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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45189/psn-pdf
    February 19, 2019 - SaferCare Texas February 19, 2019 UNT Health Science Center; University of North Texas Health Science Center; UNTHSC. https://psnet.ahrq.gov/issue/safercare-texas Regional programs for patient safety seek to provide communities with resources targeted to distinct needs and populations while addressing key areas of…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36124/psn-pdf
    June 15, 2011 - System failure versus personal accountability--the case for clean hands. June 15, 2011 Goldmann DA. System failure versus personal accountability--the case for clean hands. N Engl J Med. 2006;355(2):121-3. https://psnet.ahrq.gov/issue/system-failure-versus-personal-accountability-case-clean-hands The author argue…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34606/psn-pdf
    July 06, 2011 - Operating at the sharp end: the complexity of human error. July 6, 2011 Cook RI, Woods DD. Chapter In: Bogner MS, ed. Human Error in Medicine. Hillsdale NJ: Lawrence Erlbaum Associates, Inc; 2004. https://psnet.ahrq.gov/issue/operating-sharp-end-complexity-human-error The authors provide an introduction to system…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37251/psn-pdf
    February 28, 2018 - Drug labeling and packaging — looking beyond what meets the eye. February 28, 2018 PA-PSRS Patient Safety Advisory. https://psnet.ahrq.gov/issue/drug-labeling-and-packaging-looking-beyond-what-meets-eye Drawing from data submitted to the Patient Safety Authority reporting system, this article documents factors in…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45078/psn-pdf
    June 28, 2019 - Common Formats for Event Reporting. June 28, 2019 National Quality Forum. https://psnet.ahrq.gov/issue/comments-common-formats-event-reporting-hospital-version-03-beta Patient safety organizations collect data across various systems and states. This site supports review and comment of versions of common formats de…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38647/psn-pdf
    May 20, 2009 - A next act for patient safety. May 20, 2009 Viola AF, Kallem C, Bronnert J. A next act for patient safety. J AHIMA. 2009;80(4):30-5; quiz 37-8. https://psnet.ahrq.gov/issue/next-act-patient-safety This article provides an overview of the Patient Safety and Quality Improvement Act and addresses the potential roles …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34925/psn-pdf
    February 27, 2009 - Medication errors and professional practice of registered nurses. February 27, 2009 Deans C. Medication errors and professional practice of registered nurses. Collegian. 2005;12(1):29-33. https://psnet.ahrq.gov/issue/medication-errors-and-professional-practice-registered-nurses This Australian study identified and…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40421/psn-pdf
    January 01, 2020 - Safe Surgery 2020. April 27, 2011 GE Foundation. info@safesurgery2020.org. https://psnet.ahrq.gov/issue/safe-surgery-2015 This Web site provides programmatic resources building on work to implement the World Health Organization surgical safety checklist to improve surgical safety worldwide. Its efforts center…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40023/psn-pdf
    November 24, 2010 - Health literacy and communication quality in health care organizations. November 24, 2010 Wynia M, Osborn CY. Health literacy and communication quality in health care organizations. J Health Commun. 2010;15 Suppl 2:102-15. doi:10.1080/10810730.2010.499981. https://psnet.ahrq.gov/issue/health-literacy-and-communica…
  10. psnet.ahrq.gov/training-catalog/ismp-education-solutions
    September 14, 2025 - ISMP Education Solutions Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization ECRI Institute Event Description: As a global leader in medication s…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38375/psn-pdf
    December 01, 2019 - ISMP QuarterWatch Reports. April 17, 2019 Horsham, PA: Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/ismp-quarterwatch-reports This website provides quarterly reports that identify and analyze new risks related to medications and adverse drug events submitted to the Food and Drug Administra…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35922/psn-pdf
    July 26, 2010 - Nursing 2006 Patient-safety survey report. July 26, 2010 Manno M, Hogan P, Heberlein V, et al. Nursing 2006. Patient-safety survey report. Nursing (Brux). 2006;36(5):54-64. https://psnet.ahrq.gov/issue/nursing-2006-patient-safety-survey-report The investigators analyzed the results of a 2005 survey of approximatel…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40317/psn-pdf
    November 21, 2016 - Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care. November 21, 2016 Balik B, Conway J, Zipperer L, Watson J. Cambridge, MA: Institute for Healthcare Improvement; 2011. https://psnet.ahrq.gov/issue/achieving-exceptional-patient-and-family-experience-inpatient-hospital-care This whit…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33950/psn-pdf
    February 05, 2018 - Quick Tips--When Planning for Surgery. February 5, 2018 Rockville, MD: Agency for Health Care Policy and Research; 2005. AHRQ Pub. No. 01-0040d. https://psnet.ahrq.gov/issue/quick-tips-when-planning-surgery-0 This AHRQ brochure provides practical advice for patients facing non-emergent surgery, to help them be gen…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33970/psn-pdf
    March 07, 2005 - Failure in Safety-Critical Systems: A Handbook of Accident and Incident Reporting. March 7, 2005 Johnson CW. Glasgow, Scotland: University of Glasgow Press; 2003. ISBN 0852617844. https://psnet.ahrq.gov/issue/failure-safety-critical-systems-handbook-accident-and-incident-reporting The author provides engineers and…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44313/psn-pdf
    November 28, 2023 - Resilient Health Care Society. November 28, 2023 Sweden. https://psnet.ahrq.gov/issue/resilient-health-care-society Resilience engineering provides a structure to enable teams and organizations to respond to emergent problems. This initiative supports networking and research related to this approach to ensure the …
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42808/psn-pdf
    December 18, 2013 - Patient safety education: what was, what is, and what will be? December 18, 2013 Klamen D, Sanserino K, Skolnik PJ. Patient Safety Education: What Was, What Is, and What Will Be? Teach Learn Med. 2013;25(sup1). doi:10.1080/10401334.2013.842906. https://psnet.ahrq.gov/issue/patient-safety-education-what-was-what-an…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43360/psn-pdf
    September 29, 2017 - Antimicrobial Stewardship Toolkit. September 29, 2017 Chicago, IL: American Hospital Association Physician Leadership Forum; July 2014. https://psnet.ahrq.gov/issue/antimicrobial-stewardship-toolkit Antimicrobial stewardship has been promoted as an element of patient safety. This toolkit provides resources for hos…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47675/psn-pdf
    November 28, 2023 - SOPS Surveys. November 28, 2023 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/sops-surveys Surveys are established mechanisms for organizational assessment of safety culture. This collection of webinars provides an overview of the AHRQ Surveys on Patient Safety Culture™ (SOPS®) and a ran…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60035/psn-pdf
    September 22, 2023 - SOPS Medical Office Database. March 11, 2020 Agency for Healthcare Research and Quality (AHRQ). March 2020. https://psnet.ahrq.gov/issue/sops-medical-office-database This website provides a report and data repository representing medical offices that administered the AHRQ Surveys on Patient Safety Culture™ (SOPS®)…

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