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5721. Alarm management: promoting safety and establishing guidelines. | PSNet
      psnet.ahrq.gov/issue/alarm-management-promoting-safety-and-establishing-guidelines
      May 24, 2017 - Commentary Alarm management: promoting safety and establishing guidelines. Citation Text: Criscitelli T. Alarm Management: Promoting Safety and Establishing Guidelines. AORN J. 2016;103(5):518-21. doi:10.1016/j.aorn.2016.03.008. Copy Citation Format: DOI Google Scholar PubM…

5722. Cultures of caring: healthcare 'scandals', inquiries, and the remaking of accountabilities. | PSNet
      psnet.ahrq.gov/issue/cultures-caring-healthcare-scandals-inquiries-and-remaking-accountabilities
      September 07, 2022 - Commentary Cultures of caring: healthcare 'scandals', inquiries, and the remaking of accountabilities. Citation Text: Goodwin D. Cultures of caring: Healthcare 'scandals', inquiries, and the remaking of accountabilities. Soc Stud Sci. 2018;48(1):101-124. doi:10.1177/0306312717751051. C…

5723. When medical error becomes personal, activism becomes painful. | PSNet
      psnet.ahrq.gov/issue/when-medical-error-becomes-personal-activism-becomes-painful
      August 21, 2019 - Newspaper/Magazine Article When medical error becomes personal, activism becomes painful. Citation Text: When medical error becomes personal, activism becomes painful. Millenson M. Forbes. September 16, 2022. Copy Citation Save Save to your library Print …

5724. Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III. | PSNet
      psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-focus-implementation-and-dissemination-evaluation
      May 21, 2014 - Book/Report Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III. Citation Text: Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III. Farley DO, Damberg CL, Ridgely …

5725. Advancing Diagnostic Excellence for Maternal Health Care: Proceedings of a Workshop–in Brief. | PSNet
      psnet.ahrq.gov/issue/advancing-diagnostic-excellence-maternal-health-care-proceedings-workshop-brief
      September 12, 2018 - Book/Report Advancing Diagnostic Excellence for Maternal Health Care: Proceedings of a Workshop–in Brief. Citation Text: Advancing Diagnostic Excellence for Maternal Health Care: Proceedings of a Workshop–in Brief. National Academies of Sciences, Engineering, and Medicine. Washington, DC…

5726. Missed or Rationed Nursing Care. | PSNet
      psnet.ahrq.gov/issue/missed-or-rationed-nursing-care
      February 12, 2020 - Special or Theme Issue Missed or Rationed Nursing Care. Citation Text: Missed or Rationed Nursing Care. J Nurs Manag. 2020;28(8): i-iv, 1767-2275. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

5727. Nemeth LS, Ornstein SM, Jenkins RG, et al. "Implementing and evaluating electronic standing orders in primary care practice: a PPRNet study." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/nemeth-ls
      January 01, 2023 - Nemeth LS, Ornstein SM, Jenkins RG, et al. "Implementing and evaluating electronic standing orders in primary care practice: a PPRNet study." Reference Nemeth LS, Ornstein SM, Jenkins RG, et al. Implementing and evaluating electronic standing orders in primary care practice: a PPRNet study. J Am Board…

5728. Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings. | PSNet
      psnet.ahrq.gov/issue/wrong-site-surgery-wrong-patient-invasive-procedures-outpatient-settings
      June 09, 2021 - Book/Report Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings. Citation Text: Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings. Farnborough, UK: Healthcare Safety Investigation Branch; June 2021. Copy Citation …

5729. DOD Should Improve Its Process for Clinical Adverse Actions against Providers. | PSNet
      psnet.ahrq.gov/issue/dod-should-improve-its-process-clinical-adverse-actions-against-providers
      May 16, 2018 - Book/Report DOD Should Improve Its Process for Clinical Adverse Actions against Providers. Citation Text: DOD Should Improve Its Process for Clinical Adverse Actions against Providers. Washington, DC: United States Government Accounting Office; April 11, 2024. Publication GAO-24-106107. …

