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  1. Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical Practice. | PSNet

    psnet.ahrq.gov/issue/special-section-human-factors-and-ergonomics-operating-room-contributions-advance-surgical
    September 01, 2018 - Special or Theme Issue Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical Practice. Citation Text: Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical Practice. Hallbeck MS, Paq…

  2. Opening the Door to Change. NHS Safety Culture and the Need for Transformation. | PSNet

    psnet.ahrq.gov/issue/opening-door-change-nhs-safety-culture-and-need-transformation
    February 08, 2017 - Book/Report Opening the Door to Change. NHS Safety Culture and the Need for Transformation. Citation Text: Opening the Door to Change. NHS Safety Culture and the Need for Transformation. Newcastle upon Tyne, UK: Care Quality Commission; December 2018. Copy Citation Save…

  3. Resilience Engineering in Practice: a Guidebook. | PSNet

    psnet.ahrq.gov/issue/resilience-engineering-practice-guidebook
    February 06, 2019 - Book/Report Classic Resilience Engineering in Practice: a Guidebook. Citation Text: Resilience Engineering in Practice: a Guidebook. Hollnagel E, Pariès J, Woods DD et al eds. Farnham UK; Ashgate, 2011. ISBN: 9781472420749 Copy Citation …

  4. The Field Guide to Human Error Investigations, Third Edition. | PSNet

    psnet.ahrq.gov/issue/field-guide-human-error-investigations-third-edition
    April 13, 2018 - Book/Report Classic The Field Guide to Human Error Investigations, Third Edition. Citation Text: The Field Guide to Human Error Investigations, Third Edition. Dekker S. Boca Baton, FL: CRC Press; 2017. Copy Citation Save Save to your libr…

  5. Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center for Transforming Healthcare Project. | PSNet

    psnet.ahrq.gov/issue/hand-hygiene-project-best-practices-hospitals-participating-joint-commission-center
    May 06, 2015 - Book/Report Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center for Transforming Healthcare Project. Citation Text: Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center for Transforming Healthcare…

  6. Patient safety leader reflects on ‘To Err is Human’ report | PSNet

    psnet.ahrq.gov/issue/patient-safety-leader-reflects-err-human-report
    April 15, 2021 - Audiovisual Patient safety leader reflects on ‘To Err is Human’ report Citation Text: Patient safety leader reflects on ‘To Err is Human’ report Chassin M, Foster N. Chicago, IL: American Hospital Association; November 13, 2019. Copy Citation Save Save to your lib…

  7. Building a Culture of Safety in Health Care. | PSNet

    psnet.ahrq.gov/issue/building-culture-safety-health-care
    April 15, 2021 - Book/Report Building a Culture of Safety in Health Care. Citation Text: Building a Culture of Safety in Health Care. Chicago, IL: American Hospital Association: May 2023. Copy Citation Save Save to your library Print Download PDF Share Face…

  8. Transforming Health Care: A Compendium of Reports From the National Patient Safety Foundation's Lucian Leape Institute. | PSNet

    psnet.ahrq.gov/issue/transforming-health-care-compendium-reports-national-patient-safety-foundations-lucian-leape
    November 23, 2016 - Book/Report Transforming Health Care: A Compendium of Reports From the National Patient Safety Foundation's Lucian Leape Institute. Citation Text: Transforming Health Care: A Compendium of Reports From the National Patient Safety Foundation's Lucian Leape Institute. Boston, MA: National …

  9. Mirror, Mirror: Comparing Health Systems Across Countries. | PSNet

    psnet.ahrq.gov/issue/mirror-mirror-comparing-health-systems-across-countries
    October 07, 2008 - Book/Report Mirror, Mirror: Comparing Health Systems Across Countries. Citation Text: Mirror, Mirror: Comparing Health Systems Across Countries. New York, NY: The Commonwealth Fund; 2004-2024. Copy Citation Save Save to your library Print Download PDF …

  10. Moving Measurement into Action: Global Principles for Measuring Patient Safety. | PSNet

    psnet.ahrq.gov/issue/moving-measurement-action-global-principles-measuring-patient-safety
    January 09, 2019 - Book/Report Moving Measurement into Action: Global Principles for Measuring Patient Safety. Citation Text: Moving Measurement into Action: Global Principles for Measuring Patient Safety. IHI Lucian Leape Institute. Boston, MA: Institute for Healthcare Improvement, Salzburg Global Seminar…

  11. Order from Chaos: Accelerating Care Integration. | PSNet

    psnet.ahrq.gov/issue/order-chaos-accelerating-care-integration
    November 02, 2014 - Book/Report Order from Chaos: Accelerating Care Integration. Citation Text: Order from Chaos: Accelerating Care Integration. Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; October 2012. Copy Citation Save Save to your library …

  12. Safety in Numbers: Hospital Performance on Leapfrog’s Surgical Volume Standard Based on Results of the 2019 Leapfrog Hospital Survey. | PSNet

    psnet.ahrq.gov/issue/safety-numbers-hospital-performance-leapfrogs-surgical-volume-standard-based-results-2019
    June 21, 2023 - Book/Report Safety in Numbers: Hospital Performance on Leapfrog’s Surgical Volume Standard Based on Results of the 2019 Leapfrog Hospital Survey. Citation Text: Safety in Numbers: Hospital Performance on Leapfrog’s Surgical Volume Standard Based on Results of the 2019 Leapfrog Hospital S…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74022/psn-pdf
    March 01, 2021 - The Role of Community Pharmacists in Patient Safety October 25, 2021 Luchen GG, Hall KK, Hough KR. The Role of Community Pharmacists in Patient Safety . PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety What is a community pharmacy? Community pharmacies are somet…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33851/psn-pdf
    January 01, 2017 - The Weekend Effect January 1, 2017 Ranji SR. The Weekend Effect. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/weekend-effect Annual Perspective 2017 Introduction Anyone who has spent time in a hospital as a patient or staff member may recognize that the availability of services and personnel can va…

  15. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.131_slideshow.ppt
    August 01, 2006 - Spotlight Case [MONTH] 2003 Spotlight Case August 2006 Physical Diagnosis: A Lost Art? Source and Credits This presentation is based on the August 2006 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: George Thompson III,…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49667/psn-pdf
    October 01, 2012 - Looking for Meds in All the Wrong Places October 1, 2012 Manias E. Looking for Meds in All the Wrong Places. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places The Case A 40-year-old uninsured woman with anxiety ran out of her prescribed clonazepam and had a seizure. She went to t…

  17. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.326_slideshow.ppt
    June 01, 2014 - PowerPoint Presentation Spotlight Wandering Off the Floors: Safety and Security Risks of Patient Wandering 1 This presentation is based on the June 2014 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Thomas A. Smith, CHPA, CPP, President, Healthc…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33781/psn-pdf
    March 01, 2015 - In Conversation With… Brian Jarman, PhD March 1, 2015 In Conversation With… Brian Jarman, PhD. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/conversation-brian-jarman-phd Editor's note: Sir Brian Jarman is an emeritus professor at Imperial College School of Medicine and a past president of the Britis…

  19. Human Factors Engineering | PSNet

    psnet.ahrq.gov/primer/human-factors-engineering
    December 15, 2024 - Human Factors Engineering Citation Text: Human Factors Engineering. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…

  20. The Emergence of the Trigger Tool as the Premier Measurement Strategy for Patient Safety | PSNet

    psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
    May 01, 2012 - The Emergence of the Trigger Tool as the Premier Measurement Strategy for Patient Safety Paul J. Sharek, MD, MPH | May 1, 2012  Also Read a Conversation View more articles from the same authors. Citation Text: Sharek PJ. The Emergence of the Trigger Tool as the …
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