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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47928/psn-pdf
    January 01, 2021 - Perceptions of pediatric hospital safety culture in the United States: an analysis of the 2016 Hospital Survey on Patient Safety Culture. April 24, 2019 Gampetro PJ, Segvich JP, Jordan N, et al. Perceptions of Pediatric Hospital Safety Culture in the United States: An Analysis of the 2016 Hospital Survey on Patien…
  2. psnet.ahrq.gov/web-mm/fluidity-diagnostic-wet-reads
    April 24, 2018 - He was advised to establish care with a primary care physician (PCP). … systems issues as a major contributor to diagnostic errors, radiology departments should take steps to establish
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45220/psn-pdf
    June 08, 2016 - Medical Office Survey on Patient Safety Culture: 2016 User Comparative Database Report. June 8, 2016 Famolaro T, Yount ND, Hare R, Thornton S, Sorra J. Rockville, MD: Agency for Healthcare Research and Quality; May 2016. AHRQ Publication No. 16-0028-EF. https://psnet.ahrq.gov/issue/medical-office-survey-patient-sa…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44180/psn-pdf
    June 21, 2015 - "Never events" and the quest to reduce preventable harm. June 21, 2015 Austin M, Pronovost P. "Never events" and the quest to reduce preventable harm. Jt Comm J Qual Patient Saf. 2015;41(6):279-288. https://psnet.ahrq.gov/issue/never-events-and-quest-reduce-preventable-harm The introduction of the term never event…
  5. psnet.ahrq.gov/issue/oregon-patient-safety-commission
    June 22, 2007 - Legislation/Regulation Oregon Patient Safety Commission. Citation Text: Oregon Patient Safety Commission. Oregon State Legislature. HB 2349 (2003). Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60547/psn-pdf
    May 28, 2020 - The Role of the FDA in Ensuring Device Safety May 28, 2020 Fitall E, Hall KK, Gale B. The Role of the FDA in Ensuring Device Safety . PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety Introduction The Food and Drug Administration (FDA) plays a critical role in ensuring the …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40095/psn-pdf
    December 22, 2010 - Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study. December 22, 2010 Paine LA, Rosenstein BJ, Sexton B, et al. Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study. Qual Saf Health Care. 2010;19(6):547-54. do…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40203/psn-pdf
    February 09, 2011 - Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. February 9, 2011 Haynes AB, Weiser TG, Berry WR, et al. Changes in safety attitude and relationship to decreased postoperative morbidity and mo…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33769/psn-pdf
    June 01, 2014 - This meeting also saw the pledge by The Joint Commission to establish its sentinel events database and … by the American Medical Association (AMA) to establish the National Patient Safety Foundation (NPSF
  10. psnet.ahrq.gov/perspective/conversation-jeffrey-shuren-md-jd
    May 28, 2020 - clinical studies after a product is out in the marketplace, led us to develop a strategy in 2012 to establish
  11. psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety
    May 28, 2020 - clinical studies after a product is out in the marketplace, led us to develop a strategy in 2012 to establish
  12. psnet.ahrq.gov/issue/creating-culture-caregiver-support
    May 18, 2022 - Newspaper/Magazine Article Creating a culture of caregiver support. Citation Text: Gold KJ, Andrew LB, Goldman EB, et al. “I would never want to have a mental health diagnosis on my record”: A survey of female physicians on mental health diagnosis, treatment, and reporting. General Hospi…
  13. psnet.ahrq.gov/innovation/remote-response-team-and-customized-alert-settings-help-improve-management-sepsis
    February 26, 2025 - Establish the CAT and train them in the pathophysiology of sepsis, evidence-based practices for treatment
  14. psnet.ahrq.gov/issue/peer-support-clinicians-programmatic-approach
    July 25, 2018 - Commentary Peer support for clinicians: a programmatic approach. Citation Text: Shapiro J, Galowitz P. Peer Support for Clinicians: A Programmatic Approach. Acad Med. 2016;91(9):1200-4. doi:10.1097/ACM.0000000000001297. Copy Citation Format: DOI Google Scholar PubMed BibTeX…
  15. psnet.ahrq.gov/curated-library/implementation-patient-safety-projects
    July 21, 2025 - This study reports on an AHRQ-funded effort to establish communication-and-resolution protocols for general … This study reports on an AHRQ-funded effort to establish communication-and-resolution protocols for general
  16. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.335_slideshow.ppt
    December 01, 2014 - PowerPoint Presentation Spotlight A Stroke of Error This presentation is based on the December 2014 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Kevin M. Barrett, MD, MSc, Consultant, Associate Professor of Neurology, Director, Neurohospitalist F…
  17. psnet.ahrq.gov/issue/implementing-medication-reconciliation-outpatient-pediatrics
    September 23, 2020 - Study Implementing medication reconciliation in outpatient pediatrics. Citation Text: Rappaport DI, Collins B, Koster A, et al. Implementing medication reconciliation in outpatient pediatrics. Pediatrics. 2011;128(6):e1600-7. doi:10.1542/peds.2011-0993. Copy Citation Format: …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867676/psn-pdf
    February 26, 2025 - Responding to Patient Safety Events February 26, 2025 Shaikh U. Responding to Patient Safety Events. PSNet [internet]. 2025. https://psnet.ahrq.gov/primer/responding-patient-safety-events Background Patient safety events that occur in health care facilities require prompt action to ensure that further harm is mit…
  19. psnet.ahrq.gov/issue/role-leaders-health-care-organizations-patient-safety
    September 27, 2010 - Commentary The role for leaders of health care organizations in patient safety. Citation Text: Clarke JR, Lerner JC, Marella WM. The role for leaders of health care organizations in patient safety. Am J Med Qual. 2007;22(5):311-8. Copy Citation Format: Google Scholar PubM…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47675/psn-pdf
    November 28, 2023 - SOPS Surveys. November 28, 2023 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/sops-surveys Surveys are established mechanisms for organizational assessment of safety culture. This collection of webinars provides an overview of the AHRQ Surveys on Patient Safety Culture™ (SOPS®) and a ran…

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