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  1. Educational opportunities with postevent debriefing. | PSNet

    psnet.ahrq.gov/issue/educational-opportunities-postevent-debriefing
    May 28, 2015 - Commentary Educational opportunities with postevent debriefing. Citation Text: Mullan PC, Kessler DO, Cheng A. Educational opportunities with postevent debriefing. JAMA. 2014;312(22):2333-4. doi:10.1001/jama.2014.15741. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  2. National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report. | PSNet

    psnet.ahrq.gov/issue/national-voluntary-consensus-standards-patient-safety-measures-consensus-report
    January 11, 2013 - Book/Report National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report. Citation Text: National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report. Washington, DC: National Quality Forum; June 2012. Copy Citation …

  3. Crisis in the Lakeshore Hospital ER. | PSNet

    psnet.ahrq.gov/issue/crisis-lakeshore-hospital-er
    March 15, 2022 - Newspaper/Magazine Article Crisis in the Lakeshore Hospital ER. Citation Text: Crisis in the Lakeshore Hospital ER. Derfel A. Montreal Gazette. February 24- March 1, 2023 Copy Citation Save Save to your library Print Download PDF Shar…

  4. Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. | PSNet

    psnet.ahrq.gov/issue/using-medical-malpractice-closed-claims-data-reduce-surgical-risk-and-improve-patient-safety
    December 01, 2010 - Commentary Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. Citation Text: Manuel BM, Greenwald LM. Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. Bull Am Coll Surg. 2007;92(3):27-30. Copy…

  5. Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2013. | PSNet

    psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2013
    February 25, 2013 - Book/Report Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2013. Citation Text: Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2013. Oakbrook Terrace, IL: The Joint Commission; October 2013.  …

  6. To improve health care, focus on fixing systems — not people. | PSNet

    psnet.ahrq.gov/issue/improve-health-care-focus-fixing-systems-not-people
    September 08, 2021 - Newspaper/Magazine Article To improve health care, focus on fixing systems — not people. Citation Text: Mate KS, Clark J, Salvon-Harman J. To improve health care, focus on fixing systems — not people. Harvard Business Review. July 12, 2024; Copy Citation Format: Google Scho…

  7. Burnout in Primary Care: Assessing and Addressing It in Your Practice. | PSNet

    psnet.ahrq.gov/issue/burnout-primary-care-assessing-and-addressing-it-your-practice
    August 16, 2023 - Book/Report Burnout in Primary Care: Assessing and Addressing It in Your Practice. Citation Text: Burnout in Primary Care: Assessing and Addressing It in Your Practice. Gerteis J, Booker C, Brach C, et al. Rockville, MD:  Agency for Healthcare Research and Quality; February 2023. AH…

  8. Acknowledgements | Agency for Healthcare Research and Quality

    www.ahrq.gov/ncepcr/tools/obesity/obpcp-ack.html
    May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity Acknowledgements Previous Page Next Page Table of Contents Integrating Primary Care Practices and Community-based Resources to Manage Obesity Acknowledgements Support Foreword Oregon Rural Practice-based Resea…

  9. Safe operation as a social construct. | PSNet

    psnet.ahrq.gov/issue/safe-operation-social-construct
    August 07, 2019 - Commentary Safe operation as a social construct. Citation Text: Rochlin GI. Safe operation as a social construct. Ergonomics. 2002;42(11):1549-1560. doi:10.1080/001401399184884. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

  10. John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital. | PSNet

    psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-system-innovation-concord-hospital
    October 19, 2022 - Commentary John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital. Citation Text: Uhlig PN, Brown J, Nason AK, et al. John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital. Jt Comm J Qual Improv. 2002;28(12):666-672. Copy Citation Format…

  11. Perfusion safety: new initiatives and enduring principles. | PSNet

    psnet.ahrq.gov/issue/perfusion-safety-new-initiatives-and-enduring-principles
    July 19, 2023 - Commentary Perfusion safety: new initiatives and enduring principles. Citation Text: Kurusz M. Perfusion safety: new initiatives and enduring principles. Perfusion. 2011;26 Suppl 1:6-14. doi:10.1177/0267659110393389. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  12. Alarm management: promoting safety and establishing guidelines. | PSNet

    psnet.ahrq.gov/issue/alarm-management-promoting-safety-and-establishing-guidelines
    May 24, 2017 - Commentary Alarm management: promoting safety and establishing guidelines. Citation Text: Criscitelli T. Alarm Management: Promoting Safety and Establishing Guidelines. AORN J. 2016;103(5):518-21. doi:10.1016/j.aorn.2016.03.008. Copy Citation Format: DOI Google Scholar PubM…

  13. Executive Order on the Safe, Secure, and Trustworthy Development and Use of Artificial Intelligence. | PSNet

    psnet.ahrq.gov/issue/executive-order-safe-secure-and-trustworthy-development-and-use-artificial-intelligence
    October 05, 2022 - Government Resource Executive Order on the Safe, Secure, and Trustworthy Development and Use of Artificial Intelligence. Citation Text: Executive Order on the Safe, Secure, and Trustworthy Development and Use of Artificial Intelligence. Washington DC: The White House; October 30, 2023.&n…

  14. American College of Radiology White Paper on MR Safety: 2004 Update and Revisions. | PSNet

    psnet.ahrq.gov/issue/american-college-radiology-white-paper-mr-safety-2004-update-and-revisions
    September 28, 2022 - Clinical Guideline American College of Radiology White Paper on MR Safety: 2004 Update and Revisions. Citation Text: doi:10.2214/ajr.182.5.182111. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  15. 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…

  16. "To Err Is Human" Report Retrospective and the Decade Ahead. | PSNet

    psnet.ahrq.gov/issue/err-human-report-retrospective-and-decade-ahead
    February 15, 2011 - Meeting/Conference Proceedings "To Err Is Human" Report Retrospective and the Decade Ahead. Citation Text: Bonacum D, Corrigan J, Gelinas L, et al. 2009 Annual National Patient Safety Foundation Congress. doi:10.1097/pts.0b013e3181b5cb8a. Copy Citation Format: DOI Google …

  17. Seeing systems in health care organizations. | PSNet

    psnet.ahrq.gov/issue/seeing-systems-health-care-organizations
    January 25, 2023 - Commentary Seeing systems in health care organizations. Citation Text: Friedman LH, King JB, Bella D. Seeing systems in health care organizations. Physician Exec. 2007;33(4):20-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  18. Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. | PSNet

    psnet.ahrq.gov/issue/zebra-intensive-care-unit-metacognitive-reflection-misdiagnosis
    October 19, 2022 - Commentary Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. Citation Text: Gillon SA, Radford ST. Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. Crit Care Resusc. 2012;14(3):216-20. Copy Citation Format: Google Sch…

  19. Adverse glycemic events and critical emergencies. | PSNet

    psnet.ahrq.gov/issue/adverse-glycemic-events-and-critical-emergencies
    December 14, 2022 - Newspaper/Magazine Article Adverse glycemic events and critical emergencies. Citation Text: Adverse glycemic events and critical emergencies. ISMP Medication Safety Alert! Acute care edition. December 2, 2021;(24)1-4. Copy Citation Save Save to your library …

  20. Research Protocol: Characteristics of Existing Asthma Self-Management Education Packages (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/asthma-education-protocol.pdf
    January 01, 2018 - Asthma & Immunology (AAAAI), American Association for Respiratory Care (AARC), American Academy of Pediatrics
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