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psnet.ahrq.gov/issue/hcupnet
December 24, 2008 - Database/Directory
HCUPnet.
Citation Text:
HCUPnet. Agency for Healthcare Research and Quality
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December 22, …
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psnet.ahrq.gov/issue/research-activities
December 24, 2008 - Newsletter/Journal
Research Activities.
Citation Text:
Research Activities. Rockville MD; Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/open-better-care
January 28, 2015 - Government Resource
Open for Better Care.
Citation Text:
Open for Better Care. Health Quality & Safety Commission New Zealand.
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psnet.ahrq.gov/issue/engineering-safety-practice-through-implementation-ehr-safer-guides
March 12, 2025 - Audiovisual
Engineering Safety into Practice through Implementation of the EHR SAFER Guides.
Citation Text:
National Action Alliance for Patient and Workforce Safety. Engineering Safety into Practice through Implementation of the EHR SAFER Guides. January 21, 2025, 12:00 - 1:00 PM (easte…
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psnet.ahrq.gov/issue/socio-cultural-perspective-patient-safety
August 06, 2016 - Book/Report
A Socio-cultural Perspective on Patient Safety.
Citation Text:
A Socio-cultural Perspective on Patient Safety. Rowley E, Waring J, eds. Farnham Surrey, UK: Ashgate Publishing Limited; 2011. ISBN: 9781409408628.
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psnet.ahrq.gov/issue/pulse-oximeters-medical-purposes-non-clinical-and-clinical-performance-testing-labeling-and
January 22, 2025 - Press Release/Announcement
Pulse oximeters for medical purposes - non-clinical and clinical performance testing, labeling, and premarket submission recommendations.
Citation Text:
Pulse oximeters for medical purposes - non-clinical and clinical performance testing, labeling, and premarke…
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psnet.ahrq.gov/issue/state-healthcare-2006
April 24, 2013 - Book/Report
State of Healthcare 2008.
Citation Text:
State of Healthcare 2008. The Healthcare Commission. London, UK: The Stationary Office; 2008.
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psnet.ahrq.gov/issue/perfect-possible
March 06, 2005 - Newspaper/Magazine Article
Perfect is possible.
Citation Text:
Perfect is possible. Berwick DM, Leape LL.
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psnet.ahrq.gov/issue/nam-action-collaborative-clinician-well-being-and-resilience
June 15, 2011 - Multi-use Website
NAM Action Collaborative on Clinician Well-Being and Resilience.
Citation Text:
NAM Action Collaborative on Clinician Well-Being and Resilience. Washington, DC: National Academy of Medicine.
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psnet.ahrq.gov/issue/patient-safety-authority-annual-reports
December 09, 2020 - Book/Report
Patient Safety Authority Annual Reports.
Citation Text:
Patient Safety Authority Annual Reports. Pennsylvania Patient Safety Authority. Harrisburg, PA: Patient Safety Authority; April 2024.
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psnet.ahrq.gov/node/857580/psn-pdf
August 09, 2024 - Patient Safety Research Summaries.
August 9, 2024
Rockville, MD: Agency for Healthcare Research and Quality; 2023-2024.
https://psnet.ahrq.gov/issue/patient-safety-research-summaries
The application of evidence in real situations helps to embed innovation across systems and sustain care
improvement. This col…
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psnet.ahrq.gov/node/50767/psn-pdf
August 12, 2024 - 2024 IHI Forum
August 12, 2024
Institute for Healthcare Improvement. Orlando World Center Marriott, Orlando, FL, December 9-11, 2024.
https://psnet.ahrq.gov/issue/2024-ihi-forum
This hybrid conference will offer workshops and interactive sessions exploring strategies from within health
care and beyond to improve h…
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psnet.ahrq.gov/node/42186/psn-pdf
April 24, 2013 - High reliability: truly achieving healthcare quality and
safety.
April 24, 2013
Kaplan GS. Pursuing the perfect patient experience. Front Health Serv Manage. 2013;29(3):16-27.
https://psnet.ahrq.gov/issue/high-reliability-truly-achieving-healthcare-quality-and-safety
This commentary discusses how high reliability …
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psnet.ahrq.gov/node/50850/psn-pdf
January 29, 2020 - Better Safer Care Victoria.
January 29, 2020
Safer Care Victoria and Victorian Agency for Health Information.
https://psnet.ahrq.gov/issue/better-safer-care-victoria
Large scale tracking of adverse care incidents offers evidence that governments and organizations can use
to target care process improvement efforts.…
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psnet.ahrq.gov/node/867769/psn-pdf
March 12, 2025 - Lessons from Event Reports.
March 12, 2025
Lessons from Event Reports. Patient Safety Authority.
https://psnet.ahrq.gov/issue/lessons-event-reports
Small successes can inform and motivate actions leading to sustainable, evidence-based change. This
searchable collection of projects initiated in response to event re…
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psnet.ahrq.gov/node/44573/psn-pdf
October 21, 2015 - Getting the diagnosis wrong.
October 21, 2015
Ofri D. New York Times. October 8, 2015.
https://psnet.ahrq.gov/issue/getting-diagnosis-wrong
This news article offers insights from a physician about the complexities around establishing a diagnosis in
frontline practice and the recent IOM report recommendation to imp…
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psnet.ahrq.gov/node/841306/psn-pdf
December 14, 2022 - Resilient Healthcare and the Safety-I and Safety-II
Frameworks
December 14, 2022
Deutsch ES, Van CM, Mossburg SE. Resilient Healthcare and the Safety-I and Safety-II Frameworks.
PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
Resilient healthca…
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psnet.ahrq.gov/node/50787/psn-pdf
January 08, 2020 - Q3 Health Innovation Partners.
January 8, 2020
New Jersey Hospital Association, the Ohio Hospital Association and The Hospital and Healthsystem
Association of Pennsylvania.
https://psnet.ahrq.gov/issue/q3-health-innovation-partners
Local efforts that draw from the experience of its leaders serve an important role …
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psnet.ahrq.gov/node/47977/psn-pdf
August 14, 2019 - Reducing Diagnostic Error: Measurement Considerations.
August 14, 2019
National Quality Forum
https://psnet.ahrq.gov/issue/reducing-diagnostic-error-measurement-considerations
This website tracks the progress of a project focused on the development and review of measures to
enhance viability, reporting, accountabi…
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psnet.ahrq.gov/node/72788/psn-pdf
February 24, 2021 - Harmed Patient Alliance.
February 24, 2021
United Kingdom.
https://psnet.ahrq.gov/issue/harmed-patient-alliance
Patients and families that experience medical harm have unique support needs. This organization works to
improve health system and clinician response to harmed patients. Their efforts aim to create a dee…