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Crossing the Quality Chasm: A New Health System for the 21st Century. | PSNet

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July 08, 2016 - Book/Report Classic Crossing the Quality Chasm: A New Health System for the 21st Century. Citation Text: Crossing the Quality Chasm: A New Health System for the 21st Century. Committee on Quality of Health Care in America, Institute of Medicine. Washington DC: N…

Becoming a high-reliability organization through shared learning of safety events | PSNet

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February 12, 2020 - Newspaper/Magazine Article Becoming a high-reliability organization through shared learning of safety events Citation Text: Becoming a high-reliability organization through shared learning of safety events Klenklen J. Patient Saf Qual HCare. December 19, 2019. Copy Citation …

Independent double checks: worth the effort if used judiciously and properly. | PSNet

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January 23, 2019 - Newspaper/Magazine Article Independent double checks: worth the effort if used judiciously and properly. Citation Text: Independent double checks: worth the effort if used judiciously and properly. ISMP Medication Safety Alert! Acute Care Edition. June 6, 2019;24:1-7. Copy Citation …

Maryland Hospital Patient Safety Program Annual Report. | PSNet

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December 24, 2008 - Book/Report Maryland Hospital Patient Safety Program Annual Report. Citation Text: Maryland Hospital Patient Safety Program Annual Report. Office of Health Care Quality. Baltimore, MD: Maryland Department of Health and Mental Hygiene. Copy Citation Save Save to yo…

Medicare and Medicaid Programs; Hospital and Critical Access Hospital (CAH) Changes to Promote Innovation, Flexibility, and Improvement in Patient Care; Proposed Rule. | PSNet

psnet.ahrq.gov/issue/medicare-and-medicaid-programs-hospital-and-critical-access-hospital-cah-changes-promote

August 28, 2024 - Regulation Medicare and Medicaid Programs; Hospital and Critical Access Hospital (CAH) Changes to Promote Innovation, Flexibility, and Improvement in Patient Care; Proposed Rule. Citation Text: Medicare and Medicaid Programs; Hospital and Critical Access Hospital (CAH) Changes to Promote…

Radiation risks of diagnostic imaging and fluoroscopy. | PSNet

psnet.ahrq.gov/issue/radiation-risks-diagnostic-imaging

June 18, 2021 - Sentinel Event Alerts Radiation risks of diagnostic imaging and fluoroscopy. Citation Text: Radiation risks of diagnostic imaging and fluoroscopy. Sentinel Event Alert. August 24, 2011;47:1-4. (revised February 2019). Copy Citation Save Save to your library …

Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry. | PSNet

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November 06, 2015 - Book/Report Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry. Citation Text: Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry. Francis R. London, UK: The Stationary Office; 2013. ISBN: 9780102981469. Copy Citation Sav…

Safe Practices for Better Healthcare–2009 Update. | PSNet

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September 29, 2017 - Multi-use Website Safe Practices for Better Healthcare–2009 Update. Citation Text: Safe Practices for Better Healthcare–2009 Update. National Quality Forum. Washington, DC: National Quality Forum; 2009. Copy Citation Save Save to your library Print …

A piece of my mind. I'm sorry. | PSNet

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November 22, 2017 - Commentary A piece of my mind. I'm sorry. Citation Text: Kahn JS. A PIECE OF MY MIND. I'm Sorry. JAMA. 2015;313(24):2427-8. doi:10.1001/jama.2014.6507. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being. | PSNet

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September 12, 2018 - Book/Report Classic Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being. Citation Text: Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being. National Academies of Sciences, Engineering, and Me…

Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2. | PSNet

psnet.ahrq.gov/issue/selected-medication-safety-risks-manage-2016-might-otherwise-fall-radar-screen-part-1-and

March 09, 2016 - Newspaper/Magazine Article Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2. Citation Text: Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2. ISMP Medicat…

ISMP Canada identifies themes associated with fatal medication events in the home. | PSNet

psnet.ahrq.gov/issue/ismp-canada-identifies-themes-associated-fatal-medication-events-home

March 15, 2022 - Newspaper/Magazine Article ISMP Canada identifies themes associated with fatal medication events in the home. Citation Text: ISMP Canada identifies themes associated with fatal medication events in the home. ISMP Medication Safety Alert! Acute Care Edition. February 27, 2014;19:1-4. …

Alarm management: promoting safety and establishing guidelines. | PSNet

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May 24, 2017 - Commentary Alarm management: promoting safety and establishing guidelines. Citation Text: Criscitelli T. Alarm Management: Promoting Safety and Establishing Guidelines. AORN J. 2016;103(5):518-21. doi:10.1016/j.aorn.2016.03.008. Copy Citation Format: DOI Google Scholar PubM…

Errors of omission: missed nursing care. | PSNet

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September 27, 2017 - Review Errors of omission: missed nursing care. Citation Text: Kalisch BJ, Xie B. Errors of Omission: Missed Nursing Care. West J Nurs Res. 2014;36(7):875-890. doi:10.1177/0193945914531859. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …

Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III. | PSNet

psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-focus-implementation-and-dissemination-evaluation

May 21, 2014 - Book/Report Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III. Citation Text: Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III. Farley DO, Damberg CL, Ridgely …

Evaluation of postoperative handover using a tool to assess information transfer and teamwork. | PSNet

psnet.ahrq.gov/issue/evaluation-postoperative-handover-using-tool-assess-information-transfer-and-teamwork

April 30, 2014 - Study Evaluation of postoperative handover using a tool to assess information transfer and teamwork. Citation Text: Evaluation of postoperative handover using a tool to assess information transfer and teamwork. Nagpal K, Abboudi M, Fischler L, et al. Ann Surg. 2011;253:831-837. Co…

Overcoming barriers to patient safety. | PSNet

psnet.ahrq.gov/issue/overcoming-barriers-patient-safety

September 24, 2016 - Commentary Overcoming barriers to patient safety. Citation Text: Kalisch BJ, Aebersold M. Overcoming barriers to patient safety. Nurs Econ. 2006;24(3):143-8, 155, 123; quiz 149. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

Executive Order on the Safe, Secure, and Trustworthy Development and Use of Artificial Intelligence. | PSNet

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October 05, 2022 - Government Resource Executive Order on the Safe, Secure, and Trustworthy Development and Use of Artificial Intelligence. Citation Text: Executive Order on the Safe, Secure, and Trustworthy Development and Use of Artificial Intelligence. Washington DC: The White House; October 30, 2023.&n…

Medication safety: reducing anesthesia medication errors and adverse drug events in dentistry part I and II. | PSNet

psnet.ahrq.gov/issue/medication-safety-reducing-anesthesia-medication-errors-and-adverse-drug-events-dentistry

June 14, 2006 - Commentary Medication safety: reducing anesthesia medication errors and adverse drug events in dentistry part I and II. Citation Text: Medication safety: reducing anesthesia medication errors and adverse drug events in dentistry part I and II. Sarasin DS, Brady JW, Stevens RL. Anesth Pro…

ACOG Committee Opinion No. 447: patient safety in obstetrics and gynecology. | PSNet

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July 19, 2017 - Commentary ACOG Committee Opinion No. 447: patient safety in obstetrics and gynecology. Citation Text: Improvement AC of O and GCC on PS and Q. ACOG Committee Opinion No. 447: Patient safety in obstetrics and gynecology. Obstet Gynecol. 2009;114(6):1424-7. doi:10.1097/AOG.0b013e3181c6f90…

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