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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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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/45183/psn-pdf
July 20, 2016 - Assessing the relationship between patient safety culture
and EHR strategy.
July 20, 2016
Ford E, Silvera GA, Kazley AS, et al. Assessing the relationship between patient safety culture and EHR
strategy. Int J Health Care Qual Assur. 2016;29(6):614-27. doi:10.1108/IJHCQA-10-2015-0125.
https://psnet.ahrq.gov/issue/…
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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/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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psnet.ahrq.gov/training-catalog
June 01, 2025 - Training Catalog
The AHRQ PSNet Training Catalog is an easy to use resource for healthcare professionals across all settings of care and specialties looking for education opportunities to further their knowledge of patient safety practices and principles. Some training opportunities are available as in-person meeting…
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psnet.ahrq.gov/node/33739/psn-pdf
October 01, 2012 - The Physical Environment: An Often Unconsidered
Patient Safety Tool
October 1, 2012
Joseph A, Malone EB. The Physical Environment: An Often Unconsidered Patient Safety Tool. PSNet
[internet]. 2012.
https://psnet.ahrq.gov/perspective/physical-environment-often-unconsidered-patient-safety-tool
Perspective
Now that…
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psnet.ahrq.gov/node/33685/psn-pdf
May 01, 2009 - In Conversation with…William B. Weeks, MD, MBA
May 1, 2009
In Conversation with…William B. Weeks, MD, MBA. PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba
Editor's note: William B. Weeks, MD, MBA, is Associate Professor of Psychiatry and of Community and
Family M…
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psnet.ahrq.gov/web-mm/not-all-headaches-are-due-migraine-red-flags-dont-miss-diagnoses-and-diagnostic-pitfalls
February 17, 2021 - Not All Headaches are Due to Migraine: Red Flags, Don’t Miss Diagnoses, and Diagnostic Pitfalls
Citation Text:
Olson APJ. Not All Headaches are Due to Migraine: Red Flags, Don’t Miss Diagnoses, and Diagnostic Pitfalls. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departme…
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psnet.ahrq.gov/web-mm/specimen-almost-lost
September 21, 2022 - Specimen Almost Lost
Citation Text:
Hehe YK. Specimen Almost Lost. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/perspective/safety-retail-pharmacy
May 11, 2016 - Safety in the Retail Pharmacy
Michelle A. Chui, PharmD, PhD | October 1, 2018
View more articles from the same authors.
Citation Text:
Chui MA. Safety in the Retail Pharmacy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departme…