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psnet.ahrq.gov/node/33662/psn-pdf
January 01, 2008 - In Conversation with…Jennifer Daley, MD
January 1, 2008
In Conversation with…Jennifer Daley, MD. PSNet [internet]. 2008.
https://psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md
Editor's note: Jennifer Daley, MD, is the Chief Medical Officer of Partners Community Healthcare Inc., the
organization for …
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psnet.ahrq.gov/node/33608/psn-pdf
February 01, 2024 - AHRQ has implemented and evaluated the integration of vital teamwork and communication strategies
from
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psnet.ahrq.gov/perspective/making-healthcare-safer-iii-report
March 30, 2020 - Making Healthcare Safer III Report
March 30, 2020
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Gaffey AD, Spurlock B, Fitall E, et al. Making Healthcare Safer III Report. PSNet [internet]. Rockville (MD): Agency for Health…
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psnet.ahrq.gov/node/33938/psn-pdf
December 18, 2008 - Dana-Farber Cancer Institute Principles of a Fair and Just
Culture.
December 18, 2008
Dana-Farber Cancer Institute.
https://psnet.ahrq.gov/issue/dana-farber-cancer-institute-principles-fair-and-just-culture
Dana-Farber Cancer Institute defines a "just culture" and illustrates how to implement and sustain it.
http…
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psnet.ahrq.gov/node/35155/psn-pdf
April 03, 2008 - Safer Healthcare Now!
April 3, 2008
Canadian Patient Safety Institute.
https://psnet.ahrq.gov/issue/safer-healthcare-now
Originally launched in 2005, this campaign seeks to implement evidence-based strategies to improve
patient safety in Canadian hospitals. In April 2008, the initiative added four new intervention…
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psnet.ahrq.gov/node/36901/psn-pdf
February 08, 2011 - Special Report: Quality of Care Survey.
February 8, 2011
Physician Executive. 2007 May-Jun;33(3):6-36.
https://psnet.ahrq.gov/issue/special-report-quality-care-survey
This series of articles discusses the results of a national survey of physician executives that explored
quality and safety issues such as barriers …
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psnet.ahrq.gov/node/37152/psn-pdf
September 05, 2007 - Why pay for mistakes?
September 5, 2007
https://psnet.ahrq.gov/issue/why-pay-mistakes
Recently, CMS ruled that Medicare will no longer cover certain preventable errors. In this op-ed piece, the
author discusses why this new rule will drive hospitals to implement safety measures.
https://psnet.ahrq.gov/issue/why-pa…
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psnet.ahrq.gov/node/37660/psn-pdf
April 02, 2008 - An interdisciplinary approach to safer blood transfusion.
April 2, 2008
LaRocco M, Brient K. Patient Saf Qual Healthc. March April 2008.
https://psnet.ahrq.gov/issue/interdisciplinary-approach-safer-blood-transfusion
This article reports on one hospital's efforts to improve blood transfusion safety by implementing …
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psnet.ahrq.gov/node/39608/psn-pdf
November 21, 2016 - Institute for Patient- and Family- Centered Care.
November 21, 2016
IPFFC. PO Box 6397, McLean, VA 22106.
https://psnet.ahrq.gov/issue/institute-patient-and-family-centered-care
This organization provides a variety of resources, including webinars and implementation tools, to engage
patients and their family membe…
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psnet.ahrq.gov/node/35249/psn-pdf
March 04, 2011 - The patient safety story.
March 4, 2011
Elwyn G, Corrigan JM. The patient safety story. BMJ. 2005;331(7512):302-304.
doi:10.1136/bmj.38562.690104.43.
https://psnet.ahrq.gov/issue/patient-safety-story
The authors provide a brief history of the patient safety movement and insights into why the time is right to
impl…
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psnet.ahrq.gov/node/37073/psn-pdf
August 01, 2007 - An Amendment of the Medical Care Availability and
Reduction of Error (Mcare) Act.
