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psnet.ahrq.gov/node/46122/psn-pdf
January 01, 2021 - Leapfrog Hospital Safety Score, Magnet designation, and
healthcare-associated infections in United States
hospitals.
December 21, 2017
Pakyz AL, Wang H, Ozcan YA, et al. Leapfrog Hospital Safety Score, Magnet Designation, and Healthcare-
Associated Infections in United States Hospitals. J Patient Saf. 2021;17(6):4…
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psnet.ahrq.gov/node/45293/psn-pdf
February 01, 2017 - Patient safety incidents involving sick children in primary
care in England and Wales: a mixed methods analysis.
February 1, 2017
Rees P, Edwards A, Powell C, et al. Patient Safety Incidents Involving Sick Children in Primary Care in
England and Wales: A Mixed Methods Analysis. PLoS Med. 2017;14(1):e1002217.
doi:1…
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psnet.ahrq.gov/node/845356/psn-pdf
March 29, 2023 - A novel approach for engagement in team training in
high-technology surgery: the robotic-assisted surgery
olympics.
March 29, 2023
Cohen TN, Anger JT, Kanji FF, et al. A novel approach for engagement in team training in high-technology
surgery: the robotic-assisted surgery olympics. J Patient Saf. 2022;18(6):570-5…
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psnet.ahrq.gov/node/38778/psn-pdf
March 04, 2011 - What evidence supports the use of computerized alerts
and prompts to improve clinicians' prescribing behavior?
March 4, 2011
Schedlbauer A, Prasad V, Mulvaney C, et al. What evidence supports the use of computerized alerts and
prompts to improve clinicians' prescribing behavior? J Am Med Inform Assoc. 2009;16(4):53…
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psnet.ahrq.gov/node/45759/psn-pdf
July 11, 2017 - Association between end-of-rotation resident transition in
care and mortality among hospitalized patients.
July 11, 2017
Denson JL, Jensen A, Saag HS, et al. Association Between End-of-Rotation Resident Transition in Care
and Mortality Among Hospitalized Patients. JAMA. 2016;316(21):2204-2213.
doi:10.1001/jama.201…
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psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
August 01, 2018 - While developing better simulators is important, both the literature and experience demonstrate that
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psnet.ahrq.gov/node/60790/psn-pdf
February 23, 2022 - estimating the costs and benefits of expanded PPE use (and
other changes in dental practice workflows), developing … Electronic follow-up of developing world cleft patients: a
digital dream?.
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psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - associations, patient and family activists, and federal agencies, including AHRQ, and chartered the NSC with developing
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psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
August 30, 2023 - associations, patient and family activists, and federal agencies, including AHRQ, and chartered the NSC with developing
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psnet.ahrq.gov/submit-your-toolkit-landing
Breadcrumb
Home
Improvement Resources
Toolkits
Toolkit Submissions
PSNet encourages healthcare-related organizations to help make care safer by submitting a Patient Safety Toolkit to support the implementation of products, services, processes, systems, policies, organizational stru…
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psnet.ahrq.gov/issue/when-doctors-admit-their-mistakes
May 01, 2013 - Newspaper/Magazine Article
When doctors admit their mistakes.
Citation Text:
When doctors admit their mistakes. Chen PW.
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psnet.ahrq.gov/issue/do-you-know-what-your-doctor-talking-about
May 01, 2013 - Newspaper/Magazine Article
Do you know what your doctor is talking about?
Citation Text:
Do you know what your doctor is talking about? Chen PW.
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psnet.ahrq.gov/issue/are-patients-part-blame-when-doctors-miss-diagnosis
May 01, 2013 - Newspaper/Magazine Article
Are patients in part to blame when doctors miss the diagnosis?
Citation Text:
Are patients in part to blame when doctors miss the diagnosis? Chen PW
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psnet.ahrq.gov/node/38825/psn-pdf
October 12, 2009 - Implementation of a mandatory checklist of protocols and
objectives improves compliance with a wide range of
evidence-based intensive care unit practices.
October 12, 2009
Byrnes MC, Schuerer DJE, Schallom ME, et al. Implementation of a mandatory checklist of protocols and
objectives improves compliance with a wid…
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psnet.ahrq.gov/issue/high-reliability-health-care
May 06, 2015 - Measurement Tool/Indicator
High Reliability in Health Care.
Citation Text:
High Reliability in Health Care. Joint Commission Center for Transforming Healthcare.
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psnet.ahrq.gov/issue/maternal-health-indicators
May 22, 2024 - Measurement Tool/Indicator
Maternal Health Indicators.
Citation Text:
Maternal Health Indicators. Agency for Healthcare Quality and Research. 2024.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/toolkit-improve-safety-mechanically-ventilated-patients
October 01, 2024 - Toolkit
Toolkit To Improve Safety for Mechanically Ventilated Patients.
Citation Text:
Agency for Healthcare Research and Quality . Toolkit To Improve Safety for Mechanically Ventilated Patients. August 2017.
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psnet.ahrq.gov/glossary/swiss-cheese-model
September 13, 2021 - Swiss Cheese Model
September 13, 2021
Anonymous (not verified)
Reason developed the "Swiss cheese model" to illustrate how analyses of major accidents and catastrophic systems failures tend to reveal multiple, smaller failures leading up to the actual hazard. In the model, each slice of cheese represents a safe…
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psnet.ahrq.gov/issue/request-information-diagnostic-excellence-measurement
January 15, 2025 - Press Release/Announcement
Request for Information: Diagnostic Excellence Measurement.
Citation Text:
Request for Information: Diagnostic Excellence Measurement. Agency for Healthcare Research and Quality. Fed Register. December 12, 2024;89:100497-100498.
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psnet.ahrq.gov/issue/patient-safety-papers-3
November 10, 2010 - Special or Theme Issue
Patient Safety Papers 3.
Citation Text:
Patient Safety Papers 3. Baker GR, ed. Healthc Q. 2008;11:1-144.
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