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psnet.ahrq.gov/node/837299/psn-pdf
June 01, 2022 - A new index for obstetrics safety and quality of care:
integrating cesarean delivery rates with maternal and
neonatal outcomes.
June 1, 2022
Ramani S, Halpern TA, Akerman M, et al. A new index for obstetrics safety and quality of care: integrating
cesarean delivery rates with maternal and neonatal outcomes. Am J O…
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psnet.ahrq.gov/node/47735/psn-pdf
June 24, 2019 - The Financial and Human Cost of Medical Error... and
How Massachusetts Can Lead the Way on Patient Safety.
June 24, 2019
Boston, MA: Betsy Lehman Center for Patient Safety; June 2019.
https://psnet.ahrq.gov/issue/financial-and-human-cost-medical-error-and-how-massachusetts-can-lead-
way-patient-safety
The Betsy L…
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psnet.ahrq.gov/node/40852/psn-pdf
January 19, 2012 - Understanding how rapid response systems may improve
safety for the acutely ill patient: learning from the
frontline.
January 19, 2012
Mackintosh N, Rainey H, Sandall J. Understanding how rapid response systems may improve safety for the
acutely ill patient: learning from the frontline. BMJ Qual Saf. 2012;21(2):13…
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psnet.ahrq.gov/node/47401/psn-pdf
January 01, 2019 - We want to know: patient comfort speaking up about
breakdowns in care and patient experience.
October 17, 2018
Fisher K, Smith KM, Gallagher TH, et al. We want to know: patient comfort speaking up about breakdowns
in care and patient experience. BMJ Qual Saf. 2019;28(3):190-197. doi:10.1136/bmjqs-2018-008159.
http…
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psnet.ahrq.gov/node/40171/psn-pdf
May 30, 2011 - Qualities and attributes of a safe practitioner:
identification of safety skills in healthcare.
May 30, 2011
Long S, Arora S, Moorthy K, et al. Qualities and attributes of a safe practitioner: identification of safety skills
in healthcare. BMJ Qual Saf. 2011;20(6):483-490. doi:10.1136/bmjqs.2010.043166.
https://ps…
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psnet.ahrq.gov/node/38145/psn-pdf
March 04, 2011 - Validity of selected AHRQ Patient Safety Indicators based
on VA National Surgical Quality Improvement program
data.
March 4, 2011
Romano PS, Mull HJ, Rivard PE, et al. Validity of selected AHRQ patient safety indicators based on VA
National Surgical Quality Improvement Program data. Health Serv Res. 2009;44(1):182…
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psnet.ahrq.gov/node/42548/psn-pdf
December 29, 2014 - What is known about adverse events in older medical
hospital inpatients? A systematic review of the literature.
December 29, 2014
Long SJ, Brown KF, Ames D, et al. What is known about adverse events in older medical hospital
inpatients? A systematic review of the literature. Int J Health Care Qual. 2013;25(5):542-5…
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psnet.ahrq.gov/node/38379/psn-pdf
April 30, 2014 - Clinical information technologies and inpatient outcomes:
a multiple hospital study.
April 30, 2014
Amarasingham R, Plantinga L, Diener-West M, et al. Clinical information technologies and inpatient
outcomes: a multiple hospital study. Arch Intern Med. 2009;169(2):108-14.
doi:10.1001/archinternmed.2008.520.
https…
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psnet.ahrq.gov/node/47916/psn-pdf
May 29, 2019 - Incivility and patient safety: a longitudinal study of
rudeness, protocol compliance, and adverse events.
May 29, 2019
Riskin A, Bamberger P, Erez A, et al. Incivility and Patient Safety: A Longitudinal Study of Rudeness,
Protocol Compliance, and Adverse Events. Jt Comm J Qual Patient Saf. 2019;45(5):358-367.
doi:…
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psnet.ahrq.gov/node/46337/psn-pdf
August 30, 2017 - Nurses' response to parents' 'speaking-up' efforts to
ensure their hospitalized child's safety: an attribution
theory perspective.
August 30, 2017
Bsharat S, Drach-Zahavy A. Nurses' response to parents' 'speaking-up' efforts to ensure their hospitalized
child's safety: an attribution theory perspective. J Adv Nurs…
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psnet.ahrq.gov/perspective/conversation-suchi-saria-phd
March 27, 2024 - Identifying the stakeholders and whether they understand what you're talking about, so they can engage
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psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
February 26, 2025 - In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis
Jessica Behrhorst, MPH, CPPS, CPHRM, CPHQ; Bryan Gale, MA; Cindy Manaoat Van, MHSA, CPPS | February 26, 2025
Also Read the Essay
View more articles from the same authors.
Citation T…
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psnet.ahrq.gov/perspective/evolution-root-cause-analysis
February 26, 2025 - The Evolution of Root Cause Analysis
Jessica Behrhorst, MPH, CPPS, CPHRM, CPHQ; Bryan Gale, MA; Cindy Manaoat Van, MHSA, CPPS | February 26, 2025
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Behrhorst J, Gale B, Van CM. Th…
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psnet.ahrq.gov/node/72614/psn-pdf
March 01, 2021 - Identifying specific champions can help to encourage provider buy-in and
participation.
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psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
January 29, 2021 - Anesthesiologists play a critical role in identifying undiagnosed sleep apnea.
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psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-emergency-department
September 27, 2023 - Call the clinic for additional background information …” Identifying the treating outpatient physician
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psnet.ahrq.gov/innovation/battle-buddies-rapid-deployment-psychological-resilience-intervention-health-care
September 09, 2020 - EMERGING INNOVATIONS
Battle Buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandemic
Citation Text:
Albott CS, Wozniak JR, McGlinch BP, et al. Battle Buddies: rapid deployment of a psychological resilience intervention for health car…
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psnet.ahrq.gov/node/60977/psn-pdf
January 08, 2020 - basics, like utilizing the systematic approach
of the eight rights of medication administration,5 i.e. identifying
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psnet.ahrq.gov/perspective/conversation-vineet-arora-md-mapp
May 31, 2023 - That would be the synergy where I see patient safety and IT working together: identifying a drug–drug
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psnet.ahrq.gov/node/33791/psn-pdf
September 01, 2015 - That would be
the synergy where I see patient safety and IT working together: identifying a drug–drug