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psnet.ahrq.gov/node/40017/psn-pdf
December 14, 2016 - Image Gently, Step Lightly: promoting radiation safety in
pediatric interventional radiology.
December 14, 2016
Sidhu M, Goske MJ, Connolly B, et al. Image Gently, Step Lightly: promoting radiation safety in pediatric
interventional radiology. AJR Am J Roentgenol. 2010;195(4):W299-301. doi:10.2214/AJR.09.3938.
htt…
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psnet.ahrq.gov/node/42943/psn-pdf
April 12, 2014 - Doing right by our patients when things go wrong in the
ambulatory setting.
April 12, 2014
Schiff G, Griswold P, Ellis BR, et al. Doing right by our patients when things go wrong in the ambulatory
setting. Jt Comm J Qual Patient Saf. 2014;40(2):91-96.
https://psnet.ahrq.gov/issue/doing-right-our-patients-when-thin…
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psnet.ahrq.gov/node/60164/psn-pdf
March 25, 2020 - Patient Safety, Spring 2019 Final CDP Report.
March 25, 2020
Patient Safety Standing Committee. February 6, 2020. Washington DC; National Quality Forum. February
2020.
https://psnet.ahrq.gov/issue/patient-safety-spring-2019-final-cdp-report
The development of effective measures to document and track patient safety…
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psnet.ahrq.gov/node/45661/psn-pdf
November 09, 2016 - Center for Diagnostic Excellence.
November 9, 2016
Armstrong Institute for Patient Safety and Quality
https://psnet.ahrq.gov/issue/center-diagnostic-excellence
Diagnostic error has recently been recognized as a serious patient safety concern. Established within the
Armstrong Center for Patient Safety and Quality, …
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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/36547/psn-pdf
January 10, 2011 - The power of collaboration with patient safety programs:
building safe passage for patients, nurses, and clinical
staff.
January 10, 2011
Kerfoot KM, Rapala K, Ebright PR, et al. The power of collaboration with patient safety programs: building
safe passage for patients, nurses, and clinical staff. J Nurs Adm. 200…
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psnet.ahrq.gov/node/43380/psn-pdf
December 03, 2014 - Diagnostic error in children presenting with acute medical
illness to a community hospital.
December 3, 2014
Warrick C, Patel P, Hyer W, et al. Diagnostic error in children presenting with acute medical illness to a
community hospital. Int J Qual Health Care. 2014;26(5):538-46. doi:10.1093/intqhc/mzu066.
https://p…
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psnet.ahrq.gov/node/38503/psn-pdf
June 16, 2009 - Antimicrobial prescription errors in hospitalized children:
role of antimicrobial stewardship program in detection
and intervention.
June 16, 2009
Di Pentima C, Chan S, Eppes SC, et al. Antimicrobial prescription errors in hospitalized children: role of
antimicrobial stewardship program in detection and interventi…
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psnet.ahrq.gov/node/46634/psn-pdf
November 22, 2017 - Ambulatory Care Patient Safety 2017–2018.
November 22, 2017
National Quality Forum; NQF.
https://psnet.ahrq.gov/issue/ambulatory-care-patient-safety-2017-2018
Patient safety in ambulatory care is emerging as a focus of research, regulation, and measurement efforts.
This website provides information and resources r…
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psnet.ahrq.gov/node/866359/psn-pdf
June 01, 2022 - Diagnostic Safety Toolkit.
June 1, 2022
Diagnostic Safety Toolkit.
https://psnet.ahrq.gov/issue/diagnostic-safety-toolkit-0
Effective communication is critical as patients shift from one level of care to another as their diagnosis
evolves. This toolkit is designed to help academic medical centers initiate conversa…
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psnet.ahrq.gov/node/34753/psn-pdf
March 28, 2005 - Report on the Medical Insurance Feasibility Study.
March 28, 2005
Mills DH. San Francisco, CA: California Medical Association; 1977.
https://psnet.ahrq.gov/issue/report-medical-insurance-feasibility-study
Escalating professional liability costs prompted this study on the nature of adverse outcomes related to
medic…
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psnet.ahrq.gov/node/40274/psn-pdf
December 29, 2014 - Predictors of the perceived impact of a patient safety
collaborative: an exploratory study.
December 29, 2014
Pinto A, Benn J, Burnett S, et al. Predictors of the perceived impact of a patient safety collaborative: an
exploratory study. Int J Qual Health Care. 2011;23(2):173-81. doi:10.1093/intqhc/mzq089.
https://…
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pso.ahrq.gov/pso/advancing-healthcare-debriefing-quality-patient-safety-organization
April 03, 2025 - SHARE:
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Advancing Healthcare Debriefing Quality Patient Safety Organization
PSO Number: P0275 Components of Parent Org(s):
StatDebrief,…
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pso.ahrq.gov/pso/advocate-health-patient-safety-organization
August 25, 2010 - SHARE:
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Advocate Health Patient Safety Organization
PSO Number: P0097 Components of Parent Org(s):
Charlotte-Mecklenburg Hospital Autho…
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pso.ahrq.gov/pso/american-data-network-pso
February 25, 2009 - SHARE:
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American Data Network PSO
PSO Number: P0051 Components of Parent Org(s):
American Data Network
Effective Date and Tim…
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pso.ahrq.gov/pso/american-osteopathic-association-pso
March 16, 2022 - SHARE:
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American Osteopathic Association PSO
PSO Number: P0236 Components of Parent Org(s):
American Osteopathic Association
…
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pso.ahrq.gov/pso/anesthesia-patient-safety-organization-anpso
June 24, 2021 - SHARE:
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Anesthesia Patient Safety Organization (ANPSO)
PSO Number: P0232 Components of Parent Org(s):
Main Street Anesthesia Consulting…
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psnet.ahrq.gov/node/60586/psn-pdf
June 10, 2020 - Ensuring Healthcare Safety Throughout the COVID-19
Pandemic.
June 10, 2020
US Health and Human Services Office of the Assistant Secretary for Preparedness and Response’s
Technical Resources, Assistance Center, & Information Exchange; US Health and Human
Services/FEMA COVID-19 Healthcare Resilience Task Fo…
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psnet.ahrq.gov/node/838645/psn-pdf
January 19, 2022 - LeDeR - Learning from Lives and Deaths.
January 19, 2022
Norah Frye Centre for Disability Studies; Bristol, England.
https://psnet.ahrq.gov/issue/leder-learning-lives-and-deaths
People with a Learning Disability and autistic people (LeDeR) is a National Health Service-sponsored
initiative that seeks to improve the…