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psnet.ahrq.gov/node/36476/psn-pdf
December 14, 2009 - 10 Patient Safety Tips for Hospitals.
December 14, 2009
Rockville, MD: Agency for Healthcare Research and Quality; December 2009. AHRQ Publication No. 10-
M008.
https://psnet.ahrq.gov/issue/10-patient-safety-tips-hospitals
This tip sheet provides 10 practical steps hospitals can undertake to improve patient safety…
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psnet.ahrq.gov/node/33693/psn-pdf
February 01, 2010 - The Role of Graduate Medical Education (GME) in
Improving Patient Safety
February 1, 2010
Baron RB, Vidyarthi A. The Role of Graduate Medical Education (GME) in Improving Patient Safety. PSNet
[internet]. 2010.
https://psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
Perspec…
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psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
November 08, 2013 - Diffusion of Responsibility Leads to Danger
Citation Text:
Balcezak TJ, Deshpande O. Diffusion of Responsibility Leads to Danger. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/perspective/conversation-withallan-frankel-md
July 01, 2006 - In Conversation with...Allan Frankel, MD
July 1, 2006
Also Read an Essay
Citation Text:
In Conversation with..Allan Frankel, MD. PSNet [internet]. 2006.In Conversation with...Allan Frankel, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and …
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psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention
May 01, 2011 - Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention
Citation Text:
Nelson SD. Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Cop…
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psnet.ahrq.gov/node/850673/psn-pdf
June 14, 2023 - In Conversation with... Beverley H. Johnson about The
Role of Patient's Family In Reducing Harm
June 14, 2023
Johnson B. In Conversation with.. Beverley H. Johnson about The Role of Patient's Family In Reducing
Harm. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/conversation-beverley-h-johnson-about-r…
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psnet.ahrq.gov/node/33762/psn-pdf
March 01, 2014 - In Conversation With… Alison Holmes, MD, MPH
March 1, 2014
In Conversation With… Alison Holmes, MD, MPH. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
Editor's note: Dr. Alison Holmes is Director of Infection Prevention and Control at Imperial College
Healthcare NHS …
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psnet.ahrq.gov/node/33695/psn-pdf
April 01, 2010 - The Role of the National Quality Forum (NQF) in the Quest
for Transparency in U.S. Hospitals' Patient Safety
Performance
April 1, 2010
Roberts LL, Ward MM, Evans TC. The Role of the National Quality Forum (NQF) in the Quest for
Transparency in U.S. Hospitals' Patient Safety Performance. PSNet [internet]. 2010.
ht…
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psnet.ahrq.gov/node/73400/psn-pdf
June 16, 2021 - Older patients' engagement in hospital medication safety
behaviours.
June 16, 2021
Tobiano G, Chaboyer W, Dornan G, et al. Older patients’ engagement in hospital medication safety
behaviours. Aging Clin Exp Res. 2021;33(12):3353-3361. doi:10.1007/s40520-021-01866-3.
https://psnet.ahrq.gov/issue/older-patients-enga…
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psnet.ahrq.gov/node/837859/psn-pdf
August 17, 2022 - The barriers and enhancers to trust in a just culture in
hospital settings: a systematic review.
August 17, 2022
van Marum S, Verhoeven D, de Rooy D. The barriers and enhancers to trust in a just culture in hospital
settings: a systematic review. J Patient Saf. 2022;18(7):e1067-e1075. doi:10.1097/pts.00000000000010…
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psnet.ahrq.gov/node/47385/psn-pdf
April 27, 2019 - Reasons for repeat rapid response team calls, and
associations with in-hospital mortality.
April 27, 2019
Chalwin R, Giles L, Salter A, et al. Reasons for Repeat Rapid Response Team Calls, and Associations with
In-Hospital Mortality. Jt Comm J Qual Patient Saf. 2019;45(4):268-275. doi:10.1016/j.jcjq.2018.10.005.
h…
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psnet.ahrq.gov/node/44150/psn-pdf
August 21, 2015 - Reflection on adverse event disclosure in the
postsurgical hospital context.
August 21, 2015
Roberts F, Gettings P, Torbeck L, et al. Reflection on adverse event disclosure in the postsurgical hospital
context. J Surg Educ. 2015;72(4):767-70. doi:10.1016/j.jsurg.2014.12.016.
https://psnet.ahrq.gov/issue/reflection…
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psnet.ahrq.gov/node/73580/psn-pdf
August 11, 2021 - Prevalence, nature, severity and preventability of adverse
drug events in mental health settings: findings from the
MedicAtion relateD harm in mEntal health hospitals
(MADE) study.
August 11, 2021
Alshehri GH, Ashcroft DM, Nguyen J, et al. Prevalence, nature, severity and preventability of adverse drug
events in …
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psnet.ahrq.gov/node/42640/psn-pdf
November 08, 2013 - The Safe Patient Flow Initiative: a collaborative quality
improvement journey at Yale-New Haven Hospital.
November 8, 2013
Jweinat J, Damore P, Morris V, et al. The safe patient flow initiative: a collaborative quality improvement
journey at Yale-New Haven Hospital. Jt Comm J Qual Patient Saf. 2013;39(10):447-59.
…
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psnet.ahrq.gov/node/43141/psn-pdf
April 30, 2014 - Engaging residents and fellows to improve institution-
wide quality: the first six years of a novel financial
incentive program.
April 30, 2014
Vidyarthi A, Green AL, Rosenbluth G, et al. Engaging residents and fellows to improve institution-wide
quality: the first six years of a novel financial incentive program.…
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psnet.ahrq.gov/node/60873/psn-pdf
September 02, 2020 - What has been the impact of Covid-19 on safety culture?
A case study from a large metropolitan healthcare trust.
September 2, 2020
Denning M, Goh ET, Scott A, et al. What has been the impact of Covid-19 on safety culture? A case study
from a large metropolitan healthcare trust. Int J Environ Res Public Health. 2020…
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psnet.ahrq.gov/node/44153/psn-pdf
December 05, 2018 - A factorial survey on safety behavior providing
opportunities to improve safety.
December 5, 2018
Simons P, Houben R, Reijnders P, et al. A Factorial Survey on Safety Behavior Providing Opportunities to
Improve Safety. J Patient Saf. 2018;14(4):193-201. doi:10.1097/PTS.0000000000000192.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/854378/psn-pdf
October 11, 2023 - When illegitimate tasks threaten patient safety culture: a
cross-sectional survey in a tertiary hospital.
October 11, 2023
Cullati S, Semmer NK, Tschan F, et al. When illegitimate tasks threaten patient safety culture: a cross-
sectional survey in a tertiary hospital. Int J Public Health. 2023;68:1606078.
doi:10.3…
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psnet.ahrq.gov/node/73635/psn-pdf
August 25, 2021 - Impact of smart pump-electronic health record
interoperability on patient safety and finances at a
community hospital
August 25, 2021
Wei W, Coffey W, Adeola M, et al. Impact of smart pump-electronic health record interoperability on patient
safety and finances at a community hospital. Am J Health Syst Pharm. 2021…
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psnet.ahrq.gov/node/60188/psn-pdf
January 01, 2021 - Uncertain diagnoses in a children's hospital: patient
characteristics and outcomes.
April 1, 2020
Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics
and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058.
https://psnet.ahrq.gov/issue/uncertai…