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AHRQ: Agency for Healthcare Research and Quality

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  1. Daily check-in for safety: from best practice to common practice. | PSNet

    psnet.ahrq.gov/issue/daily-check-safety-best-practice-common-practice
    February 13, 2018 - April 11, 2012 Leading clinical handover improvement: a change strategy to implement

  2. Looking to the future of patient safety. | PSNet

    psnet.ahrq.gov/issue/looking-future-patient-safety
    February 13, 2018 - July 29, 2009 System issues leading to "found-on-floor" incidents: a multi-incident analysis

  3. After the Error: Speaking Out About Patient Safety to Save Lives. | PSNet

    psnet.ahrq.gov/issue/after-error-speaking-out-about-patient-safety-save-lives
    February 04, 2009 - March 15, 2017 Leading High-Reliability Organizations in Healthcare.

  4. Human factors in pediatric anesthesia incidents. | PSNet

    psnet.ahrq.gov/issue/human-factors-pediatric-anesthesia-incidents
    June 06, 2018 - March 15, 2017 Leading High-Reliability Organizations in Healthcare.

  5. Too exhausted to act safely? | PSNet

    psnet.ahrq.gov/issue/too-exhausted-act-safely
    June 28, 2016 - May 20, 2019 Leading change: why transformation efforts fail.

  6. When We Do Harm: A Doctor Confronts Medical Error. | PSNet

    psnet.ahrq.gov/issue/when-we-do-harm-doctor-confronts-medical-error
    July 24, 2018 - WebM&M Cases Failure to Adhere to Dietary Restrictions Leading

  7. Nurses' role in detecting deterioration in ward patients: systematic literature review. | PSNet

    psnet.ahrq.gov/issue/nurses-role-detecting-deterioration-ward-patients-systematic-literature-review
    March 27, 2018 - August 4, 2010 Leading successful rapid response teams: a multisite implementation evaluation

  8. Quality Improvement Series. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-series
    July 05, 2013 - November 15, 2017 Effectively leading for quality.

  9. Gap assessment of hospitals' adoption of the just culture principles. | PSNet

    psnet.ahrq.gov/issue/gap-assessment-hospitals-adoption-just-culture-principles
    September 21, 2005 - February 13, 2019 Leading a highly visible hospital through a serious reportable event

  10. On the Edge: Nursing in the Age of Complexity. | PSNet

    psnet.ahrq.gov/issue/edge-nursing-age-complexity
    August 20, 2012 - February 17, 2010 Cascade iatrogenesis: factors leading to the development of adverse

  11. JCAHO to launch global patient safety center: the initial focus will be on reviewing and publicizing research findings. | PSNet

    psnet.ahrq.gov/issue/jcaho-launch-global-patient-safety-center-initial-focus-will-be-reviewing-and-publicizing
    December 22, 2010 - 14, 2011 View More Related Resources Mental health conditions leading

  12. Second Victim: Error, Guilt, Trauma, and Resilience. | PSNet

    psnet.ahrq.gov/issue/second-victim-error-guilt-trauma-and-resilience
    April 13, 2018 - April 12, 2017 Leading Health Care Transformation: A Primer for Clinical Leaders.

  13. Foundations of Safety Science: a century of understanding accidents and disasters. | PSNet

    psnet.ahrq.gov/issue/foundations-safety-science-century-understanding-accidents-and-disasters
    October 05, 2011 - August 24, 2017 Leading Health Care Transformation: A Primer for Clinical Leaders.

  14. Are we finally getting serious about medical errors? | PSNet

    psnet.ahrq.gov/issue/are-we-finally-getting-serious-about-medical-errors
    May 11, 2016 - February 11, 2015 System issues leading to "found-on-floor" incidents: a multi-incident

  15. Promote a culture of safety with good catch reports. | PSNet

    psnet.ahrq.gov/issue/promote-culture-safety-good-catch-reports
    November 06, 2015 - July 18, 2018 Why are medical errors still a leading cause of death?

  16. Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development. | PSNet

    psnet.ahrq.gov/issue/healthcare-quality-and-safety-workforce-report-new-imperatives-quality-and-safety-mean-new
    May 06, 2015 - September 3, 2024 Leading a Culture of Safety: a Blueprint for Success.

  17. ISMP updates its list of drug name pairs with Tall man letters. | PSNet

    psnet.ahrq.gov/issue/ismp-updates-its-list-drug-name-pairs-tall-man-letters
    June 10, 2018 - Order scanning systems may pull multiple pages through the scanner at the same time, leading

  18. Actively caring for safety: overcoming bystander apathy. | PSNet

    psnet.ahrq.gov/issue/actively-caring-safety-overcoming-bystander-apathy
    December 03, 2014 - Order scanning systems may pull multiple pages through the scanner at the same time, leading

  19. The Richard and Hinda Rosenthal Lecture 2011: New Frontiers in Patient Safety. | PSNet

    psnet.ahrq.gov/issue/richard-and-hinda-rosenthal-lecture-2011-new-frontiers-patient-safety
    July 27, 2011 - July 5, 2008 The Future of Nursing: Leading Change, Advancing Health.

  20. Contribution of Governance to Patient Safety Initiatives in Australia, England, New Zealand and the United States. | PSNet

    psnet.ahrq.gov/issue/contribution-governance-patient-safety-initiatives-australia-england-new-zealand-and-united
    March 06, 2005 - July 18, 2024 Leading change: why transformation efforts fail.
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