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  1. Defending a "never event." | PSNet

    psnet.ahrq.gov/issue/defending-never-event
    February 14, 2017 - Commentary Defending a "never event." Citation Text: Shepperd JR. Defending a "Never Event". J Healthc Risk Manag. 2017;37(1):17-22. doi:10.1002/jhrm.21277. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  2. Airway carts: a systems-based approach to airway safety. | PSNet

    psnet.ahrq.gov/issue/airway-carts-systems-based-approach-airway-safety
    July 21, 2010 - Study Airway carts: a systems-based approach to airway safety. Citation Text: Kane BG, Bond WF, Worrilow CC, et al. Airway Carts. J Patient Saf. 2008;2(3). doi:10.1097/01.jps.0000242995.09037.07. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…

  3. COVID-19 dominates annual list of patient safety concerns. | PSNet

    psnet.ahrq.gov/issue/covid-19-dominates-annual-list-patient-safety-concerns
    May 26, 2021 - Newspaper/Magazine Article COVID-19 dominates annual list of patient safety concerns. Citation Text: COVID-19 dominates annual list of patient safety concerns. Brooks M. Medscape Medical News. March 15, 2021. Copy Citation Save Save to your library Print …

  4. NPSD Data Spotlight: Patterns of Fall Interventions. | PSNet

    psnet.ahrq.gov/issue/npsd-data-spotlight-patterns-fall-interventions
    September 13, 2023 - Book/Report NPSD Data Spotlight: Patterns of Fall Interventions. Citation Text: NPSD Data Spotlight: Patterns of Fall Interventions. Rockville, MD: Agency for Healthcare Research and Quality; September 2023. AHRQ Publication no. 23-0055. Copy Citation Save Save to…

  5. Judging whether a patient is actually improving: more pitfalls from the science of human perception. | PSNet

    psnet.ahrq.gov/issue/judging-whether-patient-actually-improving-more-pitfalls-science-human-perception
    September 04, 2019 - Review Judging whether a patient is actually improving: more pitfalls from the science of human perception. Citation Text: Redelmeier DA, Dickinson VM. Judging whether a patient is actually improving: more pitfalls from the science of human perception. J Gen Intern Med. 2012;27(9):1195-9…

  6. Clinical Risk Management. Enhancing Patient Safety. 2nd ed. | PSNet

    psnet.ahrq.gov/issue/clinical-risk-management-enhancing-patient-safety-2nd-ed
    May 20, 2019 - Book/Report Classic Clinical Risk Management. Enhancing Patient Safety. 2nd ed. Citation Text: Clinical Risk Management. Enhancing Patient Safety. 2nd ed. Vincent CA, ed. London, UK: BMJ Books; 2001. ISBN: 9780727913920. Copy Citation Save …

  7. Patient safety in obstetrics and gynecology: an agenda for the future. | PSNet

    psnet.ahrq.gov/issue/patient-safety-obstetrics-and-gynecology-agenda-future
    January 12, 2011 - Commentary Patient safety in obstetrics and gynecology: an agenda for the future. Citation Text: Pearlman MD. Patient safety in obstetrics and gynecology: an agenda for the future. Obstet Gynecol. 2006;108(5):1266-71. Copy Citation Format: Google Scholar PubMed BibTeX End…

  8. Hospital Experiences Responding to the COVID-19 Pandemic: Results of a National Pulse Survey March 23-27, 2020. | PSNet

    psnet.ahrq.gov/issue/hospital-experiences-responding-covid-19-pandemic-results-national-pulse-survey-march-23-27
    December 23, 2020 - Book/Report Classic Hospital Experiences Responding to the COVID-19 Pandemic: Results of a National Pulse Survey March 23-27, 2020. Citation Text: Hospital Experiences Responding to the COVID-19 Pandemic: Results of a National Pulse Survey March 23-27, 2020. Was…

  9. Supplemental Item Set for Nursing Home SOPS: Call for Pilot Participants. | PSNet

    psnet.ahrq.gov/issue/supplemental-item-set-nursing-home-sops-call-pilot-participants
    December 24, 2008 - Measurement Tool/Indicator Supplemental Item Set for Nursing Home SOPS: Call for Pilot Participants. Citation Text: Supplemental Item Set for Nursing Home SOPS: Call for Pilot Participants. Rockville, MD: Agency for Health Quality and Research; June 2022. Copy Citation …

