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7621. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38061/psn-pdf
      November 08, 2008 - Medication errors in pediatric inpatients: prevalence and results of a prevention program. November 8, 2008 Otero P, Leyton A, Mariani G, et al. Medication errors in pediatric inpatients: prevalence and results of a prevention program. Pediatrics. 2008;122(3):e737-43. doi:10.1542/peds.2008-0014. https://psnet.ahrq…

7622. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37228/psn-pdf
      December 15, 2011 - A comparison of two distribution methods on response rates to a patient safety questionnaire in nursing homes. December 15, 2011 Lapane KL, Quilliam BJ, Hughes C. A comparison of two distribution methods on response rates to a patient safety questionnaire in nursing homes. J Am Med Dir Assoc. 2007;8(7):446-52. htt…

7623. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42555/psn-pdf
      January 15, 2014 - Patient Safety: Committing to Learn and Acting to Improve. January 15, 2014 Twigg D, Attree M, eds. Nurse Educ Today. 2014;34(2):159-284.    https://psnet.ahrq.gov/issue/patient-safety-committing-learn-and-acting-improve This special issue highlights research exploring educational, learning, and leadersh…

7624. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39360/psn-pdf
      March 17, 2010 - Medical error reduction and tort reform through private contractually-based quality medicine societies. March 17, 2010 MacCourt D, Bernstein J. Medical error reduction and tort reform through private, contractually-based quality medicine societies. Am J Law Med. 2009;35(4):505-61. https://psnet.ahrq.gov/issue/medi…

7625. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46212/psn-pdf
      September 13, 2017 - Improving patient care through improved caregiver support. September 13, 2017 Headley M. Patient Saf Qual Healthc. August 21, 2017. https://psnet.ahrq.gov/issue/improving-patient-care-through-improved-caregiver-support Health care workers face high levels of stress and production pressures, which can contribute to…

7626. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74156/psn-pdf
      December 08, 2021 - Abusive supervision: a systematic review and fundamental rethink. December 8, 2021 Fischer T, Tian AW, Lee A, et al. Abusive supervision: a systematic review and fundamental rethink. The Leadership Q. 2021;32(6):101540. doi:10.1016/j.leaqua.2021.101540. https://psnet.ahrq.gov/issue/abusive-supervision-systematic-r…

7627. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45051/psn-pdf
      May 11, 2016 - Pediatric quality and safety: a nursing perspective. May 11, 2016 Butler GA, Hupp DS. Pediatric Quality and Safety. Pediatr Clin North Am. 2016;63(2). doi:10.1016/j.pcl.2015.11.005. https://psnet.ahrq.gov/issue/pediatric-quality-and-safety-nursing-perspective Nurses play a key role in ensuring safety, particularly…

7628. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60742/psn-pdf
      July 29, 2020 - Doctors and dentists still flooding U.S. with opioid prescriptions. July 29, 2020 Mann B. Doctors and dentists still flooding U.S. with opioid prescriptions. National Public Radio. 2020;July 17. https://psnet.ahrq.gov/issue/doctors-and-dentists-still-flooding-us-opioid-prescriptions Despite efforts to reduce opio…

7629. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48146/psn-pdf
      July 17, 2019 - Quality and Safety in Anesthesia and Perioperative Care. July 17, 2019 Ruskin KJ, Stiegler MP, Rosenbaum SH, eds. New York, NY: Oxford University Press; 2016. ISBN: 9780199366149. https://psnet.ahrq.gov/issue/quality-and-safety-anesthesia-and-perioperative-care The perioperative setting is a high-risk environment.…

7630. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45038/psn-pdf
      February 18, 2017 - Re-examining high reliability: actively organising for safety. February 18, 2017 Sutcliffe K, Paine LA, Pronovost P. Re-examining high reliability: actively organising for safety. BMJ Qual Saf. 2017;26(3):248-251. doi:10.1136/bmjqs-2015-004698. https://psnet.ahrq.gov/issue/re-examining-high-reliability-actively-or…

