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psnet.ahrq.gov/node/47827/psn-pdf
February 27, 2019 - Improving Usability, Safety and Patient Outcomes With
Health Information Technology.
February 27, 2019
Lau F, Bartle-Clar JA, Bliss G, et al, eds. Stud Health Technol Inform. 2019;257:1-539. ISBN:
9781614999508.
https://psnet.ahrq.gov/issue/improving-usability-safety-and-patient-outcomes-health-information-technol…
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psnet.ahrq.gov/node/41440/psn-pdf
August 17, 2016 - The Toolkit for Using the AHRQ Quality Indicators: How
To Improve Hospital Quality and Safety.
August 17, 2016
Rockville, MD: Agency for Healthcare Research and Quality; July 2016.
https://psnet.ahrq.gov/issue/toolkit-using-ahrq-quality-indicators-how-improve-hospital-quality-and-safety
This toolkit provides resou…
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psnet.ahrq.gov/node/39735/psn-pdf
January 03, 2017 - A practical guide to Failure Mode and Effects Analysis in
health care: making the most of the team and its
meetings.
January 3, 2017
Ashley L, Armitage G, Neary M, et al. A practical guide to Failure Mode and Effects Analysis in health care:
making the most of the team and its meetings. Jt Comm J Qual Patient Saf.…
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psnet.ahrq.gov/node/73245/psn-pdf
May 12, 2021 - Just culture: the foundation of staff safety in the
perioperative environment.
May 12, 2021
Fencl JL, Willoughby C, Jackson K. Just culture: the foundation of staff safety in the perioperative
environment. AORN J. 2021;113(4):329-336. doi:10.1002/aorn.13352.
https://psnet.ahrq.gov/issue/just-culture-foundation-sta…
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psnet.ahrq.gov/node/45111/psn-pdf
May 11, 2016 - Educational opportunities with postevent debriefing.
May 11, 2016
Mullan PC, Kessler DO, Cheng A. Educational opportunities with postevent debriefing. JAMA.
2014;312(22):2333-4. doi:10.1001/jama.2014.15741.
https://psnet.ahrq.gov/issue/educational-opportunities-postevent-debriefing
Real-time or near real-time lear…
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psnet.ahrq.gov/node/38945/psn-pdf
November 25, 2009 - The negative impact of nurse-physician disruptive
behavior on patient safety: a review of the literature.
November 25, 2009
Saxton R, Hines T, Enriquez M. The negative impact of nurse-physician disruptive behavior on patient
safety: a review of the literature. J Patient Saf. 2009;5(3):180-183. doi:10.1097/pts.0b013…
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psnet.ahrq.gov/node/839327/psn-pdf
December 05, 2024 - The National Healthcare System Action Alliance for
Patient and Workforce Safety.
December 5, 2024
US Department of Health and Human Services.
https://psnet.ahrq.gov/issue/national-healthcare-system-action-alliance-advance-patient-safety
The large system change required to reduce patient harm requires multi-stakeho…
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psnet.ahrq.gov/node/41835/psn-pdf
May 19, 2015 - Interventions for reducing wrong-site surgery and
invasive procedures.
May 19, 2015
Algie CM, Mahar RK, Wasiak J, et al. Interventions for reducing wrong-site surgery and invasive clinical
procedures. Cochrane Database Syst Rev. 2015;3)(3):CD009404. doi:10.1002/14651858.CD009404.pub3.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/60065/psn-pdf
March 18, 2020 - Safety in Numbers: Hospital Performance on Leapfrog’s
Surgical Volume Standard Based on Results of the 2019
Leapfrog Hospital Survey.
March 18, 2020
Washington DC: Leapfrog Group; 2020.
https://psnet.ahrq.gov/issue/safety-numbers-hospital-performance-leapfrogs-surgical-volume-standard-
based-results-2019
Surgica…
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psnet.ahrq.gov/node/44291/psn-pdf
September 13, 2016 - A piece of my mind. I'm sorry.
