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psnet.ahrq.gov/issue/improving-healthcare-systems-disclosures-large-scale-adverse-events-department-veterans
August 18, 2021 - Study
Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership.
Citation Text:
Elwy R, Bokhour BG, Maguire EM, et al. Improving healthcare systems' disclosures of large-scale ad…
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psnet.ahrq.gov/node/46755/psn-pdf
May 30, 2018 - Innovative approach to reconstruct bedside handoff:
using simple rules of complexity science to promote
partnership with patients.
May 30, 2018
Anthony MK, Kloos J, Beam P, et al. Innovative Approach to Reconstruct Bedside Handoff: Using Simple
Rules of Complexity Science to Promote Partnership With Patients. J Nu…
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psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
February 26, 2025 - Post-acute care transitions : Existing partnerships between short-term acute care hospitals and skilled … Williams was awarded one of 17 Partnerships in Implementing Patient Safety (PIPS) grants offered by the
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psnet.ahrq.gov/node/74049/psn-pdf
January 01, 2022 - The critical role of health information technology in the
safe integration of behavioral health and primary care to
improve patient care.
November 10, 2021
Segal M, Giuffrida P, Possanza L, et al. The critical role of health information technology in the safe
integration of behavioral health and primary care to im…
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psnet.ahrq.gov/issue/reducing-health-care-hazards-lessons-commercial-aviation-safety-team
September 17, 2010 - Commentary
Reducing health care hazards: lessons from the Commercial Aviation Safety Team.
Citation Text:
Pronovost P, Goeschel CA, Olsen KL, et al. Reducing health care hazards: lessons from the commercial aviation safety team. Health Aff (Millwood). 2009;28(3):w479-89. doi:10.1377/hl…
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psnet.ahrq.gov/node/72624/psn-pdf
January 05, 2021 - The LifePoint National Quality Program Provides
Structured Framework for Reducing Inpatient Harm
January 5, 2021
https://psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework-
reducing-inpatient-harm
Summary
Building on the company’s experience as a Hospital Engagement Network…
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psnet.ahrq.gov/node/38569/psn-pdf
May 20, 2009 - Reducing health care hazards: lessons from the
Commercial Aviation Safety Team.
May 20, 2009
Pronovost P, Goeschel CA, Olsen KL, et al. Reducing health care hazards: lessons from the commercial
aviation safety team. Health Aff (Millwood). 2009;28(3):w479-89. doi:10.1377/hlthaff.28.3.w479.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/45817/psn-pdf
October 25, 2017 - The Case for Investing in Patient Safety in Canada.
October 25, 2017
RiskAnalytica. Ottawa, ON: Canadian Patient Safety Institute; 2017.
https://psnet.ahrq.gov/issue/case-investing-patient-safety-canada
Medical error and patient harm affect individuals and organizations around the world. This report estimates
that…
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psnet.ahrq.gov/print/pdf/node/854855
January 01, 2024 - patient feedback reporting tool for OpenNotes: implications for patient–clinician safety and quality
partnerships … patient feedback reporting tool for OpenNotes: implications for patient–clinician safety and quality
partnerships
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psnet.ahrq.gov/node/47198/psn-pdf
August 22, 2018 - Health IT Safe Practices for Closing the Loop.
August 22, 2018
Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; August 2018.
https://psnet.ahrq.gov/issue/health-it-safe-practices-closing-loop
Inadequate follow-up of test results can contribute to missed and delayed diagnoses. Developing optimal…
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psnet.ahrq.gov/node/44697/psn-pdf
June 21, 2016 - Saving Lives and Saving Money: Hospital-Acquired
Conditions Update.
June 21, 2016
Rockville, MD: Agency for Healthcare Research and Quality; December 2015. AHRQ Publication No. 16-
0009-EF.
https://psnet.ahrq.gov/issue/saving-lives-and-saving-money-hospital-acquired-conditions-update
The Partnership for Patients …
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psnet.ahrq.gov/node/48168/psn-pdf
July 24, 2019 - Changes in hospital safety following penalties in the US
Hospital Acquired Condition Reduction Program:
retrospective cohort study.
July 24, 2019
Sankaran R, Sukul D, Nuliyalu U, et al. Changes in hospital safety following penalties in the US Hospital
Acquired Condition Reduction Program: retrospective cohort stud…
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psnet.ahrq.gov/node/40674/psn-pdf
October 16, 2012 - The care transitions intervention: translating from
efficacy to effectiveness.
October 16, 2012
Voss R, Gardner R, Baier R, et al. The care transitions intervention: translating from efficacy to
effectiveness. Arch Intern Med. 2011;171(14):1232-7. doi:10.1001/archinternmed.2011.278.
https://psnet.ahrq.gov/issue/ca…
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psnet.ahrq.gov/innovation/statewide-telehealth-program-enhances-access-care-improves-outcomes-high-risk
November 13, 2024 - The program also secures equipment through grants and awards as a means to expand its partnerships. … Sustaining a telemedicine system such as this requires continued efforts in fortifying existing partnerships … Educate: To secure partnerships, each entity must learn telemedicine's medical, budgetary, and human
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psnet.ahrq.gov/node/40982/psn-pdf
March 23, 2012 - Emergency hospitalizations for adverse drug events in
older Americans.
March 23, 2012
Budnitz DS, Lovegrove MC, Shehab N, et al. Emergency hospitalizations for adverse drug events in older
Americans. New Engl J Med. 2011;365(21):2002-2012. doi:10.1056/NEJMsa1103053.
https://psnet.ahrq.gov/issue/emergency-hospitali…
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psnet.ahrq.gov/node/44586/psn-pdf
June 21, 2016 - 2013 Annual Hospital-Acquired Condition Rate and
Estimates of Cost Savings and Deaths Averted From 2010
to 2013.
June 21, 2016
Rockville, MD: Agency for Healthcare Research and Quality; October 2015. AHRQ Publication No.16-
0006-EF.
https://psnet.ahrq.gov/issue/2013-annual-hospital-acquired-condition-rate-and-est…
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psnet.ahrq.gov/node/43773/psn-pdf
May 01, 2015 - Efforts To Improve Patient Safety Result in 1.3 Million
Fewer Patient Harms: Interim Update on 2013 Annual
Hospital-Acquired Condition Rate and Estimates of Cost
Savings and Deaths Averted From 2010 to 2013.
May 1, 2015
Rockville, MD: Agency for Healthcare Research and Quality; December 2014. AHRQ Publication No. …
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psnet.ahrq.gov/node/43690/psn-pdf
March 26, 2015 - Improving healthcare systems' disclosures of large-scale
adverse events: a Department of Veterans Affairs
leadership, policymaker, research and stakeholder
partnership.
March 26, 2015
Elwy R, Bokhour BG, Maguire EM, et al. Improving healthcare systems' disclosures of large-scale adverse
events: a Department of Ve…
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psnet.ahrq.gov/curated-library/implementation-patient-safety-projects
September 15, 2025 - This AHRQ-funded Partnerships in Implementing Patient Safety (PIPS) project report presents an implementation … This AHRQ-funded Partnerships in Implementing Patient Safety (PIPS) project report presents an implementation
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psnet.ahrq.gov/node/60362/psn-pdf
April 13, 2018 - The program also secures equipment through grants and awards as a means to expand
its partnerships. … Sustaining a telemedicine system such as this requires continued efforts in fortifying existing
partnerships … Educate: To secure partnerships, each entity must learn telemedicine's medical, budgetary, and
human