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psnet.ahrq.gov/node/840167/psn-pdf
November 16, 2022 - 'Reading the Signals' : Maternity and Neonatal Services in
East Kent – the Report of the Independent Investigation.
November 16, 2022
Kirkup B. Department of Health and Social Care. London, England: Crown Copyright; 2022. ISBN:
9781528636759.
https://psnet.ahrq.gov/issue/reading-signals-maternity-and-neonata…
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psnet.ahrq.gov/node/47503/psn-pdf
October 24, 2018 - I-PASS checklist: a powerful tool for patient handoffs.
October 24, 2018
Peeples L. Pharmacy Practice News. October 10, 2018.
https://psnet.ahrq.gov/issue/i-pass-checklist-powerful-tool-patient-handoffs
Structured handoffs can reduce communication problems that contribute to medical error. This magazine
article re…
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psnet.ahrq.gov/node/72750/psn-pdf
February 17, 2021 - Implementing patient and family involvement
interventions for promoting patient safety: a systematic
review and meta-analysis.
February 17, 2021
Giap T-T-T, Park M. Implementing patient and family involvement interventions for promoting patient
safety. J Patient Saf. 2021;17(2):131-140. doi:10.1097/pts.00000000000…
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psnet.ahrq.gov/node/47724/psn-pdf
March 20, 2019 - Understanding patient safety and quality outcome data.
March 20, 2019
Easter K, Tamburri LM. Understanding Patient Safety and Quality Outcome Data. Crit Care Nurse.
2018;38(6):58-66. doi:10.4037/ccn2018979.
https://psnet.ahrq.gov/issue/understanding-patient-safety-and-quality-outcome-data
Public reporting of safet…
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psnet.ahrq.gov/node/46387/psn-pdf
September 06, 2017 - A multicomponent fall prevention strategy reduces falls at
an academic medical center.
September 6, 2017
France D, Slayton J, Moore S, et al. A Multicomponent Fall Prevention Strategy Reduces Falls at an
Academic Medical Center. The Joint Commission Journal on Quality and Patient Safety. 2017;43(9).
doi:10.1016/j.…
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psnet.ahrq.gov/node/859353/psn-pdf
December 20, 2023 - Global State of Patient Safety 2023.
December 20, 2023
Illingworth J, Shaw A, Fernandez et al. London UK: Imperial College London; 2023.
https://psnet.ahrq.gov/issue/global-state-patient-safety-2023
Patient safety data can support learning health systems and worldwide improvement. This report discusses
a set of in…
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psnet.ahrq.gov/node/867085/psn-pdf
November 06, 2024 - The medication kit conundrum: considerations to
enhance safety and efficiency.
November 6, 2024
Arthur KJ, Fuller J, Dossett HA, et al. The medication kit conundrum: considerations to enhance safety and
efficiency. Am J Health Syst Pharm. 2024;Epub Sep 4. doi:10.1093/ajhp/zxae233.
https://psnet.ahrq.gov/issue/medi…
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psnet.ahrq.gov/node/39879/psn-pdf
September 29, 2010 - The effect of resident duty hour restriction on trauma
center outcomes in teaching hospitals in the state of
Pennsylvania.
September 29, 2010
Helling TS, Kaswan S, Boccardo J, et al. The effect of resident duty hour restriction on trauma center
outcomes in teaching hospitals in the state of Pennsylvania. J Trauma.…
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psnet.ahrq.gov/issue/advancing-health-care-safety-all
July 19, 2024 - Fact Sheet/FAQs
Advancing Health Care Safety for All.
Citation Text:
Advancing Health Care Safety for All. Centers for Medicare and Medicaid Services. 2024.
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psnet.ahrq.gov/issue/national-patient-safety-agency-npsa
October 26, 2007 - Multi-use Website
National Patient Safety Agency (NPSA).
Citation Text:
National Patient Safety Agency (NPSA). National Patient Safety Agency.
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psnet.ahrq.gov/issue/flying-blind
January 18, 2023 - Newspaper/Magazine Article
Flying blind.
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April 29, 2009
View more articles from the same authors.
This article explores how inf…
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psnet.ahrq.gov/issue/questions-are-answer
December 24, 2008 - Multi-use Website
Questions Are the Answer.
Citation Text:
Questions Are the Answer. Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/health-literacy-0
December 24, 2008 - Multi-use Website
Health Literacy.
Citation Text:
Health Literacy. Agency for Healthcare Research and Quality
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psnet.ahrq.gov/issue/national-center-human-factors-engineering-healthcare
January 15, 2020 - Multi-use Website
The National Center for Human Factors Engineering in Healthcare.
Citation Text:
The National Center for Human Factors Engineering in Healthcare. MedStar Health.
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psnet.ahrq.gov/issue/acog-committee-opinion-464-patient-safety-surgical-environment
July 18, 2019 - Commentary
ACOG Committee Opinion #464: patient safety in the surgical environment.
Citation Text:
Committee Opinion No. 464: Patient Safety in the Surgical Environment. Obstetrics & Gynecology. 2010;116(3). doi:10.1097/aog.0b013e3181f69b22.
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psnet.ahrq.gov/issue/learning-health-systems
December 24, 2008 - Multi-use Website
Learning Health Systems
Citation Text:
Learning Health Systems Agency for Health Research and Quality.
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psnet.ahrq.gov/issue/drug-shortages-roundtable-minimizing-impact-patient-care
April 26, 2023 - Commentary
Drug shortages roundtable: minimizing the impact on patient care.
Citation Text:
Drug shortages roundtable: Minimizing the impact on patient care. Am J Health Syst Pharm. 2018;75(11):816-820. doi:10.2146/ajhp180048.
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psnet.ahrq.gov/issue/technology-has-transformed-va
October 07, 2008 - Newspaper/Magazine Article
Technology has transformed the VA.
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May 24, 2006
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psnet.ahrq.gov/issue/2004-ashp-leadership-conference-pharmacy-practice-management-executive-summary-improving
June 16, 2019 - Meeting/Conference Proceedings
2004 ASHP Leadership Conference on Pharmacy Practice Management Executive Summary: Improving patient care and medication safety.
Citation Text:
2004 ASHP Leadership Conference on Pharmacy Practice Management Executive Summary: improving patient care and m…
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psnet.ahrq.gov/issue/how-create-my-medicines-list
December 24, 2008 - Tools/Toolkit
How To Create a My Medicines List.
Citation Text:
How To Create a My Medicines List. Rockville, MD: Agency for Healthcare Research and Quality; October 2022.
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