  10. Hospitalized patients' understanding of their plan of care. | PSNet

    psnet.ahrq.gov/issue/hospitalized-patients-understanding-their-plan-care
    June 11, 2010 - Study Hospitalized patients' understanding of their plan of care. Citation Text: O'Leary KJ, Kulkarni N, Landler MP, et al. Hospitalized patients' understanding of their plan of care. Mayo Clin Proc. 2010;85(1):47-52. doi:10.4065/mcp.2009.0232. Copy Citation Format: DOI Goo…

  11. Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge. | PSNet

    psnet.ahrq.gov/issue/drug-shortages-certain-factors-are-strongly-associated-persistent-public-health-challenge
    May 04, 2016 - Book/Report Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge. Citation Text: Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge. Washington, DC: United States Government Accountability O…

  12. Patient Options for Safe and Effective Disposal of Unused Opioids. | PSNet

    psnet.ahrq.gov/issue/patient-options-safe-and-effective-disposal-unused-opioids
    March 06, 2019 - Book/Report Patient Options for Safe and Effective Disposal of Unused Opioids. Citation Text: Patient Options for Safe and Effective Disposal of Unused Opioids. Washington, DC: United States Government Accountability Office; September 2019. Publication GAO-19-650. Copy Citation …

  13. Improving hospital performance: culture change is not the answer. | PSNet

    psnet.ahrq.gov/issue/improving-hospital-performance-culture-change-not-answer
    September 27, 2016 - Commentary Improving hospital performance: culture change is not the answer. Citation Text: Leggat SG, Dwyer J. Improving hospital performance: culture change is not the answer. Healthc Q. 2005;8(2):60-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…

  14. Keeping our Promises: Research, Practice, and Policy Issues in Health Care Reliability. | PSNet

    psnet.ahrq.gov/issue/keeping-our-promises-research-practice-and-policy-issues-health-care-reliability
    September 24, 2016 - Special or Theme Issue Keeping our Promises: Research, Practice, and Policy Issues in Health Care Reliability. Citation Text: Keeping our Promises: Research, Practice, and Policy Issues in Health Care Reliability. Reinertsen JL, Clancy C, Henriksen K, et al. Health Serv Res. 2006;41(…

  15. New mother number 14. | PSNet

    psnet.ahrq.gov/issue/new-mother-number-14
    August 18, 2021 - Commentary New mother number 14. Citation Text: New mother number 14. Sangarlangkarn A. Healthc (Amst). 2019;7:31-32. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  16. Prescription Drug Monitoring Programs: Evolution and Evidence. | PSNet

    psnet.ahrq.gov/issue/prescription-drug-monitoring-programs-evolution-and-evidence
    November 23, 2005 - Book/Report Prescription Drug Monitoring Programs: Evolution and Evidence. Citation Text: Prescription Drug Monitoring Programs: Evolution and Evidence. Weiner J, Bao Y, Meisel Z. LDI/CHERISH Issue Brief. June 2017. Copy Citation Save Save to your library Pr…

  17. Disclosure of adverse events in pediatrics. | PSNet

    psnet.ahrq.gov/issue/disclosure-adverse-events-pediatrics
    April 21, 2021 - Organizational Policy/Guidelines Disclosure of adverse events in pediatrics. Citation Text: Disclosure of adverse events in pediatrics. McDonnell WM; Altman RL; Bondi SA et al for the Committee on Medical Liability and Risk Management; Council on Quality Improvement and Patient Safety. P…

  18. Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. | PSNet

    psnet.ahrq.gov/issue/overview-environmental-scan-primary-care-based-effort-reduce-readmissions
    November 01, 2016 - Book/Report Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. Citation Text: Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. Hochman M, Bourgoin A, Saluja S, et al. Rockville, MD: Agency for Healthcare Research…

  19. Network of Patient Safety Databases Chartbook. | PSNet

    psnet.ahrq.gov/issue/network-patient-safety-databases-chartbook
    October 23, 2019 - Book/Report Network of Patient Safety Databases Chartbook. Citation Text: Network of Patient Safety Databases Chartbook. Rockville, MD: Agency for Healthcare Research and Quality; September 2023. AHRQ Publication no. 23-0082. Copy Citation Save Save to your libr…

  20. Large-scale Coordination: Health Care. | PSNet

    psnet.ahrq.gov/issue/large-scale-coordination-health-care
    August 06, 2016 - Special or Theme Issue Large-scale Coordination: Health Care. Citation Text: Large-scale Coordination: Health Care. Nemeth CP ed. Cognition Technol Work. 2007;9(3):127-176. Copy Citation Save Save to your library Print Download PDF Shar…
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