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psnet.ahrq.gov/node/34112/psn-pdf
February 09, 2011 - Excess length of stay, charges, and mortality attributable
to medical injuries during hospitalization.
February 9, 2011
Zhan C, Miller MR. Excess length of stay, charges, and mortality attributable to medical injuries during
hospitalization. JAMA. 2003;290(14):1868-74.
https://psnet.ahrq.gov/issue/excess-length-st…
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psnet.ahrq.gov/node/41775/psn-pdf
December 18, 2014 - Measuring adverse events and levels of harm in pediatric
inpatients with the Global Trigger Tool.
December 18, 2014
Kirkendall E, Kloppenborg E, Papp J, et al. Measuring adverse events and levels of harm in pediatric
inpatients with the Global Trigger Tool. Pediatrics. 2012;130(5):e1206-14. doi:10.1542/peds.2012-01…
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psnet.ahrq.gov/node/39852/psn-pdf
February 10, 2015 - National costs of the medical liability system.
February 10, 2015
Mello MM, Chandra A, Gawande AA, et al. National costs of the medical liability system. Health Aff
(Millwood). 2010;29(9):1569-1577. doi:10.1377/hlthaff.2009.0807.
https://psnet.ahrq.gov/issue/national-costs-medical-liability-system
The role of medi…
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psnet.ahrq.gov/node/39777/psn-pdf
November 04, 2012 - The Economic Measurement of Medical Errors.
November 4, 2012
Shreve J, van Den Bos J, Gray T, Halford M, Rustagi K, Ziemkiewicz E. Schaumburg, IL: The Society of
Actuaries; 2010.
https://psnet.ahrq.gov/issue/economic-measurement-medical-errors
Although the Institute of Medicine's estimate of up to 98,000 deaths ye…
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psnet.ahrq.gov/node/43367/psn-pdf
May 01, 2015 - Promoting Patient Safety Through Effective Health
Information Technology Risk Management.
May 1, 2015
Schneider EC, Ridgely MS, Meeker D, Hunter LE, Khodyakov D, Rudin R. RAND Health. Washington, DC:
Office of the National Coordinator for Health Information Technology; May 2014. RR-654-DHHSNCH.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/44972/psn-pdf
February 15, 2017 - The effectiveness of electronic differential diagnoses
(DDX) generators: a systematic review and meta-analysis.
February 15, 2017
Riches N, Panagioti M, Alam R, et al. The Effectiveness of Electronic Differential Diagnoses (DDX)
Generators: A Systematic Review and Meta-Analysis. PLoS One. 2016;11(3):e0148991.
doi:…
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psnet.ahrq.gov/node/846158/psn-pdf
March 15, 2023 - Safety risks and workflow implications associated with
nursing-related free-text communication orders.
March 15, 2023
Staes CJ, Yusuf S, Hambly M, et al. Safety risks and workflow implications associated with nursing-related
free-text communication orders. J Am Med Inform Assoc. 2023;30(5):828-837. doi:10.1093/jami…
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psnet.ahrq.gov/node/42068/psn-pdf
April 09, 2013 - Wisdom through adversity: learning and growing in the
wake of an error.
April 9, 2013
Plews-Ogan M, Owens JE, May NB. Wisdom through adversity: learning and growing in the wake of an
error. Patient Educ Couns. 2013;91(2):236-42. doi:10.1016/j.pec.2012.12.006.
https://psnet.ahrq.gov/issue/wisdom-through-adversity-l…
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psnet.ahrq.gov/node/39083/psn-pdf
April 01, 2010 - Emergency physician perceptions of patient safety risks.
April 1, 2010
Sklar DP, Crandall CS, Zola T, et al. Emergency physician perceptions of patient safety risks. Ann Emerg
Med. 2010;55(4):336-40. doi:10.1016/j.annemergmed.2009.08.020.
https://psnet.ahrq.gov/issue/emergency-physician-perceptions-patient-safety-r…
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psnet.ahrq.gov/node/46700/psn-pdf
November 19, 2018 - Promising practices for improving hospital patient safety
culture.
