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psnet.ahrq.gov/node/38248/psn-pdf
December 27, 2008 - AHRQ presses on: no rule yet, but agency taps 10 safety
organizations. … No rule yet, but agency taps 10 safety organizations. Modern
healthcare. 2008;38(45):8-9. … https://psnet.ahrq.gov/issue/ahrq-presses-no-rule-yet-agency-taps-10-safety-organizations
This article … reports on AHRQ's progress in naming and supporting patient safety organizations and
describes the … /issue/patient-safety-organization-pso-program
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psnet.ahrq.gov/node/33682/psn-pdf
April 01, 2009 - MD, MPP, MPH, is president of The Joint Commission, the preeminent
standard setting and accrediting organization … him to speak with us about his role at The Joint
Commission, as well as future directions for the organization … As I thought
more about that in context, it became clear that this organization has really been in continuous … This is a private organization that relies on organizations voluntarily
subscribing to our service; … This is a great organization.
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psnet.ahrq.gov/node/33714/psn-pdf
July 01, 2011 - Munier: A Patient Safety Organization is a new or existing organization that applies to be
officially … , or networking across organizations? … So AHRQ is supporting an organization at a national level that will de-identify any PSO's
data, free … respect to what gets sent in or
doesn't get sent in, the boundaries for PSOs are not only any provider organization … What are these organizations like?
WM: We really have a fairly broad mix of organizations.
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psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - 15)
Culture of Safety
(39)
Just Culture
(1)
Learning Organization
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psnet.ahrq.gov/node/42373/psn-pdf
June 19, 2013 - hospitals-lagging-pso-contracts
This news piece examines why few hospitals participate in the AHRQ Patient Safety Organizations … ://psnet.ahrq.gov/issue/hospitals-lagging-pso-contracts
https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program
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psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
March 01, 2015 - August 25, 2021
Pain management best practices from multispecialty organizations during
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psnet.ahrq.gov/web-mm/tale-two-falls
March 27, 2024 - assessment tool may facilitate implementation of systematic processes for identifying risk across healthcare organizations
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psnet.ahrq.gov/primer/maternal-safety
January 10, 2024 - Pregnancy-Related Deaths: A Guide for Moving Maternal Mortality Review Committee Data to Action to help organizations
-
psnet.ahrq.gov/node/867035/psn-pdf
October 30, 2024 - tool may facilitate
implementation of systematic processes for identifying risk across healthcare organizations
-
psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
December 01, 2012 - SPOTLIGHT CASE
"The Ultrasound Looked Fine": Point-of-Care Ultrasound and Patient Safety
Citation Text:
Lewiss RE. "The Ultrasound Looked Fine": Point-of-Care Ultrasound and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and H…
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psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
January 01, 2020 - Spotlight
Spotlight
Fatal PCA Opioid-Induced
Respiratory Depression
Source and Credits
• This presentation is based on the May 2020 AHRQ
WebM&M Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
• Commentary by: Sarina Fazio, PhD, RN and Rachelle
Firestone, PharmD, BCCCP
o Editors in Chie…
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psnet.ahrq.gov/web-mm/dont-dismiss-dangerous-obstetric-hemorrhage
August 21, 2024 - SPOTLIGHT CASE
Don't Dismiss the Dangerous: Obstetric Hemorrhage
Citation Text:
Main EK. Don't Dismiss the Dangerous: Obstetric Hemorrhage. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
Copy Citation
Format:
…
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psnet.ahrq.gov/node/46718/psn-pdf
August 08, 2018 - Workplace Violence Prevention: Implementing Strategies
for Safer Healthcare Organizations. … https://psnet.ahrq.gov/issue/workplace-violence-prevention-implementing-strategies-safer-healthcare-
organizations … This resource collection
highlights federal, state and professional organization materials exploring … https://psnet.ahrq.gov/issue/workplace-violence-prevention-implementing-strategies-safer-healthcare-organizations … https://psnet.ahrq.gov/issue/workplace-violence-prevention-implementing-strategies-safer-healthcare-organizations
-
psnet.ahrq.gov/node/45367/psn-pdf
September 28, 2016 - How PSOs Help Health Care Organizations Improve
Patient Safety Culture. … https://psnet.ahrq.gov/issue/how-psos-help-health-care-organizations-improve-patient-safety-culture … Patient safety organizations (PSO) augment learning by sharing data from voluntary reporting and
informing … ://psnet.ahrq.gov/issue/patient-safety-organization-pso-program
https://psnet.ahrq.gov/primer/reporting-patient-safety-events … https://psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-organizations-anesthesiology
https
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psnet.ahrq.gov/node/46400/psn-pdf
September 06, 2017 - The Charter on Professionalism for Health Care
Organizations. … The Charter on Professionalism for Health Care
Organizations. … This commentary describes the development of guidance to help organizations foster
partnerships with … patients and the community, establish a collective mindset across the organization, and
create the … https://psnet.ahrq.gov/issue/charter-professionalism-health-care-organizations
https://psnet.ahrq.gov
-
psnet.ahrq.gov/node/39980/psn-pdf
January 13, 2014 - This website provides information on
AHRQ Common Format use by Patient Safety Organizations, and describes … common-formats-patient-safety-data-collection-and-event-reporting-0
https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program
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psnet.ahrq.gov/node/45011/psn-pdf
May 25, 2016 - High Reliability Organizations: A Healthcare Handbook for
Patient Safety & Quality. … https://psnet.ahrq.gov/issue/high-reliability-organizations-healthcare-handbook-patient-safety-quality … This publication discusses core elements of high reliability organizations and how to apply them in … https://psnet.ahrq.gov/issue/high-reliability-organizations-healthcare-handbook-patient-safety-quality … https://psnet.ahrq.gov/primer/high-reliability
https://psnet.ahrq.gov/issue/becoming-high-reliability-organization-operational-advice-hospital-leaders
-
psnet.ahrq.gov/node/33647/psn-pdf
March 01, 2007 - three roles in improving patient safety: helping to ensure their own safety, working with
health care organizations … to improve safety at the organization and unit level, and advocating as citizens for
public reporting … of patients' and family members' ability to advocate for safety is the culture of the health
care organization … when the safety culture is poor, even doctors, nurses, pharmacists, and others working in the
organization … demonstrating that they are an essential and constructive external force to encourage
health care organizations
-
psnet.ahrq.gov/node/38181/psn-pdf
October 31, 2016 - Improvement Act of 2005
by providing technical assistance and educational materials to Patient Safety Organizations … psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005
https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program
-
psnet.ahrq.gov/node/39288/psn-pdf
February 10, 2010 - The
document details development of Patient Safety Organizations and the plans to establish a network … psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005
https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program