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7601. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47490/psn-pdf
      December 05, 2018 - Check your medical records for dangerous errors. December 5, 2018 Graham J. Kaiser Health News. November 21, 2018. https://psnet.ahrq.gov/issue/check-your-medical-records-dangerous-errors Patients can identify errors in their medical records that health care providers may not recognize. This news article highlight…

7602. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43675/psn-pdf
      April 18, 2016 - Patient Safety 2015: Final Technical Report. April 18, 2016 Washington, DC: National Quality Forum; 2016. https://psnet.ahrq.gov/issue/patient-safety-2015-final-technical-report The value of current measures to track patient safety has been called into question. This technical report provides information about a c…

7603. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46415/psn-pdf
      February 21, 2018 - Child Health Patient Safety Organization. February 21, 2018 Children's Hospital Association. https://psnet.ahrq.gov/issue/child-health-patient-safety-organization Pediatric care delivery presents unique safety challenges. This patient safety organization provides data analysis, annual reports, and publications inc…

7604. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47292/psn-pdf
      May 01, 2022 - Nebraska Coalition for Patient Safety Annual Report. May 1, 2022 Omaha, NE: Nebraska Coalition for Patient Safety; 2022. https://psnet.ahrq.gov/issue/nebraska-coalition-patient-safety-2018-annual-report Patient Safety Organizations (PSOs) provide local evidence to inform learning among their members. This annual r…

7605. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41021/psn-pdf
      December 21, 2011 - Patient safety instruction in US health professions education. December 21, 2011 Kiersma ME, Plake KS, Darbishire PL. Patient safety instruction in US health professions education. Am J Pharm Educ. 2011;75(8):162. doi:10.5688/ajpe758162. https://psnet.ahrq.gov/issue/patient-safety-instruction-us-health-professions…

7606. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34876/psn-pdf
      April 04, 2005 - Congress once again debates legislation on patient safety: doctors and others would be able to report mistakes without the information being used against them in court. April 4, 2005 Finkelstein JB https://psnet.ahrq.gov/issue/congress-once-again-debates-legislation-patient-safety-doctors-and-others- would-be-ab…

7607. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46151/psn-pdf
      May 24, 2017 - The last person you'd expect to die in childbirth. May 24, 2017 Martin N, Montagne R. ProPublica and National Public Radio. May 12, 2017. https://psnet.ahrq.gov/issue/last-person-youd-expect-die-childbirth Maternal mortality is increasing in the United States. This news article reports on this critical safety probl…

7608. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44137/psn-pdf
      May 13, 2015 - AHRQ Patient Safety YouTube Channel. May 13, 2015 Rockville, MD: Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/ahrq-patient-safety-youtube-channel This Web site hosts a collection of training videos to highlight two improvement strategies: the Comprehensive Unit-based Safety Program and …

7609. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40212/psn-pdf
      April 04, 2011 - Creating effective quality-improvement collaboratives: a multiple case study. April 4, 2011 Strating MMH, Nieboer AP, Zuiderent-Jerak T, et al. Creating effective quality-improvement collaboratives: a multiple case study. BMJ Qual Saf. 2011;20(4). doi:10.1136/bmjqs.2010.047159. https://psnet.ahrq.gov/issue/creatin…

7610. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44820/psn-pdf
      March 08, 2017 - Patient Safety Project 2015–2017. March 8, 2017 National Quality Forum; NQF. https://psnet.ahrq.gov/issue/patient-safety-project-2015-2017 The National Quality Forum (NQF) has been a leader in defining patient safety reporting measures. This website provides information about the third cycle of an NQF patient safe…

7611. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45663/psn-pdf
      November 09, 2016 - Nursing Home Antimicrobial Stewardship Guide. November 9, 2016 Rockville, MD: Agency for Healthcare Research and Quality; October 2016. https://psnet.ahrq.gov/issue/nursing-home-antimicrobial-stewardship-guide Antimicrobial stewardship is one strategy to reduce health care–associated infections in a variety of set…

7612. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50662/psn-pdf
      November 13, 2019 - Deep Dive: Safe Ambulatory Care, Strategies for Patient Safety & Risk Reduction. November 13, 2019 Plymouth Meeting, PA: ECRI Institute; 2019. https://psnet.ahrq.gov/issue/deep-dive-safe-ambulatory-care-strategies-patient-safety-risk-reduction Outpatient safety is gaining traction as a focal point of analysis and …

7613. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47658/psn-pdf
      December 12, 2018 - Heartbroken. December 12, 2018 McGrory K, Bedi N. Tampa Bay Times. November 28, 2018. https://psnet.ahrq.gov/issue/heartbroken Pediatric cardiac surgery is a high-risk practice. This news investigation reports on a series of serious patient safety incidents at a health care institute dedicated to treating heart pr…

7614. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40858/psn-pdf
      December 29, 2014 - Patients' and healthcare workers' perceptions of a patient safety advisory. December 29, 2014 Schwappach DLB, Frank O, Koppenberg J, et al. Patients' and healthcare workers' perceptions of a patient safety advisory. Int J Qual Health Care. 2011;23(6):713-20. doi:10.1093/intqhc/mzr062. https://psnet.ahrq.gov/issue/…

7615. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35713/psn-pdf
      July 13, 2010 - Patient safety perceptions: a survey of Iowa physicians, pharmacists, and nurses. July 13, 2010 Durbin J, Hansen MM, Sinkowitz-Cochran R, et al. Patient safety perceptions: a survey of Iowa physicians, pharmacists, and nurses. Am J Infect Control. 2006;34(1):25-30. https://psnet.ahrq.gov/issue/patient-safety-perce…

7616. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39799/psn-pdf
      December 29, 2014 - Disclosure of patient safety incidents: a comprehensive review. December 29, 2014 O'Connor E, Coates HM, Yardley I, et al. Disclosure of patient safety incidents: a comprehensive review. Int J Qual Health Care. 2010;22(5):371-9. doi:10.1093/intqhc/mzq042. https://psnet.ahrq.gov/issue/disclosure-patient-safety-inci…

7617. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41058/psn-pdf
      September 20, 2012 - Medical reconciliation in patients discharged from the emergency department. September 20, 2012 Sharma AN, Dvorkin R, Tucker V, et al. Medical reconciliation in patients discharged from the emergency department. J Emerg Med. 2012;43(2):366-73. doi:10.1016/j.jemermed.2011.05.080. https://psnet.ahrq.gov/issue/medica…

7618. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35294/psn-pdf
      May 04, 2015 - What Every Health Care Organization Should Know about Sentinel Events. May 4, 2015 Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2005. ISBN 9780866889117. https://psnet.ahrq.gov/issue/what-every-health-care-organization-should-know-about-sentinel-events This book provides in…

7619. Leading Healthcare Quality and Safety | PSNet
      psnet.ahrq.gov/training-catalog/leading-healthcare-quality-and-safety
      September 14, 2025 - Leading Healthcare Quality and Safety Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization Coursera Event Description: Ensuring patient safety and…

7620. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44287/psn-pdf
      September 21, 2023 - Patient safety in the operating room. September 21, 2023 Wahr JA. UpToDate. September 21, 2023. https://psnet.ahrq.gov/issue/operating-room-hazards-and-approaches-improve-patient-safety The operating room is a high-risk environment influenced by culture, teamwork, and task complexity. This review provides an overv…