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psnet.ahrq.gov/issue/role-hospitalists-patient-safety
July 12, 2006 - Book/Report
The Role of Hospitalists in Patient Safety.
Citation Text:
The Role of Hospitalists in Patient Safety. Scheurer D, ed. Oakbrook Terrace, IL: Joint Commission Resources; 2009. ISBN: 9781599403045.
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psnet.ahrq.gov/issue/safety-first-top-your-boards-agenda-100-day-challenge-survey-report
December 04, 2016 - Book/Report
Safety First: Top of Your Board's Agenda: 100 Day Challenge Survey Report.
Citation Text:
Safety First: Top of Your Board's Agenda: 100 Day Challenge Survey Report. The Patients Association. Harrow, Middlesex, UK: The Patients Association; June 2009.
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psnet.ahrq.gov/issue/enacting-washington-state-patient-safety-act-requiring-hospital-staffing-plans-nursing
May 04, 2015 - Legislation/Case Law
Enacting the Washington state patient safety act requiring hospital staffing plans for nursing services and establishing recordkeeping and reporting requirements.
Citation Text:
Enacting the Washington state patient safety act requiring hospital staffing plans for n…
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psnet.ahrq.gov/issue/well-being-playbook-20-covid-19-resource-hospital-and-health-system-leaders
July 21, 2021 - Tools/Toolkit
Well-Being Playbook 2.0. A COVID-19 Resource for Hospital and Health System Leaders.
Citation Text:
Well-Being Playbook 2.0. A COVID-19 Resource for Hospital and Health System Leaders. AHA Physician Alliance. Chicago, IL: American Hospital Association. February 2021.
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psnet.ahrq.gov/issue/patient-safety-leader-reflects-err-human-report
April 15, 2021 - Audiovisual
Patient safety leader reflects on ‘To Err is Human’ report
Citation Text:
Patient safety leader reflects on ‘To Err is Human’ report Chassin M, Foster N. Chicago, IL: American Hospital Association; November 13, 2019.
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psnet.ahrq.gov/issue/building-culture-safety-health-care
April 15, 2021 - Book/Report
Building a Culture of Safety in Health Care.
Citation Text:
Building a Culture of Safety in Health Care. Chicago, IL: American Hospital Association: May 2023.
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psnet.ahrq.gov/perspective/handoffs-and-transitions
February 01, 2007 - Annual Perspective
Handoffs and Transitions
Niraj Sehgal, MD, MPH | January 22, 2014
View more articles from the same authors.
Citation Text:
Sehgal NL. Handoffs and Transitions. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, U…
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psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
January 01, 2025 - AHRQ PSNet Webinar
AHRQ PSNet Webinar
Making Healthcare Safer (MHS) IV:
Rapid Response Systems and Opioid Stewardship
February 10, 2025
Agenda
2
• Logistics
• Introduction to the Making Healthcare Safer (MHS) IV Reports
• Report 1 – Rapid Response Systems
► Discussion
► PSNet Resources
• Report 2 – Opioi…
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psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce
September 01, 2012 - Preparing for Health Reform: The Federal Government and the Nursing Workforce
Peter I. Buerhaus, PhD, RN | September 1, 2012
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Buerhaus P. Preparing for Health Reform: The Federal G…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.359_slideshow.ppt
October 01, 2015 - PowerPoint Presentation
Spotlight
The Risks of Absent Interoperability:
Medication-Induced Hemolysis in a Patient With a Known Allergy
1
This presentation is based on the October 2015
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/
CME credit is available
Commentary by: Jacob Reider,…
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psnet.ahrq.gov/node/73106/psn-pdf
April 01, 2021 - Strategies and Approaches for Tracking Improvements in
Patient Safety
April 1, 2021
Shaikh U. Strategies and Approaches for Tracking Improvements in Patient Safety . PSNet [internet]. 2021.
https://psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
Background
An essential aspect …
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psnet.ahrq.gov/issue/medication-reconciliation-admission-and-discharge-analysis-prevalence-and-associated-risk
December 02, 2020 - Study
Medication reconciliation at admission and discharge: an analysis of prevalence and associated risk factors.
Citation Text:
Belda-Rustarazo S, Cantero-Hinojosa J, Salmeron-García A, et al. Medication reconciliation at admission and discharge: an analysis of prevalence and associate…
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psnet.ahrq.gov/issue/patient-safety-lets-measure-what-matters
July 03, 2016 - Commentary
Patient safety: let's measure what matters.
Citation Text:
Thomas EJ, Classen D. Patient safety: let's measure what matters. Ann Intern Med. 2014;160(9):642-3. doi:10.7326/M13-2528.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…
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psnet.ahrq.gov/issue/factors-predicting-change-hospital-safety-climate-and-capability-multi-site-patient-safety
February 01, 2011 - Study
Factors predicting change in hospital safety climate and capability in a multi-site patient safety collaborative: a longitudinal survey study.
Citation Text:
Benn J, Burnett S, Parand A, et al. Factors predicting change in hospital safety climate and capability in a multi-site pa…
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psnet.ahrq.gov/issue/clinical-outcomes-use-medication-report-when-elderly-patients-are-discharged-hospital
January 27, 2012 - Study
Clinical outcomes from the use of Medication Report when elderly patients are discharged from hospital.
Citation Text:
Midlöv P, Deierborg E, Holmdahl L, et al. Clinical outcomes from the use of Medication Report when elderly patients are discharged from hospital. Pharm World S…
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psnet.ahrq.gov/issue/medication-error-reporting-rural-critical-access-hospitals-north-dakota-telepharmacy-project
October 17, 2012 - Study
Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project.
Citation Text:
Scott DM, Friesner DL, Rathke AM, et al. Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project. Am J Health Syst …
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psnet.ahrq.gov/issue/simulation-based-evaluation-methods-estimate-impact-adverse-event-hospital-length-stay
December 23, 2011 - Study
A simulation-based evaluation of methods to estimate the impact of an adverse event on hospital length of stay.
Citation Text:
Samore MH, Shen S, Greene T, et al. A simulation-based evaluation of methods to estimate the impact of an adverse event on hospital length of stay. Med C…
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psnet.ahrq.gov/issue/board-quality-scorecards-measuring-improvement
June 16, 2011 - Study
Board quality scorecards: measuring improvement.
Citation Text:
Goeschel CA, Berenholtz SM, Culbertson R, et al. Board quality scorecards: measuring improvement. Am J Med Qual. 2011;26(4):254-60. doi:10.1177/1062860610389324.
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psnet.ahrq.gov/issue/comparing-trainee-and-staff-perceptions-patient-safety-culture
February 15, 2017 - Study
Comparing trainee and staff perceptions of patient safety culture.
Citation Text:
Bump GM, Coots N, Liberi CA, et al. Comparing Trainee and Staff Perceptions of Patient Safety Culture. Acad Med. 2017;92(1):116-122. doi:10.1097/ACM.0000000000001255.
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psnet.ahrq.gov/issue/national-estimates-insulin-related-hypoglycemia-and-errors-leading-emergency-department
October 20, 2021 - Study
National estimates of insulin-related hypoglycemia and errors leading to emergency department visits and hospitalizations.
Citation Text:
Geller AI, Shehab N, Lovegrove MC, et al. National estimates of insulin-related hypoglycemia and errors leading to emergency department visits a…