5730. Advancing Maternal Health Equity and Reducing Maternal Mortality Workshop. | PSNet
      psnet.ahrq.gov/issue/advancing-maternal-health-equity-and-reducing-maternal-mortality-workshop
      May 19, 2021 - Meeting/Conference Proceedings Advancing Maternal Health Equity and Reducing Maternal Mortality Workshop. Citation Text: Advancing Maternal Health Equity and Reducing Maternal Mortality Workshop. National Academies of Sciences, Engineering, and Medicine. June 7-8, 2021. Copy Citatio…

5731. Maternal and Infant Health Inequality: New Evidence from Linked Administrative Data. | PSNet
      psnet.ahrq.gov/issue/maternal-and-infant-health-inequality-new-evidence-linked-administrative-data
      August 23, 2017 - Book/Report Maternal and Infant Health Inequality: New Evidence from Linked Administrative Data. Citation Text: Maternal and Infant Health Inequality: New Evidence from Linked Administrative Data. Kennedy-Moulton K, Miller S, Persson P, et al. Cambridge, MA: National Bureau of Econo…

5732. Adverse Events. | PSNet
      psnet.ahrq.gov/issue/adverse-events-0
      September 20, 2011 - Multi-use Website Adverse Events. Citation Text: Adverse Events. United States Office of the Inspector General: 2010-2023. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Cop…

5733. Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. | PSNet
      psnet.ahrq.gov/issue/home-health-agencies-failed-report-over-half-falls-major-injury-and-hospitalization-among
      July 26, 2023 - Book/Report Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. Citation Text: Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. Maxwell A…

5734. Discharge from Mental Health Care: Making it Safe and Patient-centred. | PSNet
      psnet.ahrq.gov/issue/discharge-mental-health-care-making-it-safe-and-patient-centred
      October 07, 2020 - Book/Report Discharge from Mental Health Care: Making it Safe and Patient-centred. Citation Text: Discharge from Mental Health Care: Making it Safe and Patient-centred. Manchester, UK: Parliamentary and Health Service Ombudsman; March 2024. Copy Citation Save Sa…

5735. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/grants-transform/introduction.html
      October 01, 2023 - Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report Introduction Previous Page Next Page Table of Contents Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report Executive Summary Introduction Methods Overview of the 14 Transfo…

5736. Provider Feedback Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/12a-pfe-provider-survey.pdf
      August 01, 2021 - Provider Feedback Survey Provider Feedback Survey Toolkit for Engaging Patients To Improve Diagnostic Safety AHRQ Publication No. 21-0047-11-EF August 2021 Surveys provide a quick and easy way to solicit provider feedback on toolkit impact and perceived communication effectiveness. You will want to collect pro…

5737. System Governance Towards Improved Patient Safety: Key Functions, Approaches and Pathways to Implementation. | PSNet
      psnet.ahrq.gov/issue/system-governance-towards-improved-patient-safety-key-functions-approaches-and-pathways
      October 07, 2020 - Book/Report System Governance Towards Improved Patient Safety: Key Functions, Approaches and Pathways to Implementation. Citation Text: System Governance Towards Improved Patient Safety: Key Functions, Approaches and Pathways to Implementation. Auraaen A, Saar K, Klazinga N for the Organ…

5738. Safety investigations from across the pond: deep learning from England’s Healthcare Safety Investigation Branch (HSIB). | PSNet
      psnet.ahrq.gov/issue/safety-investigations-across-pond-deep-learning-englands-healthcare-safety-investigation
      May 03, 2023 - Newspaper/Magazine Article Safety investigations from across the pond: deep learning from England’s Healthcare Safety Investigation Branch (HSIB). Citation Text: Safety investigations from across the pond: deep learning from England’s Healthcare Safety Investigation Branch (HSIB). ISMP M…

5739. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866578/psn-pdf
      August 28, 2024 - disparities in safety events for Black and Hispanic children have been observed.10 More research is needed examining

5740. Creating and Maintaining a Culture of Safety Series (Session 3): Measuring and Responding to Safety Culture Across Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/measuring-safety-culture.pdf
      May 13, 2025 - Chapel Hill Surgery Department • Had 11 years of data on the SOPS Hospital Survey and did a deep dive, examining