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psnet.ahrq.gov/issue/2010-john-m-eisenberg-patient-safety-and-quality-award-recipients
May 28, 2014 - Press Release/Announcement
2010 John M. Eisenberg Patient Safety and Quality Award Recipients.
Citation Text:
2010 John M. Eisenberg Patient Safety and Quality Award Recipients. Joint Commission. January 12, 2011.
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psnet.ahrq.gov/issue/normalization-deviance-healthcare-delivery
November 19, 2014 - Commentary
The normalization of deviance in healthcare delivery.
Citation Text:
Banja J. The normalization of deviance in healthcare delivery. Bus Horiz. 2010;53(2):139.
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psnet.ahrq.gov/issue/diagnostic-excellence-icu-thinking-critically-and-masterfully
July 27, 2022 - Special or Theme Issue
Diagnostic Excellence in the ICU: Thinking Critically and Masterfully.
Citation Text:
Diagnostic Excellence in the ICU: Thinking Critically and Masterfully. Bergl PA, Nanchal RS, eds. Crit Care Clin. 2022;38(1):1-158.
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psnet.ahrq.gov/issue/system-need-repair-addressing-organizational-failures-uss-organ-procurement-and
August 10, 2022 - Congressional Testimony
A System in Need of Repair: Addressing Organizational Failures of the U.S.’s Organ Procurement and Transplantation Network.
Citation Text:
A System in Need of Repair: Addressing Organizational Failures of the U.S.’s Organ Procurement and Transplantation Network. U…
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psnet.ahrq.gov/issue/pennsylvania-learning-exchange-helping-states-improve-and-integrate-patient-safety
July 08, 2015 - Meeting/Conference Proceedings
The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary Report.
Citation Text:
The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary Report. Hanlon…
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psnet.ahrq.gov/issue/strengthening-core-middle-managers-play-vital-role-improving-safety
April 25, 2016 - Newspaper/Magazine Article
Strengthening the core. Middle managers play a vital role in improving safety.
Citation Text:
Federico F, Bonacum D. Strengthening the core. Middle managers play a vital role in improving safety. Healthcare executive. 2010;25(1):68-70.
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psnet.ahrq.gov/issue/hospital-adoption-information-technologies-and-improved-patient-safety-study-98-hospitals
May 11, 2014 - Study
Hospital adoption of information technologies and improved patient safety: a study of 98 hospitals in Florida.
Citation Text:
Hospital adoption of information technologies and improved patient safety: a study of 98 hospitals in Florida. Menachemi N; Saunders C; Chukmaitov A; Ma…
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psnet.ahrq.gov/node/36476/psn-pdf
December 14, 2009 - 10 Patient Safety Tips for Hospitals.
December 14, 2009
Rockville, MD: Agency for Healthcare Research and Quality; December 2009. AHRQ Publication No. 10-
M008.
https://psnet.ahrq.gov/issue/10-patient-safety-tips-hospitals
This tip sheet provides 10 practical steps hospitals can undertake to improve patient safety…
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psnet.ahrq.gov/node/46113/psn-pdf
July 12, 2017 - Optimizing a Business Case for Safe Health Care: An
Integrated Approach to Safety and Finance.
July 12, 2017
Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for
Healthcare Improvement; 2017.
https://psnet.ahrq.gov/issue/optimizing-business-case-safe-health-care-in…
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psnet.ahrq.gov/node/44962/psn-pdf
March 09, 2016 - Patient Safety: Hospitals Face Challenges Implementing
Evidence-Based Practices.
March 9, 2016
Washington, DC: United States Government Accountability Office; February 2016. Publication GAO-16-
308.
https://psnet.ahrq.gov/issue/patient-safety-hospitals-face-challenges-implementing-evidence-based-
practices
Despi…
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psnet.ahrq.gov/node/46793/psn-pdf
February 28, 2018 - Patient safety movement: history and future directions.
