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4341. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50930/psn-pdf
      February 21, 2020 - Pharmacist Role in Patient Safety February 21, 2020 Dopp AL, Hall KK. Pharmacist Role in Patient Safety. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/pharmacist-role-patient-safety Background: The Evolving Role of the Pharmacist Medication errors are highly pervasive across all settings of care,[1] w…

4342. Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet
      psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
      September 24, 2024 - Then we learned that there are specific things you can do to prevent it: elevate the head of the bed,

4343. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40900/psn-pdf
      January 22, 2019 - ISQua Networks. January 22, 2019 International Society for Quality in Health Care. https://psnet.ahrq.gov/issue/isqua-networks This Web site provides access to communities of practice, online learning activities, and discussions exploring safety and quality. https://psnet.ahrq.gov/issue/isqua-networks

4344. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846563/psn-pdf
      March 21, 2023 - Lessons learned from adverse events could help improve future patient safety.

4345. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35518/psn-pdf
      November 30, 2005 - Aviation's gift to health care. November 30, 2005 Nance JJ. https://psnet.ahrq.gov/issue/aviations-gift-health-care This article reports on the lessons that medicine is learning from the aviation industry, particularly related to teamwork and communication. https://psnet.ahrq.gov/issue/aviations-gift-health-care

4346. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39099/psn-pdf
      November 11, 2009 - African Partnerships for Patient Safety. November 11, 2009 https://psnet.ahrq.gov/issue/african-partnerships-patient-safety This Web site establishes a forum for hospitals in Europe and Africa to support partnership development and share learnings to drive patient safety improvements. https://psnet.ahrq.gov/issue/…

4347. Diagnostic Safety Improvement | PSNet
      psnet.ahrq.gov/curated-library/diagnostic-safety-improvement
      November 10, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Diagnostic Safety Improvement  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, Cybrarian, AHRQ PSNe…

4348. Introducing Curated Libraries | PSNet
      psnet.ahrq.gov/youtube
      Introducing Curated Libraries Curated Libraries are groupings of PSNet content, curated by AHRQ and by other experts in the patient safety field. Watch the video below to learn more about how this new feature works and how it can be of benefit to you. Visit Curated Libraries   Audio-Described Version  (…

4349. Impact of System Failures on Healthcare Workers | PSNet
      psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
      August 30, 2023 - Lessons learned from adverse events could help improve future patient safety.

4350. The Wrong Shot: Error Disclosure | PSNet
      psnet.ahrq.gov/web-mm/wrong-shot-error-disclosure
      May 01, 2011 - as an integral component of quality improvement.( 10 ) The father might have been less angry had he learned

4351. An interview with Peter Pronovost | PSNet
      psnet.ahrq.gov/issue/interview-peter-pronovost
      July 01, 2017 - Award Recipient An interview with Peter Pronovost Citation Text: Pronovost P. An interview with Peter Pronovost. Jt Comm J Qual Saf. 2004;30(12):659-64. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…

4352. Systems science: a primer on high reliability. | PSNet
      psnet.ahrq.gov/issue/systems-science-primer-high-reliability
      March 23, 2022 - Review Systems science: a primer on high reliability. Citation Text: Roberson DW, Kirsh ER. Systems science: a primer on high reliability. Otolaryngol Clin North Am. 2019;52(1):1-9. doi:10.1016/j.otc.2018.08.001. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…

4353. How Safe is Your Care? Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners. | PSNet
      psnet.ahrq.gov/issue/how-safe-your-care-measurement-and-monitoring-safety-through-eyes-patients-and-their-care
      August 16, 2016 - Book/Report How Safe is Your Care? Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners. Citation Text: How Safe is Your Care? Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners. Jefs L, Kuluski K, MacLaurin A, e…

4354. Improving Quality and Safety in Healthcare. | PSNet
      psnet.ahrq.gov/issue/improving-quality-and-safety-healthcare
      November 30, 2016 - Special or Theme Issue Improving Quality and Safety in Healthcare. Citation Text: Improving Quality and Safety in Healthcare. Dixon-Woods M, Martin G, eds. Cambridge, UK: Cambridge University Press; 2022-2025. Copy Citation Save Save to your library Print …

4355. Recognizing Excellence in Diagnosis: Recommended Practices for Hospitals. | PSNet
      psnet.ahrq.gov/issue/recognizing-excellence-diagnosis-recommended-practices-hospitals
      June 21, 2023 - Book/Report Recognizing Excellence in Diagnosis: Recommended Practices for Hospitals. Citation Text: Recognizing Excellence in Diagnosis: Recommended Practices for Hospitals. Washington, DC: Leapfrog Group; July 2024. Copy Citation Save Save to your library …

4356. Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry. | PSNet
      psnet.ahrq.gov/issue/report-mid-staffordshire-nhs-foundation-trust-public-inquiry
      November 06, 2015 - Book/Report Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry. Citation Text: Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry. Francis R. London, UK: The Stationary Office; 2013. ISBN: 9780102981469.   Copy Citation Sav…

4357. Hidden danger, obvious opportunity: error and risk in the management of cancer. | PSNet
      psnet.ahrq.gov/issue/hidden-danger-obvious-opportunity-error-and-risk-management-cancer
      June 07, 2018 - Commentary Hidden danger, obvious opportunity: error and risk in the management of cancer. Citation Text: Munro AJ. Hidden danger, obvious opportunity: error and risk in the management of cancer. Br J Radiol. 2007;80(960):955-66. Copy Citation Format: Google Scholar PubMe…

4358. Radiation Therapy Safety: The Critical Role of the Radiation Therapist. | PSNet
      psnet.ahrq.gov/issue/radiation-therapy-safety-critical-role-radiation-therapist
      June 20, 2014 - Book/Report Radiation Therapy Safety: The Critical Role of the Radiation Therapist. Citation Text: Radiation Therapy Safety: The Critical Role of the Radiation Therapist. Odle TG, Rosier N. Albuquerque, NM: American Society of Radiologic Technologists Education and Research Foundatio…

4359. System Governance Towards Improved Patient Safety: Key Functions, Approaches and Pathways to Implementation. | PSNet
      psnet.ahrq.gov/issue/system-governance-towards-improved-patient-safety-key-functions-approaches-and-pathways
      October 07, 2020 - Book/Report System Governance Towards Improved Patient Safety: Key Functions, Approaches and Pathways to Implementation. Citation Text: System Governance Towards Improved Patient Safety: Key Functions, Approaches and Pathways to Implementation. Auraaen A, Saar K, Klazinga N for the Organ…

4360. Thinking fast and slow in medicine. | PSNet
      psnet.ahrq.gov/issue/thinking-fast-and-slow-medicine
      June 21, 2017 - Commentary Thinking fast and slow in medicine. Citation Text: Michel JB. Thinking fast and slow in medicine. Baylor U Med Center Proceed. 2019;33(1):123-125. doi:10.1080/08998280.2019.1674043. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…