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psnet.ahrq.gov/node/50758/psn-pdf
December 18, 2019 - Still Not Safe: Patient Safety and the Middle-Managing of
American Medicine.
December 18, 2019
Wears R, Sutcliffe K. New York, NY: Oxford University Press; 2019. ISBN: 9780190271268.
https://psnet.ahrq.gov/issue/still-not-safe-patient-safety-and-middle-managing-american-medicine
The modern patient safety movement …
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psnet.ahrq.gov/node/50679/psn-pdf
November 20, 2019 - Respectful, trusting relationships are essential for patient
safety, especially the surgeon-anesthesiologist dyad.
November 20, 2019
Cooper J. Anesthesiology 2019. October 19th, 2019; Orlando, FL.
https://psnet.ahrq.gov/issue/respectful-trusting-relationships-are-essential-patient-safety-especially-surgeon
This re…
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psnet.ahrq.gov/node/73996/psn-pdf
October 29, 2021 - Patient, Medical, and Legal Perspectives of Unsafe Care.
October 20, 2021
Patient Safety Movement. October 29, 2021.
https://psnet.ahrq.gov/issue/patient-medical-and-legal-perspectives-unsafe-care
Effective response to medical harm involves a variety of perspectives that are aligned in purpose. This
webinar …
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psnet.ahrq.gov/node/854993/psn-pdf
November 01, 2023 - Building cultures of high reliability: lessons from the high
reliability organization paradigm.
November 1, 2023
Sutcliffe KM. Building cultures of high reliability: lessons from the high reliability organization paradigm.
Anesthesiol Clin. 2023;41(4):707-717. doi:10.1016/j.anclin.2023.03.012.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/39946/psn-pdf
October 20, 2023 - MHA and MHA Keystone Center Annual Reports.
October 20, 2023
Okemos, MI: Michigan Health & Hospital Association.
https://psnet.ahrq.gov/issue/transformation-through-collaboration-2018-2019-mha-keystone-center-annual-
report
This publication annually reports on the successful outcomes of the Michigan Keystone Cente…
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psnet.ahrq.gov/issue/utilising-improvement-science-methods-optimise-medication-reconciliation
July 24, 2017 - Study
Utilising improvement science methods to optimise medication reconciliation.
Citation Text:
White CM, Schoettker PJ, Conway PH, et al. Utilising improvement science methods to optimise medication reconciliation. BMJ Qual Saf. 2011;20(4):372-80. doi:10.1136/bmjqs.2010.047845.
Co…
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psnet.ahrq.gov/node/36566/psn-pdf
January 10, 2007 - Department of Defense Health Care Quality.
January 10, 2007
Washington DC: Office of the Assistant Secretary of Defense; Tricare Management Activity: 2011.
https://psnet.ahrq.gov/issue/department-defense-health-care-quality
This report series discusses activities and achievements of the U.S. Department of Defense's…
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psnet.ahrq.gov/node/37647/psn-pdf
March 26, 2008 - Complying with the 2008 national patient safety goals.
March 26, 2008
Catalano K, Fickenscher K. Complying with the 2008 National Patient Safety Goals. AORN J.
2008;87(3):547-56. doi:10.1016/j.aorn.2007.12.029.
https://psnet.ahrq.gov/issue/complying-2008-national-patient-safety-goals
This article reviews the Joint…
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psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
March 01, 2017 - Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety
Sara J. Singer, MBA, PhD | March 1, 2017
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Singer SJ. Our Maturing Understanding of Safety C…
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psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil
March 01, 2017 - In Conversation With… Mary Dixon-Woods, DPhil
March 1, 2017
Also Read an Essay
Citation Text:
In Conversation With… Mary Dixon-Woods, DPhil. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …
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psnet.ahrq.gov/node/34137/psn-pdf
February 06, 2018 - Anesthesia Patient Safety Foundation.
February 6, 2018
P.O. Box 6668, Rochester, MN 55903.
https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation
The Anesthesia Patient Safety Foundation's (APSF) mission is to ensure that no patient is harmed by the
effects of anesthesia. To achieve that mission, APSF s…
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psnet.ahrq.gov/node/37536/psn-pdf
February 01, 2011 - Improving patient safety by taking systems seriously.
