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141. Learning From Mistakes. | PSNet
     psnet.ahrq.gov/issue/learning-mistakes
     March 28, 2018 - Book/Report Learning From Mistakes. Citation Text: Learning From Mistakes. London, UK: Parliamentary and Health Service Ombudsman; July 18, 2016. ISBN: 9781474135764. Copy Citation Save Save to your library Print Download PDF Share Facebook…

142. Learning From Serious Failings in Care: Main Report. | PSNet
     psnet.ahrq.gov/issue/learning-serious-failings-care-main-report
     August 23, 2017 - Book/Report Learning From Serious Failings in Care: Main Report. Citation Text: Learning From Serious Failings in Care: Main Report. Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Academy of Medical Royal Colleges and Faculties in Scotland; May 2015. Copy Citation …

143. National Confidential Enquiry into Patient Outcome and Death. | PSNet
     psnet.ahrq.gov/issue/national-confidential-enquiry-patient-outcome-and-death
     November 25, 2009 - Multi-use Website National Confidential Enquiry into Patient Outcome and Death. Citation Text: National Confidential Enquiry into Patient Outcome and Death. National Confidential Enquiry into Patient Outcome and Death; NCEPOD Copy Citation Save Save to your libr…

144. American Hospital Association-McKesson Quest for Quality Prize. | PSNet
     psnet.ahrq.gov/issue/american-hospital-association-mckesson-quest-quality-prize-0
     March 28, 2018 - Award Recipient American Hospital Association-McKesson Quest for Quality Prize. Citation Text: American Hospital Association-McKesson Quest for Quality Prize. Jt Comm J Qual Patient Saf. 2007;33(10):592-604. Copy Citation Save Save to your library Pri…

145. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73905/psn-pdf
     October 06, 2021 - on measurement and assessment of clinical processes and outcomes to ensure that mothers and their babies

146. Quality improvement and safety in pediatric emergency medicine. | PSNet
     psnet.ahrq.gov/issue/quality-improvement-and-safety-pediatric-emergency-medicine
     March 12, 2025 - Review Quality improvement and safety in pediatric emergency medicine. Citation Text: Ku BC, Chamberlain JM, Shaw KN. Quality Improvement and Safety in Pediatric Emergency Medicine. Pediatr Clin North Am. 2018;65(6):1269-1281. doi:10.1016/j.pcl.2018.07.010. Copy Citation Format: …

147. Near-miss medication errors provide a wake-up call. | PSNet
     psnet.ahrq.gov/issue/near-miss-medication-errors-provide-wake-call
     January 24, 2024 - Commentary Near-miss medication errors provide a wake-up call. Citation Text: Claffey C. Near-miss medication errors provide a wake-up call. Nursing (Brux). 2018;48(1):53-55. doi:10.1097/01.NURSE.0000527615.45031.9e. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

148. Addressing healthcare-associated infections and antimicrobial resistance from an organizational perspective: progress and challenges. | PSNet
     psnet.ahrq.gov/issue/addressing-healthcare-associated-infections-and-antimicrobial-resistance-organizational
     January 31, 2024 - Commentary Addressing healthcare-associated infections and antimicrobial resistance from an organizational perspective: progress and challenges. Citation Text: Murray E, Holmes A. Addressing healthcare-associated infections and antimicrobial resistance from an organizational perspectiv…

149. A method to identify pediatric high-risk diagnoses missed in the emergency department. | PSNet
     psnet.ahrq.gov/issue/method-identify-pediatric-high-risk-diagnoses-missed-emergency-department
     October 26, 2022 - Study A method to identify pediatric high-risk diagnoses missed in the emergency department. Citation Text: Sundberg M, Perron CO, Kimia A, et al. A method to identify pediatric high-risk diagnoses missed in the emergency department. Diagnosis (Berl). 2018;5(2):63-69. doi:10.1515/dx-2018…

150. National Patient Safety Agency: combining stories with statistics to minimise harm. | PSNet
     psnet.ahrq.gov/issue/national-patient-safety-agency-combining-stories-statistics-minimise-harm
     November 18, 2020 - Study National Patient Safety Agency: combining stories with statistics to minimise harm. Citation Text: Lamont T, Scarpello J. National Patient Safety Agency: combining stories with statistics to minimise harm. BMJ. 2009;339:b4489. doi:10.1136/bmj.b4489. Copy Citation Format: …

