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psnet.ahrq.gov/node/44155/psn-pdf
June 24, 2015 - Patient Safety Tool Kit.
June 24, 2015
WHO Regional Office for the Eastern Mediterranean. Cairo, Egypt: World Health Organization; 2015. ISBN:
9789290220596.
https://psnet.ahrq.gov/issue/patient-safety-tool-kit
Patient safety programs should reflect local needs, motivate clinician and leadership engagement, and
s…
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psnet.ahrq.gov/node/61055/psn-pdf
October 21, 2020 - How administrative burdens can harm health.
October 21, 2020
Herd P, Moynihan D. Health Affairs Health Policy Brief. October 2, 2020.
https://psnet.ahrq.gov/issue/how-administrative-burdens-can-harm-health
The crossover of health equity concepts to patient safety has emerged as a consideration for
improvement. Thi…
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psnet.ahrq.gov/node/60264/psn-pdf
January 14, 2021 - COVID-19 Content. ISMP Medication Safety Alert!
January 14, 2021
March 2020--January 2021.
https://psnet.ahrq.gov/issue/special-editions-covid-19-ismp-medication-safety-alert
Medication safety is improved through the sharing of frontline improvement experiences and concerns.
These articles share recommendations to…
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psnet.ahrq.gov/node/60829/psn-pdf
August 19, 2020 - Patient Safety.
August 19, 2020
Levett-Jones T, ed. Clin Sim Nurs. 2020;44(1):1-78; 2020;45(1):1-60.
https://psnet.ahrq.gov/issue/patient-safety-20
Simulation is a recognized technique to educate and plan to improve care processes and safety. This pair
of special issues highlights the use of simulation in nur…
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psnet.ahrq.gov/node/45134/psn-pdf
August 10, 2016 - Patient Safety: Exploring Quality of Care in the US.
August 10, 2016
ProPublica, Inc. New York, NY. 2012-2016.
https://psnet.ahrq.gov/issue/patient-safety-exploring-quality-care-us
This website provides resources exploring patient safety challenges from various perspectives, including
feature length articles and m…
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psnet.ahrq.gov/node/44526/psn-pdf
October 07, 2015 - The evolution of a safety culture.
October 7, 2015
Patton BS, Donovan KJ. The Evolution of a Safety Culture. Air Med J. 2015;34(5):264-8.
doi:10.1016/j.amj.2015.05.012.
https://psnet.ahrq.gov/issue/evolution-safety-culture
This commentary describes how an air transport unit at one hospital developed a safety cultu…
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psnet.ahrq.gov/node/38252/psn-pdf
November 26, 2008 - Hospital ethical climate and teamwork in acute care: the
moderating role of leaders.
November 26, 2008
Rathert C, Fleming DA. Hospital ethical climate and teamwork in acute care: the moderating role of
leaders. Health Care Manag Rev. 2008;33(4):323-331. doi:10.1097/01.HCM.0000318769.75018.8d.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/45512/psn-pdf
October 05, 2016 - When doctors get the wrong patient.
October 5, 2016
Whitman E. Mod Healthc. September 25, 2016.
https://psnet.ahrq.gov/issue/when-doctors-get-wrong-patient
Misidentification of patients can result in problems such as medication administration delays, blood
transfusion mismatches, and wrong-patient surgery. This ma…
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psnet.ahrq.gov/node/44337/psn-pdf
July 22, 2015 - Patient Safety Supplement.
July 22, 2015
Middleton J, ed. Nursing Times and Health Service Journal. July 2015:s1-s20.
https://psnet.ahrq.gov/issue/patient-safety-supplement
Drawing from presentations at an annual conference in the United Kingdom, articles in this supplement
discuss barcode technologies, the Sign u…
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psnet.ahrq.gov/node/41645/psn-pdf
September 12, 2012 - A safety culture transformation: its effects at a children's
hospital.
