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psnet.ahrq.gov/node/46783/psn-pdf
January 24, 2018 - America's Hospitals: Improving Quality and Safety: The
Joint Commission's Annual Report 2017.
January 24, 2018
Oakbrook Terrace; IL: Joint Commission; 2017.
https://psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-
report-2017
The Joint Commission annual report provide…
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psnet.ahrq.gov/node/41726/psn-pdf
September 26, 2012 - Improving America's Hospitals: The Joint Commission's
Annual Report on Quality and Safety 2012.
September 26, 2012
Oakbrook Terrace, IL: The Joint Commission; September 2012.
https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-
safety-2012
The seventh annual Joint…
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psnet.ahrq.gov/issue/using-coworker-observations-promote-accountability-disrespectful-and-unsafe-behaviors
June 27, 2018 - Study
Using coworker observations to promote accountability for disrespectful and unsafe behaviors by physicians and advanced practice professionals.
Citation Text:
Webb LE, Dmochowski RR, Moore IN, et al. Using Coworker Observations to Promote Accountability for Disrespectful and Unsafe…
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psnet.ahrq.gov/psn-user/one-time-login-link
Login to PSNet
Access your account by entering your email to receive a one-time link, a temporary and highly secure method for accessing your account. For security, please select the reCAPTCHA checkbox below.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.317_slideshow.ppt
March 01, 2014 - PowerPoint Presentation
Spotlight Case
Tough Call: Addressing Errors From Previous Providers
1
This presentation is based on the March 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: William Martinez, MD, MS, Assistant Professor of Medicine, …
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psnet.ahrq.gov/issue/patient-safety-improvement-act-2020
February 12, 2020 - Government Resource
Patient Safety Improvement Act of 2020.
Citation Text:
Patient Safety Improvement Act of 2020. SB 3380. 116th Congress (2020).
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Save
Save to your library
Print
Download PDF
Share
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…
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psnet.ahrq.gov/issue/driving-learning-and-improvement-after-rca2-event-reviews
April 06, 2022 - Meeting/Conference Proceedings
Driving Learning and Improvement After RCA2 Event Reviews.
Citation Text:
Driving Learning and Improvement After RCA2 Event Reviews. Collaborative for Accountability and Improvement. January 26, 2023.
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Save
Save to you…
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psnet.ahrq.gov/issue/greater-focus-credentialing-needed-prevent-disqualified-providers-delivering-patient-care
September 25, 2019 - Book/Report
Greater Focus on Credentialing Needed to Prevent Disqualified Providers From Delivering Patient Care.
Citation Text:
Greater Focus on Credentialing Needed to Prevent Disqualified Providers From Delivering Patient Care. Washington, DC: United States Government Accountability O…
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psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers
July 17, 2024 - SPOTLIGHT CASE
Tough Call: Addressing Errors From Previous Providers
Citation Text:
Martinez W, Hickson GB. Tough Call: Addressing Errors From Previous Providers. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
Copy…
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psnet.ahrq.gov/issue/complexity-thinking-account-covid-19-pandemic-implications-systems-oriented-safety-management
February 07, 2024 - Commentary
A complexity thinking account of the COVID-19 pandemic: implications for systems-oriented safety management.
Citation Text:
Abreu Saurin T. A complexity thinking account of the COVID-19 pandemic: Implications for systems-oriented safety management. Safety Sci. 2021;134:105087.…
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psnet.ahrq.gov/node/33563/psn-pdf
September 16, 2024 - Culture of Safety
September 16, 2024
Culture of Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/culture-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in …
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psnet.ahrq.gov/perspective/conversation-beverley-h-johnson
February 01, 2013 - BJ : Oh, I absolutely think the strategies to hold hospitals accountable for the patient experience are … I think the policy changes are in the right direction, and we need to hold people accountable for improving
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psnet.ahrq.gov/node/45429/psn-pdf
December 19, 2016 - ONC Health IT Certification Program: Enhanced Oversight
and Accountability.
November 30, 2016
Office of the National Coordinator for Health Information Technology; ONC; Health and Human Services;
HHS.
https://psnet.ahrq.gov/issue/onc-health-it-certification-program-enhanced-oversight-and-accountability
Requiremen…
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psnet.ahrq.gov/issue/fostering-just-culture-healthcare-organizations-experiences-practice
August 10, 2022 - Study
Fostering a just culture in healthcare organizations: experiences in practice.
Citation Text:
van Baarle E, Hartman L, Rooijakkers S, et al. Fostering a just culture in healthcare organizations: experiences in practice. BMC Health Serv Res. 2022;22(1):1035. doi:10.1186/s12913-022-0…
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psnet.ahrq.gov/issue/defense-health-agency-should-improve-tracking-serious-adverse-medical-events-and-monitoring
July 11, 2018 - Book/Report
Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up.
Citation Text:
Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up. Washington, DC: United St…
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psnet.ahrq.gov/issue/progress-made-towards-improving-opioid-safety-further-efforts-assess-progress-and-reduce-risk
May 16, 2018 - Book/Report
Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed.
Citation Text:
Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed. Washington, DC: United States Gov…
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psnet.ahrq.gov/issue/baccalaureate-nursing-students-accounts-medical-mistakes-occurring-clinical-setting
June 24, 2009 - Study
Baccalaureate nursing students' accounts of medical mistakes occurring in the clinical setting: implications for curricula.
Citation Text:
Noland CM. Baccalaureate nursing students' accounts of medical mistakes occurring in the clinical setting: implications for curricula. J Nurs …
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psnet.ahrq.gov/node/44793/psn-pdf
February 17, 2016 - The Sociology of Healthcare Safety and Quality.
February 17, 2016
Allen D, Braithwaite J, Sandall J, Waring J, eds. Sociol Health Illn. 2016;38(2):179-339.
https://psnet.ahrq.gov/issue/sociology-healthcare-safety-and-quality
The sociological approach to exploring safety has shown promise as a way to understand why …
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psnet.ahrq.gov/perspective/patient-safety-physician-office-setting
November 04, 2015 - have some built-in redundancies (to account for human error in entering data), and be accessible and accountable
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psnet.ahrq.gov/perspective/acgmes-2017-revision-common-program-requirements
January 31, 2018 - first-year residents; and ensure that patients and the entire health care team know who is responsible and accountable