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  1. Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them. | PSNet

    psnet.ahrq.gov/issue/trends-pregnancy-related-deaths-and-federal-efforts-reduce-them
    May 27, 2020 - Book/Report Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them. Citation Text: Trends in Pregnancy-Related Deaths and Federal Efforts to Reduce Them. Washington, DC: United States Government Accountability Office; March 2020. Publication GAO-20-248. Copy Citat…

  2. Using information from external errors to signal a "clear and present danger." | PSNet

    psnet.ahrq.gov/issue/using-information-external-errors-signal-clear-and-present-danger
    March 14, 2023 - Newspaper/Magazine Article Using information from external errors to signal a "clear and present danger." Citation Text: Using information from external errors to signal a "clear and present danger." ISMP Medication Safety Alert! Acute care edition. February 9, 2017;22:1-5. Copy Citati…

  3. The attitudes and beliefs of healthcare professionals on the causes and reporting of medication errors in a UK intensive care unit. | PSNet

    psnet.ahrq.gov/issue/attitudes-and-beliefs-healthcare-professionals-causes-and-reporting-medication-errors-uk
    February 18, 2017 - Study The attitudes and beliefs of healthcare professionals on the causes and reporting of medication errors in a UK intensive care unit. Citation Text: Sanghera IS, Franklin B, Dhillon S. The attitudes and beliefs of healthcare professionals on the causes and reporting of medication e…

  4. Concurrent and Overlapping Surgeries: Additional Measures Warranted. | PSNet

    psnet.ahrq.gov/issue/concurrent-and-overlapping-surgeries-additional-measures-warranted
    August 17, 2022 - Book/Report Concurrent and Overlapping Surgeries: Additional Measures Warranted. Citation Text: Concurrent and Overlapping Surgeries: Additional Measures Warranted. US Senate Finance Committee. December 6, 2016. Copy Citation Save Save to your library Print …

  5. Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care. | PSNet

    psnet.ahrq.gov/issue/artificial-intelligence-health-care-benefits-and-challenges-technologies-augment-patient-care
    January 08, 2014 - Book/Report Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care. Citation Text: Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care. Washington DC; United States Government Accountabil…

  6. Partnership for Patients (PfP) Hospital Engagement Network (HEN) 2.0 Final Report. | PSNet

    psnet.ahrq.gov/issue/partnership-patients-pfp-hospital-engagement-network-hen-20-final-report
    May 06, 2015 - Book/Report Partnership for Patients (PfP) Hospital Engagement Network (HEN) 2.0 Final Report. Citation Text: Partnership for Patients (PfP) Hospital Engagement Network (HEN) 2.0 Final Report. Chicago, IL: American Hospital Association and Health Research & Educational Trust; September 2…

  7. Unlocking Solutions in Imaging: Working Together to Learn from Failings in the NHS. | PSNet

    psnet.ahrq.gov/issue/unlocking-solutions-imaging-working-together-learn-failings-nhs
    October 07, 2020 - Book/Report Unlocking Solutions in Imaging: Working Together to Learn from Failings in the NHS. Citation Text: Unlocking Solutions in Imaging: Working Together to Learn from Failings in the NHS. Manchester, UK: Parliamentary and Health Service Ombudsman; 2021. ISBN 9781528627016.  …

  8. Factors influencing nurses' decisions to raise concerns about care quality. | PSNet

    psnet.ahrq.gov/issue/factors-influencing-nurses-decisions-raise-concerns-about-care-quality
    June 22, 2009 - Study Factors influencing nurses' decisions to raise concerns about care quality. Citation Text: Attree M. Factors influencing nurses' decisions to raise concerns about care quality. J Nurs Manag. 2007;15(4):392-402. Copy Citation Format: Google Scholar PubMed BibTeX EndN…

  9. Maximizing smart pump technology to enhance patient safety. | PSNet

    psnet.ahrq.gov/issue/maximizing-smart-pump-technology-enhance-patient-safety
    April 25, 2018 - Commentary Maximizing smart pump technology to enhance patient safety. Citation Text: Makic MBF. Maximizing smart pump technology to enhance patient safety. Clin Nurs Spec. 2015;29(4):195-197. doi:10.1097/NUR.0000000000000139. Copy Citation Format: DOI Google Scholar PubMed…

