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  1. Patient safety records: silent witness. | PSNet

    psnet.ahrq.gov/issue/patient-safety-records-silent-witness
    September 01, 2017 - Newspaper/Magazine Article Patient safety records: silent witness. Citation Text: Gould M. Patient safety. Silent witness. The Health Service Journal. 2008;September 15:22-24. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

  2. Leading Health Care Transformation: A Primer for Clinical Leaders. | PSNet

    psnet.ahrq.gov/issue/leading-health-care-transformation-primer-clinical-leaders
    April 12, 2017 - Book/Report Leading Health Care Transformation: A Primer for Clinical Leaders. Citation Text: Leading Health Care Transformation: A Primer for Clinical Leaders. Joshi M, Erb N, Zhang S, Sikka R. Boca Raton, FL: CRC Press; 2015. ISBN: 9781498700184. Copy Citation Save …

  3. NHS staff cried in safety interviews, says watchdog. | PSNet

    psnet.ahrq.gov/issue/nhs-staff-cried-safety-interviews-says-watchdog
    August 30, 2023 - Newspaper/Magazine Article NHS staff cried in safety interviews, says watchdog. Citation Text: NHS staff cried in safety interviews, says watchdog. Reed J. BBC. February 27, 2023. Copy Citation Save Save to your library Print Download PDF Share…

  4. A Promise to Learn—a Commitment to Act: Improving the Safety of Patients in England. | PSNet

    psnet.ahrq.gov/issue/promise-learn-commitment-act-improving-safety-patients-england
    June 17, 2014 - Book/Report A Promise to Learn—a Commitment to Act: Improving the Safety of Patients in England. Citation Text: A Promise to Learn—a Commitment to Act: Improving the Safety of Patients in England. National Advisory Group on the Safety of Patients in England. London, England: Crown …

  5. Opportunities to Improve Patient Safety, Advancing U.S. Innovation, and Innovation Hubs. | PSNet

    psnet.ahrq.gov/issue/opportunities-improve-patient-safety-advancing-us-innovation-and-innovation-hubs
    September 13, 2023 - Webinar Opportunities to Improve Patient Safety, Advancing U.S. Innovation, and Innovation Hubs. Citation Text: Opportunities to Improve Patient Safety, Advancing U.S. Innovation, and Innovation Hubs. President’s Council of Advisors on Science and Technology. Washington, DC: White House;…

  6. Windows into Safety and Quality in Health Care 2008. | PSNet

    psnet.ahrq.gov/issue/windows-safety-and-quality-health-care-2008
    January 28, 2015 - Book/Report Windows into Safety and Quality in Health Care 2008. Citation Text: Windows into Safety and Quality in Health Care 2008. Sydney, Australia: Australian Commission on Safety and Quality in Health Care; 2008. ISBN: 9780980346275. Copy Citation Save Save…

  7. Understanding models of error and how they apply in clinical practice. | PSNet

    psnet.ahrq.gov/issue/understanding-models-error-and-how-they-apply-clinical-practice
    October 11, 2016 - Commentary Understanding models of error and how they apply in clinical practice. Citation Text: Understanding models of error and how they apply in clinical practice. Garfield S, Franklin BD. Pharm J. June 14, 2016. Copy Citation Save Save to your library P…

  8. Resilient Health Care Series. | PSNet

    psnet.ahrq.gov/issue/resilient-health-care-series
    October 25, 2018 - Book/Report Resilient Health Care Series. Citation Text: Resilient Health Care Series. Hollnagel E, Braithwaite J, Wears RL, eds. Aldershot, UK: Ashgate Publishing; 2013-2016; Boca Raton: Taylor & Francis; 2018; New York, NY: Routledge; 2019. Copy Citation Save Sa…

