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psnet.ahrq.gov/node/73369/psn-pdf
June 09, 2021 - SEIPS 101 and seven simple SEIPS tools.
June 9, 2021
Holden RJ, Carayon P. SEIPS 101 and seven simple SEIPS tools. BMJ Qual Saf. 2021;30(11):901-910.
doi:10.1136/bmjqs-2020-012538.
https://psnet.ahrq.gov/issue/seips-101-and-seven-simple-seips-tools
Since the SEIPS (Systems Engineering Initiative for Patient Safety…
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psnet.ahrq.gov/node/74218/psn-pdf
January 25, 2022 - We Can’t Do This Alone! The Role That Patients, Family
Members, and the General Public Play in Advancing
Patient Safety.
December 22, 2021
Patient Safety Movement Foundation. January 25, 2022.
https://psnet.ahrq.gov/issue/we-cant-do-alone-role-patients-family-members-and-general-public-play-
advancing-patient
Su…
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psnet.ahrq.gov/node/45264/psn-pdf
September 01, 2016 - Perceived factors associated with sustained improvement
following participation in a multicenter quality
improvement collaborative.
September 1, 2016
Stone S, Lee HC, Sharek PJ. Perceived Factors Associated with Sustained Improvement Following
Participation in a Multicenter Quality Improvement Collaborative. Jt Co…
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psnet.ahrq.gov/node/74129/psn-pdf
January 01, 2022 - Factors influencing providers' willingness to deprescribe
medications.
December 1, 2021
Davila H, Rosen AK, Stolzmann K, et al. Factors influencing providers' willingness to deprescribe
medications. J Am Coll Clin Pharm. 2022;5:15-25. doi:10.1002/jac5.1537.
https://psnet.ahrq.gov/issue/factors-influencing-provider…
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psnet.ahrq.gov/node/43940/psn-pdf
February 25, 2015 - AHRQ Announces Interest in Research About the
Epidemiology of Patient Safety Risks and Harms in
Ambulatory Health Care Settings.
February 25, 2015
Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. February 10, 2015.
Publication No. NOT-HS-15-006.
https://psnet.ahrq.gov/issue/ahrq…
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psnet.ahrq.gov/node/72828/psn-pdf
March 10, 2021 - A recurring call to action: every healthcare organization
needs a medication safety officer!
March 10, 2021
ISMP Medication Safety Alert! Acute care edition. February 25, 2021;26(4);1-4.
https://psnet.ahrq.gov/issue/recurring-call-action-every-healthcare-organization-needs-medication-safety-
officer
Leadership ro…
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psnet.ahrq.gov/node/837324/psn-pdf
July 08, 2022 - A Statewide Collaborative to Support Vaginal Birth and
Reduce Unnecessary Cesarean Deliveries
July 8, 2022
https://psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-
cesarean-deliveries
Summary
Started in response to rising maternal morbidity and mortality rates in …
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psnet.ahrq.gov/perspective/literature-health-care-simulation-education-what-does-it-show
March 01, 2013 - The Literature on Health Care Simulation Education: What Does It Show?
David A. Cook, MD, MHPE | March 1, 2013
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Cook DA. The Literature on Health Care Simulation Education: What Do…
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psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
February 01, 2007 - Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common?
Mark L. Graber, MD | February 1, 2007
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Graber ML. Diagnostic Errors in Medicine: What Do Doctors and Umpi…
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psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
March 01, 2011 - Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical
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psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
January 01, 2025 - AHRQ PSNet Webinar
AHRQ PSNet Webinar
Making Healthcare Safer (MHS) IV:
Rapid Response Systems and Opioid Stewardship
February 10, 2025
Agenda
2
• Logistics
• Introduction to the Making Healthcare Safer (MHS) IV Reports
• Report 1 – Rapid Response Systems
► Discussion
► PSNet Resources
• Report 2 – Opioi…
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psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
February 28, 2024 - In Conversation With… Vineet Chopra, MD, MSc
October 30, 2019
Citation Text:
In Conversation With… Vineet Chopra, MD, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation…
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psnet.ahrq.gov/innovation/implementing-watcher-program-improve-timeliness-recognition-deterioration-hospitalized
June 30, 2021 - EMERGING INNOVATIONS
Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children
Citation Text:
Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children Evans S, Green A, Roberson A, et al. …
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psnet.ahrq.gov/issue/comparing-catheter-associated-urinary-tract-infection-prevention-programs-between-veterans
December 21, 2017 - Study
Comparing catheter-associated urinary tract infection prevention programs between Veterans Affairs nursing homes and non–Veterans Affairs nursing homes.
Citation Text:
Mody L, Greene T, Saint S, et al. Comparing Catheter-Associated Urinary Tract Infection Prevention Programs Betwee…
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psnet.ahrq.gov/innovation/there-app-mobile-technology-improves-complication-reporting-and-resident-perception
November 28, 2012 - EMERGING INNOVATIONS
There is an app for that: mobile technology improves complication reporting and resident perception of their role in patient safety
Citation Text:
Johnson CR, Noorzad A, Pujari A, et al. There is an app for that: mobile technology improves complication reporting and resident p…
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psnet.ahrq.gov/node/33562/psn-pdf
September 15, 2024 - Rapid Response Systems
September 15, 2024
Rapid Response Systems. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/rapid-response-systems
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field.…
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psnet.ahrq.gov/node/845303/psn-pdf
March 01, 2023 - Association of past and future paid medical malpractice
claims.
March 1, 2023
Hyman DA, Lerner J, Magid DJ, et al. Association of past and future paid medical malpractice claims.
JAMA Health Forum. 2023;4(2):e225436. doi:10.1001/jamahealthforum.2022.5436.
https://psnet.ahrq.gov/issue/association-past-and-future-pa…
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psnet.ahrq.gov/node/43584/psn-pdf
October 22, 2014 - The "Dirty Dozen": 12 persistent safety gaffes that we
need to resolve!
October 22, 2014
ISMP Medication Safety Alert! Acute Care Edition. October 9, 2014;19:1-5.
https://psnet.ahrq.gov/issue/dirty-dozen-12-persistent-safety-gaffes-we-need-resolve
Changes in practice require time and monitoring to achieve lasting …
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psnet.ahrq.gov/node/60693/psn-pdf
July 15, 2020 - Incoming interns recognize inadequate physical
examination as a cause of patient harm.
July 15, 2020
Russo S, Berg K, Davis JJ, et al. Incoming interns recognize inadequate physical examination as a cause
of patient harm. J Med Educ Curric Dev. 2020;7:238212052092899. doi:10.1177/2382120520928993.
https://psnet.ah…
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psnet.ahrq.gov/node/854254/psn-pdf
October 04, 2023 - Implementing patient safety and quality improvement in
dermatology.
October 4, 2023
Marsch A, Khodosh R, Porter M, et al. J Am Acad Dermatol. 2023;89(4):641-54; 57-67.
https://psnet.ahrq.gov/issue/implementing-patient-safety-and-quality-improvement-dermatology
Patient safety in dermatology has received increasing …