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  1. psnet.ahrq.gov/issue/2007-john-m-eisenberg-patient-safety-and-quality-awards
    January 06, 2017 - Award Recipient 2007 John M. Eisenberg Patient Safety and Quality Awards. Citation Text: 2007 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2007;33(12):709-757. Copy Citation Save Save to your library Print Download P…
  2. psnet.ahrq.gov/issue/swiss-cheese-model-safety-incidents-are-there-holes-metaphor
    February 24, 2011 - Commentary The Swiss cheese model of safety incidents: are there holes in the metaphor? Citation Text: Perneger T. The Swiss cheese model of safety incidents: are there holes in the metaphor? BMC Health Serv Res. 2005;5:71. Copy Citation Format: Google Scholar PubMed BibT…
  3. psnet.ahrq.gov/issue/ismp-medication-safety-intensive
    February 05, 2025 - International Meeting/Conference ISMP Medication Safety Intensive. Citation Text: ISMP Medication Safety Intensive. Institute for Safe Medication Practices. December 5-6 2024, 7:30 AM - 4:30 PM (eastern). Copy Citation Save Save to your library Print Do…
  4. psnet.ahrq.gov/issue/misdiagnoses-hidden-risk-genetic-testing
    July 10, 2019 - Newspaper/Magazine Article Misdiagnoses: a hidden risk of genetic testing. Citation Text: Misdiagnoses: a hidden risk of genetic testing. Howard J. CNN. October 31, 2016. Copy Citation Save Save to your library Print Download PDF Share Face…
  5. psnet.ahrq.gov/issue/new-ahrq-sopsr-workplace-safety-supplemental-items-hospitals
    May 01, 2017 - Webinar New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals. Citation Text: New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals. Rockville, MD: Agency for Healthcare Research and Quality; December 16, 2021. Copy Citation Save Save to…
  6. psnet.ahrq.gov/issue/bias-er-doctors-suffer-same-cognitive-distortions-rest-us
    March 01, 2017 - Newspaper/Magazine Article Bias in the ER. Doctors suffer from the same cognitive distortions as the rest of us. Citation Text: Bias in the ER. Doctors suffer from the same cognitive distortions as the rest of us. Lewis M. Nautilus. February 9, 2017. Copy Citation Save …
  7. psnet.ahrq.gov/issue/review-organizational-culture-instruments-nurse-executives
    January 14, 2011 - Review A review of organizational culture instruments for nurse executives. Citation Text: King T, Byers JF. A review of organizational culture instruments for nurse executives. J Nurs Adm. 2007;37(1):21-31. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…
  8. psnet.ahrq.gov/issue/safer-dx-checklist-10-high-priority-practices-diagnostic-excellence
    August 04, 2021 - Tools/Toolkit Safer Dx Checklist: 10 High-Priority Practices for Diagnostic Excellence. Citation Text: Safer Dx Checklist: 10 High-Priority Practices for Diagnostic Excellence. Houston TX;  Baylor College of Medicine: 2022. Copy Citation Save Save to your l…
  9. psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action
    November 27, 2018 - Book/Report Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Citation Text: Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Oakbroo…
  10. psnet.ahrq.gov/issue/department-defense-health-care-quality
    February 11, 2025 - Book/Report Department of Defense Health Care Quality. Citation Text: Department of Defense Health Care Quality. Washington DC: Office of the Assistant Secretary of Defense; Tricare Management Activity: 2011. Copy Citation Save Save to your library Print…
  11. psnet.ahrq.gov/issue/ismps-list-confused-drug-names
    August 21, 2015 - Fact Sheet/FAQs Classic ISMP's List of Confused Drug Names. Citation Text: ISMP's List of Confused Drug Names. Horsham, PA; Institute for Safe Medication Practices: July 2023. Copy Citation Save Save to your library Print Downlo…
  12. psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
    April 17, 2024 - Fact Sheet/FAQs ISMP's List of High-Alert Medications in Acute Care Settings. Citation Text: ISMP's List of High-Alert Medications in Acute Care Settings. Horsham, PA; Institute for Safe Medication Practices: 2024. Copy Citation Save Save to your library Pri…
  13. psnet.ahrq.gov/issue/declaration-advance-patient-safety
    July 12, 2017 - Book/Report Declaration to Advance Patient Safety. Citation Text: Declaration to Advance Patient Safety. National Steering Committee for Patient Safety. Boston, MA: Institute for Healthcare Improvement; May 2022. Copy Citation Save Save to your library Pri…
  14. psnet.ahrq.gov/issue/providing-safe-high-quality-maternity-care-rural-us-hospitals-ihi-innovation-report
    November 02, 2016 - Book/Report Providing Safe, High-Quality Maternity Care in Rural US Hospitals. IHI Innovation Report. Citation Text: Providing Safe, High-Quality Maternity Care in Rural US Hospitals. IHI Innovation Report. Laderman M, Renton M. Boston, MA: Institute for Healthcare Improvement; 2020. …
  15. psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition
    January 09, 2019 - Measurement Tool/Indicator Classic IHI Global Trigger Tool for Measuring Adverse Events. 2nd Edition. Citation Text: IHI Global Trigger Tool for Measuring Adverse Events. 2nd Edition. Griffin FA, Resar RK. IHI Innovation Series white paper. Cambridge, MA: Instit…
  16. psnet.ahrq.gov/issue/national-action-plan-advance-patient-safety
    October 16, 2024 - Book/Report Safer Together: A National Action Plan to Advance Patient Safety. Citation Text: Safer Together: A National Action Plan to Advance Patient Safety. Boston, MA: Institute for Healthcare Improvement: September 2020.   Copy Citation Save Save t…
  17. psnet.ahrq.gov/issue/keeping-commitment-progress-report-four-early-leaders-patient-safety-improvement
    October 07, 2008 - Book/Report Keeping the Commitment: A Progress Report on Four Early Leaders in Patient Safety Improvement. Citation Text: Keeping the Commitment: A Progress Report on Four Early Leaders in Patient Safety Improvement. McCarthy D, Klein S. New York, NY: The Commonwealth Fund; March 15,…
  18. psnet.ahrq.gov/issue/improving-diagnostic-quality-safetyreducing-diagnostic-error-measurement-considerations
    November 20, 2019 - Book/Report Improving Diagnostic Quality & Safety/Reducing Diagnostic Error: Measurement Considerations. Citation Text: Improving Diagnostic Quality & Safety/Reducing Diagnostic Error: Measurement Considerations. Washington DC; National Quality Forum: October 28, 2019. Copy Citation …
  19. psnet.ahrq.gov/issue/premature-closure-not-so-fast
    September 28, 2022 - Commentary Premature closure? Not so fast. Citation Text: Dhaliwal G. Premature closure? Not so fast. BMJ Qual Saf. 2017;26(2):87-89. doi:10.1136/bmjqs-2016-005267. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…
  20. psnet.ahrq.gov/issue/using-machine-learning-improve-patient-safety-home-or-remote-setting-adults
    May 25, 2022 - Book/Report Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults. Citation Text: Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults. Feske-Kirby K, Whittington J, McGaffigan P. Boston, MA: Institute for Healthcar…

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