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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/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-report-2017
November 27, 2018 - Book/Report
America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2017.
Citation Text:
America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2017. Oakbrook Terrace; IL: Joint Commission; 2017.
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psnet.ahrq.gov/issue/partnership-patients
October 30, 2019 - Government Resource
Partnership for Patients.
Citation Text:
Partnership for Patients. Washington, DC: US Department of Health and Human Services.
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psnet.ahrq.gov/issue/patient-safety-exercise-behavioral-change
November 10, 2010 - Meeting/Conference Proceedings
Patient Safety as an Exercise in Behavioral Change.
Citation Text:
Patient Safety as an Exercise in Behavioral Change. Leape LL. Social and Behavioral Sciences in Action. Washington, DC: National Research Council of the National Academies. September 24,…
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psnet.ahrq.gov/issue/apsf-endorsed-statement-revising-recommendations-patient-monitoring-during-anesthesia
July 25, 2018 - Organizational Policy/Guidelines
APSF endorsed statement on revising recommendations for patient monitoring during anesthesia.
Citation Text:
APSF endorsed statement on revising recommendations for patient monitoring during anesthesia. The APSF Committee on Technology. APSF Newsletter.&n…
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psnet.ahrq.gov/issue/unequal-treatment-revisited-workshop-series
September 12, 2018 - Audiovisual Presentation
Unequal Treatment Revisited: A Workshop Series.
Citation Text:
Unequal Treatment Revisited: A Workshop Series. Committee on Unequal Treatment. Washington DC: National Academies of Sciences, Engineering and Medicine; 2023-2024.
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psnet.ahrq.gov/issue/2019-john-m-eisenberg-patient-safety-and-quality-award-recipients
May 30, 2012 - Award Recipient
2019 John M. Eisenberg Patient Safety and Quality Award Recipients.
Citation Text:
2019 John M. Eisenberg Patient Safety and Quality Award Recipients. Oakbrook Terrace, IL; Joint Commission: May 13 2020.
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psnet.ahrq.gov/issue/2018-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced
February 28, 2018 - Press Release/Announcement
2018 John M. Eisenberg Patient Safety and Quality Award Recipients Announced.
Citation Text:
2018 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. Joint Commission.
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psnet.ahrq.gov/issue/enacting-washington-state-patient-safety-act-requiring-hospital-staffing-plans-nursing
May 04, 2015 - Legislation/Case Law
Enacting the Washington state patient safety act requiring hospital staffing plans for nursing services and establishing recordkeeping and reporting requirements.
Citation Text:
Enacting the Washington state patient safety act requiring hospital staffing plans for n…
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psnet.ahrq.gov/issue/oxford-professional-practice-handbook-patient-safety
June 16, 2012 - Book/Report
Oxford Professional Practice: Handbook of Patient Safety.
Citation Text:
Oxford Professional Practice: Handbook of Patient Safety. Lachman P, Runnacles J, Jayadev A et al, eds. London, England; Oxford University Press; 2022. ISBN: 9780192846877.
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psnet.ahrq.gov/issue/seven-leadership-leverage-points-organization-level-improvement-health-care
November 18, 2011 - Book/Report
Seven Leadership Leverage Points for Organization-Level Improvement in Health Care. Second edition.
Citation Text:
Seven Leadership Leverage Points for Organization-Level Improvement in Health Care. Second edition. Reinertsen JL, Bisognano M, Pugh MD. Cambridge, MA: Institute…
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psnet.ahrq.gov/issue/safety-culture-building-and-sustaining-cultural-change-aviation-and-healthcare
August 02, 2016 - Book/Report
Safety Culture: Building and Sustaining a Cultural Change in Aviation and Healthcare.
Citation Text:
Safety Culture: Building and Sustaining a Cultural Change in Aviation and Healthcare. Patankar MS, Brown JP, Sabin EJ, Bigda-Peyton TG. Burlington, VT: Ashgate; 2012. ISBN: 97…
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psnet.ahrq.gov/issue/nurses-role-medication-safety-second-edition
February 25, 2013 - Book/Report
The Nurse's Role in Medication Safety, Second Edition.
Citation Text:
The Nurse's Role in Medication Safety, Second Edition. Cima L, Clarke S, eds. Oakbrook Terrace, IL: Joint Commission; 2012. ISBN: 9781599406183
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psnet.ahrq.gov/issue/2007-john-m-eisenberg-patient-safety-and-quality-award-recipients
February 28, 2018 - Press Release/Announcement
2007 John M. Eisenberg Patient Safety and Quality Award Recipients.
Citation Text:
2007 John M. Eisenberg Patient Safety and Quality Award Recipients. Joint Commission.
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psnet.ahrq.gov/issue/how-physicians-think-case-based-diagnostic-simulation-exercise
August 14, 2019 - Study
How physicians think: a case-based diagnostic simulation exercise.
Citation Text:
Gupta A, Quinn M, Saint S, et al. The variability in how physicians think: a casebased diagnostic simulation exercise. Diagnosis (Berl). 2021;8(2):167-175. doi:10.1515/dx-2020-0010.
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psnet.ahrq.gov/issue/assessment-attitudes-toward-deprescribing-older-medicare-beneficiaries-united-states
June 30, 2021 - Study
Classic
Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States.
Citation Text:
Reeve E, Wolff JL, Skehan M, et al. Assessment of Attitudes Toward Deprescribing in Older Medicare Beneficiaries in the United States.…
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psnet.ahrq.gov/issue/striving-high-reliability-healthcare-qualitative-study-implementation-hospital-safety
July 10, 2019 - Study
Striving for high reliability in healthcare: a qualitative study of the implementation of a hospital safety programme.
Citation Text:
Rotteau L, Goldman J, Shojania KG, et al. Striving for high reliability in healthcare: a qualitative study of the implementation of a hospital safet…
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psnet.ahrq.gov/issue/can-sbar-be-implemented-high-fidelity-and-does-it-improve-communication-between-healthcare
June 22, 2022 - Review
Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A systematic review.
Citation Text:
Lo L, Rotteau L, Shojania KG. Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A sys…
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psnet.ahrq.gov/node/33589/psn-pdf
September 15, 2024 - High Reliability
September 15, 2024
High Reliability. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/high-reliability
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/issue/patient-safety-disclosure-medical-errors-and-risk-mitigation
June 07, 2017 - Commentary
Patient safety: disclosure of medical errors and risk mitigation.
Citation Text:
Moffatt-Bruce SD, Ferdinand FD, Fann J. Patient Safety: Disclosure of Medical Errors and Risk Mitigation. Ann Thorac Surg. 2016;102(2):358-62. doi:10.1016/j.athoracsur.2016.06.033.
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