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psnet.ahrq.gov/issue/perfecting-detection-understanding-source-harm
May 27, 2020 - Book/Report
Safer Together Annual Report.
Citation Text:
Safer Together Annual Report. Child Health Patient Safety Organization. Washington, DC: Children's Hospital Association.
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psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement
Eric Thomas, Sarah Mossburg, Merton Lee | September 24, 2024
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March 27, 2024 - , since these disproportionate harms are preventable, and that safer, more equitable
healthcare is achievable
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psnet.ahrq.gov/issue/harms-promoting-zero-harm
February 12, 2020 - Commentary
Emerging Classic
The harms of promoting 'Zero Harm'.
Citation Text:
Thomas EJ. The harms of promoting ‘Zero Harm’. BMJ Qual Saf. 2019;29(1):4-6. doi:10.1136/bmjqs-2019-009703.
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psnet.ahrq.gov/perspective/conversation-paul-mcgann-md
July 10, 2024 - In Conversation With… Paul McGann, MD
March 1, 2016
Citation Text:
In Conversation With… Paul McGann, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
April 01, 2010 - The Role of the National Quality Forum (NQF) in the Quest for Transparency in U.S. Hospitals' Patient Safety Performance
Lance L. Roberts, MS; Marcia M. Ward, PhD; Thomas C. Evans, MD | April 1, 2010
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psnet.ahrq.gov/node/49781/psn-pdf
January 01, 2017 - Hazards of Loading Doses
January 1, 2017
Mucksavage JJ, Tesoro EP. Hazards of Loading Doses. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/hazards-loading-doses
The Case
A 40-year-old woman was recently discharged after a prolonged hospitalization for seizures and a cardiac
arrest. Two days after discharg…
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psnet.ahrq.gov/node/45222/psn-pdf
June 08, 2016 - A program to prevent catheter-associated urinary tract
infection in acute care.
June 8, 2016
Saint S, Greene T, Krein SL, et al. A Program to Prevent Catheter-Associated Urinary Tract Infection in
Acute Care. New Engl J Med. 2016;374(22):2111-2119. doi:10.1056/NEJMoa1504906.
https://psnet.ahrq.gov/issue/program-pr…
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psnet.ahrq.gov/issue/optimizing-patient-safety-through-system-strategies-and-patient-engagement
June 22, 2016 - Newspaper/Magazine Article
Optimizing patient safety through system strategies and patient engagement.
Citation Text:
Optimizing patient safety through system strategies and patient engagement. Rooprai P, Mistry N. Patient Saf Qual Healthc. June 23, 2020.
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psnet.ahrq.gov/issue/leadership-guide-patient-safety-resources-and-tools-establishing-and-maintaining-patient
November 18, 2011 - Book/Report
Leadership Guide to Patient Safety: Resources and Tools for Establishing and Maintaining Patient Safety.
Citation Text:
Leadership Guide to Patient Safety: Resources and Tools for Establishing and Maintaining Patient Safety. Botwinick L, Bisognano M, Haraden C. Cambr…
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psnet.ahrq.gov/issue/solutions-professional-regulation-and-beyond
December 09, 2020 - Book/Report
Solutions from Professional Regulation and Beyond.
Citation Text:
Solutions from Professional Regulation and Beyond. Safer Care for All. London, England: Professional Standards Authority for Health and Social Care; 2022.
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psnet.ahrq.gov/issue/lessons-learned-covid-19-pandemic-improve-diagnosis-proceedings-workshop-brief
April 20, 2022 - Book/Report
Lessons Learned from the COVID-19 Pandemic to Improve Diagnosis. Proceedings of a Workshop–in Brief.
Citation Text:
Lessons Learned from the COVID-19 Pandemic to Improve Diagnosis. Proceedings of a Workshop–in Brief. National Academies of Sciences, Engineering, and Medicine. …
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psnet.ahrq.gov/issue/high-reliability-organizations-healthcare-handbook-patient-safety-quality
July 31, 2019 - Book/Report
High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality.
Citation Text:
High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. Oster C, Braaten J, eds. Indianapolis, IN: Sigma Theta Tau International; 2016. ISBN: 9781940…
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psnet.ahrq.gov/issue/patient-safety-spring-2019-final-cdp-report
October 28, 2020 - Book/Report
Patient Safety, Spring 2019 Final CDP Report.
Citation Text:
Patient Safety, Spring 2019 Final CDP Report. Patient Safety Standing Committee. February 6, 2020. Washington DC; National Quality Forum. February 2020.
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psnet.ahrq.gov/node/867849/psn-pdf
February 26, 2025 - High Reliability Organization (HRO) Principles and Patient
Safety
February 26, 2025
Vogus T, Lee M, Mossburg SE. High Reliability Organization (HRO) Principles and Patient Safety. PSNet
[internet]. 2025.
https://psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
In To Err I…
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psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
September 24, 2024 - Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement
Carole Stockmeier, MHA, BS, Eric Thomas, MD, MPH, Merton Lee, PharmD, PhD, Sarah E. Mossburg, RN, PhD | September 24, 2024
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In Conversation with Ca…
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psnet.ahrq.gov/node/33663/psn-pdf
September 15, 2008 - Implementing a Patient Safety Program at a Large
National Health System
January 1, 2008
Hauck LD, Jacob J. Implementing a Patient Safety Program at a Large National Health System. PSNet
[internet]. 2008.
https://psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
Perspectiv…
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psnet.ahrq.gov/issue/diagnosis-reducing-errors-and-improving-quality
October 12, 2022 - Book/Report
Diagnosis: Reducing Errors and Improving Quality.
Citation Text:
Diagnosis: Reducing Errors and Improving Quality. Schiff G. Chapter In: Loscalzo J, Fauci A, Kasper D, et al, eds. Harrison's Principles of Internal Medicine, 21e. New York, NY: McGraw Hill; 2022
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psnet.ahrq.gov/issue/comparing-va-and-non-va-quality-care-systematic-review
May 15, 2024 - Review
Comparing VA and Non-VA quality of care: a systematic review.
Citation Text:
O'Hanlon C, Huang C, Sloss E, et al. Comparing VA and Non-VA Quality of Care: A Systematic Review. J Gen Intern Med. 2017;32(1):105-121. doi:10.1007/s11606-016-3775-2.
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psnet.ahrq.gov/issue/simulation-healthcare
November 23, 2014 - Newsletter/Journal
Simulation in Healthcare.
Citation Text:
Simulation in Healthcare. Scerbo M, ed. Washington DC; Society for Simulation in Healthcare, Lippincott, Williams and Wilkins. ISSN: 1559-2332
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