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  1. White blood cell left shift in a neonate: a case of mistaken identity. | PSNet

    psnet.ahrq.gov/issue/white-blood-cell-left-shift-neonate-case-mistaken-identity
    March 30, 2022 - Commentary White blood cell left shift in a neonate: a case of mistaken identity. Citation Text: White blood cell left shift in a neonate: a case of mistaken identity. Mohamed IS; Wynn RJ; Cominsky K; Reynolds AM; Ryan RM; Kumar VH; Lakshminrusimha S. Copy Citation …

  2. Use systems redesign and the law to prevent medical errors and accidents. | PSNet

    psnet.ahrq.gov/issue/use-systems-redesign-and-law-prevent-medical-errors-and-accidents
    August 26, 2020 - Newspaper/Magazine Article Use systems redesign and the law to prevent medical errors and accidents. Citation Text: Use systems redesign and the law to prevent medical errors and accidents. Saks MJ, Landsman S. STAT. August 4, 2021. Copy Citation Save Save to yo…

  3. What doctors can learn from the factory floor. | PSNet

    psnet.ahrq.gov/issue/what-doctors-can-learn-factory-floor
    June 13, 2011 - Commentary What doctors can learn from the factory floor. Citation Text: Martyn C. What doctors can learn from the factory floor. BMJ. 2010;340(mar03 3). doi:10.1136/bmj.c1217. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  4. 2018 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. | PSNet

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

  5. Achieving a successful patient safety program with implementation of a harm reduction strategy. | PSNet

    psnet.ahrq.gov/issue/achieving-successful-patient-safety-program-implementation-harm-reduction-strategy
    February 22, 2023 - Newspaper/Magazine Article Achieving a successful patient safety program with implementation of a harm reduction strategy. Citation Text: Achieving a successful patient safety program with implementation of a harm reduction strategy. Cohen JB. APSF Newsletter. 2023;38(10):93-95. Copy…

  6. Introducing the Child HCAHPS® Survey Database webcast-Toomey-2 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/child-hcahps-benefits-participation.pdf
    January 01, 2019 - Introducing the Child HCAHPS® Survey Database webcast-Toomey-2 BENEFITS OF PARTICIPATION Sara Toomey, MD, MPhil, MPH, MSc Chief Safety and Quality Officer, SVP Chief Experience Officer Director/PI, Center of Excellence for Pediatric Quality Measurement Boston Children’s Hospital 22 Benefits of Participation •…

  7. On the quest for Six Sigma. | PSNet

    psnet.ahrq.gov/issue/quest-six-sigma
    January 04, 2010 - Commentary On the quest for Six Sigma. Citation Text: Moorman D. On the quest for Six Sigma. Am J Surg. 2005;189(3):253-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  8. Using simulation to improve systems. | PSNet

    psnet.ahrq.gov/issue/using-simulation-improve-systems-0
    July 22, 2020 - Review Using simulation to improve systems. Citation Text: Kearney JA, Deutsch ES. Using Simulation to Improve Systems. Otolaryngol Clin North Am. 2017;50(5):1015-1028. doi:10.1016/j.otc.2017.05.011. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndN…

  9. 2007 John M. Eisenberg Patient Safety and Quality Awards. | PSNet

    psnet.ahrq.gov/issue/2007-john-m-eisenberg-patient-safety-and-quality-awards
    January 06, 2017 - Award Recipient 2007 John M. Eisenberg Patient Safety and Quality Awards. Citation Text: 2007 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2007;33(12):709-757. Copy Citation Save Save to your library Print Download P…

  10. ISMP Medication Safety Intensive. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-safety-intensive
    February 05, 2025 - International Meeting/Conference ISMP Medication Safety Intensive. Citation Text: ISMP Medication Safety Intensive. Institute for Safe Medication Practices. December 5-6 2024, 7:30 AM - 4:30 PM (eastern). Copy Citation Save Save to your library Print Do…

  11. Recommendations to Improve Children's Health Care Quality Measures | Agency for Healthcare Research and Quality

    www.ahrq.gov/policymakers/chipra/pubs/background-2012/backgrndtab1.html
    December 01, 2012 - Recommendations to Improve Children's Health Care Quality Measures Background Report on the 2012 Process This background report describes the process used to identify, evaluate, and select children's health care quality measures to be recommended for addition to the initial core set of 24 measures released by…

  12. 2017 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. | PSNet

    psnet.ahrq.gov/issue/2017-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced
    February 28, 2018 - Press Release/Announcement 2017 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. Citation Text: 2017 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. Joint Commission. Copy Citation Save Save to your library Pr…

  13. Pfengagement-Senior-Checklist (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pfengagement-senior-checklist.docx
    May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery Patient and Family Engagement in the Surgical Environment Module Senior Leader Checklist AHRQ Safety Program for Ambulatory Surgery Module 3: Patient and Family Engagement Complete? Opportunities To Engage Patients and Family Party Responsible Notes Assig…

  14. Focusing on Health Care Safety. | PSNet

    psnet.ahrq.gov/issue/focusing-health-care-safety
    January 16, 2008 - Special or Theme Issue Focusing on Health Care Safety. Citation Text: Focusing on Health Care Safety. IEEE Transactions on Systems, Man, and Cybernetics, Part A: Systems and Humans. 2004;34(601):689-778. Copy Citation Save Save to your library Print Down…

  15. Point-of-care medication error prevention: best practices in action. | PSNet

    psnet.ahrq.gov/issue/point-care-medication-error-prevention-best-practices-action
    December 24, 2007 - Newspaper/Magazine Article Point-of-care medication error prevention: best practices in action. Citation Text: Point-of-care medication error prevention: best practices in action. Swenson D. Patient Safety Qual Heathc. May/June 2007. Copy Citation Save Save to…

  16. Bias in the ER. Doctors suffer from the same cognitive distortions as the rest of us. | PSNet

    psnet.ahrq.gov/issue/bias-er-doctors-suffer-same-cognitive-distortions-rest-us
    March 01, 2017 - Newspaper/Magazine Article Bias in the ER. Doctors suffer from the same cognitive distortions as the rest of us. Citation Text: Bias in the ER. Doctors suffer from the same cognitive distortions as the rest of us. Lewis M. Nautilus. February 9, 2017. Copy Citation Save …

  17. Patient safety: break the silence. | PSNet

    psnet.ahrq.gov/issue/patient-safety-break-silence
    October 19, 2022 - Commentary Patient safety: break the silence. Citation Text: Johnson HL, Kimsey D. Patient safety: break the silence. AORN J. 2012;95(5):591-601. doi:10.1016/j.aorn.2012.03.002. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  18. A review of organizational culture instruments for nurse executives. | PSNet

    psnet.ahrq.gov/issue/review-organizational-culture-instruments-nurse-executives
    January 14, 2011 - Review A review of organizational culture instruments for nurse executives. Citation Text: King T, Byers JF. A review of organizational culture instruments for nurse executives. J Nurs Adm. 2007;37(1):21-31. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…

  19. 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…

  20. Unreadable barcodes and multiple barcodes on packages can lead to errors. | PSNet

    psnet.ahrq.gov/issue/unreadable-barcodes-and-multiple-barcodes-packages-can-lead-errors
    November 01, 2023 - Newspaper/Magazine Article Unreadable barcodes and multiple barcodes on packages can lead to errors. Citation Text: Unreadable barcodes and multiple barcodes on packages can lead to errors. ISMP Medication Safety Alert! Acute care edition. October 19, 2017;22:1-3. Copy Citation …
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