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psnet.ahrq.gov/node/41466/psn-pdf
June 20, 2012 - Factors predicting change in hospital safety climate and
capability in a multi-site patient safety collaborative: a
longitudinal survey study.
June 20, 2012
Benn J, Burnett S, Parand A, et al. Factors predicting change in hospital safety climate and capability in a
multi-site patient safety collaborative: a longit…
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psnet.ahrq.gov/node/44465/psn-pdf
November 20, 2015 - Why even good physicians do not wash their hands.
November 20, 2015
Redelmeier DA, Shafir E. Why even good physicians do not wash their hands. BMJ Qual Saf.
2015;24(12):744-7. doi:10.1136/bmjqs-2015-004319.
https://psnet.ahrq.gov/issue/why-even-good-physicians-do-not-wash-their-hands
Insufficient hand hygiene comp…
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psnet.ahrq.gov/node/47057/psn-pdf
July 14, 2018 - A framework for operationalizing risk: a practical
approach to patient safety.
July 14, 2018
Mathews SC, Sutcliffe K, Garrett MR, et al. A framework for operationalizing risk: A practical approach to
patient safety. J Healthc Risk Manag. 2018;38(1):38-46. doi:10.1002/jhrm.21317.
https://psnet.ahrq.gov/issue/frame…
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psnet.ahrq.gov/node/44125/psn-pdf
May 28, 2015 - AHRQ focuses on ambulatory patient safety.
May 28, 2015
Ricciardi R. AHRQ Focuses on Ambulatory Patient Safety. J Nurs Care Qual. 2015;30(3):193-6.
doi:10.1097/NCQ.0000000000000124.
https://psnet.ahrq.gov/issue/ahrq-focuses-ambulatory-patient-safety
AHRQ has generated funding and educational opportunities toward u…
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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/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/866809/psn-pdf
September 25, 2024 - Stop the line: interventions to prevent retained surgical
items.
September 25, 2024
Angelilli S. Stop the line: interventions to prevent retained surgical items. AORN J. 2024;120(2):71-81.
doi:10.1002/aorn.14190.
https://psnet.ahrq.gov/issue/stop-line-interventions-prevent-retained-surgical-items
Retained surgica…
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psnet.ahrq.gov/node/48149/psn-pdf
July 31, 2019 - Zero Harm: How to Achieve Patient and Workforce Safety
in Healthcare.
July 31, 2019
Clapper C, Merlino J, Stockmeier C, eds. New York, NY: McGraw-Hill Education; 2019. ISBN:
9781260440928.
https://psnet.ahrq.gov/issue/zero-harm-how-achieve-patient-and-workforce-safety-healthcare
Achieving zero preventable harms h…
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psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
February 01, 2010 - In Conversation with…Thomas J. Nasca, MD
February 1, 2010
Also Read an Essay
Citation Text:
In Conversation with…Thomas J. Nasca, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
…
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psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_Medication Error During Procedural Sedation in the Pediatric ED_03.27.2023.pptx
Spotlight
The Dose Makes the Poison: Medication Error During
Procedural Sedation in the Pediatric Emergency
Department
Source and Credits
• This presentation is based on the April 2023 AH…
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psnet.ahrq.gov/perspective/conversation-maureen-bisognano
February 26, 2025 - In Conversation With… Maureen Bisognano
June 1, 2015
Citation Text:
In Conversation With… Maureen Bisognano. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/perspective/equity-patient-safety
September 24, 2024 - Annual Perspective
Equity in Patient Safety
Angela D. Thomas, DrPH, MPH, MBA; Merton Lee, PhD, PharmD; Sarah Mossburg, RN, PhD
| March 27, 2024
View more articles from the same authors.
Citation Text:
Thomas A, Lee M, Mossburg S. Equity in Patient Safety. …
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psnet.ahrq.gov/issue/safety-design
March 11, 2009 - Special or Theme Issue
Safety by Design.
Citation Text:
Safety by Design. Qual Saf Health Care. 2006 Dec;15(Suppl 1):i1-90.
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psnet.ahrq.gov/issue/ahrq-patient-safety-youtube-channel
December 24, 2008 - Audiovisual Presentation
AHRQ Patient Safety YouTube Channel.
Citation Text:
AHRQ Patient Safety YouTube Channel. Rockville, MD: Agency for Healthcare Research and Quality.
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psnet.ahrq.gov/issue/quick-tips-when-getting-prescription
December 24, 2008 - Government Resource
Quick Tips—When Getting A Prescription.
Citation Text:
Quick Tips—When Getting A Prescription. Agency for Healthcare Research and Quality; AHRQ.
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psnet.ahrq.gov/issue/hospitals-combat-errors-hand
August 17, 2016 - Newspaper/Magazine Article
Hospitals combat errors at the 'hand-off.'
Citation Text:
Hospitals combat errors at the 'hand-off.' Landro L.
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psnet.ahrq.gov/issue/transforming-care-bedside-tcab-toolkit
January 17, 2024 - Toolkit
The Transforming Care at the Bedside (TCAB) Toolkit.
Citation Text:
The Transforming Care at the Bedside (TCAB) Toolkit. Princeton, NJ: Robert Wood Johnson Foundation; 2008.
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psnet.ahrq.gov/issue/ahrq-2010-annual-conference
December 24, 2008 - Government Resource
AHRQ 2010 Annual Conference.
Citation Text:
AHRQ 2010 Annual Conference. Agency for Healthcare Research and Quality; AHRQ.
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