September 13, 2016
Kahn JS. A PIECE OF MY MIND. I'm Sorry. JAMA. 2015;313(24):2427-8. doi:10.1001/jama.2014.6507.
https://psnet.ahrq.gov/issue/piece-my-mind-im-sorry
Being accountable for errors and working to learn from them is key to improving patient safety. This
commentary descri…
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psnet.ahrq.gov/node/47220/psn-pdf
September 12, 2018 - Strategically Advancing Patient and Family Advisory
Councils in New York State Hospitals.
September 12, 2018
Bethesda, MD: Institute for Patient- and Family-Centered Care; June 2018.
https://psnet.ahrq.gov/issue/strategically-advancing-patient-and-family-advisory-councils-new-york-state-
hospitals
Hospital patien…
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psnet.ahrq.gov/node/865931/psn-pdf
July 22, 2024 - Examining the Impact of Artificial Intelligence (AI) on
Healthcare Safety (R18).
July 22, 2024
Rockville, MD: Agency for Research and Quality; July 15, 2024. PA-24-261.
https://psnet.ahrq.gov/issue/notice-intent-publish-funding-opportunity-announcement-examining-impact-
artificial
Health systems are increasingly …
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psnet.ahrq.gov/node/60990/psn-pdf
October 07, 2020 - Tiered daily huddles: the power of teamwork in managing
large healthcare organisations.
October 7, 2020
Mihaljevic T. Tiered daily huddles: the power of teamwork in managing large healthcare organisations. BMJ
Qual Saf. 2020;29(12):1050-1052. doi:10.1136/bmjqs-2019-010575.
https://psnet.ahrq.gov/issue/tiered-daily…
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psnet.ahrq.gov/node/837747/psn-pdf
July 27, 2022 - Measure Dx: A Resource to Identify, Analyze, and Learn
from Diagnostic Safety Events.
July 27, 2022
Rockville, MD: Agency for Healthcare Research and Quality; July 2022. AHRQ Publication No. 22-
0038.
https://psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events
Diagno…
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psnet.ahrq.gov/node/867601/psn-pdf
January 22, 2025 - AI: promise or peril for patient safety.
January 22, 2025
Ullem BD, Hatlie MJ, Lounsbury O. AI: promise or peril for patient safety. J Patient Saf. 2025;21(1):34-37.
doi:10.1097/pts.0000000000001301.
https://psnet.ahrq.gov/issue/ai-promise-or-peril-patient-safety
Patients for Patient Safety US (PFPS-US) is a patie…
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psnet.ahrq.gov/node/73499/psn-pdf
July 14, 2021 - Ethics & Governance of Artificial Intelligence for Health.
July 14, 2021
Health Ethics & Governance, World Health Organization. Geneva, Switzerland: World Health
Organization; 2021. ISBN: 9789240029200
https://psnet.ahrq.gov/issue/ethics-governance-artificial-intelligence-health
Advanced computing t…
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psnet.ahrq.gov/node/47943/psn-pdf
May 20, 2019 - Governing the safety of artificial intelligence in
healthcare.
May 20, 2019
Macrae C. Governing the safety of artificial intelligence in healthcare. BMJ Qual Saf. 2019;28(6):495-498.
doi:10.1136/bmjqs-2019-009484.
https://psnet.ahrq.gov/issue/governing-safety-artificial-intelligence-healthcare
The unintended risk…
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psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba
May 01, 2009 - though we don't have hard data on this, I believe that the full-featured electronic health record we implemented
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psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
April 01, 2018 - Patient Safety During Hospital Discharge
Katherine Liang and Eric Alper, MD | April 1, 2018
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Liang K, Alper E. Patient Safety During Hospital Discharge. PSNet [internet]. Rockville…
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psnet.ahrq.gov/perspective/conversation-joel-willis-do-pa-ma-mphil-and-neal-sikka-md
May 14, 2020 - Conclusion If implemented appropriately, telehealth can be an incredibly effective approach to ensuring