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psnet.ahrq.gov/node/850357/psn-pdf
June 14, 2023 - Government Response to the Investigation into the Death
of Elizabeth Dixon. … London, England: Crown Copyright; 2023
https://psnet.ahrq.gov/issue/government-response-investigation-death-elizabeth-dixon … https://psnet.ahrq.gov/issue/government-response-investigation-death-elizabeth-dixon
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/reporting-patient-safety-events-challenge
April 25, 2012 - Target Audience
Information Professionals
Origin/Sponsor
United States Federal Government … Web Resource
Government … United States Government Accountability Office; GAO. … Web Resource
Government Resource
Promoting Patient Safety … Web Resource
Government Resource
FDASIA Health IT Report:
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psnet.ahrq.gov/issue/nursing-home-workers-warned-government-about-safety-violations-covid-19-outbreaks-and-deaths
September 15, 2021 - Newspaper/Magazine Article
Nursing home workers warned government about safety violations … Citation Text:
Nursing home workers warned government about safety violations before COVID-19 outbreaks … Cite
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Citation Text:
Nursing home workers warned government
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psnet.ahrq.gov/issue/developing-guidance-naming-labeling-and-packaging-practices-reduce-medication-errors
April 21, 2010 - Web Resource
Government … Web Resource
Government Resource
Medication errors resulting … Web Resource
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Maalox Total Relief and … Web Resource
Government Resource
Public Meeting on Improving … Human Services; HHS
Web Resource
Government
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psnet.ahrq.gov/issue/actions-needed-help-ensure-appropriate-medication-continuation-and-prescribing-practices
September 07, 2016 - Washington, DC: United States Government Accountability Office; January 5, 2016. … Twitter
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April 27, 2016
Washington, DC: United States Government … This government report discuses efforts to reduce gaps in medication access and suggests developing clear … Washington, DC: United States Government Accountability Office; January 5, 2016.
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psnet.ahrq.gov/issue/drug-shortages-certain-factors-are-strongly-associated-persistent-public-health-challenge
May 04, 2016 - Washington, DC: United States Government Accountability Office; July 7, 2016. … Twitter
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September 7, 2016
Washington, DC: United States Government … Analyzing data on drug shortages in the United States, this government report identifies factors that … Washington, DC: United States Government Accountability Office; July 7, 2016.
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psnet.ahrq.gov/issue/artificial-intelligence-health-care-benefits-and-challenges-technologies-augment-patient-care
January 08, 2014 - Washington DC; United States Government Accountability Office; November 26, 2020. … Twitter
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December 9, 2020
Washington DC; United States Government … This US Government Accountability Office report outlines barriers impacting the widespread use of AI, … Washington DC; United States Government Accountability Office; November 26, 2020.
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psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-leadership-needed-hhs-prioritize-prevention
October 15, 2008 - Washington, DC: United States Government Accountability Office; March 31, 2008. … Twitter
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June 7, 2008
Washington, DC: United States Government … This report examines US government standards, procedures, and data collection methods related to health-care-associated … Washington, DC: United States Government Accountability Office; March 31, 2008.
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psnet.ahrq.gov/node/44957/psn-pdf
March 09, 2016 - Government and industry fail to protect the public when
they suggest "carefully following instructions … https://psnet.ahrq.gov/issue/government-and-industry-fail-protect-public-when-they-suggest-carefully- … https://psnet.ahrq.gov/issue/government-and-industry-fail-protect-public-when-they-suggest-carefully-following … https://psnet.ahrq.gov/issue/government-and-industry-fail-protect-public-when-they-suggest-carefully-following
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psnet.ahrq.gov/issue/patient-safety-research-progress
September 07, 2005 - Training
Error Reporting
Practice Guidelines
Technologic Approaches
Resource Type
Grant Recipient
Government … Available at
Free full text (PDF)
Free full text
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Web Resource
Government Resource … Braithwaite J; Walton MM; Elliott SL; Williams SK; Osborn SS; Donaldson LJ; Fletcher MG
Web Resource
Government … Web Resource
Government Resource
Overview of Patient Safety Learning Laboratory Projects.
