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  1. Human Error. | PSNet

    psnet.ahrq.gov/issue/human-error
    March 06, 2005 - Book/Report Classic Human Error. Citation Text: Human Error. Reason JT. Cambridge, UK: Cambridge University Press; 1990. ISBN: 9780521306690. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  2. PSNet Curated Library (pdf file)

    psnet.ahrq.gov/print/pdf/node/74279
    January 01, 2022 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality COVID-19 Pandemic Impact on Healthcare Associated Conditions Curated Library All Library Content The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary of data reported to the National Healt…

  3. The Future of Nursing: Leading Change, Advancing Health. | PSNet

    psnet.ahrq.gov/issue/future-nursing-leading-change-advancing-health
    July 27, 2011 - Book/Report The Future of Nursing: Leading Change, Advancing Health. Citation Text: The Future of Nursing: Leading Change, Advancing Health. Institute of Medicine. Washington, DC: The National Academies Press: 2011. Copy Citation Save Save to your library …

  4. Potassium may no longer be stocked on patient care units, but serious threats still exist! | PSNet

    psnet.ahrq.gov/issue/potassium-may-no-longer-be-stocked-patient-care-units-serious-threats-still-exist
    May 02, 2018 - Newspaper/Magazine Article Potassium may no longer be stocked on patient care units, but serious threats still exist! Citation Text: Potassium may no longer be stocked on patient care units, but serious threats still exist! ISMP Medication Safety Alert! Acute care edition. October 4, 200…

  5. Using Smartphone Location Data for Care Coordination | Digital Healthcare Research

    digital.ahrq.gov/2019-year-review/research-summary/using-smartphone-location-data-care-coordination
    January 01, 2019 - Using Smartphone Location Data for Care Coordination A smartphone app that uses location data to notify PCPs when a patient arrives in the hospital or ER is a simple, potentially scalable approach to improve care coordination after a hospital visit. Principal Investigator: Liss, David T. Orga…

  6. USA, NC, Research Triangle Park | Digital Healthcare Research

    digital.ahrq.gov/location/usa-nc-research-triangle-park
    January 01, 2023 - USA, NC, Research Triangle Park Implementation of an Electronic Care Plan for People with Multiple Chronic Conditions Description This research supported the testing of two interoperable Substitutable Medical Applications Reusable Technologies (SMART®) on Fast Healthcare Inte…

  7. The National Medical Error Disclosure and Compensation (MEDiC) Act. | PSNet

    psnet.ahrq.gov/issue/national-medical-error-disclosure-and-compensation-medic-act
    December 06, 2011 - Legislation/Case Law The National Medical Error Disclosure and Compensation (MEDiC) Act. Citation Text: The National Medical Error Disclosure and Compensation (MEDiC) Act. Rodham-Clinton H; Obama B. 109th Congress. 1st Session. S. 1784. September 28, 2005. Copy Citation …

  8. Opening the Door to Change. NHS Safety Culture and the Need for Transformation. | PSNet

    psnet.ahrq.gov/issue/opening-door-change-nhs-safety-culture-and-need-transformation
    February 08, 2017 - Book/Report Opening the Door to Change. NHS Safety Culture and the Need for Transformation. Citation Text: Opening the Door to Change. NHS Safety Culture and the Need for Transformation. Newcastle upon Tyne, UK: Care Quality Commission; December 2018. Copy Citation Save…

  9. Resilient Health Care Series. | PSNet

    psnet.ahrq.gov/issue/resilient-health-care-series
    October 25, 2018 - Book/Report Resilient Health Care Series. Citation Text: Resilient Health Care Series. Hollnagel E, Braithwaite J, Wears RL, eds. Aldershot, UK: Ashgate Publishing; 2013-2016; Boca Raton: Taylor & Francis; 2018; New York, NY: Routledge; 2019. Copy Citation Save Sa…

  10. Pohl, Joanne | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/pohl-joanne
    January 01, 2023 - Pohl, Joanne Diabetes and hypertension quality measurement in four safety-net sites: lessons learned after implementation of the same commercial electronic health record. Citation Benkert R, Dennehy P, White J, et al. Diabetes and hypertension quality measurement in four safet…

  11. Error and Uncertainty in Diagnostic Radiology. | PSNet

    psnet.ahrq.gov/issue/error-and-uncertainty-diagnostic-radiology
    December 18, 2019 - Book/Report Error and Uncertainty in Diagnostic Radiology. Citation Text: Error and Uncertainty in Diagnostic Radiology. Bruno MA. New York, NY: Oxford University Press; 2019. ISBN: 9780190665395. Copy Citation Save Save to your library Print Download PD…

