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  1. psnet.ahrq.gov/issue/safety-i-and-safety-ii-past-and-future-safety-management
    July 22, 2019 - Book/Report Classic Safety-I and Safety-II: The Past and Future of Safety Management. Citation Text: Safety-I and Safety-II: The Past and Future of Safety Management. Hollnagel E. Aldershot, Hampshire, England: Ashgate; 2014. ISBN: 9781472423085. Copy Citation…
  2. psnet.ahrq.gov/issue/report-morecambe-bay-investigation
    November 16, 2005 - Book/Report The Report of the Morecambe Bay Investigation. Citation Text: The Report of the Morecambe Bay Investigation. Kirkup B. London, UK: The Stationery Office; 2015. ISBN: 9780108561306. Copy Citation Save Save to your library Print Download PDF …
  3. psnet.ahrq.gov/issue/patient-safety-essentials-toolkit
    January 08, 2020 - Toolkit Patient Safety Essentials Toolkit. Citation Text: Patient Safety Essentials Toolkit. Boston, MA: Institute for Healthcare Improvement; 2019. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …
  4. psnet.ahrq.gov/issue/speaking-safety-its-not-simple
    April 04, 2018 - Newspaper/Magazine Article Speaking up for safety—it’s not simple. Citation Text: Speaking up for safety—it’s not simple. Liberatore K. PA-PSRS Patient Saf Advis. 2018;15(3). Copy Citation Save Save to your library Print Download PDF Share Fa…
  5. psnet.ahrq.gov/issue/medical-errors-and-medical-narcissism
    August 03, 2005 - Book/Report Medical Errors and Medical Narcissism. Citation Text: Medical Errors and Medical Narcissism. Banja JD. Sudbury MA: Jones and Bartlett, 2005. ISBN: 0763783617. Copy Citation Save Save to your library Print Download PDF Share …
  6. effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/letter-of-appreciation-2022.pdf
    January 01, 2022 - Letter of Appreciation 2022 Letter of Appreciation We sincerely thank the 92 Peer Reviewers who completed reviews for the Agency for Healthcare Research and Quality (AHRQ) Effective Health Care (EHC) Program in 2022. Peer reviewers donate substantial time and effort to complete insightful and rigorous critiques of…
  7. psnet.ahrq.gov/issue/q-what-scares-doctors-being-patient
    February 06, 2019 - Newspaper/Magazine Article Q: What scares doctors? A: Being the patient. Citation Text: Q: What scares doctors? A: Being the patient. Gibbs N, Bower A. Time Magazine. April 23, 2006. Copy Citation Save Save to your library Print Download PDF …
  8. digital.ahrq.gov/icd
    January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
  9. digital.ahrq.gov/events/national-web-conference-using-health-it-chronic-disease-management
    January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
  10. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/gantt-chart
    January 01, 2023 - Gantt Chart Also Known As Activity Chart Milestones Chart Project Bar Chart Description A Gantt chart is used to outline the plan for and show the progress of a project. It has the format of a bar chart and depicts the various subdivided phases or tasks that must be completed for a pro…
  11. psnet.ahrq.gov/issue/national-training-survey-2013-concerns-about-patient-safety
    July 15, 2015 - Book/Report National Training Survey 2013: Concerns about Patient Safety. Citation Text: National Training Survey 2013: Concerns about Patient Safety. London, UK: General Medical Council; November 2013. Copy Citation Save Save to your library Print Do…
  12. psnet.ahrq.gov/issue/ismp-list-high-alert-medications-communityambulatory-healthcare
    December 15, 2021 - Fact Sheet/FAQs ISMP List of High-Alert Medications in Community/Ambulatory Healthcare. Citation Text: ISMP List of High-Alert Medications in Community/Ambulatory Healthcare. Horsham, PA: Institute for Safe Medication Practices; 2021. Copy Citation Save Save to yo…
  13. psnet.ahrq.gov/issue/solving-puzzle-improving-safety-outcomes
    September 07, 2022 - Commentary Solving the puzzle: improving safety outcomes. Citation Text: Solving the puzzle: improving safety outcomes. Whitehouse D. Br J Healthc Manage. 2013;19(9):446-448. Copy Citation Save Save to your library Print Download PDF Share …
  14. psnet.ahrq.gov/issue/alarm-fatigue-hazards-sirens-are-calling
    November 16, 2022 - Newspaper/Magazine Article Alarm fatigue hazards: the sirens are calling. Citation Text: Alarm fatigue hazards: the sirens are calling. Welch J. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Lin…
  15. psnet.ahrq.gov/issue/journal-quality-improvement-healthcare-second-edition
    July 22, 2015 - Special or Theme Issue Resident Projects for Improvement. Citation Text: Resident Projects for Improvement. Heilman J, ed. UNM CIR Journal of Quality Improvement in Healthcare. Albuquerque, NM: University of New Mexico; May 2013. Copy Citation Save Save to your …
  16. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/event-tree-analysis
    January 01, 2023 - Event Tree Analysis Acronym ETA Description An event tree analysis (ETA) examines the different paths that can be taken in a given scenario. Each step consists of a node and corresponding exit lines for each possible outcome at that step. The tool was originally developed for use in system rel…
  17. digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/kepner-tregoe-matrix
    January 01, 2023 - Kepner-Tregoe Matrix Also Known As Is-Is Not Matrix Kepner and Tregoe Method Description A Kepner-Tregoe matrix is used to find causes of a problem. It isolates the who, what, when, where, and how aspects of an event, keeping the focus on the elements that have an impact on the event and…
  18. psnet.ahrq.gov/issue/engaging-patients-improving-ambulatory-care
    January 17, 2024 - Book/Report Engaging Patients in Improving Ambulatory Care. Citation Text: Engaging Patients in Improving Ambulatory Care. Aligning Forces for Quality. Princeton, NJ: Robert Wood Johnson Foundation; 2013. Copy Citation Save Save to your library Print …
  19. psnet.ahrq.gov/issue/genome-detectives-solve-hospitals-deadly-outbreak
    August 22, 2012 - Newspaper/Magazine Article Genome detectives solve a hospital's deadly outbreak. Citation Text: Genome detectives solve a hospital's deadly outbreak. Kolata G. New York Times. August 22, 2012. Copy Citation Save Save to your library Print Download P…
  20. psnet.ahrq.gov/issue/national-diabetes-inpatient-audit-2017
    January 27, 2016 - Book/Report National Diabetes Inpatient Audit -- Harms. Citation Text: National Diabetes Inpatient Audit -- Harms. Leeds, UK: Health and Social Care Information Centre. Copy Citation Save Save to your library Print Download PDF Share Facebook…