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  1. Global Report on Infection Prevention and Control: Executive Summary. | PSNet

    psnet.ahrq.gov/issue/global-report-infection-prevention-and-control-executive-summary
    March 09, 2022 - Book/Report Global Report on Infection Prevention and Control: Executive Summary. Citation Text: Global Report on Infection Prevention and Control: Executive Summary. Geneva, Switzerland; World Health Organization; May 5, 2022. Copy Citation Save Save to your li…

  2. Is myocardial infarction overdiagnosed? | PSNet

    psnet.ahrq.gov/issue/myocardial-infarction-overdiagnosed
    June 28, 2017 - Commentary Is myocardial infarction overdiagnosed? Citation Text: McCarthy CP, Wasfy JH, Januzzi JL. Is myocardial infarction overdiagnosed? JAMA. 2024;331(19):1623. doi:10.1001/jama.2024.5235. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…

  3. Medical errors kill thousands of people each year. But are hospitals getting any safer? | PSNet

    psnet.ahrq.gov/issue/medical-errors-kill-thousands-people-each-year-are-hospitals-getting-any-safer
    June 17, 2020 - Newspaper/Magazine Article Medical errors kill thousands of people each year. But are hospitals getting any safer? Citation Text: Medical errors kill thousands of people each year. But are hospitals getting any safer? Weintraub K. USA Today. May 3, 2023. Copy Citation …

  4. The science of safety improvement: learning while doing. | PSNet

    psnet.ahrq.gov/issue/science-safety-improvement-learning-while-doing
    August 04, 2021 - Commentary The science of safety improvement: learning while doing. Citation Text: Clancy CM, Berwick DM. The science of safety improvement: learning while doing. Ann Intern Med. 2011;154(10):699-701. doi:10.7326/0003-4819-154-10-201105170-00013. Copy Citation Format: DOI…

  5. The public has been forgiving. But hospitals got some things wrong. | PSNet

    psnet.ahrq.gov/issue/public-has-been-forgiving-hospitals-got-some-things-wrong
    April 03, 2019 - Newspaper/Magazine Article The public has been forgiving. But hospitals got some things wrong. Citation Text: Ofri D. The public has been forgiving. But hospitals got some things wrong. New York Times. 2020; May 21. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML…

  6. Parents as partners in obtaining the medication history. | PSNet

    psnet.ahrq.gov/issue/parents-partners-obtaining-medication-history
    March 19, 2019 - Study Parents as partners in obtaining the medication history. Citation Text: Porter SC, Kohane IS, Goldmann DA. Parents as partners in obtaining the medication history. J Am Med Inform Assoc. 2005;12(3):299-305. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

  7. Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. | PSNet

    psnet.ahrq.gov/issue/hospitals-two-states-denied-abortion-miscarrying-patient-investigators-say-they-broke-federal
    September 20, 2023 - Newspaper/Magazine Article Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. Citation Text: Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. Surana K. Pro Publica. M…

  8. Two decades since To Err Is Human: progress, but still a "chasm". | PSNet

    psnet.ahrq.gov/issue/two-decades-err-human-progress-still-chasm
    January 23, 2019 - Special or Theme Issue Two decades since To Err Is Human: progress, but still a "chasm". Citation Text: Dzau VJ, Shine KI. Two Decades Since To Err Is Human. JAMA. 2020;324(24):2489-2490. doi:10.1001/jama.2020.23151. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…

  9. Assessing and monitoring override medications in automated dispensing devices. | PSNet

    psnet.ahrq.gov/issue/assessing-and-monitoring-override-medications-automated-dispensing-devices
    May 06, 2009 - Study Assessing and monitoring override medications in automated dispensing devices. Citation Text: Kowiatek JG, Weber RJ, Skledar S, et al. Assessing and monitoring override medications in automated dispensing devices. Jt Comm J Qual Patient Saf. 2006;32(6):309-17. Copy Citation F…

  10. Suicide in the medical setting. | PSNet

    psnet.ahrq.gov/issue/suicide-medical-setting
    April 24, 2018 - Review Suicide in the medical setting. Citation Text: Ballard ED, Pao M, Henderson D, et al. Suicide in the medical setting. Jt Comm J Qual Patient Saf. 2008;34(8):474-481. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…

