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psnet.ahrq.gov/node/41602/psn-pdf
August 15, 2012 - How Can Health Care Organizations Become More Health
Literate?: Workshop Summary.
August 15, 2012
Hernandez LM; Roundtable on Health Literacy; Board on Population Health and Public Health Practice;
Institute of Medicine. Washington, DC: The National Academies Press; 2012. ISBN: 9780309256810.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/44610/psn-pdf
May 03, 2017 - International Prize in Resilient Health Care.
May 3, 2017
The Australian Institute of Health Innovation.
https://psnet.ahrq.gov/issue/international-prize-resilient-health-care
Innovations in patient safety can drive improvement efforts. This award program seeks to recognize
feasible and widely implementable strate…
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psnet.ahrq.gov/node/47318/psn-pdf
October 12, 2018 - ISMP Survey on IV Push Medication Practices.
October 12, 2018
Institute for Safe Medication Practices; ISMP.
https://psnet.ahrq.gov/issue/ismp-survey-iv-push-medication-practices
Errors in IV push medication use can cause patient harm. This survey seeks to gather data on how
clinicians administer IV push medicatio…
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psnet.ahrq.gov/node/45990/psn-pdf
August 24, 2022 - Medication Safety Certificate Program.
August 24, 2022
American Society of Health-System Pharmacists, Institute for Safe Medication Practices.
https://psnet.ahrq.gov/issue/medication-safety-certificate-program
Leadership commitment to reduce medication errors can help address this safety problem. This certificate
…
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psnet.ahrq.gov/node/844762/psn-pdf
September 25, 2019 - 10 Medication Safety Tips for Hospitalized Patients.
September 25, 2019
Horsham, PA: Institute for Safe Medication Practices; 2019.
https://psnet.ahrq.gov/issue/10-medication-safety-tips-hospitalized-patients
Hospitalized patients are at risk for medication errors. This set of tips seeks to help hospitalized patien…
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psnet.ahrq.gov/node/61104/psn-pdf
March 03, 2025 - NAM Scholars in Diagnostic Excellence program.
January 10, 2025
National Academy of Medicine and the Council of Medical Specialty Societies.
https://psnet.ahrq.gov/issue/nam-scholars-diagnostic-excellence-program
Diagnostic error reduction is gaining momentum as a primary focus of patient safety achievement. This
…
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psnet.ahrq.gov/node/34618/psn-pdf
July 28, 2013 - National Survey on Consumers' Experiences With Patient
Safety and Quality Information.
July 28, 2013
Washington DC: Kaiser Family Foundation, Agency for Healthcare Research and Quality, Harvard School
of Public Health; 2004.
https://psnet.ahrq.gov/issue/national-survey-consumers-experiences-patient-safety-and-qual…
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psnet.ahrq.gov/node/73480/psn-pdf
December 17, 2024 - Improving Patient Safety with Human Factors Methods.
December 17, 2024
Armstrong Institute for Patient Safety and Quality, Baltimore, MD. April 17-18, 2025.
https://psnet.ahrq.gov/issue/improving-patient-safety-human-factors-methods
Human factors engineering (HFE) is a primary strategy for advancing safety in healt…
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psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
September 01, 2005 - In Conversation with…Carolyn Clancy, MD
September 1, 2005
Also Read an Essay
Citation Text:
In Conversation with…Carolyn Clancy, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
…
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psnet.ahrq.gov/issue/repair-project
March 27, 2005 - Multi-use Website
The REPAIR Project.
Citation Text:
The REPAIR Project. University of California San Francisco, San Francisco, CA.
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psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md
January 01, 2008 - In Conversation with…Jennifer Daley, MD
January 1, 2008
Also Read an Essay
Citation Text:
In Conversation with…Jennifer Daley, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
Co…
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psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
January 01, 2008 - Implementing a Patient Safety Program at a Large National Health System
Loran Hauck, MD, and Jan Jacob, MBA, RN | January 1, 2008
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Hauck LD, Jacob J. Implementing a Patient Safety …
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psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
June 01, 2014 - Patient Advocacy in Patient Safety: Have Things Changed?
Helen Haskell, MA | June 1, 2014
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Haskell H. Patient Advocacy in Patient Safety: Have Things Changed?. PSNet [internet]. Ro…
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psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
February 26, 2025 - In Conversation with David W. Bates about Are We Safer Today?
David W. Bates, MD, MSc; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | February 26, 2025
Also Read the Essay
View more articles from the same authors.
Citation Text:
Bates DW, Lee M, Mossburg…
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psnet.ahrq.gov/perspective/are-we-safer-today
February 26, 2025 - Are We Safer Today?
David W. Bates, MD, MSc; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | February 26, 2025
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Bates DW, Lee M, Mossburg SE. Are We Safer Today?. PSNet [in…
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psnet.ahrq.gov/issue/preventable-deaths-due-problems-care-english-acute-hospitals-retrospective-case-record-review
July 20, 2022 - Study
Classic
Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study.
Citation Text:
Hogan H, Healey F, Neale G, et al. Preventable deaths due to problems in care in English acute hospitals: a retrospect…
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psnet.ahrq.gov/issue/rate-sepsis-hospitalizations-after-misdiagnosis-adult-emergency-department-patients-look
December 08, 2021 - Study
Rate of sepsis hospitalizations after misdiagnosis in adult emergency department patients: a look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology in an integrated health system.
Citation Text:
Horberg MA, Nassery …
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psnet.ahrq.gov/issue/electronic-health-record-based-real-time-analytics-program-patient-safety-surveillance-and
May 19, 2018 - Study
An electronic health record–based real-time analytics program for patient safety surveillance and improvement.
Citation Text:
Classen D, Li M, Miller S, et al. An Electronic Health Record-Based Real-Time Analytics Program For Patient Safety Surveillance And Improvement. Health Aff …
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psnet.ahrq.gov/perspective/implementing-fall-prevention-program
November 29, 2023 - hospitalization, the likelihood of an injury resulting in death, disability, dependence, or admission to institutional
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psnet.ahrq.gov/web-mm/unfamiliar-catheter
November 01, 2006 - mitigate the high level of medical error risk presented by devices.( 10 ) In this case, it appears that an institutional