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psnet.ahrq.gov/node/34576/psn-pdf
May 27, 2015 - An Agenda for Research in Ambulatory Patient Safety.
May 27, 2015
Hammons T; Piland NF; Small SD; Hatlie MJ; Burstin HR; Medical Group Management Association; MGMA
https://psnet.ahrq.gov/issue/agenda-research-ambulatory-patient-safety
This summarizes a multidisciplinary conference (November 30 and December 1, 2000)…
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psnet.ahrq.gov/node/46998/psn-pdf
August 01, 2019 - 10 Facts on Patient Safety.
June 27, 2018
Patient Safety and Risk Management Service Delivery and Safety. Geneva, Switzerland; World Health
Organization: August 2019.
https://psnet.ahrq.gov/issue/10-facts-patient-safety
This publication highlights statistics that illustrate the global impact of patient harm. The i…
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psnet.ahrq.gov/node/50455/psn-pdf
October 09, 2019 - Advancing a More Health-Literate Approach to Patient
Safety
October 9, 2019
Sanders LM. Advancing a More Health-Literate Approach to Patient Safety. J Pediatr. 2019;214:10-11.
doi:10.1016/j.jpeds.2019.07.003.
https://psnet.ahrq.gov/issue/advancing-more-health-literate-approach-patient-safety
Health literacy is th…
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psnet.ahrq.gov/node/35576/psn-pdf
December 23, 2012 - Anatomy of a patient safety event: a pediatric patient
safety taxonomy.
December 23, 2012
Woods DM, Johnson JK, Holl JL, et al. Anatomy of a patient safety event: a pediatric patient safety
taxonomy. Qual Saf Health Care. 2005;14(6):422-7.
https://psnet.ahrq.gov/issue/anatomy-patient-safety-event-pediatric-patient…
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psnet.ahrq.gov/node/41431/psn-pdf
June 06, 2012 - First, Do Less Harm: Confronting the Inconvenient
Problems of Patient Safety.
June 6, 2012
Koppel R, Gordon S, ed. Ithaca, NY: Cornell University Press; 2012. ISBN: 9780801450778.
https://psnet.ahrq.gov/issue/first-do-less-harm-confronting-inconvenient-problems-patient-safety
This publication examines patient safe…
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psnet.ahrq.gov/node/43564/psn-pdf
January 15, 2019 - Are hospitals in a med safety standard slump?
January 15, 2019
Wild D. Pharmacy Practice News. September 8, 2014.
https://psnet.ahrq.gov/issue/are-hospitals-med-safety-standard-slump
Highlighting how hospital compliance rates with Joint Commission medication–related standards have
remained mostly unchanged from 20…
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psnet.ahrq.gov/node/39326/psn-pdf
July 31, 2012 - Initiative to Reduce Unnecessary Radiation Exposure
from Medical Imaging.
July 31, 2012
Center for Devices and Radiological Health; CDRH; US Food and Drug Administration; FDA.
https://psnet.ahrq.gov/issue/initiative-reduce-unnecessary-radiation-exposure-medical-imaging
This Web site provides information on an init…
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psnet.ahrq.gov/node/41397/psn-pdf
June 06, 2012 - Semi-supervised classification of patient safety event
reports.
June 6, 2012
McKnight SD. Semi-supervised classification of patient safety event reports. J Patient Saf. 2012;8(2):60-4.
doi:10.1097/PTS.0b013e31824ab987.
https://psnet.ahrq.gov/issue/semi-supervised-classification-patient-safety-event-reports
This s…
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psnet.ahrq.gov/node/43675/psn-pdf
April 18, 2016 - Patient Safety 2015: Final Technical Report.
April 18, 2016
Washington, DC: National Quality Forum; 2016.
https://psnet.ahrq.gov/issue/patient-safety-2015-final-technical-report
The value of current measures to track patient safety has been called into question. This technical report
provides information about a c…
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psnet.ahrq.gov/node/43454/psn-pdf
November 20, 2015 - Training in quality and safety: the current landscape.
