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Patient Safety Act. | PSNet

psnet.ahrq.gov/issue/patient-safety-act

November 09, 2011 - Book/Report Patient Safety Act. Citation Text: Patient Safety Act. Washington, DC: United States Government Accountability Office; January 28, 2010. Publication GAO-10-281. Copy Citation Save Save to your library Print Download PDF Share …

Workarounds are routinely used by nurses—but are they ethical? | PSNet

psnet.ahrq.gov/issue/workarounds-are-routinely-used-nurses-are-they-ethical

October 27, 2016 - Commentary Workarounds are routinely used by nurses—but are they ethical? Citation Text: Berlinger N. Workarounds Are Routinely Used by Nurses-But Are They Ethical? Am J Nurs. 2017;117(10):53-55. doi:10.1097/01.NAJ.0000525875.82101.b7. Copy Citation Format: DOI Google Schol…

Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety. | PSNet

psnet.ahrq.gov/issue/opportunities-and-recommendations-state-federal-coordination-improve-health-system

November 29, 2009 - Book/Report Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety. Citation Text: Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety.…

A piece of my mind. Mentorship malpractice. | PSNet

psnet.ahrq.gov/issue/piece-my-mind-mentorship-malpractice

September 16, 2020 - Commentary A piece of my mind. Mentorship malpractice. Citation Text: Chopra V, Edelson DP, Saint S. A PIECE OF MY MIND. Mentorship Malpractice. JAMA. 2016;315(14):1453-4. doi:10.1001/jama.2015.18884. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML End…

Health Information Technology in the United States: The Information Base for Progress. | PSNet

psnet.ahrq.gov/issue/health-information-technology-united-states-information-base-progress

April 04, 2018 - Book/Report Health Information Technology in the United States: The Information Base for Progress. Citation Text: Health Information Technology in the United States: The Information Base for Progress. Blumenthal D, DesRoches C, Donelan K, et al. Princeton, NJ: Robert Wood Johnson F…

Understanding the root cause analysis process to increase safety event reporting. | PSNet

psnet.ahrq.gov/issue/understanding-root-cause-analysis-process-increase-safety-event-reporting

August 08, 2018 - Commentary Understanding the root cause analysis process to increase safety event reporting. Citation Text: Dudley KA. Understanding the root cause analysis process to increase safety event reporting. AORN J. 2023;117(6):399-402. doi:10.1002/aorn.13935. Copy Citation Format: …

Overconfidence as a cause of diagnostic error in medicine. | PSNet

psnet.ahrq.gov/issue/overconfidence-cause-diagnostic-error-medicine

July 30, 2014 - Review Overconfidence as a cause of diagnostic error in medicine. Citation Text: Berner ES, Graber ML. Overconfidence as a cause of diagnostic error in medicine. Am J Med. 2008;121(5 Suppl):S2-S23. doi:10.1016/j.amjmed.2008.01.001. Copy Citation Format: DOI Google Scholar…

Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. | PSNet

psnet.ahrq.gov/issue/two-effective-initiatives-c-suite-leaders-improve-medication-safety-and-reliability-outcomes

March 14, 2023 - Newspaper/Magazine Article Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. Citation Text: Two effective initiatives for C-suite leaders to improve medication safety and the reliability of outcomes. ISMP Medication Safety Alert! …

Pump up the volume: tips for increasing error reporting and decreasing patient harm. | PSNet

psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting-and-decreasing-patient-harm

January 27, 2021 - Newspaper/Magazine Article Pump up the volume: tips for increasing error reporting and decreasing patient harm. Citation Text: Pump up the volume: tips for increasing error reporting and decreasing patient harm. ISMP Medication Safety Alert! Acute care edition. August 26, 2021;26(17);1-5…

Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. | PSNet

psnet.ahrq.gov/issue/handoff-checklists-improve-reliability-patient-handoffs-operating-room-and-postanesthesia

December 29, 2014 - Study Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. Citation Text: Boat AC, Spaeth JP. Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. Paediatr Anaes…