7631. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73869/psn-pdf
      October 21, 2021 - Disrespectful behavior in healthcare: has it improved? Please take our survey! October 21, 2021 ISMP Medication Safety Alert! Acute care edition. September 9, 2021;26(18);1-5. https://psnet.ahrq.gov/issue/disrespectful-behavior-healthcare-has-it-improved-please-take-our-survey Disrespectful behavior is a persisten…

7632. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42564/psn-pdf
      September 11, 2013 - Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. September 11, 2013 Bonrath EM, Zevin B, Dedy NJ, et al. Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. Br J Surg. 2013;100(8):1080-8. doi:10.1002/bjs.9168. https://psnet.ah…

7633. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44475/psn-pdf
      October 03, 2017 - Scoring no goal—further adventures in transparency. October 3, 2017 Rosenbaum L. Scoring No Goal--Further Adventures in Transparency. N Engl J Med. 2015;373(15):1385- 8. doi:10.1056/NEJMp1510094. https://psnet.ahrq.gov/issue/scoring-no-goal-further-adventures-transparency This commentary explores challenges to mon…

7634. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46630/psn-pdf
      November 15, 2017 - Patient Safety in the Office-Based Practice Setting. November 15, 2017 Philadelphia, PA: American College of Physicians; 2017. https://psnet.ahrq.gov/issue/patient-safety-office-based-practice-setting Patient safety in the ambulatory setting is gaining traction as a focus for research, intervention, and policy. Th…

7635. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46613/psn-pdf
      May 17, 2018 - Dynamics of dignity and safety: a discussion. May 17, 2018 Goodwin D, Mesman J, Verkerk M, et al. Dynamics of dignity and safety: a discussion. BMJ Qual Saf. 2018;27(6):488-491. doi:10.1136/bmjqs-2017-007159. https://psnet.ahrq.gov/issue/dynamics-dignity-and-safety-discussion Patient engagement is predicated on re…

7636. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37433/psn-pdf
      May 03, 2008 - Improvements in the safety of patient care can help end the medical malpractice crisis in the United States. May 3, 2008 Dalton GD, Samaropoulos XF, Dalton AC. Improvements in the safety of patient care can help end the medical malpractice crisis in the United States. Health Policy. 2007;86(2-3):153-162. doi:10.10…

7637. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36783/psn-pdf
      August 23, 2011 - Doctors are more dangerous than gun owners: a rejoinder to error counting. August 23, 2011 Dekker SWA. Doctors are more dangerous than gun owners: a rejoinder to error counting. Hum Factors. 2007;49(2):177-84. https://psnet.ahrq.gov/issue/doctors-are-more-dangerous-gun-owners-rejoinder-error-counting The author a…

7638. Implementing CMS’ Patient Safety Structural Measure | Agency for Healthcare Research and Quality
      www.ahrq.gov/action-alliance/webinars/implementing-cms-measure.html
      June 01, 2025 - Implementing CMS’ Patient Safety Structural Measure On May 13, 2025, leaders in patient safety structural measure (PSSM) implementation discussed some of the tools and resources that support implementation of the five domains of the PSSM: Leadership Commitment; Strategic Planning and Organizational Policy; Cult…

7639. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34979/psn-pdf
      June 22, 2009 - The WHO World Alliance for Patient Safety: a new challenge or an old one neglected? June 22, 2009 Edwards R. The WHO World Alliance for Patient Safety: a new challenge or an old one neglected? Drug Saf. 2005;28(5):379-86. https://psnet.ahrq.gov/issue/who-world-alliance-patient-safety-new-challenge-or-old-one-negle…

7640. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45551/psn-pdf
      November 30, 2016 - Parents' perspectives on "keeping their children safe" in the hospital. November 30, 2016 Rosenberg RE, Rosenfeld P, Williams E, et al. Parents' Perspectives on "Keeping Their Children Safe" in the Hospital. J Nurs Care Qual. 2016;31(4):318-326. doi:10.1097/NCQ.0000000000000193. https://psnet.ahrq.gov/issue/parent…