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psnet.ahrq.gov/node/37358/psn-pdf
January 02, 2017 - Reducing surgical complications.
January 2, 2017
Griffin F. Reducing surgical complications. Jt Comm J Qual Patient Saf. 2007;33(11):660-5.
https://psnet.ahrq.gov/issue/reducing-surgical-complications
The author supports the Institute for Healthcare Improvement’s 5 Million Lives Campaign by
recommending several ch…
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psnet.ahrq.gov/node/39128/psn-pdf
December 01, 2009 - Rapid response teams and continuous quality
improvement.
November 25, 2009
Dailey MS, Durkin S, Gulczynski B, et al. Patient Saf Qual Healthc. Nov/Dec 2009;6:28-31.
https://psnet.ahrq.gov/issue/rapid-response-teams-and-continuous-quality-improvement
This study discusses how analysis of rapid response team calls id…
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psnet.ahrq.gov/node/40317/psn-pdf
November 21, 2016 - Achieving an Exceptional Patient and Family Experience
of Inpatient Hospital Care.
November 21, 2016
Balik B, Conway J, Zipperer L, Watson J. Cambridge, MA: Institute for Healthcare Improvement; 2011.
https://psnet.ahrq.gov/issue/achieving-exceptional-patient-and-family-experience-inpatient-hospital-care
This whit…
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psnet.ahrq.gov/node/41560/psn-pdf
August 01, 2012 - Improving Medication Safety in High Risk Medicare
Beneficiaries Toolkit.
August 1, 2012
Touchette DR, Stubbings J, Schumock G. Effective Healthcare Research Report No. 38. Rockville, MD:
Agency for Healthcare Research and Quality; July 2012. AHRQ Publication No. 12-EHC027-EF.
https://psnet.ahrq.gov/issue/improving…
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psnet.ahrq.gov/node/46852/psn-pdf
March 07, 2018 - NHS Resolution.
March 7, 2018
NHS Resolution.
https://psnet.ahrq.gov/issue/nhs-resolution
The National Health Service (NHS) is a global leader in patient safety improvement. This website
coalesces information and activities generated by three NHS improvement efforts: patient compensation,
performance assessment, …
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psnet.ahrq.gov/node/38223/psn-pdf
October 14, 2015 - Patient-Centered Care Improvement Guide.
October 14, 2015
Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008.
https://psnet.ahrq.gov/issue/patient-centered-care-improvement-guide
This guide contains comprehensive information about best practices and implementation tool…
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psnet.ahrq.gov/node/50601/psn-pdf
October 09, 2022 - Medication Safety: Advancing the Development of
Improvement Strategies and Tools (R18).
October 9, 2022
Rockville, MD: Agency for Healthcare Research and Quality; September 28, 2022. PA-
20-028.
https://psnet.ahrq.gov/issue/medication-safety-advancing-development-improvement
Medication errors are …
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psnet.ahrq.gov/node/38155/psn-pdf
July 03, 2013 - Patient Safety and Quality Improvement; Final Rule.
July 3, 2013
US Department of Health and Human Services; Agency for Healthcare Research and Quality; Federal
Register. November 21, 2008;73:70731-70814.
https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-final-rule
This final rule outlines how to…
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psnet.ahrq.gov/node/33947/psn-pdf
November 21, 2016 - Improving Health Care Quality: A Guide for Patients and
Families.
November 21, 2016
Agency for Healthcare Research and Quality (AHRQ)
https://psnet.ahrq.gov/issue/improving-health-care-quality-guide-patients-and-families
This guide offers information and resources to allow consumers to understand quality health ca…
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psnet.ahrq.gov/node/33825/psn-pdf
January 01, 2017 - Rethinking Root Cause Analysis
January 1, 2016
Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
Annual Perspective 2016
Introduction
Root cause analysis (RCA) is a systematic process to analyze adverse events and near miss…
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psnet.ahrq.gov/node/33797/psn-pdf
January 01, 2016 - Diagnostic Errors: A New Chapter in Patient Safety
Science, Policy, and Practice
January 1, 2016
Singh H. Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice. PSNet
[internet]. 2016.
https://psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-prac…
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psnet.ahrq.gov/issue/enhancing-surgical-systems
April 12, 2017 - Special or Theme Issue
Enhancing Surgical Systems.
Citation Text:
Enhancing Surgical Systems. Healey AN, Catchpole K, Yule S, eds. Cogn Tech Work. 2008;10(4):249-333.
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psnet.ahrq.gov/issue/magnet-support-patient-safety
November 01, 2012 - Special or Theme Issue
Magnet in Support of Patient Safety.
Citation Text:
Magnet in Support of Patient Safety. Lewis L, ed. J Nurs Adm. 2014;44(suppl 10):S1-S53.
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psnet.ahrq.gov/issue/strategies-creating-sustaining-and-improving-culture-safety-health-care-second-edition
May 20, 2015 - Book/Report
Classic
Strategies for Creating, Sustaining, and Improving a Culture of Safety in Health Care, Second Edition.
Citation Text:
Strategies for Creating, Sustaining, and Improving a Culture of Safety in Health Care, Second Edition. Joint Commission Reso…
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psnet.ahrq.gov/issue/health-it-and-clinical-decision-support-systems
June 19, 2013 - Special or Theme Issue
Health IT and Clinical Decision Support Systems.
Citation Text:
Health IT and Clinical Decision Support Systems. Ohno-Machado L, ed. J Am Med Inform Assoc. 2014;21:e180-e375.
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psnet.ahrq.gov/issue/report-morecambe-bay-investigation
November 16, 2005 - Book/Report
The Report of the Morecambe Bay Investigation.
Citation Text:
The Report of the Morecambe Bay Investigation. Kirkup B. London, UK: The Stationery Office; 2015. ISBN: 9780108561306.
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psnet.ahrq.gov/issue/patient-safety-essentials-toolkit
January 08, 2020 - Toolkit
Patient Safety Essentials Toolkit.
Citation Text:
Patient Safety Essentials Toolkit. Boston, MA: Institute for Healthcare Improvement; 2019.
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psnet.ahrq.gov/issue/curing-our-diagnostic-disorder
December 04, 2019 - Newspaper/Magazine Article
Curing our diagnostic disorder.
Citation Text:
Curing our diagnostic disorder. Laposata M. The Pathologist. September 2017;(34):18-27.
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psnet.ahrq.gov/issue/medical-team-training
December 17, 2008 - Book/Report
Medical Team Training.
Citation Text:
Medical Team Training. Oakbrook, IL: Joint Commission Resources; 2008. ISBN: 9781599400921.
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psnet.ahrq.gov/issue/diagnostic-safety-and-quality-webinar-series-overview-and-implications-hospitals
June 21, 2023 - Webinar
Diagnostic Safety and Quality Webinar Series: Overview and Implications for Hospitals.
Citation Text:
Diagnostic Safety and Quality Webinar Series: Overview and Implications for Hospitals. Washington DC: The Leapfrog Group; 2023.
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