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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41967/psn-pdf
    May 10, 2013 - A comparative review of patient safety initiatives for national health information technology. May 10, 2013 Magrabi F, Aarts J, Nohr C, et al. A comparative review of patient safety initiatives for national health information technology. Int J Med Inform. 2013;82(5):e139-48. doi:10.1016/j.ijmedinf.2012.11.014. htt…
  2. psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp
    July 01, 2012 - In Conversation With… David Blumenthal, MD, MPP July 1, 2012  Also Read an Essay Citation Text: In Conversation With… David Blumenthal, MD, MPP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Service…
  3. psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes
    July 01, 2012 - Patient Safety and Health Information Technology: Learning from Our Mistakes Ross Koppel, PhD | July 1, 2012  Also Read a Conversation View more articles from the same authors. Citation Text: Koppel R. Patient Safety and Health Information Technology: Learning f…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33764/psn-pdf
    April 01, 2014 - The challenge is that often the systems are not necessarily implemented to optimize safety and quality
  5. psnet.ahrq.gov/web-mm/check-twice-transport-once
    March 15, 2023 - of automation available in a healthcare institution, several best practices and strategies should be implemented
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33596/psn-pdf
    June 01, 2025 - Failure to Rescue January 29, 2025 Tokareva I, Romano P. Failure to Rescue. PSNet [internet]. 2025. https://psnet.ahrq.gov/primer/failure-rescue Updated in January 2025 by Irina Tokareva RN, BSN, MAS, CPHQ and Patrick Romano, MD, MPH. PSNet primers are regularly reviewed and updated to ensure that they reflect cur…
  7. psnet.ahrq.gov/issue/toolkit-decolonization-non-icu-patients-devices
    November 15, 2023 - Toolkit Toolkit for Decolonization of Non-ICU Patients with Devices. Citation Text: Agency for Healthcare Research and Quality. Toolkit for Decolonization of Non-ICU Patients with Devices. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…
  8. psnet.ahrq.gov/issue/lessons-event-reports
    January 16, 2025 - Multi-use Website Lessons from Event Reports. Citation Text: Lessons from Event Reports. Patient Safety Authority. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Sav…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43344/psn-pdf
    July 16, 2014 - Cost-effectiveness of a computerized provider order entry system in improving medication safety ambulatory care. July 16, 2014 Forrester SH, Hepp Z, Roth JA, et al. Cost-Effectiveness of a Computerized Provider Order Entry System in Improving Medication Safety Ambulatory Care. Value Health. 2014;17(4):340-349. doi…
  10. psnet.ahrq.gov/issue/aorn-guidance-statement-safe-medication-practices-perioperative-settings-across-life-span
    September 22, 2021 - Organizational Policy/Guidelines AORN Guidance Statement: Safe Medication Practices in Perioperative Settings Across the Life Span. Citation Text: AORN guidance statement: safe medication practices in perioperative settings across the life span. AORN J. 2006;84(2):276-283. Copy Citat…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38359/psn-pdf
    May 27, 2010 - A surgical safety checklist to reduce morbidity and mortality in a global population. May 27, 2010 Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;360(5):491-9. doi:10.1056/NEJMsa0810119. https://psnet.ahrq.gov/issue/su…
  12. psnet.ahrq.gov/issue/jcahos-safety-goals-clock-ticking-will-your-ed-be-compliant
    April 10, 2019 - Commentary JCAHO's safety goals—the clock is ticking, will your ED be compliant? Citation Text: JCAHO's safety goals--the clock is ticking, will your ED be compliant? ED Manag. 2005;17(7):73-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48016/psn-pdf
    January 01, 2020 - Reducing three infections across cardiac surgery programs: a multisite cross-unit collaboration. May 22, 2019 Chang BH, Hsu Y-J, Rosen MA, et al. Reducing Three Infections Across Cardiac Surgery Programs: A Multisite Cross-Unit Collaboration. Am J Med Qual. 2020;35(1):37-45. doi:10.1177/1062860619845494. https://p…
  14. psnet.ahrq.gov/issue/using-healthcare-failure-mode-and-effect-analysis-prospective-medication-safety-risk
    June 05, 2024 - Study Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk management in secondary care inpatient wards. Citation Text: Sova PM, Holmström A-R, Airaksinen M, et al. Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk …
  15. psnet.ahrq.gov/issue/improved-safety-culture-and-teamwork-climate-are-associated-decreases-patient-harm-and
    January 15, 2014 - Study Classic Improved safety culture and teamwork climate are associated with decreases in patient harm and hospital mortality across a hospital system. Citation Text: Berry JC, Davis JT, Bartman T, et al. Improved Safety Culture and Teamwork Climate Are Associ…
  16. psnet.ahrq.gov/issue/development-online-morbidity-mortality-and-near-miss-reporting-system-identify-patterns
    August 20, 2018 - Study Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events in surgical patients. Citation Text: Bilimoria KY, Kmiecik TE, DaRosa DA, et al. Development of an online morbidity, mortality, and near-miss reporting system to ide…
  17. psnet.ahrq.gov/issue/alternative-strategy-studying-adverse-events-medical-care
    June 03, 2020 - Study Classic An alternative strategy for studying adverse events in medical care. Citation Text: Andrews LB, Stocking C, Krizek T, et al. An alternative strategy for studying adverse events in medical care. Lancet. 1997;349(9048):309-13. Copy Citation Fo…
  18. psnet.ahrq.gov/issue/reporting-and-using-near-miss-events-improve-patient-safety-diverse-primary-care-practices
    June 22, 2011 - Study Reporting and using near-miss events to improve patient safety in diverse primary care practices: a collaborative approach to learning from our mistakes. Citation Text: Crane S, Sloane PD, Elder NC, et al. Reporting and Using Near-miss Events to Improve Patient Safety in Diverse Pr…
  19. psnet.ahrq.gov/issue/automating-detection-diagnostic-error-infectious-diseases-using-machine-learning
    October 09, 2024 - Study Automating detection of diagnostic error of infectious diseases using machine learning. Citation Text: Peterson KS, Chapman AB, Widanagamaachchi W, et al. Automating detection of diagnostic error of infectious diseases using machine learning. PLOS Digit Health. 2024;3(6):e0000528. …
  20. psnet.ahrq.gov/issue/responding-clinicians-who-fail-follow-patient-safety-practices-perceptions-physicians-nurses
    February 24, 2011 - Study Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nurses, trainees, and patients. Citation Text: Driver TH, Katz PP, Trupin L, et al. Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nu…

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