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psnet.ahrq.gov/node/35447/psn-pdf
November 02, 2005 - Training health care professionals for patient safety.
November 2, 2005
Clancy CM.
https://psnet.ahrq.gov/issue/training-health-care-professionals-patient-safety
Agency for Healthcare Research and Quality (AHRQ) Director Carolyn Clancy summarizes the Agency's
research and training activities in teamwork, medical e…
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psnet.ahrq.gov/node/42798/psn-pdf
June 17, 2014 - The concept of shared mental models in healthcare
collaboration.
June 17, 2014
McComb SA, Simpson V. The concept of shared mental models in healthcare collaboration. J Adv Nurs.
2014;70(7):1479-88. doi:10.1111/jan.12307.
https://psnet.ahrq.gov/issue/concept-shared-mental-models-healthcare-collaboration
This conce…
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psnet.ahrq.gov/node/42042/psn-pdf
December 18, 2013 - Finding the patient in patient safety.
December 18, 2013
Hor S-Y, Godbold N, Collier A, et al. Finding the patient in patient safety. Health (London). 2013;17(6):567-
83. doi:10.1177/1363459312472082.
https://psnet.ahrq.gov/issue/finding-patient-patient-safety
Highlighting the value of involving patients in their …
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psnet.ahrq.gov/node/36428/psn-pdf
December 22, 2010 - Medical errors: where are we now?
December 22, 2010
Mewshaw MR, White KM, Walrath JM. Medical errors: where are we now? Nurs Manage. 2006;37(10):50-
54.
https://psnet.ahrq.gov/issue/medical-errors-where-are-we-now
The authors discuss the Patient Safety and Quality Improvement Act of 2005 and the role nurse manager…
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psnet.ahrq.gov/node/40572/psn-pdf
June 27, 2018 - Understanding care transitions as a patient safety issue.
June 27, 2018
Butterfield S; Stegel C; Glock S; Tartaglia D.
https://psnet.ahrq.gov/issue/understanding-care-transitions-patient-safety-issue
This article describes a regional collaborative to enhance care transitions of Medicare beneficiaries by
improving …
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psnet.ahrq.gov/node/39835/psn-pdf
December 27, 2018 - Advancement toward High Reliability in Healthcare
Awards.
December 27, 2018
Department of Defense Patient Safety Program; DoD PSP; DoD
https://psnet.ahrq.gov/issue/advancement-toward-high-reliability-healthcare-awards
This award recognizes outstanding high reliability improvement work in the Military Health System…
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psnet.ahrq.gov/node/36674/psn-pdf
January 18, 2011 - An intervention to enhance nursing staff teamwork and
engagement.
January 18, 2011
Kalisch BJ, Curley M, Stefanov S. An intervention to enhance nursing staff teamwork and engagement. J
Nurs Adm. 2007;37(2):77-84.
https://psnet.ahrq.gov/issue/intervention-enhance-nursing-staff-teamwork-and-engagement
The authors d…
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psnet.ahrq.gov/node/33609/psn-pdf
March 15, 2025 - Clinical Decision Support Systems
March 15, 2025
Clinical Decision Support Systems. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/clinical-decision-support-systems
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice…
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psnet.ahrq.gov/node/38647/psn-pdf
May 20, 2009 - A next act for patient safety.
May 20, 2009
Viola AF, Kallem C, Bronnert J. A next act for patient safety. J AHIMA. 2009;80(4):30-5; quiz 37-8.
https://psnet.ahrq.gov/issue/next-act-patient-safety
This article provides an overview of the Patient Safety and Quality Improvement Act and addresses the
potential roles …
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psnet.ahrq.gov/node/37360/psn-pdf
January 05, 2012 - Building accountability through patient safety
organizations.
January 5, 2012
Ross J. Building accountability through patient safety organizations. J Perianesth Nurs. 2007;22(5):346-8.
https://psnet.ahrq.gov/issue/building-accountability-through-patient-safety-organizations
This commentary introduces the Patient S…
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psnet.ahrq.gov/node/39200/psn-pdf
March 28, 2010 - Creating champions for health care quality and safety.
March 28, 2010
Holland R, Meyers D, Hildebrand C, et al. Creating champions for health care quality and safety. Am J Med
Qual. 2010;25(2):102-108. doi:10.1177/1062860609352108.
https://psnet.ahrq.gov/issue/creating-champions-health-care-quality-and-safety
Inte…
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psnet.ahrq.gov/node/40421/psn-pdf
January 01, 2020 - Safe Surgery 2020.
April 27, 2011
GE Foundation. info@safesurgery2020.org.
https://psnet.ahrq.gov/issue/safe-surgery-2015
This Web site provides programmatic resources building on work to implement the World Health
Organization surgical safety checklist to improve surgical safety worldwide. Its efforts center…
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psnet.ahrq.gov/node/35041/psn-pdf
January 02, 2017 - AHRQ quality and safety initiatives.
January 2, 2017
Clancy CM. AHRQ quality and safety initiatives. Jt Comm J Qual Patient Saf. 2005;31(6):354-6.
https://psnet.ahrq.gov/issue/ahrq-quality-and-safety-initiatives
Agency for Healthcare Research and Quality (AHRQ) Director Carolyn Clancy briefly presents the
agency's…
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psnet.ahrq.gov/node/38181/psn-pdf
October 31, 2016 - PSO Privacy Protection Center.
October 31, 2016
Agency for Healthcare Research and Quality; AHRQ.
https://psnet.ahrq.gov/issue/pso-privacy-protection-center
This Web site supports AHRQ implementation of the Patient Safety and Quality Improvement Act of 2005
by providing technical assistance and educational materia…
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psnet.ahrq.gov/node/42241/psn-pdf
May 01, 2013 - Special Issue on Teamwork.
May 1, 2013
Salas E, Rosen MA, eds. BMJ Qual Saf. 2013;22(5):369-448.
https://psnet.ahrq.gov/issue/special-issue-teamwork
Articles in this special issue explore theory-driven and simulation-based approaches to improve teamwork
in health care.
https://psnet.ahrq.gov/issue/special-…
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psnet.ahrq.gov/issue/master-healthcare-quality-and-safety
February 05, 2014 - Course Material/Curriculum
Master of Healthcare Quality and Safety.
Citation Text:
Master of Healthcare Quality and Safety. Harvard Medical School.
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psnet.ahrq.gov/issue/risk-safety-and-reliability-special-issue
January 15, 2014 - Special or Theme Issue
Risk, Safety and Reliability Special Issue.
Citation Text:
Risk, Safety and Reliability Special Issue. Newbold D, Attree M, eds. J Nurs Manag. 2009;17:145-266.
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psnet.ahrq.gov/issue/robot-will-see-you-now
June 02, 2010 - Newspaper/Magazine Article
The robot will see you now.
Citation Text:
The robot will see you now. Cohn J. The Atlantic. March 2013;311:59–67.
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psnet.ahrq.gov/issue/iom-panel-reviews-lessons-medication-safety
September 30, 2009 - Newspaper/Magazine Article
IOM panel reviews lessons for medication safety.
Citation Text:
IOM panel reviews lessons for medication safety. Young D.
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psnet.ahrq.gov/issue/language-barriers-health-care
December 16, 2015 - Special or Theme Issue
Language Barriers in Health Care.
Citation Text:
Language Barriers in Health Care. Saha S, Fernandez A, eds. J Gen Intern Med. 2007;22(supp2);277-372.
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