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AHRQ: Agency for Healthcare Research and Quality

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  1. How PSOs Help Health Care Organizations Improve Patient Safety Culture. | PSNet

    psnet.ahrq.gov/issue/how-psos-help-health-care-organizations-improve-patient-safety-culture
    May 25, 2016 - Book/Report How PSOs Help Health Care Organizations Improve Patient Safety Culture. Citation Text: How PSOs Help Health Care Organizations Improve Patient Safety Culture. Rockville, MD: Agency for Healthcare Research and Quality; April 2016. AHRQ Pub. No. 16-0026-EF. Copy Citation …

  2. The Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety. | PSNet

    psnet.ahrq.gov/issue/toolkit-using-ahrq-quality-indicators-how-improve-hospital-quality-and-safety
    August 01, 2012 - Audiovisual Presentation The Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety. Citation Text: The Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety. Rockville, MD: Agency for Healthcare Research and Quality;…

  3. A Framework for Safe, Reliable, and Effective Care. | PSNet

    psnet.ahrq.gov/issue/framework-safe-reliable-and-effective-care
    January 27, 2016 - Book/Report A Framework for Safe, Reliable, and Effective Care. Citation Text: A Framework for Safe, Reliable, and Effective Care. Frankel A, Haraden C, Federico F, Lenoci-Edwards J. Cambridge, MA: Institute for Healthcare Improvement and Safe & Reliable Healthcare; 2017. Copy Citation…

  4. Patient Deaths at Arbour Health Systems—Westwood Lodge Hospital and Pembroke Hospital. | PSNet

    psnet.ahrq.gov/issue/patient-deaths-arbour-health-systems-westwood-lodge-hospital-and-pembroke-hospital
    May 24, 2023 - Book/Report Patient Deaths at Arbour Health Systems—Westwood Lodge Hospital and Pembroke Hospital. Citation Text: Patient Deaths at Arbour Health Systems—Westwood Lodge Hospital and Pembroke Hospital. Disability Law Center. Boston, MA: February 2018. Copy Citation Save …

  5. You can say sorry. | PSNet

    psnet.ahrq.gov/issue/you-can-say-sorry
    February 25, 2009 - Commentary You can say sorry. Citation Text: Feinmann J. You can say sorry. BMJ. 2009;339:b3057. doi:10.1136/bmj.40018.430972.4D. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  6. Interdisciplinary Perspectives on Medical Error. | PSNet

    psnet.ahrq.gov/issue/interdisciplinary-perspectives-medical-error
    September 27, 2023 - Special or Theme Issue Interdisciplinary Perspectives on Medical Error. Citation Text: Interdisciplinary Perspectives on Medical Error. J Public Health Res. 2013;2:e22-e33. Copy Citation Save Save to your library Print Download PDF Share F…

  7. Selection of incorrect medication pump leads to chemotherapy overdose. | PSNet

    psnet.ahrq.gov/issue/selection-incorrect-medication-pump-leads-chemotherapy-overdose
    September 09, 2015 - Newspaper/Magazine Article Selection of incorrect medication pump leads to chemotherapy overdose. Citation Text: Selection of incorrect medication pump leads to chemotherapy overdose. ISMP Canada. August 26, 2015;15:1-4. Copy Citation Save Save to your library …

  8. USA Today news series: clarifying the issues and embracing community pharmacy safety. | PSNet

    psnet.ahrq.gov/issue/usa-today-news-series-clarifying-issues-and-embracing-community-pharmacy-safety
    March 14, 2023 - Newspaper/Magazine Article USA Today news series: clarifying the issues and embracing community pharmacy safety. Citation Text: USA Today news series: clarifying the issues and embracing community pharmacy safety. ISMP Medication Safety Alert! Acute care edition. February 28, 2008. Cop…

  9. Canada continues to lag behind other OECD countries on measures of patient safety | PSNet

    psnet.ahrq.gov/issue/canada-continues-lag-behind-other-oecd-countries-measures-patient-safety
    March 26, 2014 - Fact Sheet/FAQs Canada continues to lag behind other OECD countries on measures of patient safety Citation Text: Canada continues to lag behind other OECD countries on measures of patient safety Canadian Institute for Health Information. Ottawa, ON: Canadian Institute for Health Informat…

