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psnet.ahrq.gov/node/35589/psn-pdf
June 17, 2010 - Health for life. Keys to safer hospitals.
June 17, 2010
Berwick DM. Health for life. 6 keys to safer hospitals. Newsweek. 2005;146(24):76-8.
https://psnet.ahrq.gov/issue/health-life-keys-safer-hospitals
Institute for Healthcare Improvement President Don Berwick summarizes the six improvement measures of
the 100K L…
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psnet.ahrq.gov/node/40864/psn-pdf
October 19, 2011 - Pressing for better quality across healthcare.
October 19, 2011
Levey NN.
https://psnet.ahrq.gov/issue/pressing-better-quality-across-healthcare
This newspaper article reports on improving US health care and profiles Dr. Donald Berwick, highlighting
his commitment and contributions to patient safety and quality wo…
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psnet.ahrq.gov/node/845356/psn-pdf
March 29, 2023 - A novel approach for engagement in team training in
high-technology surgery: the robotic-assisted surgery
olympics.
March 29, 2023
Cohen TN, Anger JT, Kanji FF, et al. A novel approach for engagement in team training in high-technology
surgery: the robotic-assisted surgery olympics. J Patient Saf. 2022;18(6):570-5…
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psnet.ahrq.gov/node/44434/psn-pdf
June 21, 2016 - Hospital board and management practices are strongly
related to hospital performance on clinical quality
metrics.
June 21, 2016
Tsai TC, Jha AK, Gawande AA, et al. Hospital board and management practices are strongly related to
hospital performance on clinical quality metrics. Health Aff (Millwood). 2015;34(8):130…
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psnet.ahrq.gov/node/39501/psn-pdf
January 03, 2017 - Harmful medication errors involving unfractionated and
low-molecular-weight heparin in three patient safety
reporting programs.
January 3, 2017
Grissinger MC, Hicks RW, Keroack MA, et al. Harmful medication errors involving unfractionated and low-
molecular-weight heparin in three patient safety reporting programs…
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psnet.ahrq.gov/issue/why-physicians-err-diagnosis
March 27, 2024 - Commentary
Why physicians err in diagnosis.
Citation Text:
Why physicians err in diagnosis. JAMA. 2015;313(12):1273. doi:10.1001/jama.2014.11660.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Downlo…
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psnet.ahrq.gov/node/38706/psn-pdf
June 17, 2009 - Experience with a trigger tool for identifying adverse drug
events among older adults in ambulatory primary care.
June 17, 2009
Singh R, McLean-Plunckett EA, Kee R, et al. Experience with a trigger tool for identifying adverse drug
events among older adults in ambulatory primary care. Qual Saf Health Care. 2009;18(…
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psnet.ahrq.gov/node/43801/psn-pdf
August 02, 2015 - Association of the 2011 ACGME resident duty hour reform
with general surgery patient outcomes and with resident
examination performance.
August 2, 2015
Rajaram R, Chung JW, Jones AT, et al. Association of the 2011 ACGME resident duty hour reform with
general surgery patient outcomes and with resident examination p…
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psnet.ahrq.gov/node/43222/psn-pdf
February 13, 2019 - Exposure to Leadership WalkRounds in neonatal
intensive care units is associated with a better patient
safety culture and less caregiver burnout.
February 13, 2019
Sexton B, Sharek PJ, Thomas EJ, et al. Exposure to Leadership WalkRounds in neonatal intensive care
units is associated with a better patient safety cu…
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psnet.ahrq.gov/issue/patient-safety-resource-centre
May 12, 2021 - Multi-use Website
Patient Safety Resource Centre.
Citation Text:
Patient Safety Resource Centre. The Health Foundation.
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…
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psnet.ahrq.gov/node/45293/psn-pdf
February 01, 2017 - Patient safety incidents involving sick children in primary
care in England and Wales: a mixed methods analysis.
February 1, 2017
Rees P, Edwards A, Powell C, et al. Patient Safety Incidents Involving Sick Children in Primary Care in
England and Wales: A Mixed Methods Analysis. PLoS Med. 2017;14(1):e1002217.
doi:1…
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psnet.ahrq.gov/node/43418/psn-pdf
April 24, 2017 - Patients as teachers: a randomised controlled trial on the
use of personal stories of harm to raise awareness of
patient safety for doctors in training.
April 24, 2017
Jha V, Buckley H, Gabe R, et al. Patients as teachers: a randomised controlled trial on the use of personal
stories of harm to raise awareness of p…
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psnet.ahrq.gov/issue/strong-surgery
October 15, 2018 - Multi-use Website
Strong for Surgery.
Citation Text:
Strong for Surgery. American College of Surgeons.
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Jan…
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psnet.ahrq.gov/issue/joint-commission-journal-quality-and-patient-safety
May 24, 2015 - Newsletter/Journal
Joint Commission Journal on Quality and Patient Safety.
Citation Text:
Joint Commission Journal on Quality and Patient Safety. Baker D, ed. Oakbrook Terrace, IL: Joint Commission. ISSN: 1553-7250.
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psnet.ahrq.gov/issue/global-patient-safety-alerts
May 12, 2009 - Database/Directory
Global Patient Safety Alerts.
Citation Text:
Global Patient Safety Alerts. Canadian Patient Safety Institute; CPSI.
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psnet.ahrq.gov/issue/patient-safety-9
August 19, 2015 - Special or Theme Issue
Patient Safety.
Citation Text:
Patient Safety. Martin RF, Sanchez JA, eds. Surg Clin North Am. 2012;92(1):1-177.
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psnet.ahrq.gov/issue/reports-hospital-and-asc-performance
October 02, 2024 - Book/Report
Reports on Hospital and ASC Performance.
Citation Text:
Reports On Hospital And Asc Performance. Washington DC: The Leapfrog Group; September 2024.
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Dow…
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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/39981/psn-pdf
November 03, 2010 - The path to safe and reliable healthcare.
November 3, 2010
Leonard MW, Frankel A. The path to safe and reliable healthcare. Patient Educ Couns. 2010;80(3).
doi:10.1016/j.pec.2010.07.001.
https://psnet.ahrq.gov/issue/path-safe-and-reliable-healthcare
This commentary describes a model that aims to improve health car…
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psnet.ahrq.gov/node/36465/psn-pdf
September 27, 2010 - An interview with Donald Berwick.
September 27, 2010
Berwick DM. An interview with Donald Berwick. Interview by Paul M Schyve. Jt Comm J Qual Patient Saf.
2006;32(12):661-666.
https://psnet.ahrq.gov/issue/interview-donald-berwick
Dr. Berwick, president of the Institute for Healthcare Improvement, discusses his lif…