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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33698/psn-pdf
    August 01, 2010 - Once you ingrain the process as a culture, I think it is sustainable. … exists in Pennsylvania, Penn's desire to really try to be great in this domain, and my commitment and belief
  2. psnet.ahrq.gov/web-mm/all-history
    February 28, 2011 - SPOTLIGHT CASE All in the History Citation Text: Fee C. All in the History. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnot…
  3. psnet.ahrq.gov/issue/barriers-nurses-reporting-medication-administration-errors-taiwan
    May 01, 2006 - Study Barriers to nurses' reporting of medication administration errors in Taiwan. Citation Text: Chiang H-Y, Pepper GA. Barriers to Nurses' Reporting of Medication Administration Errors in Taiwan. Journal of Nursing Scholarship. 2006;38(4). doi:10.1111/j.1547-5069.2006.00133.x. Copy…
  4. psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2010
    November 23, 2016 - Book/Report Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2010. Citation Text: Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2010. Oakbrook Terrace, IL: The Joint Commission; September 2010. …
  5. psnet.ahrq.gov/issue/clearing-error-using-public-deliberation-define-patient-roles-partners-diagnostic-process
    September 13, 2016 - Book/Report Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. Citation Text: Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. St. Paul, MN: Society to Improve Diagnosis …
  6. psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2009
    September 21, 2011 - Book/Report Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009. Citation Text: Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009. Oakbrook Terrace, IL: The Joint Commission; January 2010. Cop…
  7. psnet.ahrq.gov/issue/unreported-errors-intensive-care-unit-case-study-way-we-work
    December 12, 2012 - Commentary Unreported errors in the intensive care unit: a case study of the way we work. Citation Text: Henneman EA. Unreported errors in the intensive care unit: a case study of the way we work. Crit Care Nurse. 2007;27(5):27-34; quiz 35. Copy Citation Format: Google Sc…
  8. psnet.ahrq.gov/issue/engaging-patients-and-family-members-patient-safety-experience-new-york-city-health-and
    October 19, 2022 - Study Engaging patients and family members in patient safety—the experience of the New York City Health and Hospitals Corporation. Citation Text: Wale JB, Moon RR. Engaging patients and family members in patient safety--the experience of the New York City Health and Hospitals Corporation…
  9. psnet.ahrq.gov/issue/hospital-reporting-program-annual-summary
    August 17, 2022 - Book/Report Hospital Reporting Program: Annual Summary. Citation Text: Hospital Reporting Program: Annual Summary. Portland, OR: Oregon Patient Safety Commission. Copy Citation Save Save to your library Print Download PDF Share Facebook …
  10. psnet.ahrq.gov/issue/next-generation-doctors-may-be-learning-bad-habits-teaching-hospitals-many-safety-violations
    June 28, 2023 - Newspaper/Magazine Article The next generation of doctors may be learning bad habits at teaching hospitals with many safety violations. Citation Text: The next generation of doctors may be learning bad habits at teaching hospitals with many safety violations. Blau M. STAT. April 20, 2018…
  11. psnet.ahrq.gov/issue/hazards-diagnosis
    April 06, 2022 - Commentary The hazards of diagnosis. Citation Text: Schattner A, Magazanik N, Haran M. The hazards of diagnosis. QJM. 2010;103(8):583-7. doi:10.1093/qjmed/hcq080. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…
  12. psnet.ahrq.gov/issue/clinical-lab-quality-cms-and-survey-organization-oversight-should-be-strengthened
    September 28, 2010 - Government Resource Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. Citation Text: Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. Washington DC; Government Accountability Office; June 2006. Report no GAO-06-416.…
  13. psnet.ahrq.gov/issue/assessment-quality-data-provided-pap-test-requisitions-implications-quality-care-and-patient
    March 15, 2017 - Study Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety. Citation Text: Naryshkin S, Schultz BL. Assessment of quality of data provided on Pap test requisitions: implications for quality of care and patient safety. Cytoj…
  14. psnet.ahrq.gov/issue/published-literature-handoffs-hospitals-deficiencies-identified-extensive-review
    March 07, 2012 - Review The published literature on handoffs in hospitals: deficiencies identified in an extensive review. Citation Text: Cohen MD, Hilligoss B. The published literature on handoffs in hospitals: deficiencies identified in an extensive review. Qual Saf Health Care. 2010;19(6):493-7. doi…
  15. psnet.ahrq.gov/issue/nursing-homes-despite-increased-oversight-challenges-remain-ensuring-high-quality-care-and
    July 12, 2006 - Government Resource Nursing Homes: Despite Increased Oversight, Challenges Remain in Ensuring High-Quality Care and Resident Safety. Citation Text: Nursing Homes: Despite Increased Oversight, Challenges Remain in Ensuring High-Quality Care and Resident Safety. Washington DC; Governme…
  16. psnet.ahrq.gov/issue/patient-safety-lessons-learned
    October 18, 2017 - Commentary Patient safety: lessons learned. Citation Text: Bagian JP. Patient safety: lessons learned. Pediatr Radiol. 2006;36(4):287-90. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citatio…
  17. psnet.ahrq.gov/issue/human-factors-complex-sociotechnical-systems
    June 09, 2021 - Commentary Human factors of complex sociotechnical systems. Citation Text: Carayon P. Human factors of complex sociotechnical systems. Appl Ergon. 2006;37(4):525-35. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…
  18. psnet.ahrq.gov/perspective/conversation-john-halamka-md-ms
    March 27, 2024 - JH : Again, I am probably controversial in my belief here. … First, Beth Israel Deaconess has a 30-year culture of innovation: Doctors creating software for doctors … It's a culture. It is probably unlike any other culture in a United States health care.
  19. psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
    November 01, 2006 - The whole culture of aviation encourages admitting your mistakes, so everybody benefits from it. … One, it goes against the culture, but second, there are very strong legal issues. … of the problem is not only is it a complex social, equipment, and personnel issue, but the standard belief … they would believe to be incorrect written guidance on the bottle (since it conflicts with their prior beliefs
  20. psnet.ahrq.gov/perspective/safety-retail-pharmacy
    May 11, 2016 - Author(s) Psychometric properties of the AHRQ Community Pharmacy Survey on Patient Safety Culture … May 11, 2016 Evaluation of patient safety culture in community pharmacies.

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