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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35345/psn-pdf
    July 20, 2009 - Fixing healthcare from the inside, today. July 20, 2009 Spear SJ. Fixing health care from the inside, today. Harv Bus Rev. 2005;83(9):78-91, 158. https://psnet.ahrq.gov/issue/fixing-healthcare-inside-today This commentary provides a broad overview of the issues facing health care systems in their efforts to promot…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44387/psn-pdf
    August 19, 2015 - Simulation in Surgical Training and Practice. August 19, 2015 Brown KM, Paige JT, eds. Surg Clin North Am. 2015;95:695-918. https://psnet.ahrq.gov/issue/simulation-surgical-training-and-practice Simulation training is being used more broadly as an educational approach in health care. Articles in this special issue…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60719/psn-pdf
    July 22, 2020 - How real-time data can change the patient safety game. July 22, 2020 Diesing G. How real-time data can change the patient safety game. J AHIMA. 2020;July 1. https://psnet.ahrq.gov/issue/how-real-time-data-can-change-patient-safety-game Use of data can improve the response of clinicians to patient concerns and deter…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839328/psn-pdf
    November 02, 2022 - Quality and Safety. November 2, 2022 Iyer R, Walker A, eds. Paediatr Anaesth. 2022;32(11):1176-1272. https://psnet.ahrq.gov/issue/quality-and-safety-1 Progress made in the adoption of infrastructure, Safety I, and Safety II concepts in high- and middle- to lower-income countries around the world support safe pedia…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38213/psn-pdf
    November 12, 2008 - AHRQ announces interest in research on diagnostic errors in ambulatory care settings. November 12, 2008 Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. October 25, 2007. Publication No. NOT-HS-08-002. https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-diagnostic-error…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44468/psn-pdf
    September 23, 2015 - LINNEAUS Collaboration on Patient Safety in Primary Care. September 23, 2015 Eur J Gen Pract. 2015;(suppl 21):1-77. https://psnet.ahrq.gov/issue/linneaus-collaboration-patient-safety-primary-care Collaborative efforts provide learning opportunities for groups that seek to develop widely implementable improvements…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45508/psn-pdf
    September 28, 2016 - Surviving a bad diagnosis. September 28, 2016 Hobson K. US News News and World Report. September 13, 2016. https://psnet.ahrq.gov/issue/surviving-bad-diagnosis Diagnostic error has recently gained recognition as an important patient safety concern. This news article relates the experiences of patients who were mis…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38561/psn-pdf
    April 15, 2009 - Health-Care–Associated Infections in Hospitals: Continuing Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on These Infections. April 15, 2009 Subcommittee on Health Care, Committee on Finance, US Senate, Government Accountability Office, GAO-09-516T (March 18, 2009) https://psnet.…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45006/psn-pdf
    April 06, 2016 - Quality and Patient Safety. April 6, 2016 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/quality-and-patient-safety The Agency for Healthcare Research and Quality has provided access to patient safety research, information, and tools for nearly two decades. This website offers a wide rang…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837076/psn-pdf
    May 11, 2022 - AHRQ Challenge on Innovative Solutions To Update or Re-Create TeamSTEPPS Videos. May 11, 2022 Rockville, MD; Agency for Healthcare Research and Quality: April 2022. https://psnet.ahrq.gov/issue/ahrq-challenge-innovative-solutions-update-or-re-create-teamstepps-videos TeamSTEPPS promotes effective teamwork, collabo…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37793/psn-pdf
    February 15, 2011 - Educating seniors to be patient safety self-advocates in primary care. February 15, 2011 Elder NC, Regan SL, Pallerla H, et al. Educating Seniors to Be Patient Safety Self-Advocates in Primary Care. J Patient Saf. 2008;4(2). doi:10.1097/pts.0b013e318175d806. https://psnet.ahrq.gov/issue/educating-seniors-be-patien…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47533/psn-pdf
    June 19, 2019 - Patient Safety: A Health Affairs Briefing. June 19, 2019 Project Hope. https://psnet.ahrq.gov/issue/patient-safety-health-affairs-briefing To Err Is Human was released almost 2 decades ago and continues to influence a growing area of study aimed at improving health care and reducing medical error. This in-person a…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40152/psn-pdf
    January 19, 2011 - Reducing clinical errors in cancer education: interpreter training. January 19, 2011 Gany FM, Gonzalez CJ, Basu G, et al. Reducing clinical errors in cancer education: interpreter training. J Cancer Educ. 2010;25(4):560-4. doi:10.1007/s13187-010-0107-9. https://psnet.ahrq.gov/issue/reducing-clinical-errors-cancer-…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42442/psn-pdf
    July 24, 2013 - Using Plan Do Study Act to transform a simulation center. July 24, 2013 Murphy JI. Using Plan Do Study Act to Transform a Simulation Center. Clin Simul Nurs. 2012;9(7). doi:10.1016/j.ecns.2012.03.002. https://psnet.ahrq.gov/issue/using-plan-do-study-act-transform-simulation-center This commentary describes the res…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866964/psn-pdf
    October 16, 2024 - Pediatric perioperative medication errors. October 16, 2024 Lu-Boettcher YE, Koka R. Pediatric perioperative medication errors. APSF Newsletter. 39(3):84-86. https://psnet.ahrq.gov/issue/pediatric-perioperative-medication-errors Medication safety is a primary concern during surgery, particularly when treating child…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854639/psn-pdf
    October 18, 2023 - Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive. October 18, 2023 Edmondson A. Atria Books, New York, 2023. ISBN: 9781982195069. https://psnet.ahrq.gov/issue/right-kind-wrong-why-learning-fail-can-teach-us-thrive Despite the harm that failure can cause, its value as a learning opportunity, if exam…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60672/psn-pdf
    July 08, 2020 - The Care We Need July 8, 2020 Washington DC: National Quality Forum; 2020. https://psnet.ahrq.gov/issue/care-we-need This report builds on the legacy of To Err is Human and Crossing the Quality Chasm to outline an approach to improve the US health care system. Five strategic objectives are provided--one of which f…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41401/psn-pdf
    January 09, 2018 - Understanding Patient Safety, Third Edition. January 9, 2018 Wachter RM, Gupta K. New York, NY: McGraw-Hill Professional; 2017. ISBN: 9781259860249. https://psnet.ahrq.gov/issue/understanding-patient-safety-third-edition The third edition of this widely read textbook, written by national leaders in patient safety, …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47557/psn-pdf
    November 14, 2018 - A Patient-Safe Future. November 14, 2018 Patient Safety Learning: London, UK; September 2018. https://psnet.ahrq.gov/issue/patient-safe-future This paper provides an analysis of the current status of patient safety in the United Kingdom. The report outlines existing challenges and strategies to drive system improv…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844792/psn-pdf
    January 01, 2020 - Surgical data recording technology: a solution to address medical errors? September 18, 2019 Shah NA, Jue J, Mackey T. Surgical Data Recording Technology. Ann Surg. 2020;271(3):431-433. doi:10.1097/sla.0000000000003510. https://psnet.ahrq.gov/issue/surgical-data-recording-technology-solution-address-medical-errors…

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