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psnet.ahrq.gov/node/43886/psn-pdf
July 13, 2016 - The Armstrong Institute Resident/Fellow Scholars: a
multispecialty curriculum to train future leaders in patient
safety and quality improvement.
July 13, 2016
Rinke ML, Mock CK, Persing NM, et al. The Armstrong Institute Resident/Fellow Scholars: A Multispecialty
Curriculum to Train Future Leaders in Patient Safet…
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psnet.ahrq.gov/node/44891/psn-pdf
July 03, 2016 - Characteristics of morbidity and mortality conferences
associated with the implementation of patient safety
improvement initiatives, an observational study.
July 3, 2016
François P, Prate F, Vidal-Trecan G, et al. Characteristics of morbidity and mortality conferences
associated with the implementation of patient …
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psnet.ahrq.gov/node/34700/psn-pdf
January 04, 2017 - Reducing adverse drug events: lessons from a
breakthrough series collaborative.
January 4, 2017
Leape L, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough
series collaborative. Jt Comm J Qual Improv. 2000;26(6):321-31.
https://psnet.ahrq.gov/issue/reducing-adverse-drug-event…
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psnet.ahrq.gov/node/849136/psn-pdf
May 17, 2023 - Using morbidity and mortality conferences to drive
quality improvement and reduce errors.
May 17, 2023
Lai B, Horn J, Wilkinson J, et al. Fam Pract Manag. 2023;30(2):13-17.
https://psnet.ahrq.gov/issue/using-morbidity-and-mortality-conferences-drive-quality-improvement-and-
reduce-errors
Morbidity and mortality (…
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psnet.ahrq.gov/perspective/communication-during-transitions-care
July 10, 2024 - Annual Perspective
Communication During Transitions of Care
Ayse P. Gurses; Sarah Mossburg; Zoe Sousane
| March 27, 2024
View more articles from the same authors.
Citation Text:
Gurses AP, Sousane Z, Mossburg S. Communication During Transitions of Care. PS…
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psnet.ahrq.gov/toolkits
March 01, 2025 - Toolkits
Patient safety toolkits provide practical applications of PSNet research and concepts for front line providers to use in their day to day work. These toolkits contain resources necessary to implement patient safety systems and protocols.
Want to submit a Toolkit?
Has your organization deve…
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psnet.ahrq.gov/node/50392/psn-pdf
September 01, 2019 - In Conversation With… Shantanu Agrawal, MD, MPhil
September 1, 2019
In Conversation With… Shantanu Agrawal, MD, MPhil. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil
Editor's note: Dr. Agrawal is president and CEO of the National Quality Forum (NQF). He is the form…
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psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
July 23, 2024 - Nudge Unit Supports Physician, Patient Behavioral Changes Towards Medical Decisions that Improve Care Value and Quality of Care
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December 23, 2020
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psnet.ahrq.gov/issue/request-information-diagnostic-excellence-measurement
January 15, 2025 - Press Release/Announcement
Request for Information: Diagnostic Excellence Measurement.
Citation Text:
Request for Information: Diagnostic Excellence Measurement. Agency for Healthcare Research and Quality. Fed Register. December 12, 2024;89:100497-100498.
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psnet.ahrq.gov/issue/emerging-concepts-patient-safety
March 27, 2024 - Special or Theme Issue
Emerging Concepts in Patient Safety.
Citation Text:
Emerging Concepts in Patient Safety. Shapiro FE, ed. Int Anesthesiol Clin. 2019;57:1-162.
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psnet.ahrq.gov/issue/armstrong-institute-patient-safety-and-quality
July 09, 2019 - Multi-use Website
Armstrong Institute for Patient Safety and Quality.
Citation Text:
Armstrong Institute for Patient Safety and Quality. Johns Hopkins Medicine.
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psnet.ahrq.gov/issue/patient-safety-22
November 26, 2008 - Special or Theme Issue
Patient Safety
Citation Text:
Patient Safety Zheng F ed. Surg Clin North Am. 2021;101(1):1-160.
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psnet.ahrq.gov/issue/safer-patients-network
May 12, 2021 - Multi-use Website
Safer Patients Network.
Citation Text:
Safer Patients Network. The Health Foundation.
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psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
September 01, 2011 - patient safety by, in order of priority: (i) ensuring that frontline providers learn when reporting has improved
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psnet.ahrq.gov/node/36476/psn-pdf
December 14, 2009 - 10 Patient Safety Tips for Hospitals.
December 14, 2009
Rockville, MD: Agency for Healthcare Research and Quality; December 2009. AHRQ Publication No. 10-
M008.
https://psnet.ahrq.gov/issue/10-patient-safety-tips-hospitals
This tip sheet provides 10 practical steps hospitals can undertake to improve patient safety…
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psnet.ahrq.gov/node/44962/psn-pdf
March 09, 2016 - Patient Safety: Hospitals Face Challenges Implementing
Evidence-Based Practices.
March 9, 2016
Washington, DC: United States Government Accountability Office; February 2016. Publication GAO-16-
308.
https://psnet.ahrq.gov/issue/patient-safety-hospitals-face-challenges-implementing-evidence-based-
practices
Despi…
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psnet.ahrq.gov/node/73063/psn-pdf
March 24, 2021 - Clinical data sharing improves quality measurement and
patient safety.
March 24, 2021
D’Amore JD, McCrary LK, Denson J, et al. Clinical data sharing improves quality measurement and patient
safety. J Am Med Inform Assoc. 2021;28(7):1534-1542. doi:10.1093/jamia/ocab039.
https://psnet.ahrq.gov/issue/clinical-data-sh…
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psnet.ahrq.gov/node/46113/psn-pdf
July 12, 2017 - Optimizing a Business Case for Safe Health Care: An
Integrated Approach to Safety and Finance.
July 12, 2017
Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for
Healthcare Improvement; 2017.
https://psnet.ahrq.gov/issue/optimizing-business-case-safe-health-care-in…
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psnet.ahrq.gov/node/43681/psn-pdf
June 03, 2016 - Learning from failure: the need for independent safety
investigation in healthcare.
June 3, 2016
Macrae C, Vincent CA. Learning from failure: the need for independent safety investigation in healthcare. J
R Soc Med. 2014;107(11):439-443. doi:10.1177/0141076814555939.
https://psnet.ahrq.gov/issue/learning-failure-n…
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psnet.ahrq.gov/node/852459/psn-pdf
August 16, 2023 - Reimagining Healthcare Teams: Leveraging the Patient-
Clinician-AI Triad To Improve Diagnostic Safety.
August 16, 2023
James C, Singh K, Valley TS, et al. Rockville, MD; Agency for Healthcare Research and Quality; July 2023.
AHRQ Publication No. 23-0040-4-EF.
https://psnet.ahrq.gov/issue/reimagining-healthcare-tea…