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  1. Patient harm in general surgery--a prospective study. | PSNet

    psnet.ahrq.gov/issue/patient-harm-general-surgery-prospective-study
    November 16, 2022 - Study Patient harm in general surgery--a prospective study. Citation Text: Kaul AK, McCulloch PG. Patient Harm in General Surgery-A Prospective Study. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318030c2ec. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…

  2. Best Practices in Patient Safety: 2nd Global Ministerial Summit on Patient Safety. | PSNet

    psnet.ahrq.gov/issue/best-practices-patient-safety-2nd-global-ministerial-summit-patient-safety
    June 27, 2018 - Book/Report Best Practices in Patient Safety: 2nd Global Ministerial Summit on Patient Safety. Citation Text: Best Practices in Patient Safety: 2nd Global Ministerial Summit on Patient Safety. Federal Ministry of Health and World Health Organization: Bonn, Germany; March 2017. Copy Cit…

  3. Prevention of medication errors in the pediatric inpatient setting. | PSNet

    psnet.ahrq.gov/issue/prevention-medication-errors-pediatric-inpatient-setting
    July 03, 2016 - Review Prevention of medication errors in the pediatric inpatient setting. Citation Text: Prevention of medication errors in the pediatric inpatient setting. Stucky ER; American Academy of Pediatrics Committee on Drugs; American Academy of Pediatrics Committee on Hospital Care. …

  4. The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes reflection, anticipation. | PSNet

    psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-25-pioneering-success-safety-25th-anniversary-provokes
    January 01, 2015 - Commentary The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes reflection, anticipation. Citation Text: Eichhorn JH. The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes reflection,…

  5. Toward the eradication of medical diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/toward-eradication-medical-diagnostic-errors
    May 13, 2020 - Newspaper/Magazine Article Toward the eradication of medical diagnostic errors. Citation Text: Topol EJ. Toward the eradication of medical diagnostic errors. Science. 2024;383(6681):eadn9602. doi:10.1126/science.adn9602. Copy Citation Format: DOI Google Scholar BibTeX EndNo…

  6. Do you hear what I hear? Communication practices about medications between physicians and clients with chronic illness in Canada. | PSNet

    psnet.ahrq.gov/issue/do-you-hear-what-i-hear-communication-practices-about-medications-between-physicians-and
    August 02, 2016 - Study Do you hear what I hear? Communication practices about medications between physicians and clients with chronic illness in Canada. Citation Text: Do you hear what I hear? Communication practices about medications between physicians and clients with chronic illness in Canada. Sears…

  7. Involuntary automaticity: a work-system induced risk to safe health care. | PSNet

    psnet.ahrq.gov/issue/involuntary-automaticity-work-system-induced-risk-safe-health-care
    June 22, 2009 - Commentary Involuntary automaticity: a work-system induced risk to safe health care. Citation Text: Toft B, Mascie-Taylor H. Involuntary automaticity: a work-system induced risk to safe health care. Health Serv Manage Res. 2005;18(4):211-6. Copy Citation Format: Google Sc…

  8. Rapid response systems: should we still question their implementation? | PSNet

    psnet.ahrq.gov/issue/rapid-response-systems-should-we-still-question-their-implementation
    January 06, 2017 - Commentary Rapid response systems: should we still question their implementation? Citation Text: Winters BD, Pronovost P. Rapid response systems: should we still question their implementation? J Hosp Med. 2013;8(5):278-81. doi:10.1002/jhm.2050. Copy Citation Format: DOI G…

  9. Patient safety: latent risk factors. | PSNet

    psnet.ahrq.gov/issue/patient-safety-latent-risk-factors
    March 28, 2011 - Review Patient safety: latent risk factors. Citation Text: van Beuzekom M, Boer F, Akerboom S, et al. Patient safety: latent risk factors. Br J Anaesth. 2010;105(1):52-9. doi:10.1093/bja/aeq135. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

