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psnet.ahrq.gov/node/43891/psn-pdf
September 29, 2017 - AHRQ announces interest in research on health IT safety.
September 29, 2017
Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. March 9, 2016.
Publication No. NOT-HS-16-009.
https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-health-it-safety
This announcement highlights A…
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psnet.ahrq.gov/node/50715/psn-pdf
December 04, 2019 - Quality and Safety of Healthcare in Switzerland.
December 4, 2019
Vincent C, Staines A. Bern, Switzerland: Federal Department of Home Affairs, Federal Office of Public
Health; 2019.
https://psnet.ahrq.gov/issue/quality-and-safety-healthcare-switzerland
Patient safety is a goal for countries worldwide. This report …
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psnet.ahrq.gov/node/50771/psn-pdf
May 29, 2024 - AHRQ Health Literacy Universal Precautions Toolkit. 3rd
edition.
May 29, 2024
Brach C, ed. Rockville, MD: Agency for Healthcare Research and Quality; March 2024. AHRQ Publication
No. 15-0023-EF.
https://psnet.ahrq.gov/issue/ahrq-health-literacy-universal-precautions-toolkit-2nd-edition
The AHRQ Health Literacy Un…
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psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
January 01, 2023 - Subsequently, the
patient suffered multiple falls despite the nursing staff implementing “fall
precautions
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psnet.ahrq.gov/node/50928/psn-pdf
February 21, 2020 - Updates in the Role of Health IT in Patient Safety
February 21, 2020
Hall KK, Fitall E, Hettinger AZ. Updates in the Role of Health IT in Patient Safety. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
Background
Health information technology (HIT) has the potential…
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psnet.ahrq.gov/web-mm/right-left-neither
November 16, 2022 - SPOTLIGHT CASE
Right? Left? Neither!
Citation Text:
Chassin MR, Howell EA. Right? Left? Neither!. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XM…
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psnet.ahrq.gov/periodic-issue/periodic-issue-469
December 31, 2024 - January 8, 2025 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports…
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psnet.ahrq.gov/node/837808/psn-pdf
August 05, 2024 - Recognizing Excellence in Diagnosis: Recommended
Practices for Hospitals.
August 5, 2024
Washington, DC: Leapfrog Group; July 2024.
https://psnet.ahrq.gov/issue/recognizing-excellence-diagnosis-recommended-practices-hospitals
Diagnostic safety is beginning to be established as a systemic, rather than solely an ind…
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psnet.ahrq.gov/node/38117/psn-pdf
September 29, 2017 - Advances in Patient Safety: New Directions and
Alternative Approaches.
September 29, 2017
Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication Nos. 080034 (1-
4).
https://psnet.ahrq.gov/issue/advances-patient-safety-new-directions-and-alternative-approaches
The 115 articles freel…
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psnet.ahrq.gov/node/853629/psn-pdf
September 20, 2023 - Global Knowledge Sharing Platform for Patient Safety.
September 20, 2023
World Health Organization.
https://psnet.ahrq.gov/issue/global-knowledge-sharing-platform-patient-safety
The sharing of best practices is a key component of enabling successful strategy implementation in support
of patient safety plans and go…
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psnet.ahrq.gov/node/48052/psn-pdf
June 12, 2019 - How organisations contribute to improving the quality of
healthcare.
June 12, 2019
Fulop NJ, Ramsay AIG. How organisations contribute to improving the quality of healthcare. BMJ.
2019;365:l1773. doi:10.1136/bmj.l1773.
https://psnet.ahrq.gov/issue/how-organisations-contribute-improving-quality-healthcare
Quality a…
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psnet.ahrq.gov/node/36754/psn-pdf
August 09, 2011 - Improving patient safety and communication through care
rounds in a pediatric oncology outpatient clinic.
August 9, 2011
Blough CA, Walrath JM. Improving patient safety and communication through care rounds in a pediatric
oncology outpatient clinic. J Nurs Care Qual. 2007;22(2):159-63.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/39625/psn-pdf
June 23, 2010 - Cultural and associated enablers of, and barriers to,
adverse incident reporting.
June 23, 2010
Braithwaite J, Westbrook MT, Travaglia J, et al. Cultural and associated enablers of, and barriers to,
adverse incident reporting. Qual Saf Health Care. 2010;19(3):229-233. doi:10.1136/qshc.2008.030213.
https://psnet.ah…
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psnet.ahrq.gov/node/38890/psn-pdf
December 30, 2014 - Intravenous infusion safety technology: return on
investment.
December 30, 2014
Danello SH, Maddox RR, Schaack GJ. Intravenous Infusion Safety Technology: Return on Investment.
Hosp Pharm. 2010;44(8):680-688. doi:10.1310/hpj4408-680.
https://psnet.ahrq.gov/issue/intravenous-infusion-safety-technology-return-invest…
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psnet.ahrq.gov/node/35357/psn-pdf
February 03, 2011 - Effects of work hour reduction on residents' lives: a
systematic review.
February 3, 2011
Fletcher KE, Underwood W, Davis SQ, et al. Effects of Work Hour Reduction on Residents’ Lives. JAMA.
2005;294(9):1088. doi:10.1001/jama.294.9.1088.
https://psnet.ahrq.gov/issue/effects-work-hour-reduction-residents-lives-syst…
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psnet.ahrq.gov/node/42904/psn-pdf
February 11, 2025 - Safety Assurance Factors for EHR Resilience: SAFER
Guides.
February 11, 2025
Washington, DC: Assistant Secretary for Technology Policy.
https://psnet.ahrq.gov/issue/safety-assurance-factors-ehr-resilience-safer-guides
Health information technologies are seen to both contribute to and detract from health care safet…
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psnet.ahrq.gov/node/36241/psn-pdf
October 21, 2010 - 'Clean Care is Safer Care': the Global Patient Safety
Challenge 2005-2006.
October 21, 2010
Pittet D, Allegranzi B, Storr J, et al. 'Clean Care is Safer Care': the Global Patient Safety Challenge 2005-
2006. Int J Infect Dis. 2006;10(6):419-24.
https://psnet.ahrq.gov/issue/clean-care-safer-care-global-patient-safe…
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psnet.ahrq.gov/node/39701/psn-pdf
April 14, 2011 - Medication errors with electronic prescribing (eP): two
views of the same picture.
April 14, 2011
Savage I, Cornford T, Klecun E, et al. Medication errors with electronic prescribing (eP): Two views of the
same picture. BMC Health Serv Res. 2010;10:135. doi:10.1186/1472-6963-10-135.
https://psnet.ahrq.gov/issue/me…
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psnet.ahrq.gov/node/37887/psn-pdf
July 02, 2008 - Medical mistakes no longer billable: bold steps taken by
state to reduce hospital errors.
July 2, 2008
Smith S.
https://psnet.ahrq.gov/issue/medical-mistakes-no-longer-billable-bold-steps-taken-state-reduce-hospital-
errors
Massachusetts government and state insurers have outlined policies whereby they will not r…
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psnet.ahrq.gov/node/43322/psn-pdf
January 28, 2015 - Patient Safety Initiative: Hospital Executive and Physician
Leadership Strategies.
January 28, 2015
Oakbrook, IL: Joint Commission Resources; January 2014.
https://psnet.ahrq.gov/issue/patient-safety-initiative-hospital-executive-and-physician-leadership-strategies
This toolkit draws from experiences of the Joint …