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9901. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74248/psn-pdf
      January 12, 2022 - Safety, Equity and Engagement in Maternity Services. January 12, 2022 Newcastle upon Tyne, UK: Care Quality Commission; September 2021. https://psnet.ahrq.gov/issue/safety-equity-and-engagement-maternity-services The safety of maternity care is threatened by inequity. This report analyzes a set of United Kingdom i…

9902. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851462/psn-pdf
      July 19, 2023 - Broken Trust: Making Patient Safety More than Just a Promise. July 19, 2023 Manchester, UK: Parliamentary and Health Service Ombudsman; June 2023. ISBN: 9781528642446. https://psnet.ahrq.gov/issue/broken-trust-making-patient-safety-more-just-promise Lack of accountability for systemic contributions to failure degr…

9903. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45367/psn-pdf
      September 28, 2016 - How PSOs Help Health Care Organizations Improve Patient Safety Culture. September 28, 2016 Rockville, MD: Agency for Healthcare Research and Quality; April 2016. AHRQ Pub. No. 16-0026-EF. https://psnet.ahrq.gov/issue/how-psos-help-health-care-organizations-improve-patient-safety-culture Patient safety organization…

9904. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38595/psn-pdf
      June 15, 2011 - Implementation of a patient safety incident management system as viewed by doctors, nurses and allied health professionals. June 15, 2011 Travaglia J, Westbrook MT, Braithwaite J. Implementation of a patient safety incident management system as viewed by doctors, nurses and allied health professionals. Health (Lon…

9905. Quality and Safety. | PSNet
      psnet.ahrq.gov/issue/quality-and-safety
      January 08, 2020 - Multi-use Website Quality and Safety. Citation Text: Quality and Safety. Florida Hospital Association. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL S…

9906. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43972/psn-pdf
      November 03, 2015 - National hospital ratings systems share few common scores and may generate confusion instead of clarity. November 3, 2015 Austin M, Jha AK, Romano PS, et al. National hospital ratings systems share few common scores and may generate confusion instead of clarity. Health Aff (Millwood). 2015;34(3):423-430. doi:10.13…

9907. TalkingQuality. | PSNet
      psnet.ahrq.gov/issue/talkingquality
      December 24, 2008 - Multi-use Website TalkingQuality. Citation Text: TalkingQuality. Agency for Healthcare Research and Quality. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

9908. Your safer-surgery survival guide. | PSNet
      psnet.ahrq.gov/issue/your-safer-surgery-survival-guide
      November 15, 2024 - Newspaper/Magazine Article Your safer-surgery survival guide. Citation Text: Your safer-surgery survival guide: our ratings of 2,463 U.S. hospitals can help you find the right one. Consumer reports. 2013;78(9):31-41. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…

9909. HQI and Hospital Council Annual Conference. | PSNet
      psnet.ahrq.gov/issue/hqi-and-hospital-council-annual-conference
      October 25, 2006 - United States Meeting/Conference HQI and Hospital Council Annual Conference. Citation Text: Hospital Quality Institute. The Everline Resort & Spa, Lake Tahoe, Olympic Valley, CA, October 15-16, 2023. Copy Citation Save Save to your library Print S…

9910. Are Two Insulin Pumps Better Than One? | PSNet
      psnet.ahrq.gov/web-mm/are-two-insulin-pumps-better-one
      March 01, 2005 - Are Two Insulin Pumps Better Than One? Citation Text: Cook CB. Are Two Insulin Pumps Better Than One?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndN…

9911. The Unintended Consequences of Florida Medical Liability Legislation | PSNet
      psnet.ahrq.gov/perspective/unintended-consequences-florida-medical-liability-legislation
      February 01, 2003 - The Unintended Consequences of Florida Medical Liability Legislation Paul Barach, MD, MPH | December 1, 2005  View more articles from the same authors. Citation Text: Barach P. The Unintended Consequences of Florida Medical Liability Legislation. PSNet [internet].…

9912. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44389/psn-pdf
      August 19, 2015 - A method of addressing proprietary name similarity for US prescription drugs. August 19, 2015 Stockbridge MD, Taylor K. A Method of Addressing Proprietary Name Similarity for US Prescription Drugs. Ther Innov Regul Sci. 2015;49(4). doi:10.1177/2168479015570331. https://psnet.ahrq.gov/issue/method-addressing-propri…

9913. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36229/psn-pdf
      October 19, 2010 - Learning from mistakes in New Zealand hospitals: what else do we need besides "no-fault"? October 19, 2010 Soleimani F. Learning from mistakes in New Zealand hospitals: what else do we need besides "no-fault"? N Z Med J. 2006;119(1239):U2099. https://psnet.ahrq.gov/issue/learning-mistakes-new-zealand-hospitals-wha…

9914. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38307/psn-pdf
      January 07, 2009 - Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports. January 7, 2009 Healey F, Scobie S, Oliver D, et al. Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 month…

9915. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848091/psn-pdf
      April 26, 2023 - The high cost of retained surgical items. April 26, 2023 Moorehead LD. Outpatient Surgery. April 5, 2023. https://psnet.ahrq.gov/issue/high-cost-retained-surgical-items Retained surgical items (RSIs) are considered “never events” but continue to be a source of patient harm. This article discusses the various facto…

9916. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45581/psn-pdf
      October 19, 2016 - Reducing diagnostic errors. October 19, 2016 Gittlen S. HealthLeaders Media. October 1, 2016. https://psnet.ahrq.gov/issue/reducing-diagnostic-errors-0 The recent recognition of diagnostic error as a blind spot in health care has driven the need to enhance diagnosis. This news article reports how health systems, a…

9917. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46628/psn-pdf
      December 18, 2017 - Residency evaluations—where is the patient voice? December 18, 2017 Tummalapalli SL. Residency Evaluations-Where Is the Patient Voice? JAMA Intern Med. 2017;177(12):1722-1723. doi:10.1001/jamainternmed.2017.6029. https://psnet.ahrq.gov/issue/residency-evaluations-where-patient-voice Residents rarely receive feedba…

9918. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37398/psn-pdf
      March 28, 2012 - A facilitated survey instrument captures significantly more anesthesia events than does traditional voluntary event reporting. March 28, 2012 Oken A, Rasmussen MD, Slagle JM, et al. A facilitated survey instrument captures significantly more anesthesia events than does traditional voluntary event reporting. Anesth…

9919. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38261/psn-pdf
      December 03, 2008 - Systematic assessment of culture review as a tool to assess errors in the clinical microbiology laboratory. December 3, 2008 Goodyear N, Ulness BK, Prentice JL, et al. Systematic assessment of culture review as a tool to assess errors in the clinical microbiology laboratory. Arch Pathol Lab Med. 2008;132(11):1792-5…

9920. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/855103/psn-pdf
      November 08, 2023 - Adverse Events. November 8, 2023 United States Office of the Inspector General: 2010-2023. https://psnet.ahrq.gov/issue/adverse-events-0 Large-scale data analysis provides insights to generate evidence-based improvement action. This collection of reports provides access to investigations of the impact of heal…