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psnet.ahrq.gov/node/38054/psn-pdf
July 05, 2013 - Ticket to ride: reducing handoff risk during hospital
patient transport.
July 5, 2013
Pesanka DA, Greenhouse PK, Rack LL, et al. Ticket to ride: reducing handoff risk during hospital patient
transport. J Nurs Care Qual. 2009;24(2):109-15. doi:10.1097/01.NCQ.0000347446.98299.b5.
https://psnet.ahrq.gov/issue/ticket-…
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psnet.ahrq.gov/node/44507/psn-pdf
July 18, 2016 - Six habits to enhance MET performance under stress: a
discussion paper reviewing team mechanisms for
improved patient outcomes.
July 18, 2016
Fein EC, Mackie B, Chernyak-Hai L, et al. Six habits to enhance MET performance under stress: A
discussion paper reviewing team mechanisms for improved patient outcomes. Aus…
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psnet.ahrq.gov/node/36756/psn-pdf
March 28, 2007 - Improving Patient Safety.
March 28, 2007
Home Healthc Nurs. 2007;25(3):125-224.
https://psnet.ahrq.gov/issue/improving-patient-safety
This special issue includes articles that discuss the safety of home-based medical care.
https://psnet.ahrq.gov/issue/improving-patient-safety
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psnet.ahrq.gov/node/33654/psn-pdf
August 01, 2007 - In Conversation with...James L. Reinertsen, MD
August 1, 2007
In Conversation with..James L. Reinertsen, MD. PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md
Editor's Note: James L. Reinertsen, MD, heads the Reinertsen Group, a prominent health care consulting
firm …
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psnet.ahrq.gov/print/pdf/node/867461
January 31, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Patient and Family Engagement in Long
Term Care
Curated Library
Foundations
Long-term Care and Patient Safety
Deb Bakerjian PhD, APRN, FAAN, FAANP, FGSA | April, 10 2024
A large and growing number of Americans require care in skilled nursin…
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psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
August 01, 2018 - multicenter, comprehensive RCT intervention study would definitively show that simulation-based training improves
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psnet.ahrq.gov/issue/request-information-diagnostic-excellence-measurement
January 15, 2025 - Press Release/Announcement
Request for Information: Diagnostic Excellence Measurement.
Citation Text:
Request for Information: Diagnostic Excellence Measurement. Agency for Healthcare Research and Quality. Fed Register. December 12, 2024;89:100497-100498.
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psnet.ahrq.gov/issue/emerging-concepts-patient-safety
March 27, 2024 - Special or Theme Issue
Emerging Concepts in Patient Safety.
Citation Text:
Emerging Concepts in Patient Safety. Shapiro FE, ed. Int Anesthesiol Clin. 2019;57:1-162.
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psnet.ahrq.gov/issue/patient-safety-22
November 26, 2008 - Special or Theme Issue
Patient Safety
Citation Text:
Patient Safety Zheng F ed. Surg Clin North Am. 2021;101(1):1-160.
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psnet.ahrq.gov/issue/safer-patients-network
May 12, 2021 - Multi-use Website
Safer Patients Network.
Citation Text:
Safer Patients Network. The Health Foundation.
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psnet.ahrq.gov/issue/armstrong-institute-patient-safety-and-quality
July 09, 2019 - Multi-use Website
Armstrong Institute for Patient Safety and Quality.
Citation Text:
Armstrong Institute for Patient Safety and Quality. Johns Hopkins Medicine.
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psnet.ahrq.gov/web-mm/signout-fallout
November 16, 2022 - SPOTLIGHT CASE
Signout Fallout
Citation Text:
Starmer AJ, Landrigan CP. Signout Fallout. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/web-mm/snfs-opening-black-box
August 27, 2012 - SNFs: Opening the Black Box
Citation Text:
Ouslander JG, Bonner A. SNFs: Opening the Black Box. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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psnet.ahrq.gov/node/33831/psn-pdf
April 01, 2017 - In Conversation With… Mark Chassin, MD, MPP, MPH
April 1, 2017
In Conversation With… Mark Chassin, MD, MPP, MPH. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/conversation-mark-chassin-md-mpp-mph
Editor's note: Dr. Chassin is president and chief executive officer of The Joint Commission. He is also
p…
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psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
March 27, 2024 - Annual Perspective
Ensuring Patient and Workforce Safety Culture in Healthcare
John Murray, Joann Sorra, Bryan Gale, Sarah Mossburg
| March 27, 2024
View more articles from the same authors.
Citation Text:
Murray J, Sorra J, Gale B, et al. Ensuring Patient…
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psnet.ahrq.gov/issue/making-healthcare-safer-iv-continuous-updating-patient-safety-harms-and-practices
December 10, 2024 - Book/Report
Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices.
Citation Text:
Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices. Rockville, MD: Agency for Healthcare Research and Quality: July 2023 - Jan 2025.
…
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psnet.ahrq.gov/issue/safe-practices-better-healthcare-2009-update
September 29, 2017 - Multi-use Website
Safe Practices for Better Healthcare–2009 Update.
Citation Text:
Safe Practices for Better Healthcare–2009 Update. National Quality Forum. Washington, DC: National Quality Forum; 2009.
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psnet.ahrq.gov/issue/organizational-learning-framework-patient-safety
November 28, 2018 - Commentary
An organizational learning framework for patient safety.
Citation Text:
Edwards MT. An Organizational Learning Framework for Patient Safety. Am J Med Qual. 2016;32(2):148-155. doi:10.1177/1062860616632295.
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psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail
March 03, 2021 - Commentary
Classic
Leading change: why transformation efforts fail.
Citation Text:
Leading change: why transformation efforts fail. Kotter JP. Harvard Bus Rev 1995;73(2);59-67.
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psnet.ahrq.gov/issue/recognizing-excellence-diagnosis-recommended-practices-hospitals
June 21, 2023 - Book/Report
Recognizing Excellence in Diagnosis: Recommended Practices for Hospitals.
Citation Text:
Recognizing Excellence in Diagnosis: Recommended Practices for Hospitals. Washington, DC: Leapfrog Group; July 2024.
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