151. Time out for patient safety. | PSNet
     psnet.ahrq.gov/issue/time-out-patient-safety
     October 26, 2022 - Commentary Time out for patient safety. Citation Text: Meginniss A, Damian F, Falvo F. Time out for patient safety. J Emerg Nurs. 2012;38(1):51-53. doi:10.1016/j.jen.2011.04.007. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

152. Diagnostic decision-making in the emergency department. | PSNet
     psnet.ahrq.gov/issue/diagnostic-decision-making-emergency-department
     December 16, 2020 - Review Diagnostic decision-making in the emergency department. Citation Text: Medford-Davis LN, Singh H, Mahajan P. Diagnostic decision-making in the emergency department. Pediatr Clin North Am. 2018;65(6):1097-1105. doi:10.1016/j.pcl.2018.07.003. Copy Citation Format: DOI …

153. Reclaiming the systems approach to paediatric safety. | PSNet
     psnet.ahrq.gov/issue/reclaiming-systems-approach-paediatric-safety
     April 03, 2019 - Commentary Reclaiming the systems approach to paediatric safety. Citation Text: Cheung R, Roland D, Lachman P. Reclaiming the systems approach to paediatric safety. Arch Dis Child. 2019;104(12):1130-1133. doi:10.1136/archdischild-2018-316401. Copy Citation Format: DOI Googl…

154. Black Patients are More Likely Than White Patients to be in Hospitals with Worse Patient Safety Conditions. | PSNet
     psnet.ahrq.gov/issue/black-patients-are-more-likely-white-patients-be-hospitals-worse-patient-safety-conditions
     August 18, 2021 - Book/Report Black Patients are More Likely Than White Patients to be in Hospitals with Worse Patient Safety Conditions. Citation Text: Black Patients are More Likely Than White Patients to be in Hospitals with Worse Patient Safety Conditions. Gangopadhyaya A. Washington DC: Urban Institu…

155. Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience. | PSNet
     psnet.ahrq.gov/issue/delivering-high-reliability-maternity-care-situ-simulation-source-organisational-resilience
     April 05, 2023 - Commentary Emerging Classic Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience. Citation Text: Macrae C, Draycott T. Delivering high reliability in maternity care: In situ simulation as a source of organisa…

156. Clinician factors associated with delayed diagnosis of appendicitis. | PSNet
     psnet.ahrq.gov/issue/clinician-factors-associated-delayed-diagnosis-appendicitis
     October 26, 2022 - Study Clinician factors associated with delayed diagnosis of appendicitis. Citation Text: Michelson KA, McGarghan FLE, Patterson EE, et al. Clinician factors associated with delayed diagnosis of appendicitis. Diagnosis (Berl). 2023;10(2):183-186. doi:10.1515/dx-2022-0119. Copy Citation…

157. Assessment of the AHRQ Patient Safety Initiative: Moving from Research to Practice Evaluation Report II (2003–2004). | PSNet
     psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-moving-research-practice-evaluation-report-ii-2003
     May 21, 2014 - Book/Report Assessment of the AHRQ Patient Safety Initiative: Moving from Research to Practice Evaluation Report II (2003–2004). Citation Text: Assessment of the AHRQ Patient Safety Initiative: Moving from Research to Practice Evaluation Report II (2003–2004). Farley D, Morton SC, Damber…

158. Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance--A Handbook for Acute Care Health Professionals. | PSNet
     psnet.ahrq.gov/issue/optimizing-crisis-resource-management-improve-patient-safety-and-team-performance-handbook
     August 16, 2016 - Book/Report Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance--A Handbook for Acute Care Health Professionals. Citation Text: Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance--A Handbook for Acute Care Health Professi…

159. Safer Services: A Toolkit for Specialist Mental Health Services and Primary Care. | PSNet
     psnet.ahrq.gov/issue/safer-services-toolkit-specialist-mental-health-services-and-primary-care
     November 25, 2009 - Tools/Toolkit Safer Services: A Toolkit for Specialist Mental Health Services and Primary Care. Citation Text: Safer Services: A Toolkit for Specialist Mental Health Services and Primary Care. National Confidential Inquiry into Suicide and Safety in Mental Health. Manchester, UK: Univers…

160. Human factors and error prevention in emergency medicine. | PSNet
     psnet.ahrq.gov/issue/human-factors-and-error-prevention-emergency-medicine
     October 03, 2011 - Commentary Human factors and error prevention in emergency medicine. Citation Text: Bleetman A, Sanusi S, Dale T, et al. Human factors and error prevention in emergency medicine. Emerg Med J. 2012;29(5):389-93. doi:10.1136/emj.2010.107698. Copy Citation Format: DOI Google…