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psnet.ahrq.gov/node/46387/psn-pdf
September 06, 2017 - A multicomponent fall prevention strategy reduces falls at
an academic medical center.
September 6, 2017
France D, Slayton J, Moore S, et al. A Multicomponent Fall Prevention Strategy Reduces Falls at an
Academic Medical Center. The Joint Commission Journal on Quality and Patient Safety. 2017;43(9).
doi:10.1016/j.…
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psnet.ahrq.gov/node/46938/psn-pdf
April 25, 2018 - Diagnostic reasoning and cognitive biases of nurse
practitioners.
April 25, 2018
Lawson TN. Diagnostic Reasoning and Cognitive Biases of Nurse Practitioners. J Nurs Educ.
2018;57(4):203-208. doi:10.3928/01484834-20180322-03.
https://psnet.ahrq.gov/issue/diagnostic-reasoning-and-cognitive-biases-nurse-practitioners…
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psnet.ahrq.gov/node/44125/psn-pdf
May 28, 2015 - AHRQ focuses on ambulatory patient safety.
May 28, 2015
Ricciardi R. AHRQ Focuses on Ambulatory Patient Safety. J Nurs Care Qual. 2015;30(3):193-6.
doi:10.1097/NCQ.0000000000000124.
https://psnet.ahrq.gov/issue/ahrq-focuses-ambulatory-patient-safety
AHRQ has generated funding and educational opportunities toward u…
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psnet.ahrq.gov/node/867085/psn-pdf
November 06, 2024 - The medication kit conundrum: considerations to
enhance safety and efficiency.
November 6, 2024
Arthur KJ, Fuller J, Dossett HA, et al. The medication kit conundrum: considerations to enhance safety and
efficiency. Am J Health Syst Pharm. 2024;Epub Sep 4. doi:10.1093/ajhp/zxae233.
https://psnet.ahrq.gov/issue/medi…
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psnet.ahrq.gov/node/836758/psn-pdf
March 16, 2022 - Internet of things in healthcare for patient safety: an
empirical study.
March 16, 2022
Yesmin T, Carter MW, Gladman AS. Internet of things in healthcare for patient safety: an empirical study.
BMC Health Serv Res. 2022;22(1):278. doi:10.1186/s12913-022-07620-3.
https://psnet.ahrq.gov/issue/internet-things-healthc…
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psnet.ahrq.gov/node/44911/psn-pdf
February 17, 2016 - Improving doctor–patient communication in a digital
world.
February 17, 2016
Lakshmanan I. The Diane Rehm Show. February 9, 2016.
https://psnet.ahrq.gov/issue/improving-doctor-patient-communication-digital-world
Digital technologies represent both promise and risks for communication in health care. This radio inte…
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psnet.ahrq.gov/node/47057/psn-pdf
July 14, 2018 - A framework for operationalizing risk: a practical
approach to patient safety.
July 14, 2018
Mathews SC, Sutcliffe K, Garrett MR, et al. A framework for operationalizing risk: A practical approach to
patient safety. J Healthc Risk Manag. 2018;38(1):38-46. doi:10.1002/jhrm.21317.
https://psnet.ahrq.gov/issue/frame…
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psnet.ahrq.gov/node/45812/psn-pdf
June 22, 2017 - A primer on PDSA: executing plan–do–study–act cycles
in practice, not just in name.
June 22, 2017
Leis JA, Shojania KG. A primer on PDSA: executing plan-do-study-act cycles in practice, not just in name.
BMJ Qual Saf. 2017;26(7):572-577. doi:10.1136/bmjqs-2016-006245.
https://psnet.ahrq.gov/issue/primer-pdsa-execu…
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psnet.ahrq.gov/node/44651/psn-pdf
December 09, 2015 - Measurement of diagnostic errors is a key first step to
their reduction.
December 9, 2015
Singh H. National Quality Measures Expert Commentaries. November 23, 2015.
https://psnet.ahrq.gov/issue/measurement-diagnostic-errors-key-first-step-their-reduction
Recently, diagnostic error has garnered much discussion and …
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psnet.ahrq.gov/node/44465/psn-pdf
November 20, 2015 - Why even good physicians do not wash their hands.
November 20, 2015
Redelmeier DA, Shafir E. Why even good physicians do not wash their hands. BMJ Qual Saf.