February 1, 2011
Shortell SM, Singer SJ. Improving patient safety by taking systems seriously. JAMA. 2008;299(4):445-447.
doi:10.1001/jama.299.4.445.
https://psnet.ahrq.gov/issue/improving-patient-safety-taking-systems-seriously
The authors advocate that system…
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psnet.ahrq.gov/node/35538/psn-pdf
March 29, 2010 - Identifying medical errors: developing consensus on
classifications and consequences.
March 29, 2010
Hobgood C; Eaton J; Weiner BJ.
https://psnet.ahrq.gov/issue/identifying-medical-errors-developing-consensus-classifications-and-
consequences
The investigators surveyed a panel of experts to determine if they coul…
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psnet.ahrq.gov/node/36631/psn-pdf
January 05, 2017 - Leadership strategies of medical school deans to
promote quality and safety.
January 5, 2017
Griner PF. Leadership strategies of medical school deans to promote quality and safety. Jt Comm J Qual
Patient Saf. 2007;33(2):63-72.
https://psnet.ahrq.gov/issue/leadership-strategies-medical-school-deans-promote-quality…
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psnet.ahrq.gov/node/47458/psn-pdf
January 01, 2019 - Systems science: a primer on high reliability.
November 26, 2018
Roberson DW, Kirsh ER. Systems science: a primer on high reliability. Otolaryngol Clin North Am.
2019;52(1):1-9. doi:10.1016/j.otc.2018.08.001.
https://psnet.ahrq.gov/issue/systems-science-primer-high-reliability
High-reliability organizations have d…
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psnet.ahrq.gov/node/47827/psn-pdf
February 27, 2019 - Improving Usability, Safety and Patient Outcomes With
Health Information Technology.
February 27, 2019
Lau F, Bartle-Clar JA, Bliss G, et al, eds. Stud Health Technol Inform. 2019;257:1-539. ISBN:
9781614999508.
https://psnet.ahrq.gov/issue/improving-usability-safety-and-patient-outcomes-health-information-technol…
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psnet.ahrq.gov/node/74118/psn-pdf
January 01, 2022 - From HRO to HERO: making health equity a core system
capability.
November 24, 2021
Moy E, Hausmann LRM, Clancy CM. From HRO to HERO: making health equity a core system capability.
Am J Med Qual. 2022;37(1):81-83. doi:10.1097/jmq.0000000000000020.
https://psnet.ahrq.gov/issue/hro-hero-making-health-equity-core-syst…
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psnet.ahrq.gov/node/837745/psn-pdf
July 27, 2022 - Making electronic health records both SAFER and
SMARTER.
July 27, 2022
Johnson KB, Stead WW. Making electronic health records both SAFER and SMARTER. JAMA.
2022;328(6):523-524. doi:10.1001/jama.2022.12243.
https://psnet.ahrq.gov/issue/making-electronic-health-records-both-safer-and-smarter
Electronic health recor…
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psnet.ahrq.gov/node/47695/psn-pdf
June 14, 2019 - No shortcuts to safer opioid prescribing.
June 14, 2019
Dowell D, Haegerich T, Chou R. No Shortcuts to Safer Opioid Prescribing. N Engl J Med.
2019;380(24):2285-2287. doi:10.1056/NEJMp1904190.
https://psnet.ahrq.gov/issue/no-shortcuts-safer-opioid-prescribing
Improving opioid prescribing is a complex challenge tha…
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psnet.ahrq.gov/node/60801/psn-pdf
August 12, 2020 - Targeting zero harm: a stretch goal that risks breaking the
spring.
August 12, 2020
Meddings J, Saint S, Lilford RJ, et al. Targeting zero harm: a stretch goal that risks breaking the spring.
NEJM Catal Innov Care Deliv. 2020;1(4). doi:10.1056/cat.20.0354.
https://psnet.ahrq.gov/issue/targeting-zero-harm-stretch-g…