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  1. Improving Patient Safety with Human Factors Methods. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-human-factors-methods
    June 12, 2019 - United States Meeting/Conference Improving Patient Safety with Human Factors Methods. Citation Text: Improving Patient Safety with Human Factors Methods. Armstrong Institute for Patient Safety and Quality, Baltimore, MD. April 17-18, 2025. Copy Citation Save Save …

  2. Medication reconciliation in the hospital: what, why, where, when, who and how? | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-hospital-what-why-where-when-who-and-how
    March 05, 2013 - Commentary Medication reconciliation in the hospital: what, why, where, when, who and how? Citation Text: Medication reconciliation in the hospital: what, why, where, when, who and how? Fernandes O; Shojania KG. Copy Citation Save Save to your library Pr…

  3. Exhibits 35 to 37 | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ssi/ssiexh35-37.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Exhibits 35 to 37 Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Administration Chapter …

  4. Will saying "I'm sorry" prevent a malpractice lawsuit? | PSNet

    psnet.ahrq.gov/issue/will-saying-im-sorry-prevent-malpractice-lawsuit
    October 23, 2018 - Commentary Will saying "I'm sorry" prevent a malpractice lawsuit? Citation Text: Berlin L. Will Saying "I'm Sorry" Prevent a Malpractice Lawsuit? AJR Am J Roentgenol. 2006;187(1):10-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  5. Is employee discipline the solution for patient safety? | PSNet

    psnet.ahrq.gov/issue/employee-discipline-solution-patient-safety
    September 15, 2011 - Commentary Is employee discipline the solution for patient safety? Citation Text: Mace KA. Is employee discipline the solution for patient safety? Nurs Manag. 2005;36(12):57-59. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

  6. Exhibits 38 to 40 | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ssi/ssiexh38-40.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Exhibits 38 to 40 Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Administration Chapter …

  7. Exhibits 44 to 46 | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ssi/ssiexh44-46.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Exhibits 44 to 46 Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Administration Chapter …

  8. Quality Improvement Assessment (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/qi-knowledge-survey.pdf
    June 02, 2025 - Quality Improvement Assessment 1 Quality Improvement Assessment Your name: _________________________________ Practice: _____________________________ We would like to know more about your quality improvement (QI) training and experiences. This information will be used to tailor our QI training for…

  9. Exploring the role of patients in promoting safety: policy to practice. | PSNet

    psnet.ahrq.gov/issue/exploring-role-patients-promoting-safety-policy-practice
    March 13, 2024 - Commentary Exploring the role of patients in promoting safety: policy to practice. Citation Text: Holme A. Exploring the role of patients in promoting safety: policy to practice. Br J Nurs. 2009;18(22):1392-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …

  10. Medication errors and drug-dispensing systems in a hospital pharmacy. | PSNet

    psnet.ahrq.gov/issue/medication-errors-and-drug-dispensing-systems-hospital-pharmacy
    November 18, 2016 - Commentary Medication errors and drug-dispensing systems in a hospital pharmacy. Citation Text: Anacleto TA, Perini E, Rosa MB, et al. Medication errors and drug-dispensing systems in a hospital pharmacy. Clinics. 2006;60(4). doi:10.1590/s1807-59322005000400011. Copy Citation For…

  11. Human performance breakdowns are rarely accidents: they are usually very poor choices with disastrous results. | PSNet

    psnet.ahrq.gov/issue/human-performance-breakdowns-are-rarely-accidents-they-are-usually-very-poor-choices
    September 12, 2016 - Commentary Human performance breakdowns are rarely accidents: they are usually very poor choices with disastrous results. Citation Text: Besco RO. Human performance breakdowns are rarely accidents: they are usually very poor choices with disastrous results. J Hazard Mater. 2004;115(1-3)…

