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psnet.ahrq.gov/issue/future-patient-and-family-engagement-quality-and-patient-safety
February 24, 2025 - Special or Theme Issue
The Future of Patient and Family Engagement in Quality and Patient Safety.
Citation Text:
The Future of Patient and Family Engagement in Quality and Patient Safety. Front Health Serv. 2024.
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psnet.ahrq.gov/issue/ashp-statement-role-medication-safety-leader
June 16, 2019 - Organizational Policy/Guidelines
ASHP statement on the role of the medication safety leader.
Citation Text:
ASHP Statement on the Role of the Medication Safety Leader. Am J Health-Syst Pharm. 2020;77(4):308-312. doi:10.1093/ajhp/zxz292.
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psnet.ahrq.gov/node/40769/psn-pdf
March 21, 2012 - Identification of adverse events in ground transport
emergency medical services.
March 21, 2012
Patterson PD, Weaver MD, Abebe K, et al. Identification of adverse events in ground transport emergency
medical services. Am J Med Qual. 2011;27(2):139-146. doi:10.1177/1062860611415515.
https://psnet.ahrq.gov/issue/ide…
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psnet.ahrq.gov/node/34731/psn-pdf
July 08, 2016 - Crossing the Quality Chasm: A New Health System for the
21st Century.
July 8, 2016
Committee on Quality of Health Care in America, Institute of Medicine. Washington DC: National
Academies Press; 2001. ISBN: 9780309072809.
https://psnet.ahrq.gov/issue/crossing-quality-chasm-new-health-system-21st-century
Following…
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psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
August 31, 2022 - SPOTLIGHT CASE
Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures.
Citation Text:
Keenan KJ, Nishijima DK. Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, U…
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psnet.ahrq.gov/issue/escape-room
April 30, 2024 - Tools/Toolkit
Escape Room.
Citation Text:
Escape Room. Harrisburg, PA: Pennsylvania Safety Authority; 2020.
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psnet.ahrq.gov/issue/advancing-health-care-safety-all
July 19, 2024 - Fact Sheet/FAQs
Advancing Health Care Safety for All.
Citation Text:
Advancing Health Care Safety for All. Centers for Medicare and Medicaid Services. 2024.
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psnet.ahrq.gov/node/33585/psn-pdf
March 15, 2025 - Radiation Safety
March 15, 2025
Radiation Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/radiation-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 2025…
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psnet.ahrq.gov/innovation/patient-and-family-centered-i-pass-family-centered-communication-program-reduce-medical
February 26, 2025 - Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical Errors and Improve Family Experience and Communication Processes)
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psnet.ahrq.gov/web-mm/lung-nodule-refused-grow
March 01, 2004 - SPOTLIGHT CASE
The Lung Nodule That Refused To Grow
Citation Text:
Balekian AA, Gould MK. The Lung Nodule That Refused To Grow. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/node/47368/psn-pdf
September 12, 2018 - Using co-design to develop a collective leadership
intervention for healthcare teams to improve safety
culture.
September 12, 2018
Ward ME, De Brún A, Beirne D, et al. Using Co-Design to Develop a Collective Leadership Intervention for
Healthcare Teams to Improve Safety Culture. Int J Environ Res Public Health. 20…
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psnet.ahrq.gov/issue/check-your-medicines-tips-taking-medicines-safely
September 04, 2018 - Government Resource
Check Your Medicines: Tips for Taking Medicines Safely.
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April 23, 2012
This 5-point checklist provides consu…
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psnet.ahrq.gov/primer/responding-patient-safety-events
October 18, 2023 - Responding to Patient Safety Events
Citation Text:
Shaikh U. Responding to Patient Safety Events. PSNet [internet]. Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025.
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psnet.ahrq.gov/perspective/ems-patient-safety-field
July 28, 2021 - EMS Patient Safety in the Field
July 28, 2021
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Augustine JJ, Fitall E, Hall KK, et al. EMS Patient Safety in the Field. PSNet [internet]. Rockville (MD): Agency for Healthcare Re…
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psnet.ahrq.gov/issue/healthcare-wants-fly-high-aviation-industry-can-it
April 12, 2023 - Newspaper/Magazine Article
Healthcare wants to fly as high as the aviation industry. Can it?
Citation Text:
Healthcare wants to fly as high as the aviation industry. Can it? Twenter P. Becker's Clinical Leadership. October 30, 2023.
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psnet.ahrq.gov/issue/be-active-member-your-health-care-team
April 08, 2020 - Government Resource
Be an Active Member of Your Health Care Team.
Citation Text:
Be an Active Member of Your Health Care Team. US Food and Drug Administration; FDA.
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psnet.ahrq.gov/node/867845/psn-pdf
February 26, 2025 - Combined Proactive Risk Assessment (CPRA) – 4-Step
Technique Innovation Summary
February 26, 2025
https://psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-
summary
Summary
This innovation describes the Veteran Health Administration (VHA) National Center for Patient Saf…
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psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-summary
February 26, 2025 - New
Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary
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February 26, 2025
Innovation
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psnet.ahrq.gov/issue/canadian-patient-safety-institute
August 24, 2022 - Multi-use Website
Healthcare Excellence Canada.
Citation Text:
Healthcare Excellence Canada. 150 Kent Street, Suite 200, Ottawa, Ontario, K1P 0E4 Canada.
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psnet.ahrq.gov/issue/five-steps-safer-health-care
July 21, 2021 - Fact Sheet/FAQs
Five Steps to Safer Health Care.
Citation Text:
Five Steps to Safer Health Care. American Hospital Association; American Medical Association; U.S. Department of Health and Human Services.
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