November 20, 2015
Karasick AS, Nash DB. Training in quality and safety: the current landscape. Am J Med Qual.
2015;30(6):526-38. doi:10.1177/1062860614544194.
https://psnet.ahrq.gov/issue/training-quality-and-safety-current-landscape
This commentary offers inf…
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psnet.ahrq.gov/node/47292/psn-pdf
May 01, 2022 - Nebraska Coalition for Patient Safety Annual Report.
May 1, 2022
Omaha, NE: Nebraska Coalition for Patient Safety; 2022.
https://psnet.ahrq.gov/issue/nebraska-coalition-patient-safety-2018-annual-report
Patient Safety Organizations (PSOs) provide local evidence to inform learning among their members. This
annual r…
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psnet.ahrq.gov/node/34876/psn-pdf
April 04, 2005 - Congress once again debates legislation on patient
safety: doctors and others would be able to report
mistakes without the information being used against them
in court.
April 4, 2005
Finkelstein JB
https://psnet.ahrq.gov/issue/congress-once-again-debates-legislation-patient-safety-doctors-and-others-
would-be-ab…
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psnet.ahrq.gov/node/44820/psn-pdf
March 08, 2017 - Patient Safety Project 2015–2017.
March 8, 2017
National Quality Forum; NQF.
https://psnet.ahrq.gov/issue/patient-safety-project-2015-2017
The National Quality Forum (NQF) has been a leader in defining patient safety reporting measures. This
website provides information about the third cycle of an NQF patient safe…
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psnet.ahrq.gov/node/42757/psn-pdf
November 20, 2013 - Clinical ICT Systems in the Victorian Public Health Sector.
November 20, 2013
Doyle J. Melbourne, Australia: Victorian Auditor-General's Office; October 30, 2013.
https://psnet.ahrq.gov/issue/clinical-ict-systems-victorian-public-health-sector
Following the implementation of a large clinical information communicati…
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psnet.ahrq.gov/node/38015/psn-pdf
August 27, 2008 - Impact of electronic prescribing in a hospital setting: a
process-focused evaluation.
August 27, 2008
Cunningham TR, Geller S, Clarke SW. Impact of electronic prescribing in a hospital setting: a process-
focused evaluation. Int J Med Inform. 2008;77(8):546-54.
https://psnet.ahrq.gov/issue/impact-electronic-presc…
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psnet.ahrq.gov/node/35294/psn-pdf
May 04, 2015 - What Every Health Care Organization Should Know about
Sentinel Events.
May 4, 2015
Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2005. ISBN
9780866889117.
https://psnet.ahrq.gov/issue/what-every-health-care-organization-should-know-about-sentinel-events
This book provides in…
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psnet.ahrq.gov/node/37105/psn-pdf
August 15, 2007 - Health Care Opinion Leaders' Views on the Quality and
Safety of Health Care in the United States.
August 15, 2007
Shea KK, Shih A, Davis K. New York, NY: The Commonwealth Fund; July 2007.
https://psnet.ahrq.gov/issue/health-care-opinion-leaders-views-quality-and-safety-health-care-united-states
This report discuss…
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psnet.ahrq.gov/web-mm/not-miscarriage
June 01, 2005 - Not a Miscarriage
Citation Text:
Learman LA. Not a Miscarriage. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/node/60167/psn-pdf
April 12, 2024 - Discharge Planning and Transitions of Care
March 25, 2020
Bajorek SA, McElroy V. Discharge Planning and Transitions of Care. PSNet [internet]. 2020.
https://psnet.ahrq.gov/primer/discharge-planning-and-transitions-care
Background
Transitions of care refer to the movement of patients between different healthcare se…
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psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
September 27, 2017 - Misidentifying the Unidentified – John Doe and the EHR
Citation Text:
Janowak CF, Janowak LM. Misidentifying the Unidentified – John Doe and the EHR. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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