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psnet.ahrq.gov/node/35027/psn-pdf
June 03, 2009 - Prohibition of Excessive Overtime for Nurses Act.
June 3, 2009
The General Assembly of Pennsylvania. HB957 (2005).
https://psnet.ahrq.gov/issue/prohibition-excessive-overtime-nurses-act
This bill calls for a prohibition of mandatory overtime and limiting the work week to 12 hours a day or 60
hours a week for non-s…
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psnet.ahrq.gov/node/34574/psn-pdf
March 07, 2005 - Safe Handling of Hazardous Drugs.
March 7, 2005
Polovich M; Blecher CS; Glynn-Tucker EM; McDiarmid M; Newton SA
https://psnet.ahrq.gov/issue/safe-handling-hazardous-drugs
This guideline provides recommendations to enhance the safe delivery of high-risk medications. Topics
include assessing occupational exposure ri…
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psnet.ahrq.gov/node/35144/psn-pdf
June 23, 2009 - Patient safety: planting the seed.
June 23, 2009
Poe SS. Patient safety: planting the seed. J Nurs Care Qual. 2005;20(3):198-202.
https://psnet.ahrq.gov/issue/patient-safety-planting-seed
The author describes one academic medical center’s program to infuse patient safety into the everyday
work of nurses early in t…
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psnet.ahrq.gov/node/38389/psn-pdf
February 04, 2009 - ADEs and automation.
February 4, 2009
Kloppenborg E, Wheeler A, Luria J. ADEs and automation. Nurs Manage. 2009;40(1):43-7.
doi:10.1097/01.NUMA.0000343983.46376.31.
https://psnet.ahrq.gov/issue/ades-and-automation
This article illustrates how one hospital used automated triggers to collect adverse drug event (ADE)…
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psnet.ahrq.gov/node/39871/psn-pdf
September 22, 2010 - Kaiser Permanente's innovation on the front lines.
September 22, 2010
McCreary L. Kaiser Permanente's innovation on the front lines. Harv Bus Rev. 2010;88(9):92, 94-7, 126.
https://psnet.ahrq.gov/issue/kaiser-permanentes-innovation-front-lines
This article describes how innovation has reduced medication errors and …
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psnet.ahrq.gov/node/38884/psn-pdf
September 21, 2016 - Every Patient Tells A Story: Medical Mysteries and the Art
of Diagnosis.
September 21, 2016
Sanders L. New York, NY: Broadway Books; 2009. ISBN: 9780767922463.
https://psnet.ahrq.gov/issue/every-patient-tells-story-medical-mysteries-and-art-diagnosis
This book includes narratives about how physicians and patients …
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psnet.ahrq.gov/node/40987/psn-pdf
February 22, 2017 - Partnering with Patients and Families to Enhance Safety
and Quality: A Mini Toolkit.
February 22, 2017
Bethesda, MD: Institute for Patient- and Family-Centered Care; 2011.
https://psnet.ahrq.gov/issue/partnering-patients-and-families-enhance-safety-and-quality-mini-toolkit
This toolkit provides strategies for enga…
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psnet.ahrq.gov/node/41841/psn-pdf
November 14, 2012 - At Bellevue, a desperate fight to ensure the patients'
safety.
November 14, 2012
Hartocollis A, Bernstein N. New York Times. November 2, 2012:A1.
https://psnet.ahrq.gov/issue/bellevue-desperate-fight-ensure-patients-safety
Reporting on power outages and flooding that hospitals faced following a strong hurri…
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psnet.ahrq.gov/node/37829/psn-pdf
April 23, 2014 - Hospitals move to reduce risk of night shift.
April 23, 2014
Landro L.
https://psnet.ahrq.gov/issue/hospitals-move-reduce-risk-night-shift
This article reports how hospitals are aiming to boost the safety of care delivered on nights and weekends
by employing "nocturnists" (a hospitalist subspecialty)—physicians wh…
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psnet.ahrq.gov/node/39846/psn-pdf
February 17, 2011 - Patient safety beyond the hospital.
