 2009;24(3):184-188. doi:10.1097/01.NCQ.0000356905.87452.62.
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psnet.ahrq.gov/issue/2010-john-m-eisenberg-patient-safety-and-quality-award-recipients
May 28, 2014 - Press Release/Announcement
2010 John M. Eisenberg Patient Safety and Quality Award Recipients.
Citation Text:
2010 John M. Eisenberg Patient Safety and Quality Award Recipients. Joint Commission. January 12, 2011.
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psnet.ahrq.gov/issue/doctors-turned-my-sister-away-less-two-years-later-she-died-cervical-cancer
September 09, 2020 - Newspaper/Magazine Article
Doctors turned my sister away; less than two years later she died of cervical cancer.
Citation Text:
Doctors turned my sister away; less than two years later she died of cervical cancer. Harvey-Jenner C. Cosmopolitan. August 27, 2020.
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