  9. The Field Guide to Human Error Investigations, Third Edition. | PSNet

    psnet.ahrq.gov/issue/field-guide-human-error-investigations-third-edition
    April 13, 2018 - Book/Report Classic The Field Guide to Human Error Investigations, Third Edition. Citation Text: The Field Guide to Human Error Investigations, Third Edition. Dekker S. Boca Baton, FL: CRC Press; 2017. Copy Citation Save Save to your libr…

  10. Advances in Patient Safety: From Research to Implementation. | PSNet

    psnet.ahrq.gov/issue/advances-patient-safety-research-implementation
    December 24, 2008 - Government Resource Classic Advances in Patient Safety: From Research to Implementation. Citation Text: Advances in Patient Safety: From Research to Implementation. Henriksen K, Battles JB, Marks ES, et al, eds. Rockville, MD: Agency for Healthcare Research and …

  11. Findings of Two Inaugural Leapfrog Surveys 2019. | PSNet

    psnet.ahrq.gov/issue/findings-two-inaugural-leapfrog-surveys-2019
    November 06, 2019 - Book/Report Findings of Two Inaugural Leapfrog Surveys 2019. Citation Text: Findings of Two Inaugural Leapfrog Surveys 2019. Washington DC: Leapfrog Group; 2019. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  12. Improving the Reliability of Health Care. | PSNet

    psnet.ahrq.gov/issue/improving-reliability-health-care
    November 18, 2011 - Book/Report Improving the Reliability of Health Care. Citation Text: Improving the Reliability of Health Care. Nolan T, Resar R, Haraden C, et al. Boston, MA: Institute for Healthcare Improvement; 2004. Copy Citation Save Save to your library Print Dow…

  13. NHS Safety Thermometer Reports. | PSNet

    psnet.ahrq.gov/issue/nhs-safety-thermometer-report-patient-harms-and-harm-free-care-november-2014-november-2015
    July 08, 2021 - Book/Report NHS Safety Thermometer Reports. Citation Text: NHS Safety Thermometer Reports. Leeds, UK: Clinical Support Audit Unit, Health and Social Care Information Centre. 2012-2017. Copy Citation Save Save to your library Print Download PDF Sh…

  14. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.131_slideshow.ppt
    August 01, 2006 - Spotlight Case [MONTH] 2003 Spotlight Case August 2006 Physical Diagnosis: A Lost Art? Source and Credits This presentation is based on the August 2006 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: George Thompson III,…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49524/psn-pdf
    November 01, 2006 - Secured But Not Always Safe November 1, 2006 Jahr JS, Hosseini P. Secured But Not Always Safe. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/secured-not-always-safe The Case An 84-year-old healthy woman underwent an elective left total knee replacement for degenerative osteoarthritis. She received spinal …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33641/psn-pdf
    November 01, 2006 - Human Factors Engineering Can Teach You How to Be Surprised Again November 1, 2006 Gosbee JW. Human Factors Engineering Can Teach You How to Be Surprised Again. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again Perspective Certain phrases ar…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867004/psn-pdf
    October 30, 2024 - Critical Radiology Alert Process October 30, 2024 https://psnet.ahrq.gov/innovation/critical-radiology-alert-process Summary Vanderbilt University Medical Center developed an electronic trigger tool that alerts the care team of unrelated abnormal findings and provides a companion follow-up process, with the goal o…

  18. Triggers and Trigger Tools | PSNet

    psnet.ahrq.gov/primer/triggers-and-trigger-tools
    September 15, 2024 - Triggers and Trigger Tools Citation Text: Triggers and Trigger Tools. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33608/psn-pdf
    February 01, 2024 - Maternal Safety January 31, 2024 Shauer M, Nichols A, Lyndon A. Maternal Safety. PSNet [internet]. 2024. https://psnet.ahrq.gov/primer/maternal-safety Originally published in 2018 by researchers at the University of California, San Francisco. Updated in February 2024 by Marla Shauer, PhD(c), MSN, CNM, Amy Nichols,…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72517/psn-pdf
    November 25, 2020 - Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. November 25, 2020 Leiserowitz GS, Hedriana H. Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesare…
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