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psnet.ahrq.gov/node/73280/psn-pdf
May 19, 2021 - Rates of serious surgical errors in California and plans to
prevent recurrence.
May 19, 2021
Cohen AJ, Lui H, Zheng M, et al. Rates of serious surgical errors in California and plans to prevent
recurrence. JAMA Netw Open. 2021;4(5):e217058. doi:10.1001/jamanetworkopen.2021.7058.
https://psnet.ahrq.gov/issue/rates-…
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psnet.ahrq.gov/node/41885/psn-pdf
April 17, 2013 - Deviation from a preoperative surgical and anaesthetic
care plan is associated with increased risk of adverse
intraoperative events in major abdominal surgery.
April 17, 2013
Gauss T, Merckx P, Brasher C, et al. Deviation from a preoperative surgical and anaesthetic care plan is
associated with increased risk of a…
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psnet.ahrq.gov/node/39248/psn-pdf
September 30, 2015 - Hospitalized patients' understanding of their plan of care.
September 30, 2015
O'Leary KJ, Kulkarni N, Landler MP, et al. Hospitalized patients' understanding of their plan of care. Mayo
Clin Proc. 2010;85(1):47-52. doi:10.4065/mcp.2009.0232.
https://psnet.ahrq.gov/issue/hospitalized-patients-understanding-their-pl…
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psnet.ahrq.gov/issue/economic-consequences-medical-injuries-implications-no-fault-insurance-plan
February 18, 2011 - Study
Classic
The economic consequences of medical injuries: implications for a no-fault insurance plan.
Citation Text:
Johnson WG, Brennan TA, Newhouse JP, et al. The economic consequences of medical injuries. Implications for a no-fault insurance plan. JAMA.…
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psnet.ahrq.gov/issue/health-plan-members-views-about-disclosure-medical-errors
November 15, 2011 - Study
Classic
Health plan members' views about disclosure of medical errors.
Citation Text:
Mazor KM, Simon SR, Yood RA, et al. Health plan members' views about disclosure of medical errors. Ann Intern Med. 2004;140(6):409-18.
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psnet.ahrq.gov/issue/geisinger-health-systems-plan-fix-americas-health-care
October 18, 2017 - Newspaper/Magazine Article
Geisinger Health System's plan to fix America's health care.
Citation Text:
Geisinger Health System's plan to fix America's health care. Carbonara P. Fast Company. October 2008.
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psnet.ahrq.gov/issue/medical-emergency-team-calls-need-communicate-resuscitation-plan
November 26, 2014 - Commentary
Medical emergency team calls: the need to communicate a resuscitation plan.
Citation Text:
MacPartlin M, Hillman KM. Medical emergency team calls: the need to communicate a resuscitation plan. Jt Comm J Qual Patient Saf. 2007;33(1):54-6, 1.
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…
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psnet.ahrq.gov/node/36760/psn-pdf
August 23, 2011 - A plan for achieving significant improvement in patient
safety.
August 23, 2011
Johnson K, Maultsby CC. A plan for achieving significant improvement in patient safety. J Nurs Care Qual.
2007;22(2):164-71.
https://psnet.ahrq.gov/issue/plan-achieving-significant-improvement-patient-safety
The authors describe the u…
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psnet.ahrq.gov/node/45458/psn-pdf
November 30, 2016 - Request for comments on the proposed measures and
2020 targets for the National Action Plan for Adverse Drug
Event Prevention: inpatient and outpatient measures for
reduction of adverse drug events from anticoagulants,
diabetes agents, and opioid analgesics.
November 30, 2016
Office of Disease Prevention and Heal…
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psnet.ahrq.gov/primer/national-patient-safety-goals
January 16, 2025 - National Patient Safety Goals
Citation Text:
Shaikh U. National Patient Safety Goals. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote…
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psnet.ahrq.gov/node/40158/psn-pdf
January 17, 2012 - Patient safety in dentistry: dental care risk management
plan.
January 17, 2012
Perea-Pérez B, Santiago-Sáez A, García-Marín F, et al. Patient safety in dentistry: dental care risk
management plan. Med Oral Patol Oral Cir Bucal. 2011;16(6):e805-9.
https://psnet.ahrq.gov/issue/patient-safety-dentistry-dental-care-r…
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psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
December 18, 2024 - In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls
Patricia Dykes, PhD, MA, RN, FAAN, FACMI, Zoe Sousane, BS, Sarah E. Mossburg, RN, PhD | December 18, 2024
Also Read the Essay
View more articles from the same authors.
Citation…
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psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
December 18, 2024 - The Ongoing Journey to Prevent Patient Falls
Patricia Dykes, PhD, MA, RN, FAAN, FACMI, Zoe Sousane, BS, Sarah E. Mossburg, RN, PhD | December 18, 2024
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Dykes PC, Sousane Z, Mossb…
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psnet.ahrq.gov/node/43567/psn-pdf
October 21, 2016 - National Action Plan for Adverse Drug Event Prevention.
October 21, 2016
Washington, DC: Office of Disease Prevention and Health Promotion, United States Department of Health
and Human Services; September 2014.
https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention
This national action pla…
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psnet.ahrq.gov/node/866072/psn-pdf
June 05, 2024 - WHO Global Report on Patient Safety.
June 5, 2024
Geneva, Switzerland: World Health Organization; 2024. ISBN 9789240095458.
https://psnet.ahrq.gov/issue/who-global-report-patient-safety
Comparative data can help to inform and motivate patient safety improvement efforts. This report uses the
seven objectives of the…
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psnet.ahrq.gov/node/867004/psn-pdf
October 30, 2024 - Critical Radiology Alert Process
October 30, 2024
https://psnet.ahrq.gov/innovation/critical-radiology-alert-process
Summary
Vanderbilt University Medical Center developed an electronic trigger tool that alerts the care team of
unrelated abnormal findings and provides a companion follow-up process, with the goal o…
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psnet.ahrq.gov/node/42442/psn-pdf
July 24, 2013 - Using Plan Do Study Act to transform a simulation center.
July 24, 2013
Murphy JI. Using Plan Do Study Act to Transform a Simulation Center. Clin Simul Nurs. 2012;9(7).
doi:10.1016/j.ecns.2012.03.002.
https://psnet.ahrq.gov/issue/using-plan-do-study-act-transform-simulation-center
This commentary describes the res…
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psnet.ahrq.gov/node/42177/psn-pdf
November 23, 2016 - Failure to engage hospitalized elderly patients and their
families in advance care planning.
November 23, 2016
Heyland DK, Barwich D, Pichora D, et al. Failure to engage hospitalized elderly patients and their families
in advance care planning. JAMA Intern Med. 2013;173(9):778-787. doi:10.1001/jamainternmed.2013.18…
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psnet.ahrq.gov/node/49789/psn-pdf
April 01, 2017 - Engaging Seriously Ill Older Patients in Advance Care
Planning
April 1, 2017
Heyland DK. Engaging Seriously Ill Older Patients in Advance Care Planning. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
Case Objectives
Define advance care planning an…
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psnet.ahrq.gov/node/36207/psn-pdf
October 13, 2010 - Using failure mode and effects analysis to plan
implementation of smart i.v. pump technology.
October 13, 2010
Wetterneck TB, Skibinski K, Roberts TL, et al. Using failure mode and effects analysis to plan
implementation of smart i.v. pump technology. Am J Health Syst Pharm. 2006;63(16):1528-38.
https://psnet.ahrq…