  10. Misinformation in the medical literature: what role do error and fraud play? | PSNet

    psnet.ahrq.gov/issue/misinformation-medical-literature-what-role-do-error-and-fraud-play
    November 02, 2011 - Commentary Misinformation in the medical literature: what role do error and fraud play? Citation Text: Steen G. Misinformation in the medical literature: what role do error and fraud play? J Med Ethics. 2011;37(8):498-503. doi:10.1136/jme.2010.041830. Copy Citation Format: …

  11. A piece of my mind. Changing the narrative. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-changing-narrative
    December 13, 2023 - Commentary A piece of my mind. Changing the narrative. Citation Text: Allen-Dicker J. Changing the Narrative. JAMA. 2016;316(3). doi:10.1001/jama.2016.3029. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Do…

  12. Recurrent wrong-route drug error – a professional shame. | PSNet

    psnet.ahrq.gov/issue/recurrent-wrong-route-drug-error-professional-shame
    July 22, 2020 - Commentary Recurrent wrong-route drug error – a professional shame. Citation Text: Bell D. Recurrent wrong-route drug error - a professional shame. Anaesthesia. 2007;62(6):541-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

  13. Hand-off communication: a requisite for perioperative patient safety. | PSNet

    psnet.ahrq.gov/issue/hand-communication-requisite-perioperative-patient-safety
    October 19, 2022 - Commentary Hand-off communication: a requisite for perioperative patient safety. Citation Text: Amato-Vealey EJ, Barba MP, Vealey RJ. Hand-off communication: a requisite for perioperative patient safety. AORN J. 2008;88(5):763-770; quiz 771-4. Copy Citation Format: Googl…

  14. Human factors and systems engineering approach to patient safety for radiotherapy. | PSNet

    psnet.ahrq.gov/issue/human-factors-and-systems-engineering-approach-patient-safety-radiotherapy
    August 07, 2013 - Commentary Human factors and systems engineering approach to patient safety for radiotherapy. Citation Text: Human factors and systems engineering approach to patient safety for radiotherapy. Rivera AJ, Karsh B-T. Int J Radiat Oncol Biol Phys. 2008;71:S174-S177. Copy Citation …

  15. Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/otimefallspx-implmatls.pdf
    June 02, 2025 - Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Falls Prevention AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Falls Prevention Self-Assessment Wo…

  16. Final Progress Report: Further Psychometric Testing and Validation of the Errors of Care Omission Survey (ECOS) (pdf file)

    www.ahrq.gov/sites/default/files/2025-02/poghosyan-report.pdf
    January 01, 2025 - Final Progress Report: Further Psychometric Testing and Validation of the Errors of Care Omission Survey (ECOS) Further Psychometric Testing and Validation of the Errors of Care Omission Survey (ECOS) Principal Investigator: Lusine Poghosyan, PhD, MPH, RN, FAAN, Columbia University School of Nursing Elaine M. Fle…

  17. Racial Misclassification and Disparities in Mortality among AI/AN and Other Races, Washington

    hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or26.jsp
    August 01, 2014 - Racial Misclassification and Disparities in Mortality among AI/AN and Other Races, Washington An official website of the Department of Health & Human Services Search All AHRQ Websites Careers …

  18. Person-Centered Care Planning for Persons With Multiple Chronic Conditions: Summit Summary Report (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/pccp4p-summitsummary.pdf
    September 01, 2025 - Person-Centered Care Planning for Persons With Multiple Chronic Conditions: Summit Summary Report Person-Centered Care Planning for Persons With Multiple Chronic Conditions Summit Summary Report Executive Summary Background and Objectives Person-centered care planning (PCCP) is “a process of active co…

  19. Accessible Health Information Technology (IT) for Populations with Limited Literacy: A Guide for Developers and Purchasers of Health IT

    digital.ahrq.gov/sites/default/files/docs/page/literacy_guide.html
    October 01, 2007 - Enhanced reputation.

  20. Accessible Health Information Technology (IT) for Populations with Limited Literacy: A Guide for Developers and Purchasers of Health IT (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/LiteracyGuide_0.pdf
    October 01, 2007 - • Enhanced reputation.
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