  12. A Guide to Patient Safety Improvement: Integrating Knowledge Translation & Quality Improvement Approaches. | PSNet

    psnet.ahrq.gov/issue/guide-patient-safety-improvement-integrating-knowledge-translation-quality-improvement
    November 30, 2016 - Book/Report A Guide to Patient Safety Improvement: Integrating Knowledge Translation & Quality Improvement Approaches. Citation Text: A Guide to Patient Safety Improvement: Integrating Knowledge Translation & Quality Improvement Approaches. Edmonton, Alberta; Canadian Patient Safety Inst…

  13. What 'patient-centered' should mean: confessions of an extremist. | PSNet

    psnet.ahrq.gov/issue/what-patient-centered-should-mean-confessions-extremist
    August 04, 2021 - Commentary What 'patient-centered' should mean: confessions of an extremist. Citation Text: Berwick DM. What 'patient-centered' should mean: confessions of an extremist. Health Aff (Millwood). 2009;28(4):w555-65. doi:10.1377/hlthaff.28.4.w555. Copy Citation Format: DOI Goog…

  14. Getting Started with a Communication and Resolution Program (CRP) Policy or Commitment Statement to CR. | PSNet

    psnet.ahrq.gov/issue/getting-started-communication-and-resolution-program-crp-policy-or-commitment-statement-cr
    February 28, 2024 - Tools/Toolkit Getting Started with a Communication and Resolution Program (CRP) Policy or Commitment Statement to CR. Citation Text: Getting Started with a Communication and Resolution Program (CRP) Policy or Commitment Statement to CR. Collaborative for Accountability and Improvement Po…

  15. Information Design for Patient Safety: A Guide to the Graphic Design of Medication Packaging. 2nd edition. | PSNet

    psnet.ahrq.gov/issue/information-design-patient-safety-guide-graphic-design-medication-packaging-2nd-edition
    April 06, 2016 - Book/Report Information Design for Patient Safety: A Guide to the Graphic Design of Medication Packaging. 2nd edition. Citation Text: Information Design for Patient Safety: A Guide to the Graphic Design of Medication Packaging. 2nd edition. Swayne T. London, UK: National Patient S…

  16. National patient safety goal to improve health care equity. | PSNet

    psnet.ahrq.gov/issue/national-patient-safety-goal-improve-health-care-equity
    September 11, 2019 - Newspaper/Magazine Article National patient safety goal to improve health care equity. Citation Text: National patient safety goal to improve health care equity. R3 Report. December 20, 2022;38:1-8. Copy Citation Save Save to your library Print Downloa…

  17. Diagnostic Safety Toolkit. | PSNet

    psnet.ahrq.gov/issue/diagnostic-safety-toolkit-0
    January 01, 2019 - Toolkit Diagnostic Safety Toolkit. Citation Text: Diagnostic Safety Toolkit. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to your library Print Down…

  18. Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisations to Be Candid. | PSNet

    psnet.ahrq.gov/issue/building-culture-candour-review-threshold-duty-candour-and-incentives-care-organisations-be
    June 12, 2019 - Book/Report Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisations to Be Candid. Citation Text: Building a Culture of Candour: a Review of the Threshold for the Duty of Candour and of the Incentives for Care Organisa…

  19. Factors Affecting the Delivery of Safe Care in Midwifery Units. | PSNet

    psnet.ahrq.gov/issue/factors-affecting-delivery-safe-care-midwifery-units
    November 11, 2020 - Book/Report Factors Affecting the Delivery of Safe Care in Midwifery Units. Citation Text: Factors Affecting the Delivery of Safe Care in Midwifery Units. Maternity and Newborn Safety Investigations Programme. Newcastle Upon Tyne, UK: Care Quality Commission; May 2024. Copy Citation …

  20. Investigating Clinical Incidents in the NHS. | PSNet

    psnet.ahrq.gov/issue/investigating-clinical-incidents-nhs
    February 04, 2015 - Book/Report Investigating Clinical Incidents in the NHS. Citation Text: Investigating Clinical Incidents in the NHS. Sixth Report of Session 2014–15. House of Commons Public Administration Select Committee. London, England: The Stationery Office; March 27, 2015. Publication HC 886. Cop…
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