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Showing results for "incidents".

  1. psnet.ahrq.gov/issue/clinician-support-five-years-lessons-learned
    March 20, 2017 - Newspaper/Magazine Article Clinician support: five years of lessons learned. Citation Text: Clinician support: five years of lessons learned. Hirschinger LE, Scott SD, Hahn-Cover K. Patient Saf Qual Heathc. April 2015;12:26-31. Copy Citation Save Save to your li…
  2. psnet.ahrq.gov/issue/people-processes-health-it-and-accurate-patient-identification
    April 11, 2018 - Newspaper/Magazine Article People, processes, health IT and accurate patient identification. Citation Text: People, processes, health IT and accurate patient identification. Quick Safety. October 1, 2018;(45):1-2. Copy Citation Save Save to your library Prin…
  3. psnet.ahrq.gov/issue/thematic-analysis-hsibs-first-22-investigations
    October 28, 2020 - Book/Report A Thematic Analysis of HSIB's First 22 Investigations.  Citation Text: A Thematic Analysis of HSIB's First 22 Investigations.  Farnborough, UK: Healthcare Safety Investigation Branch; September 9, 2021. Copy Citation Save Save to your library …
  4. psnet.ahrq.gov/issue/investigation-role-clinical-pharmacy-services-helping-identify-and-reduce-high-risk
    September 29, 2021 - Book/Report Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital. Citation Text: Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hos…
  5. psnet.ahrq.gov/issue/medicine-safety-take-care
    February 21, 2018 - Book/Report Medicine Safety: Take Care. Citation Text: Medicine Safety: Take Care. Lim R, Semple S, Ellett LK, Roughead L. Canberra, Australia: Pharmaceutical Society of Australia; 2019. Copy Citation Save Save to your library Print Download PDF …
  6. psnet.ahrq.gov/issue/healthcare-wants-fly-high-aviation-industry-can-it
    April 12, 2023 - Newspaper/Magazine Article Healthcare wants to fly as high as the aviation industry. Can it? Citation Text: Healthcare wants to fly as high as the aviation industry. Can it? Twenter P. Becker's Clinical Leadership. October 30, 2023. Copy Citation Save Save to…
  7. psnet.ahrq.gov/issue/final-report-ockenden-review
    January 13, 2021 - Book/Report Final Report of the Ockenden Review. Citation Text: Final Report of the Ockenden Review. London UK: Crown Copyright; March 30, 2022. ISBN: 9781528632294. Copy Citation Save Save to your library Print Download PDF Share Facebook …
  8. psnet.ahrq.gov/issue/health-services-research-priorities-improving-diagnostic-safety-and-quality-special-emphasis
    November 10, 2021 - Press Release/Announcement Health Services Research Priorities for Improving Diagnostic Safety and Quality. Special Emphasis Notice (SEN). Citation Text: Health Services Research Priorities for Improving Diagnostic Safety and Quality. Special Emphasis Notice (SEN). Rockville, MD: Agency …
  9. psnet.ahrq.gov/issue/without-question
    July 15, 2020 - Commentary Without question. Citation Text: Liebowitz J. Without Question. N Engl J Med. 2022;386(26):2456-2457. doi:10.1056/nejmp2204361. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …
  10. psnet.ahrq.gov/issue/macarthur-fellows-program-peter-pronovost
    June 11, 2013 - Press Release/Announcement The MacArthur Fellows Program: Peter Pronovost. Citation Text: The MacArthur Fellows Program: Peter Pronovost. The John D. and Catherine T. MacArthur Foundation. Copy Citation Save Save to your library Print Download PDF …
  11. effectivehealthcare.ahrq.gov/sites/default/files/web-based_osheroff_respondent.pdf
    January 01, 2009 - Osheroff_Respondent_DuBenske 4   Source:    Eisenberg  Center  Conference  Series  2009,  Translating  Information  Into  Action:  Improving  Quality  of   Care  Through  Interactive  Media,  Effective  Health  Care  Program  Web  site   (http://www.effectivehealthc…
  12. psnet.ahrq.gov/issue/profiles-patient-safety-authority-gradients-medical-error
    August 28, 2019 - Review Profiles in patient safety: authority gradients in medical error. Citation Text: Cosby K, Croskerry P. Profiles in patient safety: authority gradients in medical error. Acad Emerg Med. 2004;11(12):1341-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …
  13. psnet.ahrq.gov/issue/telling-true-stories-ismp-hallmark-heres-why-you-should-tell-stories-too
    June 10, 2018 - Newspaper/Magazine Article Telling true stories is an ISMP hallmark: here's why you should tell stories, too. Citation Text: Telling true stories is an ISMP hallmark: here's why you should tell stories, too. ISMP Medication Safety Alert! Acute Care Edition. September 8, 2011;16:1-3. Co…
  14. psnet.ahrq.gov/issue/jurans-quality-handbook-5th-ed
    October 18, 2017 - Book/Report Classic Juran's Quality Handbook. 5th ed. Citation Text: Juran's Quality Handbook. 5th ed. Juran JM; Blanton GA. New York: McGraw Hill; 1999. ISBN: 9780071165396. Copy Citation Save Save to your library Pri…
  15. psnet.ahrq.gov/issue/call-action-safeguarding-integrity-healthcare-quality-and-safety-systems
    November 09, 2022 - Book/Report Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems. Citation Text: Call to Action: Safeguarding the Integrity of Healthcare Quality and Safety Systems. Glenview, IL: National Association of Healthcare Quality; October 2012. Copy Citati…
  16. psnet.ahrq.gov/issue/fault-trees-uncover-complex-causes
    March 01, 2007 - Newspaper/Magazine Article Fault trees uncover complex causes. Citation Text: Spath P. Fault trees uncover complex causes. Hospital peer review. 2007;32(4):49-52. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  17. psnet.ahrq.gov/issue/medicares-oversight-ambulatory-surgery-centers-report
    February 11, 2015 - Book/Report Medicare's Oversight of Ambulatory Surgery Centers Report. Citation Text: Medicare's Oversight of Ambulatory Surgery Centers Report. Washington, DC: Office of the Inspector General; September 2019. Report No. OEI-01-15-00400. Copy Citation Save Save …
  18. psnet.ahrq.gov/issue/role-electronic-health-record-patient-safety-events
    September 25, 2013 - Newspaper/Magazine Article The role of the electronic health record in patient safety events. Citation Text: The role of the electronic health record in patient safety events. Sparnon E, Marella WM. Pa Patient Saf Advis 2012 Dec;9(4):113-21. Copy Citation Save …
  19. psnet.ahrq.gov/issue/patient-safety-private-hospitals-known-and-unknown-risk
    June 18, 2013 - Book/Report Patient Safety in Private Hospitals: the Known and the Unknown Risk. Citation Text: Patient Safety in Private Hospitals: the Known and the Unknown Risk. Leys C, Toft B. London, UK: Centre for Health and the Public Interest; August 2014. Copy Citation Save …
  20. psnet.ahrq.gov/issue/pediatric-medication-errors-and-reduction-strategies-perioperative-period
    October 19, 2022 - Review Pediatric medication errors and reduction strategies in the perioperative period. Citation Text: Pediatric medication errors and reduction strategies in the perioperative period. Bekes JL, Sackash CR, Voss AL, et al. AANA J. 2021;89(4):319-324. Copy Citation Sa…