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461. Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. | PSNet
     psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care
     December 24, 2008 - Free full text Related report Save Save to your library Print Download PDF … Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary … Report.

462. Healthcare 411: Medical intern work hours and medical errors. | PSNet
     psnet.ahrq.gov/issue/healthcare-411-medical-intern-work-hours-and-medical-errors
     May 23, 2007 - May 23, 2007 Healthcare 411 Special Report: National Patient Safety Awareness Week. … Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting: Conference Summary … Report. … Evidence Report/Technology Assessment. … May 13, 2015 National Healthcare Quality and Disparities Reports.

463. Healthcare 411: Provider insider--medical handoffs. | PSNet
     psnet.ahrq.gov/issue/healthcare-411-provider-insider-medical-handoffs
     October 18, 2006 - May 23, 2007 Healthcare 411 Special Report: National Patient Safety Awareness Week. … Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting: Conference Summary … Report. … Evidence Report/Technology Assessment. … May 13, 2015 National Healthcare Quality and Disparities Reports.

464. Healthcare 411: Consumer insider--medical handoffs. | PSNet
     psnet.ahrq.gov/issue/healthcare-411-consumer-insider-medical-handoffs
     October 18, 2006 - May 23, 2007 Healthcare 411 Special Report: National Patient Safety Awareness Week. … Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting: Conference Summary … Report. … Evidence Report/Technology Assessment. … May 13, 2015 National Healthcare Quality and Disparities Reports.

465. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44483/psn-pdf
     September 09, 2015 - This publication contains the government response to three reports on system failures at the NHS: the … Freedom to Speak Up review, the Investigating Clinical Incidents in the NHS report, and the Morecambe … Common recommendations in the three reports included the need to support open discussions about what … https://psnet.ahrq.gov/issue/learning-not-blaming https://psnet.ahrq.gov/issue/organisation-memory-report-expert-group-learning-adverse-events-nhs-chaired-chief-medical … https://psnet.ahrq.gov/issue/report-morecambe-bay-investigation https://psnet.ahrq.gov/issue/openness-and-honesty-when-things-go-wrong-professional-duty-candour

466. Human factors and systems engineering approach to patient safety for radiotherapy. | PSNet
     psnet.ahrq.gov/issue/human-factors-and-systems-engineering-approach-patient-safety-radiotherapy
     August 07, 2013 - Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary … Report. … January 23, 2019 Practice advisory on anesthetic care for magnetic resonance imaging: a report

467. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35414/psn-pdf
     May 21, 2014 - Assessment of the National Patient Safety Initiative: Context and Baseline Evaluation Report 1. … psnet.ahrq.gov/issue/assessment-national-patient-safety-initiative-context-and-baseline-evaluation- report … -1 The authors report on the history of Agency for Healthcare Research and Quality's (AHRQ) involvement … This document is the first of four yearly reports funded by AHRQ to assess their work. … /psnet.ahrq.gov/issue/assessment-national-patient-safety-initiative-context-and-baseline-evaluation-report

468. Patient safety records: silent witness. | PSNet
     psnet.ahrq.gov/issue/patient-safety-records-silent-witness
     September 01, 2017 - January 21, 2009 Comprehensive Healthcare Inspection Summary Report: Evaluation of Care … Safety in the Ambulatory Care Setting August 5, 2022 ISMP medication error report

469. The Future of Nursing: Leading Change, Advancing Health. | PSNet
     psnet.ahrq.gov/issue/future-nursing-leading-change-advancing-health
     July 27, 2011 - Book/Report The Future of Nursing: Leading Change, Advancing Health. … November 30, 2022 Comprehensive Healthcare Inspection Summary Report: Evaluation of Care

470. Engineering Patient Safety in Radiation Oncology: University of North Carolina's Pursuit for High Reliability and Value Creation. | PSNet
     psnet.ahrq.gov/issue/engineering-patient-safety-radiation-oncology-university-north-carolinas-pursuit-high
     May 04, 2016 - Book/Report Engineering Patient Safety in Radiation Oncology: University of North … Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary … Report.

471. Drug Shortages: Public Health Threat Continues, Despite Efforts to Help Ensure Product Availability. | PSNet
     psnet.ahrq.gov/issue/drug-shortages-public-health-threat-continues-despite-efforts-help-ensure-product
     March 19, 2014 - Book/Report Drug Shortages: Public Health Threat Continues, Despite Efforts to Help … View More Related Resources Comprehensive Healthcare Inspection Summary … Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year 2021

472. Healthcare–Associated Infections (HAI). | PSNet
     psnet.ahrq.gov/issue/healthcare-associated-infections-hai
     September 07, 2016 - 14, 2024 - December 14, 2025 National and State Healthcare-Associated Infections Progress … Report.

473. Patient Notification Toolkit. | PSNet
     psnet.ahrq.gov/issue/patient-notification-toolkit
     September 07, 2016 - More Related Resources National and State Healthcare-Associated Infections Progress … Report.

474. Preventing Infections During Cancer Treatment. | PSNet
     psnet.ahrq.gov/issue/preventing-infections-during-cancer-treatment
     September 07, 2016 - More Related Resources National and State Healthcare-Associated Infections Progress … Report.

475. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40015/psn-pdf
     November 17, 2010 - Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research … Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research … https://psnet.ahrq.gov/issue/medication-prescribing-and-monitoring-errors-primary-care-report-practice … - partner-research This study reports on the development and validation of candidate quality measures … https://psnet.ahrq.gov/issue/medication-prescribing-and-monitoring-errors-primary-care-report-practice-partner-research

476. Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach to surveillance. | PSNet
     psnet.ahrq.gov/issue/adverse-drug-events-among-hospitalized-medicare-patients-epidemiology-and-national-estimates
     April 05, 2016 - More Related Resources National and State Healthcare-Associated Infections Progress … Report. … February 22, 2023 ISMP medication error report analysis.

477. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46143/psn-pdf
     June 14, 2017 - Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, … https://psnet.ahrq.gov/issue/report-announced-inspection-medication-safety-midland-regional-hospital- … tullamore-county Investigation reports help health care organizations identify areas in need of improvement … This report highlights weaknesses in one hospital's medication safety processes and provides suggestions … https://psnet.ahrq.gov/issue/report-announced-inspection-medication-safety-midland-regional-hospital-tullamore-county

478. Medication errors: the year in review. | PSNet
     psnet.ahrq.gov/issue/medication-errors-year-review
     May 02, 2018 - Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary … Report. … July 10, 2019 ISMP medication error report analysis.

479. Special Section: IEA Health Care 2021. | PSNet
     psnet.ahrq.gov/issue/special-section-iea-health-care-2021
     August 02, 2010 - Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary … Report. … Patient Safety: Reviews From the Agency for Healthcare Research and Quality's Making Healthcare Safer III Report

480. Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety. | PSNet
     psnet.ahrq.gov/issue/opportunities-and-recommendations-state-federal-coordination-improve-health-system
     November 29, 2009 - Book/Report Opportunities and Recommendations for State–Federal Coordination to Improve … The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary … Report.