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psnet.ahrq.gov/node/42297/psn-pdf
August 01, 2024 - Society to Improve Diagnosis in Medicine.
August 1, 2024
https://psnet.ahrq.gov/issue/society-improve-diagnosis-medicine
The Society to Improve Diagnosis in Medicine (SIDM) was a not-for-profit organization founded in 2011 that
promoted reducing diagnostic errors through collaboration, research, and education. SIDM…
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psnet.ahrq.gov/issue/impact-accreditation-council-graduate-medical-education-work-hour-regulations-neurosurgical
June 03, 2020 - Study
Impact of the Accreditation Council for Graduate Medical Education work-hour regulations on neurosurgical resident education and productivity.
Citation Text:
Jagannathan J, Vates E, Pouratian N, et al. Impact of the Accreditation Council for Graduate Medical Education work-hour r…
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psnet.ahrq.gov/node/836791/psn-pdf
August 21, 2024 - TeamSTEPPS for Diagnosis Improvement.
August 21, 2024
TeamSTEPPS for Diagnosis Improvement.
https://psnet.ahrq.gov/issue/teamstepps-diagnosis-improvement
The recognition of diagnosis as a team activity is energizing new diagnostic process initiatives. Building on
the established TeamSTEPPS® principles, this new Te…
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psnet.ahrq.gov/node/865819/psn-pdf
May 08, 2024 - Focus on HARM (Harmonizing Accountability in
Reporting and Monitoring).
May 8, 2024
National Quality Forum.
https://psnet.ahrq.gov/issue/focus-harm-harmonizing-accountability-reporting-and-monitoring
Strong incident reporting systems are a foundational component for understanding preventable health care
error. Th…
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psnet.ahrq.gov/node/864868/psn-pdf
March 27, 2024 - It is crucial to establish effective communication and handoffs between these teams to guarantee the
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psnet.ahrq.gov/node/837808/psn-pdf
August 05, 2024 - Recognizing Excellence in Diagnosis: Recommended
Practices for Hospitals.
August 5, 2024
Washington, DC: Leapfrog Group; July 2024.
https://psnet.ahrq.gov/issue/recognizing-excellence-diagnosis-recommended-practices-hospitals
Diagnostic safety is beginning to be established as a systemic, rather than solely an ind…
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psnet.ahrq.gov/issue/studying-patient-safety-health-care-organizations-accentuate-qualitative
January 18, 2011 - Commentary
Studying patient safety in health care organizations: accentuate the qualitative.
Citation Text:
Hoff TJ, Sutcliffe K. Studying patient safety in health care organizations: accentuate the qualitative. Jt Comm J Qual Patient Saf. 2006;32(1):5-15.
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Format:
…
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psnet.ahrq.gov/issue/reportable-incidents
November 02, 2016 - Newspaper/Magazine Article
Reportable incidents.
Citation Text:
Barishansky RM, Glick DE. Reportable incidents. Establishing policies and procedures for when calls go wrong. EMS magazine. 2009;38(3):43-7.
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Format:
Google Scholar PubMed BibTeX EndNote X3 XML End…
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psnet.ahrq.gov/issue/predictors-warfarin-associated-adverse-events-hospitalized-patients-opportunities-prevent
August 03, 2016 - Review
Predictors of warfarin-associated adverse events in hospitalized patients: opportunities to prevent patient harm.
Citation Text:
Metersky M, Eldridge N, Wang Y, et al. Predictors of warfarin-associated adverse events in hospitalized patients: Opportunities to prevent patient harm.…
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psnet.ahrq.gov/node/863224/psn-pdf
February 28, 2024 - Special Section: IEA Health Care 2021.
February 28, 2024
Hum Factors. 2024;66(3):633-769.
https://psnet.ahrq.gov/issue/special-section-iea-health-care-2021
The ergonomics community has an established interest in medical error reduction. The 2021 International
Ergonomics Association conference examined applications…
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psnet.ahrq.gov/node/33988/psn-pdf
August 27, 2008 - Affordable Health Care for Floridians Act.