  10. More than half a million heart surgery patients at risk of a dangerous infection. | PSNet

    psnet.ahrq.gov/issue/more-half-million-heart-surgery-patients-risk-dangerous-infection
    April 22, 2015 - Newspaper/Magazine Article More than half a million heart surgery patients at risk of a dangerous infection. Citation Text: More than half a million heart surgery patients at risk of a dangerous infection. Sun LH. Copy Citation Save Save to your library Prin…

  11. Our stubborn quest for diagnostic certainty. | PSNet

    psnet.ahrq.gov/issue/our-stubborn-quest-diagnostic-certainty
    June 21, 2016 - Commentary Our stubborn quest for diagnostic certainty. Citation Text: Kassirer JP. Our stubborn quest for diagnostic certainty. N Engl J Med. 1989;320(22):1489-1491. doi:10.1056/nejm198906013202211. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

  12. Human Error. | PSNet

    psnet.ahrq.gov/issue/human-error
    March 06, 2005 - Book/Report Classic Human Error. Citation Text: Human Error. Reason JT. Cambridge, UK: Cambridge University Press; 1990. ISBN: 9780521306690. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  13. Declaration to Advance Patient Safety. | PSNet

    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. Health Care Simulation to Advance Safety: Responding to Ebola and Other Threats. | PSNet

    psnet.ahrq.gov/issue/health-care-simulation-advance-safety-responding-ebola-and-other-threats
    September 16, 2015 - Book/Report Health Care Simulation to Advance Safety: Responding to Ebola and Other Threats. Citation Text: Health Care Simulation to Advance Safety: Responding to Ebola and Other Threats. Rockville, MD: Agency for Healthcare Research and Quality; February 2015. AHRQ Publication No. 15-0…

  15. Ambulatory Safety and Quality Program: Health IT Portfolio. | PSNet

    psnet.ahrq.gov/issue/ambulatory-safety-and-quality-program-health-it-portfolio-2007-2013
    August 01, 2012 - Grant Recipient Ambulatory Safety and Quality Program: Health IT Portfolio. Citation Text: Ambulatory Safety and Quality Program: Health IT Portfolio. Rockville,MD: Agency for Healthcare Research and Quality; July 2010. AHRQ Pub. No. 10-P004. Copy Citation Save Sa…

  16. Requires DHSS to make reported information about certain adverse events publicly available. | PSNet

    psnet.ahrq.gov/issue/requires-dhss-make-reported-information-about-certain-adverse-events-publicly-available
    January 31, 2018 - Legislation/Case Law Requires DHSS to make reported information about certain adverse events publicly available. Citation Text: Requires DHSS to make reported information about certain adverse events publicly available. 212 New Jersey Legislature. Assembly, No. 4327. June 11, 2017. …

  17. The National Medical Error Disclosure and Compensation (MEDiC) Act. | PSNet

    psnet.ahrq.gov/issue/national-medical-error-disclosure-and-compensation-medic-act
    December 06, 2011 - Legislation/Case Law The National Medical Error Disclosure and Compensation (MEDiC) Act. Citation Text: The National Medical Error Disclosure and Compensation (MEDiC) Act. Rodham-Clinton H; Obama B. 109th Congress. 1st Session. S. 1784. September 28, 2005. Copy Citation …

  18. Resilient Health Care Series. | PSNet

    psnet.ahrq.gov/issue/resilient-health-care-series
    October 25, 2018 - Book/Report Resilient Health Care Series. Citation Text: Resilient Health Care Series. Hollnagel E, Braithwaite J, Wears RL, eds. Aldershot, UK: Ashgate Publishing; 2013-2016; Boca Raton: Taylor & Francis; 2018; New York, NY: Routledge; 2019. Copy Citation Save Sa…

  19. Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care. | PSNet

    psnet.ahrq.gov/issue/achieving-exceptional-patient-and-family-experience-inpatient-hospital-care
    August 09, 2017 - Book/Report Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care. Citation Text: Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care. Balik B, Conway J, Zipperer L, Watson J. Cambridge, MA: Institute for Healthcare Improvement; 2…

  20. IHI Framework for Improving Joy in Work. | PSNet

    psnet.ahrq.gov/issue/ihi-framework-improving-joy-work
    September 06, 2017 - Book/Report Classic IHI Framework for Improving Joy in Work. Citation Text: IHI Framework for Improving Joy in Work. Perlo J, Balik B, Swensen S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017. Copy Citation Save Save to…
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