February 28, 2018
Lark ME, Kirkpatrick K, Chung KC. Patient Safety Movement: History and Future Directions. J Hand Surg
Am. 2018;43(2). doi:10.1016/j.jhsa.2017.11.006.
https://psnet.ahrq.gov/issue/patient-safety-movement-history-and-future-directions
The pati…
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psnet.ahrq.gov/node/852459/psn-pdf
August 16, 2023 - Reimagining Healthcare Teams: Leveraging the Patient-
Clinician-AI Triad To Improve Diagnostic Safety.
August 16, 2023
James C, Singh K, Valley TS, et al. Rockville, MD; Agency for Healthcare Research and Quality; July 2023.
AHRQ Publication No. 23-0040-4-EF.
https://psnet.ahrq.gov/issue/reimagining-healthcare-tea…
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psnet.ahrq.gov/node/849607/psn-pdf
May 31, 2023 - Use of technology to improve the adherence to surgical
safety checklists in the operating room.
May 31, 2023
Pati AB, Mishra TS, Chappity P, et al. Use of technology to improve the adherence to surgical safety
checklists in the operating room. Jt Comm J Qual Patient Saf. 2023;49(10):572-577.
doi:10.1016/j.jcjq.202…
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psnet.ahrq.gov/node/34848/psn-pdf
February 17, 2011 - Improving patient safety—five years after the IOM report.
February 17, 2011
Altman DE, Clancy CM, Blendon RJ. Improving Patient Safety — Five Years after the IOM Report. New
Engl J Med. 2004;351(20):2041-2043. doi:10.1056/nejmp048243.
https://psnet.ahrq.gov/issue/improving-patient-safety-five-years-after-iom-report…
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psnet.ahrq.gov/node/45283/psn-pdf
June 29, 2016 - Goals and Priorities for Health Care Organizations to
Improve Safety Using Health IT. Revised Report.
June 29, 2016
Graber ML, Bailey R, Johnston D. RTI International; Washington, DC: US Department of Health and
Human Services, Office of the National Coordinator for Health Information Technology; 2016.
https://psn…
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psnet.ahrq.gov/node/45505/psn-pdf
July 01, 2017 - A model for the departmental quality management
infrastructure within an academic health system.
July 1, 2017
Mathews SC, Demski R, Hooper JE, et al. A Model for the Departmental Quality Management
Infrastructure Within an Academic Health System. Acad Med. 2017;92(5):608-613.
doi:10.1097/ACM.0000000000001380.
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psnet.ahrq.gov/node/47542/psn-pdf
January 16, 2019 - Utilizing a Systems and Design Thinking Approach for
Improving Well-Being Within Health Professional
Education and Health Care.
January 16, 2019
Kreitzer MJ, Carter K, Coffey DS, et al. NAM Perspectives. Washington, DC: National Academy of
Medicine; 2019.
https://psnet.ahrq.gov/issue/utilizing-systems-and-design-…
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psnet.ahrq.gov/node/866354/psn-pdf
July 24, 2024 - Partnership as a pathway to diagnostic excellence: the
challenges and successes of implementing the Safer Dx
Learning Lab.
July 24, 2024
Sloane J, Singh H, Upadhyay DK, et al. Partnership as a pathway to diagnostic excellence: the challenges
and successes of implementing the Safer Dx Learning Lab. Jt Comm J Qual P…
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psnet.ahrq.gov/node/46898/psn-pdf
April 16, 2019 - TeamSTEPPS: an evidence-based approach to reduce
clinical errors threatening safety in outpatient settings: an
integrative review.
April 16, 2019
Parker AL, Forsythe LL, Kohlmorgen IK. TeamSTEPPS : An evidence-based approach to reduce clinical
errors threatening safety in outpatient settings: An integrative review…
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psnet.ahrq.gov/node/43201/psn-pdf
May 21, 2014 - New HHS Data Shows Major Strides Made in Patient
Safety, Leading to Improved Care and Savings.
May 21, 2014
Washington, DC: US Department of Health and Human Services; May 7, 2014.
https://psnet.ahrq.gov/issue/new-hhs-data-shows-major-strides-made-patient-safety-leading-improved-
care-and-savings
Comparing safety…