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psnet.ahrq.gov/node/60663/psn-pdf
January 01, 2021 - Apology laws and malpractice liability: what have we
learned?
July 8, 2020
Fields AC, Mello MM, Kachalia A. Apology laws and malpractice liability: what have we learned? BMJ Qual
Saf. 2021;30(1):64-67. doi:10.1136/bmjqs-2020-010955.
https://psnet.ahrq.gov/issue/apology-laws-and-malpractice-liability-what-have-we-l…
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psnet.ahrq.gov/node/50643/psn-pdf
November 06, 2019 - Same Day Surgery in the US; Findings of Two Inaugural
Leapfrog Surveys 2019.
November 6, 2019
Washington DC: Leapfrog Group; 2019.
https://psnet.ahrq.gov/issue/same-day-surgery-us-findings-two-inaugural-leapfrog-surveys-2019
Ambulatory surgery centers (ASC) are established venues for surgical care despite lack of …
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psnet.ahrq.gov/node/836832/psn-pdf
March 30, 2022 - Improving Education—A Key to Better Diagnostic
Outcomes.
March 30, 2022
Olson APJ, Danielson J, Stanley J, et al. Rockville, MD: Agency for Healthcare Research and Quality;
March 2022. AHRQ Publication No. 22-0026-1-EF
https://psnet.ahrq.gov/issue/improving-education-key-better-diagnostic-outcomes
Diagnostic skil…
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psnet.ahrq.gov/node/37312/psn-pdf
January 05, 2012 - Delineation of risk through the exploration of a culture of
safety in community home health.
January 5, 2012
Stevenson L, McRae C, Mughal WA. Delineation of Risk Through the Exploration of a Culture of Safety in
Community Home Health. Home Health Care Manag Pract. 2007;19(6). doi:10.1177/1084822307304256.
https://…
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psnet.ahrq.gov/node/40098/psn-pdf
December 18, 2014 - Iatrogenic events in neonates: beneficial effects of
prevention strategies and continuous monitoring.
December 18, 2014
Ligi I, Millet V, Sartor C, et al. Iatrogenic events in neonates: beneficial effects of prevention strategies and
continuous monitoring. Pediatrics. 2010;126(6):e1461-8. doi:10.1542/peds.2009-2872…
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psnet.ahrq.gov/node/45185/psn-pdf
August 03, 2016 - Final Report of the Commission on Care.
August 3, 2016
Washington, DC: Commission on Care; June 2016.
https://psnet.ahrq.gov/issue/final-report-commission-care
The Veterans Affairs health system has recently faced challenges associated with access and quality.
Providing an assessment of the current and future stat…
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psnet.ahrq.gov/node/46997/psn-pdf
July 25, 2018 - Gross Negligence Manslaughter in Healthcare: The
Report of a Rapid Policy Review.
July 25, 2018
Williams N. Department of Health and Social Care. London, England: Crown Copyright; 2018.
https://psnet.ahrq.gov/issue/gross-negligence-manslaughter-healthcare-report-rapid-policy-review
Accountability for errors and or…
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psnet.ahrq.gov/node/33916/psn-pdf
December 22, 2014 - Training of Hospital Staff To Respond to a Mass Casualty
Incident. Summary, Evidence Report/Technology
Assessment.
December 22, 2014
Hsu EB, Jenckes MW, Catlett CL, et al. In: AHRQ Evidence Report Summaries. Rockville, MD: Agency for
Healthcare Research and Quality; 1998-2005. 95. AHRQ Publication No. 04-E015-1
h…
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psnet.ahrq.gov/node/45938/psn-pdf
September 29, 2017 - Is excessive resource utilization an adverse event?
September 29, 2017
Zapata JA, Lai AR, Moriates C. Is Excessive Resource Utilization an Adverse Event? JAMA.
2017;317(8):849-850. doi:10.1001/jama.2017.0698.
https://psnet.ahrq.gov/issue/excessive-resource-utilization-adverse-event
Overuse of therapies, medication…
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psnet.ahrq.gov/node/36637/psn-pdf
January 14, 2011 - The effect of the fit between organizational culture and
structure on medication errors in medical group
practices.
January 14, 2011
Kaissi A, Kralewski J, Dowd B, et al. The effect of the fit between organizational culture and structure on
medication errors in medical group practices. Health Care Manage Rev. 2007…
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psnet.ahrq.gov/sites/default/files/2020-12/final_dec_spotlight_code_status_vs_care_status.pdf
January 01, 2020 - Assessing competence to consent to treatment: A guide for physicians and other health professionals.
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psnet.ahrq.gov/perspective/are-we-getting-better-measuring-patient-safety
November 10, 2015 - Sections
Perspective
Related Resources From the Same Author(s)
Assessing
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psnet.ahrq.gov/web-mm/empty-handoff
August 01, 2017 - Assessing the quality of patient handoffs at care transitions. Qual Saf Health Care. 2010;19:e44.
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psnet.ahrq.gov/node/848110/psn-pdf
April 26, 2023 - Assessing residents for their risk of falls based on their fall history, medications,
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/73128/psn-pdf
July 01, 2022 - Hospital at Home? Care Reduces Costs, Readmissions,
and Complications and Enhances Satisfaction for Elderly
Patients.
April 7, 2021
https://psnet.ahrq.gov/innovation/hospital-homesm-care-reduces-costs-readmissions-and-complications-
and-enhances
Summary
The Hospital at Homesm program provides hospital-level care…
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psnet.ahrq.gov/perspective/conversation-richard-platt-md-msc
October 01, 2016 - In Conversation With… Richard Platt, MD, MSc
October 1, 2016
Also Read an Essay
Citation Text:
In Conversation With… Richard Platt, MD, MSc. 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/60706/psn-pdf
July 22, 2020 - Painting a picture of nurse presenteeism: a multi-country
integrative review.
July 22, 2020
Freeling M, Rainbow JG, Chamberlain D. Painting a picture of nurse presenteeism: a multi-country
integrative review. Int J Nurs Stud. 2020;109:103659. doi:10.1016/j.ijnurstu.2020.103659.
https://psnet.ahrq.gov/issue/paintin…
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psnet.ahrq.gov/node/60965/psn-pdf
September 30, 2020 - Data collection for adverse events reporting by US dental
schools.
September 30, 2020
Rooney D, Barrett K, Bufford B, et al. Data collection for adverse events reporting by US dental schools. J
Patient Saf. 2020;16(3):e126-e130. doi:10.1097/pts.0000000000000281.
https://psnet.ahrq.gov/issue/data-collection-adverse…
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psnet.ahrq.gov/node/60997/psn-pdf
October 07, 2020 - ‘You’re going to release him when he was hurting
himself?’
October 7, 2020
Dahlberg B. Kaiser Health News. September 29, 2020.
https://psnet.ahrq.gov/issue/youre-going-release-him-when-he-was-hurting-himself
This story discusses failures related emergency psychiatric assessment, including premature discharge,
imp…
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psnet.ahrq.gov/node/46158/psn-pdf
October 31, 2017 - Improving care teams' functioning: recommendations
from team science.
October 31, 2017
Fiscella K, Mauksch L, Bodenheimer T, et al. Improving Care Teams' Functioning: Recommendations from
Team Science. Jt Comm J Qual Patient Saf. 2017;43(7):361-368. doi:10.1016/j.jcjq.2017.03.009.
https://psnet.ahrq.gov/issue/impr…