2015;24(12):744-7. doi:10.1136/bmjqs-2015-004319.
https://psnet.ahrq.gov/issue/why-even-good-physicians-do-not-wash-their-hands
Insufficient hand hygiene comp…
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psnet.ahrq.gov/node/48120/psn-pdf
July 17, 2019 - 2018 John M. Eisenberg Patient Safety and Quality
Awards.
July 17, 2019
Jt Comm J Qual Patient Saf. 2019;45(7):461-486.
https://psnet.ahrq.gov/issue/2018-john-m-eisenberg-patient-safety-and-quality-awards
The Eisenberg Award honors individuals and organizations who have made important contributions to
patient saf…
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psnet.ahrq.gov/node/861769/psn-pdf
January 31, 2024 - Psychological safety and hierarchy in operating room
debriefing: reflexive thematic analysis.
January 31, 2024
McElroy C, Skegg E, Mudgway M, et al. Psychological safety and hierarchy in operating room debriefing:
reflexive thematic analysis. J Surg Res. 2023;295:567-573. doi:10.1016/j.jss.2023.11.054.
https://psn…
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psnet.ahrq.gov/node/74710/psn-pdf
January 26, 2022 - The evolution of the Anesthesia Patient Safety Movement
in America: lessons learned and considerations to
promote further improvement in patient safety.
January 26, 2022
Warner MA, Warner ME. The evolution of the Anesthesia Patient Safety Movement in America: lessons
learned and considerations to promote further i…
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psnet.ahrq.gov/node/840167/psn-pdf
November 16, 2022 - 'Reading the Signals' : Maternity and Neonatal Services in
East Kent – the Report of the Independent Investigation.
November 16, 2022
Kirkup B. Department of Health and Social Care. London, England: Crown Copyright; 2022. ISBN:
9781528636759.
https://psnet.ahrq.gov/issue/reading-signals-maternity-and-neonata…
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psnet.ahrq.gov/node/72750/psn-pdf
February 17, 2021 - Implementing patient and family involvement
interventions for promoting patient safety: a systematic
review and meta-analysis.
February 17, 2021
Giap T-T-T, Park M. Implementing patient and family involvement interventions for promoting patient
safety. J Patient Saf. 2021;17(2):131-140. doi:10.1097/pts.00000000000…
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psnet.ahrq.gov/node/47167/psn-pdf
May 30, 2018 - AHRQ Health Information Technology Division's 2017
Annual Report.
May 30, 2018
Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AHRQ Publication No. 18-0028-
EF.
https://psnet.ahrq.gov/issue/ahrq-health-information-technology-divisions-2017-annual-report
Health care has worked to enhance use…
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psnet.ahrq.gov/node/44821/psn-pdf
December 05, 2022 - Action Planning Tool for the AHRQ Surveys on Patient
Safety Culture.
December 5, 2022
Yount N, Edelman S, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; November
2022. AHRQ Publication No. 23-0011.
https://psnet.ahrq.gov/issue/action-planning-tool-ahrq-surveys-patient-safety-culture
Im…
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psnet.ahrq.gov/node/866967/psn-pdf
October 16, 2024 - Placing patient safety at the heart of value-based
healthcare.
October 16, 2024
La Regina M, Federici L, Bianco A, et al. Placing patient safety at the heart of value-based healthcare. Int J
Qual Health Care. 2024;36(3):mzae087. doi:10.1093/intqhc/mzae087.
https://psnet.ahrq.gov/issue/placing-patient-safety-heart-…
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psnet.ahrq.gov/perspective/conversation-remle-p-crowe-phd
May 16, 2022 - In Conversation With... Remle P. Crowe, PhD
May 16, 2022
Also Read the Essay
Citation Text:
In Conversation With.. Remle P. Crowe, PhD . PSNet [internet]. 2022.In Conversation With... Remle P. Crowe, PhD . PSNet [internet]. Rockville (MD): Agency for Healthcare …
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psnet.ahrq.gov/perspective/identifying-safety-events-prehospital-setting
May 16, 2022 - Identifying Safety Events in the Prehospital Setting
May 16, 2022
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Crowe RP, Mossburg SE, Dowell P. Identifying Safety Events in the Prehospital Setting. PSNet [internet]. Rockvi…