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  1. Engaging Minority Communities in Safer Healthcare. | PSNet

    psnet.ahrq.gov/issue/engaging-minority-communities-safer-healthcare
    January 15, 2017 - Meeting/Conference Proceedings Engaging Minority Communities in Safer Healthcare. Citation Text: Engaging Minority Communities in Safer Healthcare. Kurz M, Tobin WN. Chestnut Hill, MA: Medically Induced Trauma Support Services Inc.; 2011. Copy Citation Save Save t…

  2. Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report. | PSNet

    psnet.ahrq.gov/issue/malpractice-risks-communication-failures-2015-annual-benchmarking-report
    July 18, 2018 - Book/Report Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report. Citation Text: Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report. Cambridge, MA: CRICO Strategies; 2016. Copy Citation Save Save to your library …

  3. Chasing Zero: Winning the War on Healthcare Harm. | PSNet

    psnet.ahrq.gov/issue/chasing-zero-winning-war-healthcare-harm
    May 18, 2012 - Audiovisual Chasing Zero: Winning the War on Healthcare Harm. Citation Text: Chasing Zero: Winning the War on Healthcare Harm. Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010. Copy Citation Save Save to your library Print …

  4. The Leapfrog Group. | PSNet

    psnet.ahrq.gov/issue/leapfrog-group
    January 20, 2016 - Multi-use Website The Leapfrog Group. Citation Text: The Leapfrog Group. 1775 K St NW, Suite 400, Washington DC 20006. 202-292-6713, info@leapfrog-group.org. Copy Citation Save Save to your library Print Download PDF Share Facebook Tw…

  5. Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. | PSNet

    psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-serious-incident
    February 21, 2024 - Book/Report Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. Citation Text: Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. Dorset, UK: Health Services Safety Inve…

  6. Patient Safety Indicators | PSNet

    psnet.ahrq.gov/primer/patient-safety-indicators
    June 15, 2024 - Program (PSI 90 only) Hospital Inpatient Quality Reporting (IQR) Program The Leapfrog Hospital Safety Grade … Hospital Survey , and information from other supplemental data sources to produce a single letter grade

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33591/psn-pdf
    March 15, 2025 - identified, the entire chart is reviewed to determine whether an adverse event took place, and if so, to grade

  8. Chest Tube Complications | PSNet

    psnet.ahrq.gov/web-mm/chest-tube-complications
    September 27, 2023 - The British Thoracic Society ( 7 ) recommends against clamping chest tubes before removal (Grade B evidence … few hours of clamping followed by chest radiography when there is doubt about the safety of removal (Grade

  9. Preventing retained surgical items. | PSNet

    psnet.ahrq.gov/issue/preventing-retained-surgical-items
    December 07, 2022 - Commentary Preventing retained surgical items. Citation Text: Weston M, Chiodo C. Preventing retained surgical items. AORN J. 2022;115(6):569-575. doi:10.1002/aorn.13697. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

  10. Guidelines in Practice: prevention of unintentionally retained surgical items. | PSNet

    psnet.ahrq.gov/issue/guidelines-practice-prevention-unintentionally-retained-surgical-items
    August 03, 2022 - Commentary Guidelines in Practice: prevention of unintentionally retained surgical items. Citation Text: Cochran K. Guidelines in Practice: prevention of unintentionally retained surgical items. AORN J. 2022;116(5):427-440. doi:10.1002/aorn.13804. Copy Citation Format: DOI …

  11. 2022 John M. Eisenberg Patient Safety and Quality Awards. | PSNet

    psnet.ahrq.gov/issue/2022-john-m-eisenberg-patient-safety-and-quality-awards
    August 02, 2023 - Special or Theme Issue 2022 John M. Eisenberg Patient Safety and Quality Awards. Citation Text: 2022 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2023;49(9):435-450. Copy Citation Save Save to your library Print Down…

