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psnet.ahrq.gov/node/33614/psn-pdf
June 01, 2005 - Interpreting the Patient Safety Literature
June 1, 2005
Shojania KG. Interpreting the Patient Safety Literature. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
Perspective
Five years ago, a widely publicized randomized trial reported a 90% reduction in the inciden…
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psnet.ahrq.gov/node/33662/psn-pdf
January 01, 2008 - In Conversation with…Jennifer Daley, MD
January 1, 2008
In Conversation with…Jennifer Daley, MD. PSNet [internet]. 2008.
https://psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md
Editor's note: Jennifer Daley, MD, is the Chief Medical Officer of Partners Community Healthcare Inc., the
organization for …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/faqs-final508.pdf
June 02, 2025 - Frequently Asked Questions: The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
The Guide to Improving Patient Safety in Primary Care Settings by
Engaging Patients and Families
Frequently Asked
Questions
Frequently Asked Questions | 1
Implementation
1. How do I g…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
June 16, 2017 - Preventing Pressure Injuries in Hospitals
Preventing Pressure Injuries in Hospitals
ADD Name of Hospital Here
Module 1 – Understanding Why Change Is Needed
1
Ice Breaker
Describe an interesting fact about yourself.
2
Compelling Reasons To Implement Program
Pressure injury rates continue to escalate.
The inci…
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psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
January 31, 2020 - Annual Perspective
Updates in the Role of Health IT in Patient Safety
February 21, 2020
View more articles from the same authors.
Citation Text:
Hall KK, Fitall E, Hettinger AZ. Updates in the Role of Health IT in Patient Safety. PSNet [internet]. Rockville …
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psnet.ahrq.gov/node/33717/psn-pdf
September 01, 2011 - Incident Reporting: More Attention to the Safety Action
Feedback Loop, Please
September 1, 2011
Nuckols TK. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please. PSNet
[internet]. 2011.
https://psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
…
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psnet.ahrq.gov/issue/case-investing-patient-safety-canada
October 05, 2021 - Book/Report
The Case for Investing in Patient Safety in Canada.
Citation Text:
The Case for Investing in Patient Safety in Canada. RiskAnalytica. Ottawa, ON: Canadian Patient Safety Institute; 2017.
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psnet.ahrq.gov/issue/guidelines-informing-media-after-adverse-event
May 08, 2019 - Organizational Policy/Guidelines
Communicating After Harm in Healthcare.
Citation Text:
Communicating After Harm in Healthcare. Communication Advisory Committee. Edmonton, AB, Canada: Canadian Patient Safety Institute; 2010. ISBN: 9781926541266
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psnet.ahrq.gov/issue/reducing-preventable-harm-hospitals
March 16, 2016 - Newspaper/Magazine Article
Reducing preventable harm in hospitals.
Citation Text:
Reducing preventable harm in hospitals. Bornstein D. New York Times. January 26, and February 2, 2016.
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Sh…
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www.ahrq.gov/research/findings/final-reports/ptmgmt/introduction.html
July 01, 2018 - Patient Self-Management Support Programs: An Evaluation
Introduction and Purpose
Previous Page Next Page
Table of Contents
Patient Self-Management Support Programs: An Evaluation
Acknowledgments
Introduction and Purpose
Summary
Background
Methodology
Design Options for a Self-Management …
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/intro.html
October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities
Introduction
Previous Page Next Page
Table of Contents
Improving Patient Safety in Long-Term Care Facilities
Introduction
Module 1. Detecting Change in a Resident's Condition
Module 2. Communicating Change in a Resident's Condition
Module…
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www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/key-drivers.html
July 01, 2021 - Pediatric Asthma Emergency Department Use Toolkit
Key Driver Diagram
Previous Page Next Page
Table of Contents
Pediatric Asthma Emergency Department Use Toolkit
Introduction
Overview
About the Measure
Key Driver Diagram
Quality Improvement Strategies
Successful quality impr…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-5.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 1.5. Chronology of Quality Improvement and Lean at LHC
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcar…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-3.html
September 01, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error
Specific Barriers and Challenges to Reporting and Learning From Diagnostic Errors
Previous Page Next Page
Table of Contents
Strategies for Improving Clinician Psychological Safety in Reporting and D…
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psnet.ahrq.gov/issue/guardians-grafts-reducing-medication-errors-transplant-recipients
July 17, 2024 - Newspaper/Magazine Article
Guardians of grafts: reducing medication errors in transplant recipients.
Citation Text:
Guardians of grafts: reducing medication errors in transplant recipients. ISMP Medication Safety Alert! Acute care. April 4, 2024;29(7):1-4.
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psnet.ahrq.gov/issue/impact-professionalism-safe-surgical-care
January 23, 2017 - Commentary
The impact of professionalism on safe surgical care.
Citation Text:
Whittemore A, Surgery NES for V. The impact of professionalism on safe surgical care. J Vasc Surg. 2007;45(2):415-9.
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psnet.ahrq.gov/issue/despite-technology-verbal-orders-persist-read-back-not-widespread-and-errors-continue
June 28, 2017 - Newspaper/Magazine Article
Despite technology, verbal orders persist, read back is not widespread, and errors continue.
Citation Text:
Despite technology, verbal orders persist, read back is not widespread, and errors continue. ISMP Medication Safety Alert! Acute Care Edition. May 18, 20…
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psnet.ahrq.gov/issue/speaking-being-heard-registered-nurses-perceptions-workplace-communication
June 12, 2019 - Study
Speaking up, being heard: registered nurses' perceptions of workplace communication.
Citation Text:
Garon M. Speaking up, being heard: registered nurses' perceptions of workplace communication. J Nurs Manag. 2012;20(3):361-71. doi:10.1111/j.1365-2834.2011.01296.x.
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psnet.ahrq.gov/issue/patient-safety-public-hospitals
November 20, 2013 - Book/Report
Patient Safety in Public Hospitals.
Citation Text:
Patient Safety in Public Hospitals. Victorian Auditor-General's Office. Melbourne, Australia: Victorian Government Printer; 2008. ISBN: 1921060689.
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psnet.ahrq.gov/issue/interview-audrey-nelson-interviewed-steven-berman
January 19, 2022 - Commentary
An interview with Audrey Nelson. Interviewed by Steven Berman.
Citation Text:
Nelson AL. An interview with Audrey Nelson. Interviewed by Steven Berman. Jt Comm J Qual Patient Saf. 2005;31(12):665-670.
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