  11. Microsoft PowerPoint - File 1_AHCA_Presentation_To_AHSS_On_POA.pptx (pdf file)

    hcup-us.ahrq.gov/datainnovations/clinicaldata/File1_AHCA_Presentation_To_AHSS_On_POA.pdf
    March 20, 2008 - Microsoft PowerPoint - File 1_AHCA_Presentation_To_AHSS_On_POA.pptx Present on Admission Indicators Today and Tomorrow Patrick W. Kennedy Administrator Office of Data Collection & Quality Assurance Agency for Health Care Administration Thursday, March 20, 2008 The History of POA in Florida • POA reporting ad…

  12. Tracking intraoperative complications. | PSNet

    psnet.ahrq.gov/issue/tracking-intraoperative-complications
    April 30, 2014 - Study Tracking intraoperative complications. Citation Text: Platz J, Hyman N. Tracking intraoperative complications. J Am Coll Surg. 2012;215(4):519-23. doi:10.1016/j.jamcollsurg.2012.06.001. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

  13. Mistakes, Errors and Failures across Cultures. | PSNet

    psnet.ahrq.gov/issue/mistakes-errors-and-failures-across-cultures-navigating-potentials
    January 20, 2021 - Book/Report Mistakes, Errors and Failures across Cultures. Citation Text: Mistakes, Errors and Failures across Cultures. Vanderheiden E, Mayer C, eds. Springer Nature. Cham, Switzerland: 2020. ISBN 9783030355739 Copy Citation Save Save to your library P…

  14. Recent Evidence That Health IT Improves Patient Safety: Issue Brief. | PSNet

    psnet.ahrq.gov/issue/recent-evidence-health-it-improves-patient-safety-issue-brief
    June 29, 2016 - Book/Report Recent Evidence That Health IT Improves Patient Safety: Issue Brief. Citation Text: Recent Evidence That Health IT Improves Patient Safety: Issue Brief. Banger A, Graber ML. Washington, DC: Office of the National Coordinator for Health Information Technology; February 2015. …

  15. Root cause analysis. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis
    June 15, 2016 - Commentary Root cause analysis. Citation Text: Stecker MS. Root cause analysis. J Vasc Interv Radiol. 2007;18(1 Pt 1):5-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  16. Improving process while changing practice: FMEA and medication administration. | PSNet

    psnet.ahrq.gov/issue/improving-process-while-changing-practice-fmea-and-medication-administration
    January 18, 2011 - Commentary Improving process while changing practice: FMEA and medication administration. Citation Text: Riehle MA, Bergeron D, Hyrkäs K. Improving process while changing practice. Nurs Manage. 2009;39(2). doi:10.1097/01.numa.0000310533.54708.38. Copy Citation Format: DOI…

  17. IVD Aspirin Use Measure Flow Chart (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/aspirin-flowchart.pdf
    June 02, 2025 - IVD Aspirin Use Measure Flow Chart Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic Was the patient aged 18 years or older on the first day of the measurement period? Did the patient have at least one face to face visit with an eligible provider in an eligible specialty during the…

  18. Assessment of patient safety research from an organizational ergonomics and structural perspective. | PSNet

    psnet.ahrq.gov/issue/assessment-patient-safety-research-organizational-ergonomics-and-structural-perspective
    September 09, 2011 - Review Assessment of patient safety research from an organizational ergonomics and structural perspective. Citation Text: Schutz AL, Counte MA, Meurer S. Assessment of patient safety research from an organizational ergonomics and structural perspective. Ergonomics. 2007;50(9):1451-84. …

  19. Patient safety 2.0: slaying dragons, not just investigating them. | PSNet

    psnet.ahrq.gov/issue/patient-safety-20-slaying-dragons-not-just-investigating-them
    September 14, 2016 - Commentary Patient safety 2.0: slaying dragons, not just investigating them. Citation Text: Card AJ. Patient safety 2.0: slaying dragons, not just investigating them. J Patient Saf. 2023;19(6):394-395. doi:10.1097/pts.0000000000001140. Copy Citation Format: DOI Google Schol…

  20. Establishing a culture for patient safety - the role of education. | PSNet

    psnet.ahrq.gov/issue/establishing-culture-patient-safety-role-education
    August 23, 2017 - Commentary Establishing a culture for patient safety - the role of education. Citation Text: Milligan FJ. Establishing a culture for patient safety - the role of education. Nurse Educ Today. 2007;27(2):95-102. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …
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