August 27, 2008
https://psnet.ahrq.gov/issue/affordable-health-care-floridians-act
Established the patient safety center in the state of Florida.
https://psnet.ahrq.gov/issue/affordable-health-care-floridians-act
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psnet.ahrq.gov/issue/out-sight-out-mind-prospective-observational-study-estimate-duration-hawthorne-effect-hand
September 09, 2020 - Study
Out of sight, out of mind: a prospective observational study to estimate the duration of the Hawthorne effect on hand hygiene events.
Citation Text:
Vaisman A, Bannerman G, Matelski J, et al. Out of sight, out of mind: a prospective observational study to estimate the duration of t…
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psnet.ahrq.gov/node/33991/psn-pdf
May 04, 2015 - Oregon Patient Safety Commission.
May 4, 2015
Oregon State Legislature. HB 2349 (2003).
https://psnet.ahrq.gov/issue/oregon-patient-safety-commission
Established the patient safety center in the state of Oregon.
https://psnet.ahrq.gov/issue/oregon-patient-safety-commission
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psnet.ahrq.gov/node/50633/psn-pdf
November 06, 2019 - Findings of Two Inaugural Leapfrog Surveys 2019.
November 6, 2019
Washington DC: Leapfrog Group; 2019.
https://psnet.ahrq.gov/issue/findings-two-inaugural-leapfrog-surveys-2019
Ambulatory surgery centers (ASC) are established venues for surgical care despite engagement in
assessment to ensure their safety. This re…
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psnet.ahrq.gov/node/39099/psn-pdf
November 11, 2009 - African Partnerships for Patient Safety.
November 11, 2009
https://psnet.ahrq.gov/issue/african-partnerships-patient-safety
This Web site establishes a forum for hospitals in Europe and Africa to support partnership development
and share learnings to drive patient safety improvements.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/38269/psn-pdf
October 01, 2024 - Nursing Home Survey on Patient Safety Culture.
October 1, 2024
Rockville, MD: Agency for Healthcare Research and Quality; October 2020.
https://psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture
Challenges to establishing and sustaining a safety culture in a nursing home include insufficient staffing
…
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psnet.ahrq.gov/node/866530/psn-pdf
August 14, 2024 - Healthcare Simulation in Nursing Practice.
August 14, 2024
Watts PI. Healthcare Simulation in Nursing Practice. Nurs Clin North Am. 2024;59(3):345-510.
https://psnet.ahrq.gov/issue/healthcare-simulation-nursing-practice
Simulation is an established method to examine nursing process resilience and develop non-techni…
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psnet.ahrq.gov/node/865721/psn-pdf
May 01, 2024 - Patient Safety Rights Charter.
May 1, 2024
Geneva, Switzerland: World Health Organization; April 2024. ISBN: 9789240093249.
https://psnet.ahrq.gov/issue/patient-safety-rights-charter
Patients have the right to expect safe, equitable, high-quality care. This 10-point charter serves to describe
the establishmen…
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psnet.ahrq.gov/node/50388/psn-pdf
September 25, 2019 - Patient Safety.
September 25, 2019
Harrisburg, PA: Patient Safety Authority. ISSN 2641-4716.
https://psnet.ahrq.gov/issue/patient-safety-17
The Pennsylvania Patient Safety Authority is a long-established source of patient safety data analysis and
application-focused commentary. Their publishing output aims to gene…
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psnet.ahrq.gov/node/74193/psn-pdf
December 15, 2021 - Input for the TeamSTEPPS Curriculum Updates.
December 15, 2021
Rockville MD, Agency for Healthcare Quality and Research. December 7, 2021.
https://psnet.ahrq.gov/issue/input-teamstepps-curriculum-updates
The TeamSTEPPS program is an established approach for improving teamwork and communication in
health care. This…