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psnet.ahrq.gov/node/35001/psn-pdf
May 22, 2009 - 21st Century Health Information Act of 2005.
May 22, 2009
Murphy T; Kennedy P.
https://psnet.ahrq.gov/issue/21st-century-health-information-act-2005
This bill, which garnered bipartisan support, proposes developing health information technology networks
(known as "Regional Health Information Organizations," or RHI…
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psnet.ahrq.gov/issue/ssssh-handover-protected-medical-handover-optimising-quality-and-prioritising-safety-regional
March 08, 2017 - Commentary
Ssssh for handover: protected medical handover; optimising quality and prioritising safety—a regional initiative.
Citation Text:
Mallett P, Thompson A, Bourke T, et al. Ssssh for Handover: protected medical handover; optimising quality and prioritising safety-a regional initia…
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psnet.ahrq.gov/node/40572/psn-pdf
June 27, 2018 - Understanding care transitions as a patient safety issue.
June 27, 2018
Butterfield S; Stegel C; Glock S; Tartaglia D.
https://psnet.ahrq.gov/issue/understanding-care-transitions-patient-safety-issue
This article describes a regional collaborative to enhance care transitions of Medicare beneficiaries by
improving …
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psnet.ahrq.gov/training-catalog/northwest-patient-safety-conference
Northwest Patient Safety Conference
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Organization:
Organization
Washington Patient Safety Coalition (WPSC)
Event Description: This y…
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psnet.ahrq.gov/node/850343/psn-pdf
December 12, 2023 - Challenge Competition: Impact of Patient Safety Tools.
December 12, 2023
Rockville, MD: Agency for Healthcare Research and Quality; 2023.
https://psnet.ahrq.gov/issue/challenge-competition-impact-patient-safety-tools
The Agency for Healthcare Research and Quality (AHRQ) offers many practical tools and resource…
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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/42576/psn-pdf
September 04, 2013 - Exploring Patient Engagement in Reducing Health-Care-
Related Safety Risks.
September 4, 2013
Copenhagen, Denmark: World Health Organization Regional Office for Europe; 2013. ISBN:
9789289002943.
https://psnet.ahrq.gov/issue/exploring-patient-engagement-reducing-health-care-related-safety-risks
Exploring th…
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psnet.ahrq.gov/node/37602/psn-pdf
July 03, 2013 - The vanishing nonforensic autopsy.
July 3, 2013
Shojania KG, Burton EC. The vanishing nonforensic autopsy. N Engl J Med. 2008;358(9):873-5.
doi:10.1056/NEJMp0707996.
https://psnet.ahrq.gov/issue/vanishing-nonforensic-autopsy
Autopsies are rarely performed, despite a wealth of literature demonstrating that diagnost…
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psnet.ahrq.gov/node/35545/psn-pdf
August 11, 2010 - Bullying of junior doctors prevails in Irish health system:
a bitter reality.
August 11, 2010
Cheema S, Ahmad K, Giri SK, et al. Bullying of junior doctors prevails in Irish health system: a bitter reality.
Ir Med J. 2005;98(9):274-275.
https://psnet.ahrq.gov/issue/bullying-junior-doctors-prevails-irish-health-s…
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psnet.ahrq.gov/node/37713/psn-pdf
June 07, 2008 - Giving back the pen: disclosure, apology and early
compensation discussions after harm in the healthcare
setting.
June 7, 2008
Pelletier E, Robson. Healthc Q. 2008;11(3 Spec No):85-90.
https://psnet.ahrq.gov/issue/giving-back-pen-disclosure-apology-and-early-compensation-discussions-after-
harm-healthcare
This c…
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psnet.ahrq.gov/issue/why-do-we-still-page-each-other-examining-frequency-types-and-senders-pages-academic-medical
September 11, 2019 - Study
Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services.
Citation Text:
Carlile N, Rhatigan JJ, Bates DW. Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services. BMJ…
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psnet.ahrq.gov/node/73973/psn-pdf
October 13, 2021 - Agency information collection activities: National
Healthcare Safety Network (NHSN); comment request.
October 13, 2021
Zirger JM, Centers for Disease Control and Prevention. Fed Register. September 27,
2021;86:53309-53312.
https://psnet.ahrq.gov/issue/agency-information-collection-activities-national-healthca…
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psnet.ahrq.gov/node/41161/psn-pdf
February 22, 2012 - An education-service partnership to achieve safety and
quality improvement competencies in nursing.
February 22, 2012
Fater KH, Ready R. An Education-Service Partnership to Achieve Safety and Quality Improvement
Competencies in Nursing. Journal of Nursing Education. 2011;50(12). doi:10.3928/01484834-20110916-
02.
…
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psnet.ahrq.gov/node/44155/psn-pdf
June 24, 2015 - Patient Safety Tool Kit.
June 24, 2015
WHO Regional Office for the Eastern Mediterranean. Cairo, Egypt: World Health Organization; 2015. ISBN:
9789290220596.
https://psnet.ahrq.gov/issue/patient-safety-tool-kit
Patient safety programs should reflect local needs, motivate clinician and leadership engagement, and
s…
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psnet.ahrq.gov/node/37253/psn-pdf
January 10, 2017 - American Hospital Association-McKesson Quest for
Quality Prize.
January 10, 2017
Jt Comm J Qual Patient Saf. 2007;33(10):592-604.
https://psnet.ahrq.gov/issue/american-hospital-association-mckesson-quest-quality-prize-0
This issue includes articles highlighting the achievements of the 2007 AHA McKesson Quest …
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psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
June 02, 2021 - hospitals, emergency medical services, and other agencies provide emergency care to everyone in that region … Ideally, patients should be taken to the optimal facility within the region based on their condition
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psnet.ahrq.gov/node/851917/psn-pdf
January 01, 2024 - Incivility in healthcare: the impact of poor
communication.
August 2, 2023
Guppy JH, Widlund H, Munro R, et al. Incivility in healthcare: the impact of poor communication. BMJ Lead.
2024;8(1):83-87. doi:10.1136/leader-2022-000717.
https://psnet.ahrq.gov/issue/incivility-healthcare-impact-poor-communication
Incivi…
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psnet.ahrq.gov/node/864847/psn-pdf
March 20, 2024 - Inter-hospital transfer is an independent risk factor for
hospital-associated infection.
March 20, 2024
Gardner C, Rubinfeld IS, Gupta AH, et al. Inter-hospital transfer is an independent risk factor for hospital-
associated infection. Surg Infect (Larchmt). 2024;25(2):125-132. doi:10.1089/sur.2023.077.
https://ps…
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psnet.ahrq.gov/node/867015/psn-pdf
October 23, 2024 - Supporting perioperative safety during a disaster through
clinical crisis education.
October 23, 2024
Kirkman A, Tripp H, Ward L, et al. Supporting perioperative safety during a disaster through clinical crisis
education. AORN J. 2024;120(4):226-237. doi:10.1002/aorn.14217.
https://psnet.ahrq.gov/issue/supporting-…
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psnet.ahrq.gov/node/841155/psn-pdf
February 02, 2020 - Understanding unwarranted variation in clinical practice:
a focus on network effects, reflective medicine and
learning health systems.
February 2, 2020
Atsma F, Elwyn G, Westert GP. Understanding unwarranted variation in clinical practice: a focus on
network effects, reflective medicine and learning health systems…