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psnet.ahrq.gov/node/36507/psn-pdf
February 17, 2009 - Centre for Patient Safety and Service Quality.
February 17, 2009
https://psnet.ahrq.gov/issue/centre-patient-safety-and-service-quality
This research program was established to explore the nature of medical harm, study its causes, and
understand how to improve the safety of health care.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/35450/psn-pdf
January 01, 2006 - NHS Redress Act 2006.
November 2, 2005
United Kingdom Parliament, 2006 Chapter 44.
https://psnet.ahrq.gov/issue/nhs-redress-act-2006
This act establishes a process for the National Health Service to handle small claims from medical
mistakes without litigation.
https://psnet.ahrq.gov/issue/nhs-redress-act-20…
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psnet.ahrq.gov/issue/reducing-diagnostic-errors-why-now
July 28, 2014 - Commentary
Classic
Reducing diagnostic errors—why now?
Citation Text:
Khullar D, Jha AK, Jena AB. Reducing diagnostic errors--why now? N Engl J Med. 2015;373(26):2491-2493. doi:10.1056/NEJMp1508044.
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Format:
DOI Google Scholar PubMed B…
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psnet.ahrq.gov/issue/reducing-health-care-hazards-lessons-commercial-aviation-safety-team
September 17, 2010 - Commentary
Reducing health care hazards: lessons from the Commercial Aviation Safety Team.
Citation Text:
Pronovost P, Goeschel CA, Olsen KL, et al. Reducing health care hazards: lessons from the commercial aviation safety team. Health Aff (Millwood). 2009;28(3):w479-89. doi:10.1377/hl…
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psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention-recommendations-safer-outpatient-opioid
August 05, 2015 - Commentary
National Action Plan for Adverse Drug Event Prevention: recommendations for safer outpatient opioid use.
Citation Text:
Ducoffe AR, York A, Hu DJ, et al. National Action Plan for Adverse Drug Event Prevention: Recommendations for Safer Outpatient Opioid Use. Pain Med. 2016;17(…
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psnet.ahrq.gov/node/38514/psn-pdf
September 29, 2017 - Reportable incidents.
September 29, 2017
Barishansky RM, Glick DE. Reportable incidents. Establishing policies and procedures for when calls go
wrong. EMS magazine. 2009;38(3):43-7.
https://psnet.ahrq.gov/issue/reportable-incidents
This article explains the elements of preparing policies and procedures for reporta…
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psnet.ahrq.gov/node/849598/psn-pdf
May 31, 2023 - Establish the CAT and train them in the pathophysiology of sepsis, evidence-based practices for
treatment
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psnet.ahrq.gov/node/60302/psn-pdf
May 06, 2020 - Fighting against COVID-19: innovative strategies for
clinical pharmacists.
May 6, 2020
Li H, Zheng S, Liu F, et al. Fighting against COVID-19: innovative strategies for clinical pharmacists. Res
Social Adm Pharm. 2020. doi:10.1016/j.sapharm.2020.04.003.
https://psnet.ahrq.gov/issue/fighting-against-covid-19-innova…
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psnet.ahrq.gov/node/841199/psn-pdf
December 07, 2022 - Press Play on Safety Conversations.
December 7, 2022
Healthcare Excellence Canada. 2022.
https://psnet.ahrq.gov/issue/press-play-safety-conversations
After a patient safety incident, effective discussions are critical for healing and improvement. This website
houses collections of materials to support constructive…
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psnet.ahrq.gov/issue/development-leapfrog-methodology-evaluating-hospital-implemented-inpatient-computerized
May 27, 2011 - Commentary
Development of the Leapfrog methodology for evaluating hospital implemented inpatient computerized physician order entry systems.