  10. Health Care Opinion Leaders' Views on the Quality and Safety of Health Care in the United States. | PSNet

    psnet.ahrq.gov/issue/health-care-opinion-leaders-views-quality-and-safety-health-care-united-states
    April 12, 2006 - Book/Report Health Care Opinion Leaders' Views on the Quality and Safety of Health Care in the United States. Citation Text: Health Care Opinion Leaders' Views on the Quality and Safety of Health Care in the United States. Shea KK, Shih A, Davis K. New York, NY: The Commonwealth Fund…

  11. Patient Safety in Medical, Nursing, and Other Clinical Education | PSNet

    psnet.ahrq.gov/perspective/patient-safety-medical-nursing-and-other-clinical-education
    January 31, 2020 - Annual Perspective Patient Safety in Medical, Nursing, and Other Clinical Education March 16, 2020  View more articles from the same authors. Citation Text: Howley LD, Hall KK, Fitall E. Patient Safety in Medical, Nursing, and Other Clinical Education . PSNe…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46295/psn-pdf
    September 06, 2017 - Pain assessment and management standards for hospitals. September 6, 2017 R3 Report. August 29, 2017;11:1-7. https://psnet.ahrq.gov/issue/pain-assessment-and-management-standards-hospitals Strategies to manage pain safely have been reexamined in light of the opioid epidemic. This report highlights Joint Commissio…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37550/psn-pdf
    June 29, 2011 - Testing the technology acceptance model for evaluating healthcare professionals' intention to use an adverse event reporting system. June 29, 2011 Wu J-H, Shen W-S, Lin L-M, et al. Testing the technology acceptance model for evaluating healthcare professionals' intention to use an adverse event reporting system. I…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46081/psn-pdf
    April 19, 2017 - Why are medical errors still a leading cause of death? April 19, 2017 Headley M. https://psnet.ahrq.gov/issue/why-are-medical-errors-still-leading-cause-death This magazine article explores the need for robust research and effective reporting to better understand the prevalence of medical errors and how to prevent…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849130/psn-pdf
    May 17, 2023 - Comparing perspectives on organisational silence: an analysis of the Gosport inquiry. May 17, 2023 Powell M. J Health Org Manag. 2023;37(1):67-83. https://psnet.ahrq.gov/issue/comparing-perspectives-organisational-silence-analysis-gosport-inquiry Individual, team, and organizational willingness to identify and add…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43826/psn-pdf
    June 01, 2015 - Radiation Oncology Incident Learning System. June 1, 2015 American Society for Radiation Oncology and American Association of Physicists in Medicine. https://psnet.ahrq.gov/issue/radiation-oncology-incident-learning-system Reporting of near misses and adverse events can provide a foundation for learning from error.…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844771/psn-pdf
    September 11, 2019 - Raising and responding to frontline concerns in healthcare. September 11, 2019 Mannion R, Davies H. Raising and responding to frontline concerns in healthcare. BMJ. 2019;366:l4944. doi:10.1136/bmj.l4944. https://psnet.ahrq.gov/issue/raising-and-responding-frontline-concerns-healthcare Psychological safety empower…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848829/psn-pdf
    May 10, 2023 - Lessons from the Covid War: An Investigative Report. May 10, 2023 Covid Crisis Group. New York: Public Affairs; 2023. ISBN?: ?9781541703803. https://psnet.ahrq.gov/issue/lessons-covid-war-investigative-report The transfer of failure experiences to generate learning and improve service is a complicated responsibilit…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43879/psn-pdf
    February 04, 2015 - Complaints and Raising Concerns. February 4, 2015 Fourth Report of Session 2014–15. House of Commons Health Committee. London, England: The Stationery Office; January 13, 2015. Publication HC 350. https://psnet.ahrq.gov/issue/complaints-and-raising-concerns Complaints are a proactive way to monitor and address rec…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60672/psn-pdf
    July 08, 2020 - The Care We Need July 8, 2020 Washington DC: National Quality Forum; 2020. https://psnet.ahrq.gov/issue/care-we-need This report builds on the legacy of To Err is Human and Crossing the Quality Chasm to outline an approach to improve the US health care system. Five strategic objectives are provided--one of which f…
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