  12. Classification of antecedents towards safety use of health information technology: a systematic review. | PSNet

    psnet.ahrq.gov/issue/classification-antecedents-towards-safety-use-health-information-technology-systematic-review
    October 12, 2022 - Review Classification of antecedents towards safety use of health information technology: a systematic review. Citation Text: Salahuddin L, Ismail Z. Classification of antecedents towards safety use of health information technology: A systematic review. Int J Med Inform. 2015;84(11):877-…

  13. Unprotected: broken promises in Georgia’s senior care industry. | PSNet

    psnet.ahrq.gov/issue/unprotected-broken-promises-georgias-senior-care-industry
    December 04, 2016 - Special or Theme Issue Unprotected: broken promises in Georgia’s senior care industry. Citation Text: Unprotected: broken promises in Georgia’s senior care industry. Schrade B, Teegardin C. Atlanta Journal-Constitution. Sept-October 2019. Copy Citation Save Save…

  14. Doctors fear criminalization of medical mistakes. | PSNet

    psnet.ahrq.gov/issue/doctors-fear-criminalization-medical-mistakes
    March 28, 2012 - Newspaper/Magazine Article Doctors fear criminalization of medical mistakes. Citation Text: Doctors fear criminalization of medical mistakes. Sorrel AL. American Medical News. November 27, 2006. Copy Citation Save Save to your library Print Download…

  15. 2007 John M. Eisenberg Patient Safety and Quality Award Recipients. | PSNet

    psnet.ahrq.gov/issue/2007-john-m-eisenberg-patient-safety-and-quality-award-recipients
    February 28, 2018 - Press Release/Announcement 2007 John M. Eisenberg Patient Safety and Quality Award Recipients. Citation Text: 2007 John M. Eisenberg Patient Safety and Quality Award Recipients. Joint Commission. Copy Citation Save Save to your library Print Download…

  16. Inappropriate use of pharmacy bulk packages of IV contrast media increases risk of infections. | PSNet

    psnet.ahrq.gov/issue/inappropriate-use-pharmacy-bulk-packages-iv-contrast-media-increases-risk-infections
    June 12, 2018 - Newspaper/Magazine Article Inappropriate use of pharmacy bulk packages of IV contrast media increases risk of infections. Citation Text: Inappropriate use of pharmacy bulk packages of IV contrast media increases risk of infections. ISMP Medication Safety Alert! Acute Care Edition. Septem…

  17. Excusable neglect in malpractice suits against radiologists: a proposed jury instruction to recognize the human condition. | PSNet

    psnet.ahrq.gov/issue/excusable-neglect-malpractice-suits-against-radiologists-proposed-jury-instruction-recognize
    April 11, 2011 - Commentary Excusable neglect in malpractice suits against radiologists: a proposed jury instruction to recognize the human condition. Citation Text: Excusable neglect in malpractice suits against radiologists: a proposed jury instruction to recognize the human condition. Caldwell C; …

  18. Administrative compensation for medical injuries: lessons from three foreign systems. | PSNet

    psnet.ahrq.gov/issue/administrative-compensation-medical-injuries-lessons-three-foreign-systems
    September 29, 2017 - Newspaper/Magazine Article Administrative compensation for medical injuries: lessons from three foreign systems. Citation Text: Mello MM, Kachalia A, Studdert DM. Administrative compensation for medical injuries: lessons from three foreign systems. Issue brief (Commonwealth Fund). 2011;1…

  19. Eliminating Harm Checklists: Reduce All-Cause, Preventable Harm. | PSNet

    psnet.ahrq.gov/issue/eliminating-harm-checklists-reduce-all-cause-preventable-harm
    October 19, 2016 - Toolkit Eliminating Harm Checklists: Reduce All-Cause, Preventable Harm. Citation Text: Eliminating Harm Checklists: Reduce All-Cause, Preventable Harm. Chicago, IL: American Hospital Association, Health Research & Educational Trust; 2016. Copy Citation Save Save …

  20. Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. | PSNet

    psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events
    August 01, 2012 - Toolkit Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. Citation Text: Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. Rockville, MD: Agency for Healthcare Research and Quality; July 2022.  AHRQ Publication …
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