August 1, 2007
Pennsylvania General Assembly.
https://psnet.ahrq.gov/issue/amendment-medical-care-availability-and-reduction-error-mcare-act
This bill requires that Pennsylvania hospitals and nursing homes implement an internal infec…
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psnet.ahrq.gov/node/38858/psn-pdf
August 12, 2009 - Quality and Safety Education.
August 12, 2009
Dolansky MA, Singh MK, eds. Qual Manag Health Care. 2009;18(3):149-227.
https://psnet.ahrq.gov/issue/quality-and-safety-education
This special issue covers topics related to implementing successful patient safety and quality educational
initiatives, such as curriculum …
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psnet.ahrq.gov/node/38916/psn-pdf
July 03, 2013 - Patient Safety Papers 4.
July 3, 2013
Baker GR, ed. Healthc Q. 2009;12(Spec No Patient):1-198.
https://psnet.ahrq.gov/issue/patient-safety-papers-4
This special issue discusses Canadian patient safety efforts in identifying risks, designing safe systems,
implementing solutions, developing learning systems, …
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psnet.ahrq.gov/node/37146/psn-pdf
August 29, 2007 - Medical error reporting system still a year off.
August 29, 2007
Hansen D.
https://psnet.ahrq.gov/issue/medical-error-reporting-system-still-year
This article reports on the progress of implementing a voluntary system for reporting errors, part of the
Patient Safety and Quality Improvement Act.
https://psnet.ahrq…
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psnet.ahrq.gov/node/37085/psn-pdf
July 15, 2013 - Critical Care Safety: Essentials for ICU Patient Care and
Technology.
July 15, 2013
Plymouth Meeting PA: ECRI Institute; 2007. ISBN 9780977914258.
https://psnet.ahrq.gov/issue/critical-care-safety-essentials-icu-patient-care-and-technology
This guide provides comprehensive tools for assessment, training, and imple…
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psnet.ahrq.gov/node/39589/psn-pdf
February 13, 2018 - Common cause analysis.
February 13, 2018
Clapper C, Crea K. Patient Saf Qual Healthc. May/June 2010;7:30-35.
https://psnet.ahrq.gov/issue/common-cause-analysis
This article describes how one health care system used a multi-event analysis process to identify
medication errors, implement system-level improvements, a…
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psnet.ahrq.gov/node/40703/psn-pdf
August 17, 2011 - Washington Hospital Center safety program seeks to
catch 'near-misses.'
August 17, 2011
Sun LH.
https://psnet.ahrq.gov/issue/washington-hospital-center-safety-program-seeks-catch-near-misses
This newspaper article reports on one hospital's implementation of an alert system designed to encourage
frontline personne…
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psnet.ahrq.gov/node/38230/psn-pdf
August 11, 2010 - The Patient Safety Leadership WalkRounds Guide.
August 11, 2010
Frankel AS, Grillo S, Pittman MA. Chicago, IL: Health Research and Educational Trust; 2006.
https://psnet.ahrq.gov/issue/patient-safety-leadership-walkrounds-guide
This booklet provides information on the implementation of a WalkRounds program as a cul…
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psnet.ahrq.gov/node/42718/psn-pdf
September 17, 2018 - A Culture of Safety in EMS Systems.
September 17, 2018
Irving, TX: American College of Emergency Physicians; 2014.
https://psnet.ahrq.gov/issue/culture-safety-ems-systems
This guidance recognizes risks associated with emergency medical services and provides
recommendations to support the implementation of a safety…
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psnet.ahrq.gov/node/35702/psn-pdf
May 30, 2008 - The Prescription Infrastructre: Are We Ready for
ePrescribing?
May 30, 2008
Sarasohn-Kahn J, Holt M. Oakland, CA: California Healthcare Foundation; 2006. ISBN 1933795026.
https://psnet.ahrq.gov/issue/prescription-infrastructre-are-we-ready-eprescribing
This report outlines the prescription process and the potentia…