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  1. psnet.ahrq.gov/issue/system-need-repair-addressing-organizational-failures-uss-organ-procurement-and
    August 10, 2022 - Congressional Testimony A System in Need of Repair: Addressing Organizational Failures of the U.S.’s Organ Procurement and Transplantation Network. Citation Text: A System in Need of Repair: Addressing Organizational Failures of the U.S.’s Organ Procurement and Transplantation Network. U…
  2. psnet.ahrq.gov/issue/pennsylvania-learning-exchange-helping-states-improve-and-integrate-patient-safety
    July 08, 2015 - Meeting/Conference Proceedings The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary Report. Citation Text: The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary Report. Hanlon…
  3. psnet.ahrq.gov/issue/strengthening-core-middle-managers-play-vital-role-improving-safety
    April 25, 2016 - Newspaper/Magazine Article Strengthening the core. Middle managers play a vital role in improving safety. Citation Text: Federico F, Bonacum D. Strengthening the core. Middle managers play a vital role in improving safety. Healthcare executive. 2010;25(1):68-70. Copy Citation Forma…
  4. psnet.ahrq.gov/issue/hospital-adoption-information-technologies-and-improved-patient-safety-study-98-hospitals
    May 11, 2014 - Study Hospital adoption of information technologies and improved patient safety: a study of 98 hospitals in Florida. Citation Text: Hospital adoption of information technologies and improved patient safety: a study of 98 hospitals in Florida. Menachemi N; Saunders C; Chukmaitov A; Ma…
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46793/psn-pdf
    February 28, 2018 - Patient safety movement: history and future directions. February 28, 2018 Lark ME, Kirkpatrick K, Chung KC. Patient Safety Movement: History and Future Directions. J Hand Surg Am. 2018;43(2). doi:10.1016/j.jhsa.2017.11.006. https://psnet.ahrq.gov/issue/patient-safety-movement-history-and-future-directions The pati…
  10. Psn-Pdf (pdf file)

    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…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849607/psn-pdf
    May 31, 2023 - Use of technology to improve the adherence to surgical safety checklists in the operating room. May 31, 2023 Pati AB, Mishra TS, Chappity P, et al. Use of technology to improve the adherence to surgical safety checklists in the operating room. Jt Comm J Qual Patient Saf. 2023;49(10):572-577. doi:10.1016/j.jcjq.202…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34848/psn-pdf
    February 17, 2011 - Improving patient safety—five years after the IOM report. February 17, 2011 Altman DE, Clancy CM, Blendon RJ. Improving Patient Safety — Five Years after the IOM Report. New Engl J Med. 2004;351(20):2041-2043. doi:10.1056/nejmp048243. https://psnet.ahrq.gov/issue/improving-patient-safety-five-years-after-iom-report…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45283/psn-pdf
    June 29, 2016 - Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. June 29, 2016 Graber ML, Bailey R, Johnston D. RTI International; Washington, DC: US Department of Health and Human Services, Office of the National Coordinator for Health Information Technology; 2016. https://psn…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47542/psn-pdf
    January 16, 2019 - Utilizing a Systems and Design Thinking Approach for Improving Well-Being Within Health Professional Education and Health Care. January 16, 2019 Kreitzer MJ, Carter K, Coffey DS, et al. NAM Perspectives. Washington, DC: National Academy of Medicine; 2019. https://psnet.ahrq.gov/issue/utilizing-systems-and-design-…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43201/psn-pdf
    May 21, 2014 - New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings. May 21, 2014 Washington, DC: US Department of Health and Human Services; May 7, 2014. https://psnet.ahrq.gov/issue/new-hhs-data-shows-major-strides-made-patient-safety-leading-improved- care-and-savings Comparing safety…
  16. Psn-Pdf (pdf file)

    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…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46146/psn-pdf
    June 07, 2017 - Increasing patient safety event reporting in an emergency medicine residency. June 7, 2017 Steen S, Jaeger C, Price L, et al. Increasing Patient Safety Event Reporting in an Emergency Medicine Residency. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u223876.w5716. https://psnet.ahrq.gov/issue/increasing-p…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45218/psn-pdf
    June 15, 2016 - Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and providers' external obligations. June 15, 2016 Agency for Healthcare Research and Quality. Fed Regist. 2016;81(100);32655-32660. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-hh…
  19. psnet.ahrq.gov/issue/ihinpsf-lucian-leape-institute
    July 12, 2017 - Multi-use Website IHI Lucian Leape Institute. Citation Text: IHI Lucian Leape Institute. Institute for Healthcare Improvement. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy U…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46296/psn-pdf
    September 24, 2017 - Perception of safety of surgical practice among operating room personnel from survey data is associated with all- cause 30-day postoperative death rate in South Carolina. September 24, 2017 Molina G, Berry WR, Lipsitz S, et al. Perception of Safety of Surgical Practice Among Operating Room Personnel From Survey Da…

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