February 17, 2011
Gandhi TK, Lee TH. Patient safety beyond the hospital. N Engl J Med. 2010;363(11):1001-3.
doi:10.1056/NEJMp1003294.
https://psnet.ahrq.gov/issue/patient-safety-beyond-hospital
This commentary discusses challenges for patient safety improvement work in the ambul…
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psnet.ahrq.gov/node/38302/psn-pdf
September 27, 2016 - Safe practice environment chapter proposed by USP.
September 27, 2016
ISMP Medication Safety Alert! Acute Care Edition. December 4, 2008;13:1-3.
https://psnet.ahrq.gov/issue/safe-practice-environment-chapter-proposed-usp
This article discusses work space factors that can affect safe medication delivery, including l…
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psnet.ahrq.gov/node/35600/psn-pdf
June 21, 2010 - Improving nursing unit teamwork.
June 21, 2010
Kalisch BJ, Begeny SM. Improving nursing unit teamwork. J Nurs Adm. 2005;35(12):550-556.
doi:10.1097/00005110-200512000-00009.
https://psnet.ahrq.gov/issue/improving-nursing-unit-teamwork
The authors share several strategies for improving teamwork among nurses, includ…
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psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
September 16, 2015 - SPOTLIGHT CASE
Which Line: Ordering Provider or Proceduralist?
Citation Text:
Blackmore CC. Which Line: Ordering Provider or Proceduralist?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format: …
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psnet.ahrq.gov/node/50613/psn-pdf
October 30, 2019 - In Conversation With… Neel Shah, MD, MPP
October 30, 2019
In Conversation With… Neel Shah, MD, MPP. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/conversation-neel-shah-md-mpp
Editor's note: Dr. Shah, MD, MPP, is an Assistant Professor of Obstetrics, Gynecology and Reproductive
Biology at Harvard Medi…
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psnet.ahrq.gov/node/848107/psn-pdf
April 26, 2023 - Improving Diagnostic Safety and Quality
April 26, 2023
Al-Khafaji J, Lee M, Mossburg S. Improving Diagnostic Safety and Quality . PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
Introduction
During an annual editorial review of featured articles in the Agency for …
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psnet.ahrq.gov/node/49591/psn-pdf
October 01, 2009 - Difficult Encounters: A CMO and CNO Respond
October 1, 2009
Ring EJ, Hirsch JE. Difficult Encounters: A CMO and CNO Respond. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
Case Objectives
Appreciate the risk of disruptive behavior and understand institutional respons…
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psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd
December 01, 2010 - In Conversation with...Geri Amori, PhD
December 1, 2010
Also Read an Essay
Citation Text:
In Conversation with..Geri Amori, PhD. PSNet [internet]. 2010.In Conversation with...Geri Amori, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…
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psnet.ahrq.gov/perspective/special-edition-perspective-technology-responses-covid-19
August 31, 2020 - Special Edition Perspective: Technology Responses to COVID-19
July 21, 2020
View more articles from the same authors.
Citation Text:
Marcin JP, Cohen NM, Lowery C, et al. Special Edition Perspective: Technology Responses to COVID-19. PSNet [internet]. Rockville (M…
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psnet.ahrq.gov/node/36861/psn-pdf
November 23, 2016 - Patients as Partners: How to Involve Patients and
Families in Their Own Care.
November 23, 2016
McGreevey M. Oakbrook Terrace, IL: Joint Commission Resources: 2006. ISBN 9780866889964.
https://psnet.ahrq.gov/issue/patients-partners-how-involve-patients-and-families-their-own-care
This book illustrates how health c…
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psnet.ahrq.gov/node/38093/psn-pdf
September 24, 2008 - Beth Israel cited for residents' long hours—facing review
for accreditation.
September 24, 2008
Kowalczyk L.
https://psnet.ahrq.gov/issue/beth-israel-cited-residents-long-hours-facing-review-accreditation
This article reports on violations of ACGME work hour restrictions in some Boston hospitals. Approximately
9%…