November 19, 2018
Campione J, Famolaro T. Promising Practices for Improving Hospital Patient Safety Culture. Jt Comm J
Qual Patient Saf. 2018;44(1):23-32. doi:10.1016/j.jcjq.2017.09.001.
https://psnet.ahrq.gov/issue/promising-practices-improving-ho…
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psnet.ahrq.gov/node/38206/psn-pdf
January 15, 2009 - The medical emergency team system and not-for-
resuscitation orders: results from the MERIT Study.
January 15, 2009
Chen J, Flabouris A, Bellomo R, et al. The Medical Emergency Team System and not-for-resuscitation
orders: results from the MERIT study. Resuscitation. 2008;79(3):391-7.
doi:10.1016/j.resuscitation.2…
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psnet.ahrq.gov/node/45839/psn-pdf
February 07, 2018 - Mortality trends after a voluntary checklist-based surgical
safety collaborative.
February 7, 2018
Haynes AB, Edmondson L, Lipsitz S, et al. Mortality Trends After a Voluntary Checklist-based Surgical
Safety Collaborative. Ann Surg. 2017;266(6):923-929. doi:10.1097/SLA.0000000000002249.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/37945/psn-pdf
July 26, 2010 - A survey of hospital quality improvement activities.
July 26, 2010
Cohen AB, Restuccia JD, Shwartz M, et al. A survey of hospital quality improvement activities. Med Care
Res Rev. 2008;65(5):571-95. doi:10.1177/1077558708318285.
https://psnet.ahrq.gov/issue/survey-hospital-quality-improvement-activities
The Instit…
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psnet.ahrq.gov/node/36907/psn-pdf
September 14, 2012 - Serious Reportable Events in Healthcare—2011 Update.
September 14, 2012
Washington DC: National Quality Forum; December 2011.
https://psnet.ahrq.gov/issue/serious-reportable-events-healthcare-2011-update
The National Quality Forum originally defined 27 health care "never events"—patient safety events that
pose ser…
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psnet.ahrq.gov/node/44382/psn-pdf
June 21, 2016 - Patient safety reporting: a qualitative study of thoughts
and perceptions of experts 15 years after 'To Err is
Human.'
June 21, 2016
Mitchell I, Schuster A, Smith K, et al. Patient safety incident reporting: a qualitative study of thoughts and
perceptions of experts 15 years after 'To Err is Human'. BMJ Qual Saf. …
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psnet.ahrq.gov/node/45715/psn-pdf
November 01, 2017 - Feasibility and added value of Executive WalkRounds in
long term care organizations in the Netherlands.
November 1, 2017
van Dusseldorp L, de Waal GH-, Hamers H, et al. Feasibility and Added Value of Executive WalkRounds in
Long Term Care Organizations in the Netherlands. Jt Comm J Qual Patient Saf. 2016;42(12):545…
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psnet.ahrq.gov/node/38090/psn-pdf
February 18, 2011 - Older patients' perceptions of "unnecessary" tests and
referrals: a national survey of Medicare beneficiaries.
February 18, 2011
Herndon B, Schwartz LM, Woloshin S, et al. Older patients perceptions of "unnecessary" tests and
referrals: a national survey of Medicare beneficiaries. J Gen Intern Med. 2008;23(10):1547…
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psnet.ahrq.gov/node/38603/psn-pdf
September 29, 2009 - The association between transfer of emergency
department boarders to inpatient hallways and
mortality: a 4-year experience.
September 29, 2009
Viccellio A, Santora C, Singer AJ, et al. The association between transfer of emergency department
boarders to inpatient hallways and mortality: a 4-year experience. Ann Em…
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psnet.ahrq.gov/submit-your-training-landing
January 01, 2025 - Breadcrumb
Home
Training and Education
Training Catalog
Training Submissions
PSNet encourages organizations to help improve our training catalog by submitting related trainings to help our users expand their knowledge in the field of patient safety. We welcome contributions of both…
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psnet.ahrq.gov/node/867350/psn-pdf
December 11, 2024 - Surveys on Patient Safety Culture (SOPS) Hospital Survey
2.0: User Database Report.
December 11, 2024
Tyler ER, Yalden O, Fan L, et al. Surveys On Patient Safety Culture (Sops) Hospital Survey 2.0: User
Database Report. Rockville, MD: Agency for Healthcare Research and Quality; November 2024. AHRQ
Publication No. …