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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40392/psn-pdf
    February 10, 2015 - 'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured. February 10, 2015 Classen D, Resar RK, Griffin F, et al. 'Global trigger tool' shows that adverse events in hospitals may be ten times greater than previously measured. Health Aff (Millwood). 2011;30(4):…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47530/psn-pdf
    June 19, 2019 - Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety. June 19, 2019 Bates DW, Singh H. Two Decades Since To Err Is Human: An Assessment Of Progress And Emerging Priorities In Patient Safety. Health Aff (Millwood). 2018;37(11):1736-1743. doi:10.1377/hlthaff.2018.0738…

  3. Your safer-surgery survival guide. | PSNet

    psnet.ahrq.gov/issue/your-safer-surgery-survival-guide
    November 15, 2024 - Newspaper/Magazine Article Your safer-surgery survival guide. Citation Text: Your safer-surgery survival guide: our ratings of 2,463 U.S. hospitals can help you find the right one. Consumer reports. 2013;78(9):31-41. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39117/psn-pdf
    April 30, 2014 - Disclosure of hospital adverse events and its association with patients' ratings of the quality of care. April 30, 2014 López L, Weissman JS, Schneider EC, et al. Disclosure of hospital adverse events and its association with patients' ratings of the quality of care. Arch Intern Med. 2009;169(20):1888-94. doi:10.1…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840259/psn-pdf
    November 16, 2022 - Clinician collaboration to improve clinical decision support: the Clickbusters initiative. November 16, 2022 Mc Coy AB, Russo EM, Johnson KB, et al. Clinician collaboration to improve clinical decision support: the Clickbusters initiative. J Am Med Inform Assoc. Epub 2022 Mar 4 https://psnet.ahrq.gov/innovation/cl…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39239/psn-pdf
    September 27, 2017 - NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit. September 27, 2017 Stavroudis TA, Shore AD, Morlock L, et al. NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit. J Perinatol. 2010;30(7):459-68. do…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47267/psn-pdf
    September 05, 2018 - The national cost of adverse drug events resulting from inappropriate medication-related alert overrides in the United States. September 5, 2018 Slight SP, Seger DL, Franz C, et al. The national cost of adverse drug events resulting from inappropriate medication-related alert overrides in the United States. J Am M…

  8. Appendix C. Addressing Physician Concerns With the Checklist - Implementation Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-c.html
    May 01, 2017 - Appendix C. Addressing Physician Concerns With the Checklist - Implementation Guide Common Concern Response Explanation “I'm already safe, and I don't need to use a tool like the checklist.” “You are safe, but we think that something like this tool can help make the entire center better. I…

  9. The revolutionary. | PSNet

    psnet.ahrq.gov/issue/revolutionary
    September 07, 2016 - Newspaper/Magazine Article The revolutionary. Citation Text: The revolutionary. Swidey N. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL February 19, 2…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46296/psn-pdf
    September 24, 2017 - Perception of safety of surgical practice among operating room personnel from survey data is associated with all- cause 30-day postoperative death rate in South Carolina. September 24, 2017 Molina G, Berry WR, Lipsitz S, et al. Perception of Safety of Surgical Practice Among Operating Room Personnel From Survey Da…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39617/psn-pdf
    February 18, 2011 - Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents. February 18, 2011 Mookherjee S, Vidyarthi AR, Ranji SR, et al. Potential Unintended Consequences Due to Medicare’s “No Pay for Errors Rule”? …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45293/psn-pdf
    February 01, 2017 - Patient safety incidents involving sick children in primary care in England and Wales: a mixed methods analysis. February 1, 2017 Rees P, Edwards A, Powell C, et al. Patient Safety Incidents Involving Sick Children in Primary Care in England and Wales: A Mixed Methods Analysis. PLoS Med. 2017;14(1):e1002217. doi:1…

  13. AHRQ Announces New Challenge Competition to Highlight the Impact of its Patient Safety Tools | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/press-releases/new-challenge-patient-safety-tools.html
    June 01, 2023 - AHRQ Announces New Challenge Competition to Highlight the Impact of its Patient Safety Tools Press Release Date: June 5, 2023 The Agency for Healthcare Research and Quality (AHRQ) today announced a new Challenge competition that is intended to demonstrate how the use of AHRQ’s patient safety tools has resulted i…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40707/psn-pdf
    March 11, 2013 - More than words: patients' views on apology and disclosure when things go wrong in cancer care. March 11, 2013 Mazor KM, Greene SM, Roblin DW, et al. More than words: patients' views on apology and disclosure when things go wrong in cancer care. Patient Educ Couns. 2013;90(3):341-346. doi:10.1016/j.pec.2011.07.010…

  15. Creating a Culture of Safety for Opioid Prescribing: A Handbook for Healthcare Executives. | PSNet

    psnet.ahrq.gov/issue/creating-culture-safety-opioid-prescribing-handbook-healthcare-executives
    May 01, 2023 - Toolkit Creating a Culture of Safety for Opioid Prescribing: A Handbook for Healthcare Executives. Citation Text: Centers for Disease Control and Prevention (CDC); 2021. Creating a Culture of Safety for Opioid Prescribing: A Handbook for Healthcare Executives. Copy Citation Format:…

  16. The hidden dangers of outsourcing radiology. | PSNet

    psnet.ahrq.gov/issue/hidden-dangers-outsourcing-radiology
    December 19, 2007 - Newspaper/Magazine Article The hidden dangers of outsourcing radiology. Citation Text: The hidden dangers of outsourcing radiology. Eban K. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Link…

  17. Medication Safety Program. | PSNet

    psnet.ahrq.gov/issue/medication-safety-program
    November 30, 2023 - Multi-use Website Medication Safety Program. Citation Text: Medication Safety Program. Atlanta, GA: Centers for Disease Control and Prevention. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Link…

  18. Funding HAI and Antibiotic Resistance Research | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/hai-carb-funding.html
    November 01, 2021 - Funding HAI and Antibiotic Resistance Research AHRQ’s Healthcare-Associated Infections (HAI) Division funds clinical and health services research to develop the knowledge and practical tools used on the frontlines to prevent infections and make care safer. AHRQ is interested in funding research in all clinical …

  19. Swiss Cheese Model | PSNet

    psnet.ahrq.gov/taxonomy/term/3460
    August 11, 2025 - Swiss Cheese Model Reason developed the "Swiss cheese model" to illustrate how analyses of major accidents and catastrophic systems failures tend to reveal multiple, smaller failures leading up to the actual hazard. In the model, each slice of cheese represents a safety barrier or precaution relevant to a particular …

  20. The Future of Patient and Family Engagement in Quality and Patient Safety. | PSNet

    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. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…
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