Citation Text:
Kilbridge PM, Welebob EM, Classen DC. Development of the Leapfrog methodology for evaluating hospital implemented inpatient comput…
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psnet.ahrq.gov/perspective/conversation-withrichard-p-shannon-md
August 01, 2010 - As the institutions that educate and train future physicians, AMCs have a unique opportunity to establish … Leaders will need to establish a fertile environment for such individuals by ensuring that PS/QI efforts … To establish a leadership role in the patient safety field, AMCs need to reach outside their walls to
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psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
August 01, 2010 - As the institutions that educate and train future physicians, AMCs have a unique opportunity to establish … Leaders will need to establish a fertile environment for such individuals by ensuring that PS/QI efforts … To establish a leadership role in the patient safety field, AMCs need to reach outside their walls to
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psnet.ahrq.gov/node/39167/psn-pdf
February 16, 2011 - Quality and Safety in Medicine.
February 16, 2011
Nash DB, Goldfarb NI, Patow C, eds. Acad Med. 2009;84:1641-1846.
https://psnet.ahrq.gov/issue/quality-and-safety-medicine
This collection of articles highlights efforts to improve quality and safety in academic health centers by
establishing teamwork initiat…
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psnet.ahrq.gov/node/35088/psn-pdf
January 01, 2025 - National Patient Safety Goals.
November 26, 2024
The Joint Commission.
https://psnet.ahrq.gov/issue/national-patient-safety-goals
The National Patient Safety Goals (NPSGs) are one of the major methods by which The Joint Commission
establishes standards for ensuring patient safety in all health care settings. In or…
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psnet.ahrq.gov/node/50643/psn-pdf
November 06, 2019 - Same Day Surgery in the US; Findings of Two Inaugural
Leapfrog Surveys 2019.
November 6, 2019
Washington DC: Leapfrog Group; 2019.
https://psnet.ahrq.gov/issue/same-day-surgery-us-findings-two-inaugural-leapfrog-surveys-2019
Ambulatory surgery centers (ASC) are established venues for surgical care despite lack of …
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psnet.ahrq.gov/node/837746/psn-pdf
July 27, 2022 - Oxford Professional Practice: Handbook of Patient Safety.
July 27, 2022
Lachman P, Runnacles J, Jayadev A et al, eds. London, England; Oxford University Press; 2022. ISBN:
9780192846877.
https://psnet.ahrq.gov/issue/oxford-professional-practice-handbook-patient-safety
Patient safety needs to routinely involve new …
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psnet.ahrq.gov/node/50747/psn-pdf
December 18, 2019 - Fatigue and safety in paramedicine.
December 18, 2019
Donnelly EA, Bradford P, Davis M, et al. Fatigue and Safety in Paramedicine. CJEM. 2019;21(6):762-765.
doi:10.1017/cem.2019.380.
https://psnet.ahrq.gov/issue/fatigue-and-safety-paramedicine
While fatigue has been linked to safety-related outcomes in many health…
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psnet.ahrq.gov/node/836870/psn-pdf
April 26, 2022 - A Conversation Among Stakeholders on Medical
Malpractice.
April 6, 2022
Collaborative for Accountability and Improvement. April 26, 2022.
https://psnet.ahrq.gov/issue/conversation-among-stakeholders-medical-malpractice
Communication and resolution programs (CRP) can improve response to patients and families a…
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psnet.ahrq.gov/node/73994/psn-pdf
October 20, 2021 - A culture of safety in EMS systems.
October 20, 2021
American College of Emergency Physicians, National Association of Emergency Medical Services.
Ann Emerg Med. 2021;78(3):e37-e57.
https://psnet.ahrq.gov/issue/culture-safety-ems-systems-0
Emergency medical services (EMS) are often provided in stressfu…
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psnet.ahrq.gov/node/60885/psn-pdf
September 02, 2020 - Becoming a High Reliability Organization.
September 2, 2020
VHA Forum. Summer 2020;1-12.
https://psnet.ahrq.gov/issue/becoming-high-reliability-organization
High reliability attainment is a stated goal for health care organizations. This special issue covers
established initiatives at the United States Veterans He…