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psnet.ahrq.gov/node/37616/psn-pdf
November 29, 2009 - 2007 Guide to State Adverse Event Reporting Systems.
November 29, 2009
Rosenthal J, Takach M. Portland, ME: National Academy for State Health Policy; December 2007.
Publication No. 2007-301.
https://psnet.ahrq.gov/issue/2007-guide-state-adverse-event-reporting-systems
Highlighting the large increase in state adver…
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psnet.ahrq.gov/node/46565/psn-pdf
January 23, 2019 - Closing the Loop: A Guide to Safer Ambulatory Referrals
in the EHR Era.
January 23, 2019
Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for
Healthcare Improvement; 2017.
https://psnet.ahrq.gov/issue/closing-loop-guide-safer-ambulatory-referrals-ehr-era
Missed an…
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psnet.ahrq.gov/node/41486/psn-pdf
November 21, 2016 - Guide to Patient and Family Engagement: Environmental
Scan Report.
November 21, 2016
Maurer M, Dardess P, Carman KL, Frazier K, Smeeding L. Rockville, MD: Agency for Healthcare Research
and Quality; May 2012. AHRQ Publication No. 12-0042-EF.
https://psnet.ahrq.gov/issue/guide-patient-and-family-engagement-environm…
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psnet.ahrq.gov/issue/sustaining-improvement
January 09, 2019 - Book/Report
Sustaining Improvement.
Citation Text:
Sustaining Improvement. Scoville R, Little K, Rakover J, et al. Cambridge, Massachusetts: Institute for Healthcare Improvement; 2016.
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psnet.ahrq.gov/node/40829/psn-pdf
January 05, 2014 - Guide to Reducing Unintended Consequences of
Electronic Health Records.
January 5, 2014
Jones SS, Koppel R, Ridgely MS, Palen TE, Wu S, Harrison MI. Rockville, MD: Agency for Healthcare
Research and Quality; August 2011.
https://psnet.ahrq.gov/issue/guide-reducing-unintended-consequences-electronic-health-records
…
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psnet.ahrq.gov/node/37238/psn-pdf
September 04, 2018 - Guide for Developing a Community-Based Patient Safety
Advisory Council.
September 4, 2018
Leonhardt, K, Bonin D, Pagel P. Rockville, MD: Agency for Healthcare Research and Quality; April 2008.
AHRQ Publication No. 08-0048
https://psnet.ahrq.gov/issue/guide-developing-community-based-patient-safety-advisory-council…
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psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance-2nd-ed
November 29, 2017 - Book/Report
Classic
The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed.
Citation Text:
The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed. Langley GJ, Moen R, Nolan KM, et al. Ho…
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psnet.ahrq.gov/innovations-exchange
May 01, 2021 - Patient Safety Innovations
Algorithm-Based Decision Support System Guides Trauma Staff
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psnet.ahrq.gov/issue/another-look-medical-error
November 16, 2022 - Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER Guides
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psnet.ahrq.gov/issue/snomed-ct-electronic-health-record-enhances-anesthesia-patient-safety
March 14, 2022 - Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER Guides
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psnet.ahrq.gov/node/45735/psn-pdf
July 17, 2017 - CMPA Good Practices Guide.
July 17, 2017
Ottawa, Ontario: Canadian Medical Protective Association; 2016.
https://psnet.ahrq.gov/issue/cmpa-good-practices-guide
Key patient safety topics include human factors, teamwork, adverse events, communication,
professionalism, and risk management. This website provides resou…
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psnet.ahrq.gov/issue/framework-safe-reliable-and-effective-care
January 27, 2016 - Book/Report
A Framework for Safe, Reliable, and Effective Care.
Citation Text:
A Framework for Safe, Reliable, and Effective Care. Frankel A, Haraden C, Federico F, Lenoci-Edwards J. Cambridge, MA: Institute for Healthcare Improvement and Safe & Reliable Healthcare; 2017.
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psnet.ahrq.gov/node/40230/psn-pdf
November 23, 2016 - Talking with Patients and Families about Medical Error: A
Guide for Education and Practice.
November 23, 2016
Truog RD, Browning DM, Johnson JA, Gallagher TH. Baltimore, MD: Johns Hopkins University Press;
2011. ISBN: 0801898048.
https://psnet.ahrq.gov/issue/talking-patients-and-families-about-medical-error-guide-…
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psnet.ahrq.gov/issue/debriefing-emergency-department-after-clinical-events-practical-guide
November 16, 2022 - Commentary
Debriefing in the emergency department after clinical events: a practical guide.
Citation Text:
Kessler DO, Cheng A, Mullan PC. Debriefing in the Emergency Department After Clinical Events: A Practical Guide. Ann Emerg Med. 2015;65(6):690-698. doi:10.1016/j.annemergmed.2014.10…
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psnet.ahrq.gov/node/43880/psn-pdf
February 04, 2015 - Healthcare Safety for Nursing Personnel: An
Organizational Guide to Achieving Results.
February 4, 2015
Tweedy JT. Boca Raton, FL: CRC Press; 2014. ISBN: 9781482230277.
https://psnet.ahrq.gov/issue/healthcare-safety-nursing-personnel-organizational-guide-achieving-results
This publication provides information abou…
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psnet.ahrq.gov/node/35188/psn-pdf
August 16, 2016 - The Handbook of Patient Safety Compliance: A Practical
Guide for Health Care Organizations.
August 16, 2016
Rozovsky FA, Woods JR. San Francisco, CA: Jossey-Bass; 2005. ISBN 9780787965105.
https://psnet.ahrq.gov/issue/handbook-patient-safety-compliance-practical-guide-health-care-organizations
This well-referenced…
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psnet.ahrq.gov/node/44383/psn-pdf
January 05, 2017 - Field Guide to Collaborative Care: Implementing the
Future of Health Care.
January 5, 2017
Uhlig P, Raboin WE. Overland Park, KS: Oak Prairie Health Press; 2015. ISBN: 9780991411290.
https://psnet.ahrq.gov/issue/field-guide-collaborative-care-implementing-future-health-care
This online resource provides instructio…
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psnet.ahrq.gov/perspective/conversation-cindy-brach
December 27, 2019 - The module includes train-the-trainer resources and instructional guides that include short case studies … https://www.aha.org/ahahret-guides/2013-06-18-becoming-culturally-competent-health-care-organization
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psnet.ahrq.gov/issue/patient-safety-handbook-ambulatory-care-providers
February 28, 2018 - Book/Report
A Patient Safety Handbook for Ambulatory Care Providers.
Citation Text:
A Patient Safety Handbook for Ambulatory Care Providers. Oak Brook, IL: Joint Commission Resources; 2009. ISBN: 9781599403670.
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psnet.ahrq.gov/issue/patient-guide-10-ways-improve-communication-your-doctor
April 16, 2018 - Journal Article
Patient Guide: 10 Ways to Improve Communication with Your Doctor.
Citation Text:
Patient Guide: 10 Ways to Improve Communication With Your Doctor. J Patient Saf. 2008;1(4). doi:10.1097/01.jps.0000199856.82316.50.
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