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  1. Lessons from health care leaders: rethinking and reinvesting in patient safety. | PSNet

    psnet.ahrq.gov/issue/lessons-health-care-leaders-rethinking-and-reinvesting-patient-safety
    May 01, 2019 - Commentary Lessons from health care leaders: rethinking and reinvesting in patient safety. Citation Text: doi:10.1056/CAT.23.0090. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save …

  2. When the bone flap hits the floor. | PSNet

    psnet.ahrq.gov/issue/when-bone-flap-hits-floor
    March 12, 2025 - Study When the bone flap hits the floor. Citation Text: Jankowitz BT, Kondziolka DS. When the bone flap hits the floor. Neurosurgery. 2006;59(3):585-90; discussion 585-90. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

  3. Patient Safety. | PSNet

    psnet.ahrq.gov/issue/patient-safety-23
    October 31, 2018 - Special or Theme Issue Patient Safety. Citation Text: Patient Safety. Dean J, Subbe C, eds. Future Healthc J. 2021;8(3):e559-e618. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

  4. How to Stay Safe When Entering the Healthcare System: A Physician Walks across the Country to Raise Awareness of the Need to Improve Healthcare Safety. | PSNet

    psnet.ahrq.gov/issue/how-stay-safe-when-entering-healthcare-system-physician-walks-across-country-raise-awareness
    January 01, 2019 - Book/Report How to Stay Safe When Entering the Healthcare System: A Physician Walks across the Country to Raise Awareness of the Need to Improve Healthcare Safety. Citation Text: How to Stay Safe When Entering the Healthcare System: A Physician Walks across the Country to Raise Awareness…

  5. Blaming others for threatening events. | PSNet

    psnet.ahrq.gov/issue/blaming-others-threatening-events
    November 25, 2009 - Review Classic Blaming others for threatening events. Citation Text: Blaming others for threatening events. Tennen H; Affleck G. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter…

  6. The Swiss cheese model of safety incidents: are there holes in the metaphor? | PSNet

    psnet.ahrq.gov/issue/swiss-cheese-model-safety-incidents-are-there-holes-metaphor
    February 24, 2011 - Commentary The Swiss cheese model of safety incidents: are there holes in the metaphor? Citation Text: Perneger T. The Swiss cheese model of safety incidents: are there holes in the metaphor? BMC Health Serv Res. 2005;5:71. Copy Citation Format: Google Scholar PubMed BibT…

  7. The evolution of the apology. | PSNet

    psnet.ahrq.gov/issue/evolution-apology
    September 29, 2010 - Commentary The evolution of the apology. Citation Text: Newfield JS. The Evolution of the Apology. Home Health Care Manag Pract. 2007;19(2). doi:10.1177/1084822306294456. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

  8. Hospital ‘black boxes’ put surgical practices under the microscope. | PSNet

    psnet.ahrq.gov/issue/hospital-black-boxes-put-surgical-practices-under-microscope
    March 29, 2023 - Newspaper/Magazine Article Hospital ‘black boxes’ put surgical practices under the microscope. Citation Text: Hospital ‘black boxes’ put surgical practices under the microscope. Sadick B. Wall Street Journal. March 19, 2023. Copy Citation Save Save to your libra…

  9. Medical error, malpractice and complications: a moral geography. | PSNet

    psnet.ahrq.gov/issue/medical-error-malpractice-and-complications-moral-geography
    August 20, 2018 - Commentary Medical error, malpractice and complications: a moral geography. Citation Text: Zientek DM. Medical error, malpractice and complications: a moral geography. HEC Forum. 2010;22(2):145-57. doi:10.1007/s10730-010-9130-9. Copy Citation Format: DOI Google Scholar Pu…

  10. Patient safety in the dialysis facility. | PSNet

    psnet.ahrq.gov/issue/patient-safety-dialysis-facility
    May 27, 2015 - Commentary Patient safety in the dialysis facility. Citation Text: Kliger AS. Patient safety in the dialysis facility. Blood Purif. 2006;24(1):19-21. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Down…

  11. The glaring loophole in U.S. virus response: human error. | PSNet

    psnet.ahrq.gov/issue/glaring-loophole-us-virus-response-human-error
    March 18, 2020 - Newspaper/Magazine Article The glaring loophole in U.S. virus response: human error. Citation Text: The glaring loophole in U.S. virus response: human error. Ehley B. Politico. March 2, 2020. Copy Citation Save Save to your library Print Download PDF …

