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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/37112/psn-pdf
May 26, 2011 - The impact of a closed-loop electronic prescribing and
administration system on prescribing errors,
administration errors and staff time: a before-and-after
study.
May 26, 2011
Franklin BD, O'Grady K, Donyai P, et al. The impact of a closed-loop electronic prescribing and
administration system on prescribing erro…
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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. …
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psnet.ahrq.gov/node/42124/psn-pdf
June 18, 2013 - Assessment of the global trigger tool to measure, monitor
and evaluate patient safety in cancer patients: reliability
concerns are raised.
June 18, 2013
Mattsson TO, Knudsen JL, Lauritsen J, et al. Assessment of the global trigger tool to measure, monitor and
evaluate patient safety in cancer patients: reliability…
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psnet.ahrq.gov/node/45562/psn-pdf
October 12, 2016 - Characterising the nature of primary care patient safety
incident reports in the England and Wales National
Reporting and Learning System: a mixed-methods
agenda-setting study for general practice.
October 12, 2016
Carson-Stevens A, Hibbert P, Williams H, et al. Characterising The Nature Of Primary Care Patient Sa…
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psnet.ahrq.gov/node/50458/psn-pdf
October 09, 2019 - Success of a resident-led safety council: a model for
satisfying CLER Pathways to Excellence patient safety
goals.
October 9, 2019
Cohen SP, Pelletier JH, Ladd JM, et al. Success of a resident-led safety council: a model for satisfying
CLER Pathways to Excellence patient safety goals. J Gen Intern Med. 2019;11(2):…
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psnet.ahrq.gov/node/46679/psn-pdf
December 22, 2018 - Are parents who feel the need to watch over their
children's care better patient safety partners?
December 22, 2018
Cox E, Hansen K, Rajamanickam VP, et al. Are Parents Who Feel the Need to Watch Over Their
Children's Care Better Patient Safety Partners? Hosp Pediatr. 2017;7(12):716-722.
doi:10.1542/hpeds.2017-003…
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psnet.ahrq.gov/node/74831/psn-pdf
January 01, 2023 - Diagnostic error experiences of patients and families with
limited English-language health literacy or disadvantaged
socioeconomic position in a cross-sectional US
population-based survey.
February 16, 2022
Bell SK, Dong J, Ngo L, et al. Diagnostic error experiences of patients and families with limited English-
…
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psnet.ahrq.gov/web-mm/another-fall
June 01, 2010 - Concerted efforts at the institutional level must be made to identify critical information elements that
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psnet.ahrq.gov/node/33662/psn-pdf
January 01, 2008 - In Conversation with…Jennifer Daley, MD
January 1, 2008
In Conversation with…Jennifer Daley, MD. PSNet [internet]. 2008.
https://psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md
Editor's note: Jennifer Daley, MD, is the Chief Medical Officer of Partners Community Healthcare Inc., the
organization for …
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psnet.ahrq.gov/node/50769/psn-pdf
February 15, 2017 - Cultural Competence and Patient Safety
December 27, 2019
Brach C, Hall KK, Fitall E. Cultural Competence and Patient Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety
Background
Culture can be defined as the “personal identification, language, thoughts, co…
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psnet.ahrq.gov/node/33717/psn-pdf
September 01, 2011 - Incident Reporting: More Attention to the Safety Action
Feedback Loop, Please
September 1, 2011
Nuckols TK. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please. PSNet
[internet]. 2011.
https://psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
…
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psnet.ahrq.gov/web-mm/danger-disruption
July 29, 2020 - Danger in Disruption
Citation Text:
Fontaine DK. Danger in Disruption. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…
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psnet.ahrq.gov/sites/default/files/2020-04/spotlight-slides-wright-schiff.pdf
January 01, 2020 - Spotlight
The Lost Start Date, an Unknown
Risk of E-prescribing
Source and Credits
• This presentation is based on the October 2019
AHRQ WebM&M Spotlight Case
○ See the full article at https://psnet.ahrq.gov/webmm
○ CME credit is available
• Commentary by: Adam Wright, PhD, and Gordon
Schiff, MD
○ Editor, AHRQ…
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psnet.ahrq.gov/node/33873/psn-pdf
February 01, 2019 - for the next
5-year initiative to work on that transition from UME to GME, and a selected group of institutional
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psnet.ahrq.gov/node/46098/psn-pdf
July 24, 2017 - Prospective evaluation of a multifaceted intervention to
improve outcomes in intensive care: the Promoting
Respect and Ongoing Safety through Patient Engagement
Communication and Technology study.
July 24, 2017
Dykes PC, Rozenblum R, Dalal A, et al. Prospective Evaluation of a Multifaceted Intervention to Improve
…
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psnet.ahrq.gov/node/42067/psn-pdf
March 18, 2013 - Methodological variations and their effects on reported
medication administration error rates.
March 18, 2013
McLeod MC, Barber N, Franklin BD. Methodological variations and their effects on reported medication
administration error rates. BMJ Qual Saf. 2013;22(4):278-89. doi:10.1136/bmjqs-2012-001330.
https://psne…
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psnet.ahrq.gov/node/42342/psn-pdf
December 31, 2014 - The safety of electronic prescribing: manifestations,
mechanisms, and rates of system-related errors
associated with two commercial systems in hospitals.
December 31, 2014
Westbrook JI, Baysari M, Li L, et al. The safety of electronic prescribing: manifestations, mechanisms, and
rates of system-related errors asso…