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  1. The Patient Survival Handbook. | PSNet

    psnet.ahrq.gov/issue/patient-survival-handbook
    February 22, 2006 - Book/Report The Patient Survival Handbook. Citation Text: The Patient Survival Handbook. Powell SM, Stone RD. Peachtree City, GA: Synensis; 2015. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  2. Becoming a High Reliability Organization. | PSNet

    psnet.ahrq.gov/issue/becoming-high-reliability-organization
    May 04, 2015 - Special or Theme Issue Becoming a High Reliability Organization. Citation Text: Becoming a High Reliability Organization. VHA Forum. Summer 2020;1-12. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  3. Communicating After Harm in Healthcare. | PSNet

    psnet.ahrq.gov/issue/guidelines-informing-media-after-adverse-event
    May 08, 2019 - Organizational Policy/Guidelines Communicating After Harm in Healthcare. Citation Text: Communicating After Harm in Healthcare. Communication Advisory Committee. Edmonton, AB, Canada: Canadian Patient Safety Institute; 2010. ISBN: 9781926541266 Copy Citation Save …

  4. Patient safety: break the silence. | PSNet

    psnet.ahrq.gov/issue/patient-safety-break-silence
    October 19, 2022 - Commentary Patient safety: break the silence. Citation Text: Johnson HL, Kimsey D. Patient safety: break the silence. AORN J. 2012;95(5):591-601. doi:10.1016/j.aorn.2012.03.002. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  5. Administrative issues to ensure safe anesthesia care in the office-based setting. | PSNet

    psnet.ahrq.gov/issue/administrative-issues-ensure-safe-anesthesia-care-office-based-setting
    March 27, 2019 - Review Administrative issues to ensure safe anesthesia care in the office-based setting. Citation Text: Gaulton TG, Shapiro FE, Urman RD. Administrative issues to ensure safe anesthesia care in the office-based setting. Curr Opin Anaesthesiol. 2013;26(6):692-7. doi:10.1097/ACO.00000000…

  6. Quality and Safety. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-1
    September 21, 2022 - Special or Theme Issue Quality and Safety. Citation Text: Quality and Safety. Iyer R, Walker A, eds. Paediatr Anaesth. 2022;32(11):1176-1272. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Link…

  7. Whither Challenger, wither Columbia: management decision making and the knowledge analytic. | PSNet

    psnet.ahrq.gov/issue/whither-challenger-wither-columbia-management-decision-making-and-knowledge-analytic
    September 07, 2011 - Commentary Whither Challenger, wither Columbia: management decision making and the knowledge analytic. Citation Text: Whither Challenger, wither Columbia: management decision making and the knowledge analytic. Garrett TM. Copy Citation Save Save to your librar…

  8. Should we disclose harmful medical errors to patients? If so, how?   | PSNet

    psnet.ahrq.gov/issue/should-we-disclose-harmful-medical-errors-patients-if-so-how
    November 23, 2016 - Review Should we disclose harmful medical errors to patients? If so, how?   Citation Text: Should we disclose harmful medical errors to patients? If so, how?   Gallagher TH, Lucas MH. J Clin Outcomes Manag. 2005;2(5):253-259. Copy Citation Save Save to your li…

  9. Regulating compensation for injuries associated with medical error. | PSNet

    psnet.ahrq.gov/issue/regulating-compensation-injuries-associated-medical-error
    February 15, 2023 - Commentary Regulating compensation for injuries associated with medical error. Citation Text: Regulating compensation for injuries associated with medical error. Corbett A. Sydney Law Review. 2006;28(2):259-296. Copy Citation Save Save to your library Pr…

  10. Health Literacy Practices in Primary Care Settings: Examples from the Field. | PSNet

    psnet.ahrq.gov/issue/health-literacy-practices-primary-care-settings-examples-field
    April 27, 2022 - Book/Report Health Literacy Practices in Primary Care Settings: Examples from the Field. Citation Text: Health Literacy Practices in Primary Care Settings: Examples from the Field. Barrett SE, Puryear JS, Westpheling K. Washington DC: The Commonweath Fund; January 1, 2008. Copy Ci…

