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  1. The Field Guide to Human Error Investigations, Third Edition. | PSNet

    psnet.ahrq.gov/issue/field-guide-human-error-investigations-third-edition
    April 13, 2018 - Book/Report Classic The Field Guide to Human Error Investigations, Third Edition. Citation Text: The Field Guide to Human Error Investigations, Third Edition. Dekker S. Boca Baton, FL: CRC Press; 2017. Copy Citation Save Save to your libr…

  2. People, processes, health IT and accurate patient identification. | PSNet

    psnet.ahrq.gov/issue/people-processes-health-it-and-accurate-patient-identification
    April 11, 2018 - Newspaper/Magazine Article People, processes, health IT and accurate patient identification. Citation Text: People, processes, health IT and accurate patient identification. Quick Safety. October 1, 2018;(45):1-2. Copy Citation Save Save to your library Prin…

  3. Research Summary | Digital Healthcare Research

    digital.ahrq.gov/2019-year-review/research-summary
    January 01, 2019 - Research Summary The mission of AHRQ’s Digital Healthcare Research Program is directly aligned with the overall AHRQ mission. Through rigorous research, AHRQ generates the ground-breaking knowledge, tools, and data needed to improve health system performance and health outcomes. These …

  4. Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital. | PSNet

    psnet.ahrq.gov/issue/investigation-role-clinical-pharmacy-services-helping-identify-and-reduce-high-risk
    September 29, 2021 - Book/Report Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital. Citation Text: Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hos…

  5. Getting Started with a Communication and Resolution Program (CRP) Policy or Commitment Statement to CR. | PSNet

    psnet.ahrq.gov/issue/getting-started-communication-and-resolution-program-crp-policy-or-commitment-statement-cr
    February 28, 2024 - Tools/Toolkit Getting Started with a Communication and Resolution Program (CRP) Policy or Commitment Statement to CR. Citation Text: Getting Started with a Communication and Resolution Program (CRP) Policy or Commitment Statement to CR. Collaborative for Accountability and Improvement Po…

  6. Top 10 Patient Safety Concerns. | PSNet

    psnet.ahrq.gov/issue/top-10-patient-safety-concerns
    March 10, 2021 - Book/Report Top 10 Patient Safety Concerns. Citation Text: Top 10 Patient Safety Concerns. Plymouth Meeting, PA: ECRI; March 2025. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

  7. Making FMEA work for you. | PSNet

    psnet.ahrq.gov/issue/making-fmea-work-you
    July 01, 2019 - Commentary Making FMEA work for you. Citation Text: Reams J. Making FMEA work for you. Nurs Manage. 2011;42(5):18-20. doi:10.1097/01.NUMA.0000396500.05462.6e. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  8. Health IT Patient Safety Supplemental Items for Hospitals. | PSNet

    psnet.ahrq.gov/issue/health-it-patient-safety-supplemental-items-hospitals
    October 23, 2019 - Webinar Health IT Patient Safety Supplemental Items for Hospitals. Citation Text: Health IT Patient Safety Supplemental Items for Hospitals. Agency for Healthcare Research and Quality. July 25, 2018.  Copy Citation Save Save to your library Print Downloa…

  9. Artificial intelligence will improve medical treatments. | PSNet

    psnet.ahrq.gov/issue/artificial-intelligence-will-improve-medical-treatments
    February 06, 2019 - Newspaper/Magazine Article Artificial intelligence will improve medical treatments. Citation Text: Artificial intelligence will improve medical treatments. The Economist. June 7, 2018. Copy Citation Save Save to your library Print Download PDF …

  10. Deep Medicine: How Artificial Intelligence Can Make Healthcare Human Again. | PSNet

    psnet.ahrq.gov/issue/deep-medicine-how-artificial-intelligence-can-make-healthcare-human-again
    January 07, 2019 - Book/Report Classic Deep Medicine: How Artificial Intelligence Can Make Healthcare Human Again. Citation Text: Deep Medicine: How Artificial Intelligence Can Make Healthcare Human Again. Topol E. New York, NY: Basic Books; 2019. ISBN: 9781541644632. Copy Citat…