Under the Skin. The Hidden Toll of Racism on American Lives and on the Health of our Nation. | PSNet

psnet.ahrq.gov/issue/under-skin-hidden-toll-racism-american-lives-and-health-our-nation

January 04, 2017 - Book/Report Under the Skin. The Hidden Toll of Racism on American Lives and on the Health of our Nation. Citation Text: Under the Skin. The Hidden Toll of Racism on American Lives and on the Health of our Nation. Villarosa L. New York, NT: Doubleday: 2022. ISBN 9780385544887. C…

Failure mode and effect analysis: a technique to prevent chemotherapy errors. | PSNet

psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-technique-prevent-chemotherapy-errors

May 30, 2008 - Commentary Failure mode and effect analysis: a technique to prevent chemotherapy errors. Citation Text: Sheridan-Leos N, Schulmeister L, Hartranft S. Failure mode and effect analysis: a technique to prevent chemotherapy errors. Clin J Oncol Nurs. 2006;10(3):393-8. Copy Citation F…

Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them. | PSNet

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May 27, 2020 - Book/Report Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them. Citation Text: Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them. Washington, DC: United States Government Accountability Office; March 2020. Publication GAO-20-248. Copy Citat…

Guide to Patient and Family Engagement: Environmental Scan Report. | PSNet

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August 01, 2012 - Book/Report Guide to Patient and Family Engagement: Environmental Scan Report. Citation Text: Guide to Patient and Family Engagement: Environmental Scan Report. Maurer M, Dardess P, Carman KL, Frazier K, Smeeding L. Rockville, MD: Agency for Healthcare Research and Quality; May 2012. AHR…

Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care. Executive Summary. | PSNet

psnet.ahrq.gov/issue/potentially-preventable-readmissions-conceptual-framework-rethink-role-primary-care-executive

November 01, 2016 - Book/Report Potentially Preventable Readmissions: Conceptual Framework To Rethink the Role of Primary Care. Executive Summary. Citation Text: Maxwell J, Bourgoin A, Crandall J. Potentially Preventable Readmissions: Conceptual Framework To Rethink The Role Of Primary Care. Executive Summa…

Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients. | PSNet

psnet.ahrq.gov/issue/preventable-tragedies-superbugs-and-how-ineffective-monitoring-medical-device-safety-fails

May 18, 2011 - Book/Report Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients. Citation Text: Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients. Murray P. Washington, DC; Senate Health, Education,…

Introducing the New SOPS Hospital Survey 2.0. | PSNet

psnet.ahrq.gov/issue/updates-hospital-survey-patient-safety-culture

October 23, 2019 - Webinar Introducing the New SOPS Hospital Survey 2.0. Citation Text: Introducing the New SOPS Hospital Survey 2.0. Agency for Healthcare Research and Quality. October 30, 2019. Copy Citation Save Save to your library Print Download PDF Share …

Economic Analysis of Medical Malpractice Liability and Its Reform. | PSNet

psnet.ahrq.gov/issue/economic-analysis-medical-malpractice-liability-and-its-reform

January 31, 2018 - Book/Report Economic Analysis of Medical Malpractice Liability and Its Reform. Citation Text: Economic Analysis of Medical Malpractice Liability and Its Reform. Arlen J. New York, NY: New York University School of Law; May 9, 2013. Public Law Research Paper No. 13-25. Copy…

How insight contributes to diagnostic excellence. | PSNet

psnet.ahrq.gov/issue/how-insight-contributes-diagnostic-excellence

June 08, 2022 - Commentary How insight contributes to diagnostic excellence. Citation Text: Shimizu T, Graber ML. How insight contributes to diagnostic excellence. Diagnosis (Berl). 2022;9(3):311-315. doi:10.1515/dx-2022-0007. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML …

Governing the surgical count through communication interactions: implications for patient safety. | PSNet

psnet.ahrq.gov/issue/governing-surgical-count-through-communication-interactions-implications-patient-safety

November 06, 2015 - Study Governing the surgical count through communication interactions: implications for patient safety. Citation Text: Riley R, Manias E, Polglase A. Governing the surgical count through communication interactions: implications for patient safety. Qual Saf Health Care. 2006;15(5):369-3…

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