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psnet.ahrq.gov/issue/unstoppable-doctor-has-been-investigated-every-level-government-how-he-still-practicing
September 16, 2020 - Magazine Article
Unstoppable: this doctor has been investigated at every level of government … Citation Text:
Unstoppable: this doctor has been investigated at every level of government. … Citation
Citation Text:
Unstoppable: this doctor has been investigated at every level of government
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psnet.ahrq.gov/issue/va-health-care-actions-needed-assess-decrease-root-cause-analyses-adverse-events
November 22, 2017 - Washington, DC: United States Government Accountability Office; July 29, 2015. … Twitter
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September 9, 2015
Washington, DC: United States Government … The Government Accountability Office recommends that the VA assess reasons behind the decline in use … Washington, DC: United States Government Accountability Office; July 29, 2015.
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psnet.ahrq.gov/issue/safety-investigation-ct-brain-perfusion-scans-update-1192010
October 21, 2009 - Government Resource
Safety Investigation of CT Brain Perfusion Scans: Update 11/9 … Linkedin
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November 24, 2010
This notice analyzes findings from a government
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psnet.ahrq.gov/issue/community-living-centers-va-needs-strengthen-its-approach-addressing-resident-complaints
October 12, 2022 - Washington, DC: United States Government Accountability Office; November 30, 2021. … Twitter
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January 19, 2022
Washington, DC: United States Government … Washington, DC: United States Government Accountability Office; November 30, 2021. … 10, 2021
Making Complaints Count: Supporting Complaints Handling in the NHS and UK Government
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psnet.ahrq.gov/issue/cultural-issues-related-allegations-bullying-and-harassment-nhs-highland-independent-review
July 29, 2015 - Government Resource
Cultural Issues Related to Allegations of Bullying and Harassment … Edinburgh, Scotland: The Scottish Government; May 2019. ISBN: 9781787817760. … Edinburgh, Scotland: The Scottish Government; May 2019. ISBN: 9781787817760. … Edinburgh, Scotland: The Scottish Government; May 2019. ISBN: 9781787817760. … November 1, 2024
Making Complaints Count: Supporting Complaints Handling in the NHS and UK Government
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psnet.ahrq.gov/issue/culture-change-nhs-applying-lessons-francis-inquiries
September 09, 2015 - materials available include an analysis exploring equality considerations and a table revealing the government … November 16, 2022
Government Response to the Investigation into the Death of Elizabeth … December 9, 2020
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Government Response
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psnet.ahrq.gov/issue/joint-commission-journal-quality-and-patient-safetytm
March 06, 2005 - Web Resource
Government … Web Resource
Government Resource
AHRQ 2008 Annual Conference … Web Resource
Government Resource
Advances in Patient Safety
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psnet.ahrq.gov/issue/patient-safety-research-highlights-program-brief
December 14, 2005 - Web Resource
Government Resource
Published December 14, 2005
Patient Safety Research Highlights: Program … Reporting
Communication Improvement
Technologic Approaches
Education and Training
Resource Type
Government … Agency for Healthcare Research and Quality; AHRQ
Web Resource
Government Resource
Reducing Errors
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psnet.ahrq.gov/issue/nursing-homes-despite-increased-oversight-challenges-remain-ensuring-high-quality-care-and
July 12, 2006 - Government Resource
Nursing Homes: Despite Increased Oversight, Challenges Remain … Washington DC; Government Accountability Office; 2005. Report no. GAO-06-117. … Facebook
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June 25, 2010
Washington DC; Government … Washington DC; Government Accountability Office; 2005. Report no. GAO-06-117.
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psnet.ahrq.gov/node/60284/psn-pdf
April 29, 2020 - April 29, 2020
Washington, DC: United States Government Accountability Office; March 2020. … This report highlights US
government and state-level efforts to reduce maternal mortality.