  11. The high cost of retained surgical items. | PSNet

    psnet.ahrq.gov/issue/high-cost-retained-surgical-items
    February 22, 2023 - Newspaper/Magazine Article The high cost of retained surgical items. Citation Text: The high cost of retained surgical items. Moorehead LD. Outpatient Surgery. April 5, 2023. Copy Citation Save Save to your library Print Download PDF Share …

  12. A Systems Approach to Quality Improvement in Long-Term Care: Safe Medication Practices Workbook. | PSNet

    psnet.ahrq.gov/issue/systems-approach-quality-improvement-long-term-care-safe-medication-practices-workbook
    December 27, 2014 - Toolkit A Systems Approach to Quality Improvement in Long-Term Care: Safe Medication Practices Workbook. Citation Text: A Systems Approach to Quality Improvement in Long-Term Care: Safe Medication Practices Workbook. Massachusetts Coalition for the Prevention of Medical Errors, MassPRO, …

  13. Health care safety: what needs to be done? | PSNet

    psnet.ahrq.gov/issue/health-care-safety-what-needs-be-done
    December 01, 2011 - Commentary Health care safety: what needs to be done? Citation Text: Rubin GL, Leeder SR. Health care safety: what needs to be done? Med J Aust. 2005;183(10):529-31. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…

  14. ISMP medication error report analysis. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-43
    September 26, 2017 - Commentary ISMP medication error report analysis. Citation Text: Cohen MR, Smetzer JL. Safer Connectors in the United Kingdom; Value of the Independent Double-Check; Medication Errors Column in 35th Year. Hosp Pharm. 2010;45(3). doi:10.1310/hpj4503-191. Copy Citation Format: …

  15. Inpatient Computerized Provider Order Entry: Findings from the AHRQ Health IT Portfolio. | PSNet

    psnet.ahrq.gov/issue/inpatient-computerized-provider-order-entry-findings-ahrq-health-it-portfolio
    May 24, 2015 - Book/Report Inpatient Computerized Provider Order Entry: Findings from the AHRQ Health IT Portfolio. Citation Text: Inpatient Computerized Provider Order Entry: Findings from the AHRQ Health IT Portfolio. Dixon BE, Zafar A, for AHRQ National Resource Center for Health IT. Rockville, MD: …

  16. Merry and McCall Smith's Errors, Medicine, and the Law. 2nd ed. | PSNet

    psnet.ahrq.gov/issue/errors-medicine-and-law
    August 06, 2016 - Book/Report Classic Merry and McCall Smith's Errors, Medicine, and the Law. 2nd ed. Citation Text: Merry and McCall Smith's Errors, Medicine, and the Law. 2nd ed. Merry A, Brookbanks W. Cambridge, UK: Cambridge University Press; 2017. ISBN: 9781107180499 Copy …

  17. Enhancing physicians' use of clinical guidelines. | PSNet

    psnet.ahrq.gov/issue/enhancing-physicians-use-clinical-guidelines
    July 01, 2017 - Commentary Enhancing physicians' use of clinical guidelines. Citation Text: Pronovost P. Enhancing physicians' use of clinical guidelines. JAMA. 2013;310(23):2501-2. doi:10.1001/jama.2013.281334. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote …

  18. Final Report of the Ockenden Review. | PSNet

    psnet.ahrq.gov/issue/final-report-ockenden-review
    January 13, 2021 - Book/Report Final Report of the Ockenden Review. Citation Text: Final Report of the Ockenden Review. London UK: Crown Copyright; March 30, 2022. ISBN: 9781528632294. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  19. Implementing Closing the Loop. Safe Practices for Diagnostic Results | PSNet

    psnet.ahrq.gov/issue/implementing-closing-loop-safe-practices-diagnostic-results
    March 10, 2021 - Book/Report Implementing Closing the Loop. Safe Practices for Diagnostic Results Citation Text: Implementing Closing the Loop. Safe Practices for Diagnostic Results Partnership for HIT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2020. Copy Citation Save …

  20. Nursing Home Complaint Investigations.  | PSNet

    psnet.ahrq.gov/issue/nursing-home-complaint-investigations
    September 27, 2006 - Government Resource Nursing Home Complaint Investigations.  Citation Text: Nursing Home Complaint Investigations.  Levinson DR. Washington DC: Office of the Inspector General; July 2006. OEI-01-04-00340. Copy Citation Save Save to your library Print …
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