September 12, 2012
Peterson TH, Teman SF, Connors RH. A safety culture transformation: its effects at a children's hospital. J
Patient Saf. 2012;8(3):125-30. doi:10.1097/PTS.0b013e31824bd744.
https://psnet.ahrq.gov/issue/safety-culture-transfor…
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psnet.ahrq.gov/node/73078/psn-pdf
September 19, 2024 - Risky Business: Creating Connections.
July 17, 2024
Joseph B. Martin Conference Center, Boston, MA; September 19, 2024.
https://psnet.ahrq.gov/issue/risky-business-creating-connections
A core tenant of the patient safety improvement drawing from the experiences of various high-risk
industries to address system saf…
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psnet.ahrq.gov/node/45027/psn-pdf
April 06, 2016 - Patient Safety 2030.
April 6, 2016
Yu A, Flott K, Chainani N, Fontana G, Darzi A. London, UK: NIHR Imperial Patient Safety Translational
Research Centre; 2016.
https://psnet.ahrq.gov/issue/patient-safety-2030
Examining emerging trends in patient safety improvement work, this report recommends strategies and
tools…
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psnet.ahrq.gov/node/45677/psn-pdf
March 08, 2017 - The War on Error: Common Diagnostic Errors.
March 8, 2017
Medscape. 2016–2017.
https://psnet.ahrq.gov/issue/war-error-common-diagnostic-errors
Improving diagnosis has recently been recognized as a primary focus for patient safety. This collection
highlights particular clinical areas of concern such as neurology an…
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psnet.ahrq.gov/node/836867/psn-pdf
April 06, 2022 - Safer Dx Checklist: 10 High-Priority Practices for
Diagnostic Excellence.
April 6, 2022
Houston TX; Baylor College of Medicine: 2022.
https://psnet.ahrq.gov/issue/safer-dx-checklist-10-high-priority-practices-diagnostic-excellence
Assessment can identify the current state of a process or program to reveal ar…
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psnet.ahrq.gov/node/43356/psn-pdf
July 16, 2014 - Introducing the safety score audit for staff member and
patient safety.
July 16, 2014
Sinnott M, Eley R, Winch S. Introducing the safety score audit for staff member and patient safety. AORN
J. 2014;100(1):91-5. doi:10.1016/j.aorn.2014.05.006.
https://psnet.ahrq.gov/issue/introducing-safety-score-audit-staff-membe…
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psnet.ahrq.gov/node/36815/psn-pdf
March 28, 2011 - Implementation of a medication reconciliation process in
an ambulatory internal medicine clinic.
March 28, 2011
Nassaralla CL, Naessens JM, Chaudhry R, et al. Implementation of a medication reconciliation process in
an ambulatory internal medicine clinic. Qual Saf Health Care. 2007;16(2):90-4.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/42160/psn-pdf
April 03, 2013 - The perianesthesia nurse's role in the prevention of
opioid-related sentinel events.
April 3, 2013
Pasero C. The perianesthesia nurse's role in the prevention of opioid-related sentinel events. J Perianesth
Nurs. 2013;28(1):31-7. doi:10.1016/j.jopan.2012.11.001.
https://psnet.ahrq.gov/issue/perianesthesia-nurses-r…
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psnet.ahrq.gov/node/73123/psn-pdf
April 01, 2020 - Digital Healthcare Research.
April 1, 2020
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/digital-healthcare-research
An understanding of the impact that digital tools can have on clinical decision making, patient self-care, and
health system improvement is still emerging. This website hi…
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psnet.ahrq.gov/perspective/conversation-paul-mcgann-md
July 10, 2024 - In Conversation With… Paul McGann, MD
March 1, 2016
Citation Text:
In Conversation With… Paul McGann, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/node/846975/psn-pdf
March 28, 2023 - In Conversation with... Christie Allen about Maternal
Safety and Perinatal Mental Health
March 28, 2023
In Conversation with.. Christie Allen about Maternal Safety and Perinatal Mental Health. PSNet [internet].
2023.
https://psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal…