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1921. The morbidity and mortality meeting: time for a different approach? | PSNet
      psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-approach
      August 30, 2023 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary

1922. Perspective: beyond counting hours: the importance of supervision, professionalism, transitions of care, and workload in residency training. | PSNet
      psnet.ahrq.gov/issue/perspective-beyond-counting-hours-importance-supervision-professionalism-transitions-care-and
      September 20, 2011 - Commentary Perspective: beyond counting hours: the importance of supervision, professionalism, transitions of care, and workload in residency training. Citation Text: Schumacher D, Slovin SR, Riebschleger MP, et al. Perspective. Academic Medicine. 2012;87(7). doi:10.1097/acm.0b013e318257…

1923. VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility Compliance with Screening Requirements is Poor. | PSNet
      psnet.ahrq.gov/issue/va-health-care-steps-taken-improve-practitioner-screening-facility-compliance-screening
      September 28, 2010 - Available at Summary (PDF) Free full text (PDF) Save Save to your library Print

1924. Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department. | PSNet
      psnet.ahrq.gov/issue/redesigning-morbidity-and-mortality-program-university-affiliated-pediatric-anesthesia
      March 27, 2024 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary

1925. Promoting collaboration and transparency in patient safety. | PSNet
      psnet.ahrq.gov/issue/promoting-collaboration-and-transparency-patient-safety
      June 21, 2016 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary

1926. COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control. | PSNet
      psnet.ahrq.gov/issue/covid-19-nursing-homes-cms-needs-continue-strengthen-oversight-infection-prevention-and
      October 26, 2022 - Available at Summary (PDF) Free full text (PDF) Save Save to your library Print

1927. Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. | PSNet
      psnet.ahrq.gov/issue/assessing-evidence-base-context-sensitive-effectiveness-and-safety-patient-safety-practices
      December 24, 2008 - Summary, Evidence Report/Technology Assessment.

1928. 2008 Update on Consumers' Views of Patient Safety and Quality Information. | PSNet
      psnet.ahrq.gov/issue/2008-update-consumers-views-patient-safety-and-quality-information
      October 02, 2013 - Available at Summary (PDF) Save Save to your library Print Download PDF

1929. Patient expectations of fair complaint handling in hospitals: empirical data. | PSNet
      psnet.ahrq.gov/issue/patient-expectations-fair-complaint-handling-hospitals-empirical-data
      September 25, 2024 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary

1930. Introduction of discharge plan to reduce adverse events within 72 hours of discharge from the ICU. | PSNet
      psnet.ahrq.gov/issue/introduction-discharge-plan-reduce-adverse-events-within-72-hours-discharge-icu
      September 16, 2020 - Study Introduction of discharge plan to reduce adverse events within 72 hours of discharge from the ICU. Citation Text: Williams TA, Leslie GD, Elliott N, et al. Introduction of discharge plan to reduce adverse events within 72 hours of discharge from the ICU. J Nurs Care Qual. 2010;25…

1931. Information gaps in newborn care and their potential for harm. | PSNet
      psnet.ahrq.gov/issue/information-gaps-newborn-care-and-their-potential-harm
      September 14, 2022 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary

1932. Case study: identifying potential problems at the human/technical interface in complex clinical systems. | PSNet
      psnet.ahrq.gov/issue/case-study-identifying-potential-problems-humantechnical-interface-complex-clinical-systems
      July 22, 2009 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary

1933. Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. | PSNet
      psnet.ahrq.gov/issue/adverse-events-hospitals-quarter-medicare-patients-experienced-harm-october-2018
      February 01, 2023 - Summary Free full text (PDF) Related article Related news article Save Save to

1934. The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. | PSNet
      psnet.ahrq.gov/issue/challenger-launch-decision-risky-technology-culture-and-deviance-nasa
      November 18, 2015 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary

1935. Vital Signs: Core Metrics for Health and Health Care Progress. | PSNet
      psnet.ahrq.gov/issue/vital-signs-core-metrics-health-and-health-care-progress
      November 24, 2021 - February 2, 2011 Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary

1936. A health system that won't learn from its mistakes. | PSNet
      psnet.ahrq.gov/issue/health-system-wont-learn-its-mistakes
      October 26, 2022 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary

1937. Deaths in Acute Hospitals: Caring to the End? | PSNet
      psnet.ahrq.gov/issue/deaths-acute-hospitals-caring-end
      March 17, 2011 - Free full text (PDF) Summary (PDF) Save Save to your library Print Download

1938. Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework. | PSNet
      psnet.ahrq.gov/issue/advancing-science-measurement-diagnostic-errors-healthcare-safer-dx-framework
      December 06, 2023 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary

1939. Patient Safety: Achieving a New Standard of Care. | PSNet
      psnet.ahrq.gov/issue/patient-safety-achieving-new-standard-care-0
      March 29, 2007 - Table of contents (free full text) Summary Save Save to your library Print

1940. Teaching but not learning: how medical residency programs handle errors. | PSNet
      psnet.ahrq.gov/issue/teaching-not-learning-how-medical-residency-programs-handle-errors
      December 18, 2008 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary