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psnet.ahrq.gov/node/41957/psn-pdf
May 04, 2016 - Safety Considerations for Product Design to Minimize
Medication Errors: Guidance for Industry.
May 4, 2016
Rockville, MD: Center for Drug Evaluation and Research, US Food and Drug Administration; April 2016.
https://psnet.ahrq.gov/issue/safety-considerations-product-design-minimize-medication-errors-guidance-
indu…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3obj.html
October 01, 2014 - Module 3: Falls Prevention and Management
Learning and Performance Objectives
Previous Page Next Page
Table of Contents
Module 3: Falls Prevention and Management
Learning and Performance Objectives
Session 1
Session 2
Conclusion
Appendix. Additional Tools and Resources
Know…
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digital.ahrq.gov/organization/fairview-health-services
January 01, 2023 - Fairview Health Services
A Community-Shared Clinical Abstract to Improve Care - 2010
Principal Investigator
Connelly, Donald
Project Name
A Community-Shared Clinical Abstract to Improve Care
A Community-Shared Clinical Abstract to Improve …
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psnet.ahrq.gov/node/33944/psn-pdf
January 29, 2018 - National Patient Safety Foundation.
January 29, 2018
National Patient Safety Foundation.
https://psnet.ahrq.gov/issue/national-patient-safety-foundation
Founded in 1997, the National Patient Safety Foundation supported a variety of initiatives, engaging
multidisciplinary action toward improvement in patient safety…
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psnet.ahrq.gov/node/73926/psn-pdf
October 06, 2021 - Good for You, Good for Us, Good for Everybody.
October 6, 2021
Ridge K. London, England: Crown Copyright; 2021. September 22, 2021.
https://psnet.ahrq.gov/issue/good-you-good-us-good-everybody
Overprescribing has attained prominence as a safety issue due to the current opioid epidemic, but it has
long reduced medi…
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psnet.ahrq.gov/node/37261/psn-pdf
December 19, 2011 - Creating complex health improvement programs as
mindful organizations: from theory to action.
December 19, 2011
Issel M, Narasimha KM. Creating complex health improvement programs as mindful organizations: from
theory to action. J Health Organ Manag. 2007;21(2):166-83.
https://psnet.ahrq.gov/issue/creating-complex…
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psnet.ahrq.gov/node/43646/psn-pdf
January 01, 2021 - Patient Safety Systems Chapter.
January 1, 2021
In: 2021 Comprehensive Accreditation Manual for Hospitals. CAMH. Oakbrook Terrace, IL: Joint
Commission; January 2021:PS1-PS46.
https://psnet.ahrq.gov/issue/patient-safety-systems-chapter
This chapter provides information about how organizations can re-design existin…
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psnet.ahrq.gov/node/41966/psn-pdf
January 30, 2013 - Reasons for not reporting patient safety incidents in
general practice: a qualitative study.
January 30, 2013
Kousgaard MB, Joensen AS, Thorsen T. Reasons for not reporting patient safety incidents in general
practice: a qualitative study. Scand J Prim Health Care. 2012;30(4):199-205.
doi:10.3109/02813432.2012.732…
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psnet.ahrq.gov/node/34897/psn-pdf
November 23, 2016 - Engaging patients and family members in patient
safety—the experience of the New York City Health and
Hospitals Corporation.
November 23, 2016
Wale JB, Moon RR. Engaging patients and family members in patient safety--the experience of the New
York City Health and Hospitals Corporation. Psychiatr Q. 2005;76(1):85-9…
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psnet.ahrq.gov/node/44487/psn-pdf
September 23, 2015 - Patient safety and quality improvement: terminology.
September 23, 2015
Pereira-Argenziano L, Levy FH. Patient Safety and Quality Improvement: Terminology. Pediatr Rev.
2015;36(9):403-11; quiz 412-3. doi:10.1542/pir.36-9-403.
https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-terminology
To Err Is…
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psnet.ahrq.gov/node/837001/psn-pdf
April 27, 2022 - Final Report of the Ockenden Review.
April 27, 2022
London UK: Crown Copyright; March 30, 2022. ISBN: 9781528632294.
https://psnet.ahrq.gov/issue/final-report-ockenden-review
Maternal and baby harm in healthcare is a sentinel event manifested by systemic failure. This report serves
as the final conclusions of an i…
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psnet.ahrq.gov/node/45809/psn-pdf
October 29, 2017 - Three perspectives on changes in resident work
environment and duty hours.
October 29, 2017
Bilimoria KY, Meyers MO, Mouawad NJ, et al. JAMA Surg. 2017;152(10):903-908.
https://psnet.ahrq.gov/issue/three-perspectives-changes-resident-work-environment-and-duty-hours
In July 2017, the ACGME modified resident physici…
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psnet.ahrq.gov/node/60924/psn-pdf
September 16, 2020 - Avoid punitive approach to your safety event reporting,
September 16, 2020
Cheney C. HealthLeaders. September 4, 2020.
https://psnet.ahrq.gov/issue/avoid-punitive-approach-your-safety-event-reporting
A blameless approach to error and near miss reporting is foundational to the success of the effort. This
article di…
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www.ahrq.gov/pqmp/measures/initial-risk-assessment.html
August 01, 2021 - Initial Risk Assessment for Immobility-Related Pressure Ulcer Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission
Measure Domain: Management of Acute Conditions
Measure Sub-Domain: Pediatric Intensive Care Unit (PICU)
PQMP COE: PMCOE
Associated NQF # and Name: None
Products:
Fact She…
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psnet.ahrq.gov/node/45788/psn-pdf
March 01, 2017 - Latest Results From the "FIRST" Trial.
March 1, 2017
J Am Coll Surg. 2017;224:103-159.
https://psnet.ahrq.gov/issue/latest-results-first-trial
The Flexibility in Duty Hour Requirements for Surgical Trainees (FIRST) trial examined residency program
response to duty hour rules. This special issue features studies ex…
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psnet.ahrq.gov/node/44343/psn-pdf
July 22, 2015 - Speaking up to reduce noise in the OR.
July 22, 2015
Ford DA. Speaking Up to Reduce Noise in the OR. AORN J. 2015;102(1):85-9.
doi:10.1016/j.aorn.2015.04.019.
https://psnet.ahrq.gov/issue/speaking-reduce-noise-or
Noise in health care settings can hinder communication and contribute to distractions. This commentary…
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psnet.ahrq.gov/node/39829/psn-pdf
January 09, 2025 - Hospital Reporting Program: Annual Summary.
January 9, 2025
Portland, OR: Oregon Patient Safety Commission.
https://psnet.ahrq.gov/issue/hospital-reporting-program-annual-summary
This site provides data and analysis from two Oregon Patient Safety Commission patient safety
initiatives: the Patient Safety Reporting …
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psnet.ahrq.gov/node/60166/psn-pdf
March 25, 2020 - For 4 days, the hospital thought he had just pneumonia. It
was coronavirus.
March 25, 2020
Goldstein J, Salcedo A. For 4 days, the hospital thought he had just pneumonia. It was coronavirus. New
York Times. 2020;March 10.
https://psnet.ahrq.gov/issue/4-days-hospital-thought-he-had-just-pneumonia-it-was-coronavirus…
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www.ahrq.gov/pqmp/measures/picu-baseline-nutrition.html
August 01, 2021 - Initial Baseline Screen of Nutritional Status for Every Patient Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission
Measure Domain: Management of Acute Conditions
Measure Sub-Domain: Pediatric Intensive Care Unit (PICU)
PQMP COE: PMCOE
Associated NQF # and Name: None.
Products :
Fact…
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psnet.ahrq.gov/node/45229/psn-pdf
July 13, 2016 - The WakeWings journey: creating a patient safety
program.
July 13, 2016
Mills E. The WakeWings Journey: Creating a Patient Safety Program. AORN J. 2016;103(6):636-9.
doi:10.1016/j.aorn.2016.04.004.
https://psnet.ahrq.gov/issue/wakewings-journey-creating-patient-safety-program
Successful and sustainable implementa…