  12. Do Black and White Patients Experience Similar Rates of Adverse Safety Events at the Same Hospital? | PSNet

    psnet.ahrq.gov/issue/do-black-and-white-patients-experience-similar-rates-adverse-safety-events-same-hospital
    April 07, 2021 - Book/Report Do Black and White Patients Experience Similar Rates of Adverse Safety Events at the Same Hospital? Citation Text: Do Black and White Patients Experience Similar Rates of Adverse Safety Events at the Same Hospital? Gangopadhyaya A. Washington DC; Urban Institute: July 2021. …

  13. Factors influencing patient safety during postoperative handover. | PSNet

    psnet.ahrq.gov/issue/factors-influencing-patient-safety-during-postoperative-handover
    March 03, 2021 - Review Factors influencing patient safety during postoperative handover. Citation Text: Factors influencing patient safety during postoperative handover. Rose M, Newman SD. AANA J. 2016;84:329-338. Copy Citation Save Save to your library Print Download P…

  14. Heart Failure: The Decline of a Historic Transplant Program. | PSNet

    psnet.ahrq.gov/issue/heart-failure-decline-historic-transplant-program
    July 22, 2020 - Special or Theme Issue Heart Failure: The Decline of a Historic Transplant Program. Citation Text: Heart Failure: The Decline of a Historic Transplant Program. Hixenbaugh M, Ornstein C. Houston Chronicle and Propublica. May 2018-May 2019. Copy Citation Save Save t…

  15. More hospitals move to confront medical errors head on. | PSNet

    psnet.ahrq.gov/issue/more-hospitals-move-confront-medical-errors-head
    June 21, 2023 - Audiovisual More hospitals move to confront medical errors head on. Citation Text: More hospitals move to confront medical errors head on. Gorenstein D. Tradeoffs. November 16, 2023. Copy Citation Save Save to your library Print Download PDF Shar…

  16. Recognizing Excellence in Diagnosis: Recommended Practices for Hospitals. | PSNet

    psnet.ahrq.gov/issue/recognizing-excellence-diagnosis-recommended-practices-hospitals
    June 21, 2023 - Book/Report Recognizing Excellence in Diagnosis: Recommended Practices for Hospitals. Citation Text: Recognizing Excellence in Diagnosis: Recommended Practices for Hospitals. Washington, DC: Leapfrog Group; July 2024. Copy Citation Save Save to your library …

  17. 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 …

  18. Why do GDPs fail to recognise oral cancer? The argument for an oral cancer checklist. | PSNet

    psnet.ahrq.gov/issue/why-do-gdps-fail-recognise-oral-cancer-argument-oral-cancer-checklist
    March 13, 2024 - Commentary Why do GDPs fail to recognise oral cancer? The argument for an oral cancer checklist. Citation Text: Dave B. Why do GDPs fail to recognise oral cancer? The argument for an oral cancer checklist. Br Dent J. 2013;214(5):223-5. doi:10.1038/sj.bdj.2013.214. Copy Citation …

  19. The role of the patient in patient safety: what can we learn from healthcare's history? | PSNet

    psnet.ahrq.gov/issue/role-patient-patient-safety-what-can-we-learn-healthcares-history
    June 12, 2024 - Commentary The role of the patient in patient safety: what can we learn from healthcare's history? Citation Text: Leistikow I, Huisman F. The role of the patient in patient safety: What can we learn from healthcare's history? J Patient Saf Risk Manag. 2018;23(4):139-141. doi:10.1177/2516…

  20. Secret data on hospital inspections may soon become public. | PSNet

    psnet.ahrq.gov/issue/secret-data-hospital-inspections-may-soon-become-public
    January 30, 2019 - Newspaper/Magazine Article Secret data on hospital inspections may soon become public. Citation Text: Secret data on hospital inspections may soon become public. Ornstein C. Health Shots. National Public Radio and ProPublica. April 18, 2017. Copy Citation Save Sav…
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