  11. AHRQ's Quality & Patient Safety Programs by Setting: Ambulatory Care | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/ambulatory/index.html
    June 01, 2025 - AHRQ's Quality & Patient Safety Programs by Setting: Ambulatory Care Ambulatory Surgery Center (ASC) Survey on Patient Safety Culture is a staff-administered survey that helps ambulatory surgery centers assess how their staff perceive various aspects of safety culture. CAHPS ® Clinician & Group Survey was de…

  12. Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. | PSNet

    psnet.ahrq.gov/issue/wrong-drug-and-wrong-dose-dispensing-errors-identified-pharmacist-professional-liability
    August 31, 2016 - Study Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. Citation Text: Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. Reiner G, Pierce SL, Flynn J. J Am Pharm Assoc (2003). 2020;60(5):e…

  13. Patient Safety: A Health Affairs Briefing. | PSNet

    psnet.ahrq.gov/issue/patient-safety-health-affairs-briefing
    September 01, 2021 - Audiovisual Presentation Patient Safety: A Health Affairs Briefing. Citation Text: Patient Safety: A Health Affairs Briefing. Project Hope. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin…

  14. 'No one is coming': hospice patients abandoned at death's door. | PSNet

    psnet.ahrq.gov/issue/no-one-coming-hospice-patients-abandoned-deaths-door
    June 29, 2016 - Newspaper/Magazine Article 'No one is coming': hospice patients abandoned at death's door. Citation Text: 'No one is coming': hospice patients abandoned at death's door. Aleccia J; Bailey M. Copy Citation Save Save to your library Print Download PDF …

  15. Adverse Drug Events in US Hospitals, 2004. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-us-hospitals-2004
    April 27, 2011 - Book/Report Adverse Drug Events in US Hospitals, 2004. Citation Text: Adverse Drug Events in US Hospitals, 2004. Elixhauser A, Owens P. HCUP Statistical Brief #29. Rockville, MD: Agency for Healthcare Research and Quality; April 2007. Copy Citation Save Save t…

  16. Disclosure of errors in surgical procedures. | PSNet

    psnet.ahrq.gov/issue/disclosure-errors-surgical-procedures
    April 13, 2022 - Review Disclosure of errors in surgical procedures. Citation Text: Disclosure of errors in surgical procedures. Ryan M, Mekel M, Sinha MS. UptoDate. November 20, 2023. Copy Citation Save Save to your library Print Download PDF Share Faceboo…

  17. Pediatric Patient Safety in the Emergency Department. | PSNet

    psnet.ahrq.gov/issue/pediatric-patient-safety-emergency-department
    October 26, 2022 - Book/Report Pediatric Patient Safety in the Emergency Department. Citation Text: Pediatric Patient Safety in the Emergency Department. Krug SE, ed. Oakbrook Terrace, IL: Joint Commission Resources and the American Academy of Pediatrics; 2010. ISBN: 9781599402123. Copy Citation …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49689/psn-pdf
    August 21, 2013 - Anesthesia: A Weighty Issue August 21, 2013 Sinha AC. Anesthesia: A Weighty Issue. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/anesthesia-weighty-issue The Case A 77-year-old woman was evaluated preoperatively in anticipation of an elective left hip arthroplasty. She reported having a history of hyperte…

  19. Triggers and Trigger Tools | PSNet

    psnet.ahrq.gov/primer/triggers-and-trigger-tools
    September 15, 2024 - Triggers and Trigger Tools Citation Text: Triggers and Trigger Tools. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

  20. Build Patient Understanding of Setbacks | The Academy

    integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/build-patient-understanding-setbacks-and-how-deal-them
    June 01, 2022 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…
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