  12. When incidents happen. | PSNet

    psnet.ahrq.gov/issue/when-incidents-happen
    January 14, 2011 - Commentary When incidents happen. Citation Text: Newfield JS. When Incidents Happen. Home Health Care Manag Pract. 2006;18(5). doi:10.1177/1084822306287998. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  13. Is your hospital really as safe as you think? Our updated hospital safety score can help you find out. | PSNet

    psnet.ahrq.gov/issue/your-hospital-really-safe-you-think-our-updated-hospital-safety-score-can-help-you-find-out
    November 23, 2016 - Newspaper/Magazine Article Is your hospital really as safe as you think? Our updated hospital safety score can help you find out. Citation Text: Is your hospital really as safe as you think? Our updated hospital safety score can help you find out. Consumer Reports. March 27, 2014. Copy…

  14. How DeKalb Medical fixed drug safety problems after fatal error. | PSNet

    psnet.ahrq.gov/issue/how-dekalb-medical-fixed-drug-safety-problems-after-fatal-error
    October 11, 2017 - Newspaper/Magazine Article How DeKalb Medical fixed drug safety problems after fatal error. Citation Text: How DeKalb Medical fixed drug safety problems after fatal error. Porter S. HealthLeaders Media. April 26, 2018. Copy Citation Save Save to your library …

  15. Oral chemotherapy: not just an ordinary pill. | PSNet

    psnet.ahrq.gov/issue/oral-chemotherapy-not-just-ordinary-pill
    May 05, 2018 - Newspaper/Magazine Article Oral chemotherapy: not just an ordinary pill. Citation Text: Oral chemotherapy: not just an ordinary pill. ISMP Canada. SafeMedicineUse. August 19, 2015;6:1-2. Copy Citation Save Save to your library Print Download PDF …

  16. VA pauses $16B Oracle Cerner EHR deployments indefinitely to address error-ridden early rollout. | PSNet

    psnet.ahrq.gov/issue/va-pauses-16b-oracle-cerner-ehr-deployments-indefinitely-address-error-ridden-early-rollout
    September 14, 2022 - Newspaper/Magazine Article VA pauses $16B Oracle Cerner EHR deployments indefinitely to address error-ridden early rollout. Citation Text: VA pauses $16B Oracle Cerner EHR deployments indefinitely to address error-ridden early rollout. Muoio D. Fierce Healthcare. April 21, 2023. Copy…

  17. Medication List (Note Sheet) (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medmanage_medlist.pdf
    June 02, 2025 - Medication List (Note Sheet) Patient Name _____________________________________ Date of Birth: __________________________ Date of Visit: ___________________________ Prescribed Medicines From Your Doctor Medicine Name Dose Frequency Why Taking? Expired? Y/N Need Refill? Y/N Taking as Prescribed? Y/N Over…

  18. Checklist: Conducting a Warm Handoff Plus (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-checklist-508.pdf
    June 02, 2025 - Checklist: Conducting a Warm Handoff Plus Checklist: Conducting a Warm Handoff Plus Present to the Clinician � Reason for the visit. � Patient visit goals and health concerns. � Vital signs, BMI/weight, significant changes. � Medication issues (e.g., refills, side effects). � Updates on reports: ¤ Labs. …

  19. Checklist: Conducting a Warm Handoff (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-staff-checklist-letter.pdf
    June 02, 2025 - Checklist: Conducting a Warm Handoff Checklist: Conducting a Warm Handoff Guide to Patient and Family Engagement in Primary Care Present to the Clinician � Reason for the visit. � Patient visit goals and health concerns. � Vital signs, BMI/weight, significant changes. � Medication issues (e.g., refills, s…

  20. Write it down - Join your team! (Patient Note Sheet) (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/bepreparedptnotesheet.pdf
    June 02, 2025 - Write it down - Join your team! (Patient Note Sheet) Write it down - Join your team! What did the doctor tell me? What medicine do I need to take? How do I take my medicine? What tests do I need? What are my test results? What do I need to do next? Acrobat Accessibility Report Accessibili…
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