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psnet.ahrq.gov/node/39432/psn-pdf
April 08, 2011 - The response of the APPD, CoPS and AAP to the Institute
of Medicine report on resident duty hours.
April 8, 2011
Guralnick S, Rushton J, Bale JF, et al. The response of the APPD, CoPS and AAP to the Institute of
Medicine report on resident duty hours. Pediatrics. 2010;125(4):786-790. doi:10.1542/peds.2009-2149.
ht…
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psnet.ahrq.gov/node/837001/psn-pdf
April 27, 2022 - Final Report of the Ockenden Review.
April 27, 2022
London UK: Crown Copyright; March 30, 2022. ISBN: 9781528632294.
https://psnet.ahrq.gov/issue/final-report-ockenden-review
Maternal and baby harm in healthcare is a sentinel event manifested by systemic failure. This report serves
as the final conclusions of an i…
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psnet.ahrq.gov/node/37176/psn-pdf
January 02, 2017 - Using an automated risk assessment report to identify
patients at risk for clinical deterioration.
January 2, 2017
Whittington J, White R, Haig KM, et al. Using an automated risk assessment report to identify patients at
risk for clinical deterioration. Jt Comm J Qual Patient Saf. 2007;33(9):569-74.
https://psnet.…
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psnet.ahrq.gov/node/50577/psn-pdf
October 23, 2019 - Medicare's Oversight of Ambulatory Surgery Centers
Report.
October 23, 2019
Washington, DC: Office of the Inspector General; September 2019. Report No. OEI-01-15-00400.
https://psnet.ahrq.gov/issue/medicares-oversight-ambulatory-surgery-centers-report
Ambulatory surgery centers (ASC) play an increasing role in com…
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psnet.ahrq.gov/node/39855/psn-pdf
September 29, 2017 - Industrial and Systems Engineering and Health Care:
Critical Areas of Research: Final Report.
September 29, 2017
Valdez RS, Ramly E, Brennan PF. Rockville, MD: Agency for Healthcare Research and Quality; May 2010.
AHRQ Publication No. 10-0079-EF.
https://psnet.ahrq.gov/issue/industrial-and-systems-engineering-and-…
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psnet.ahrq.gov/node/41270/psn-pdf
April 04, 2012 - Medical errors reported by French general practitioners in
training: results of a survey and individual interviews.
April 4, 2012
Venus E, Galam E, Aubert J-P, et al. Medical errors reported by French general practitioners in training:
results of a survey and individual interviews. BMJ Qual Saf. 2012;21(4):279-86. …
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psnet.ahrq.gov/node/35021/psn-pdf
April 03, 2012 - Health Information Technology Leadership Panel: Final
Report.
April 3, 2012
Lewin Group: Falls Church, VA; March 2005.
https://psnet.ahrq.gov/issue/health-information-technology-leadership-panel-final-report
Prepared by the Lewin Group for the Department of Health and Human Services, this 45-page report
summarize…
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psnet.ahrq.gov/node/41015/psn-pdf
December 21, 2011 - Possible net harms of breast cancer screening: updated
modelling of Forrest report.
December 21, 2011
Raftery J, Chorozoglou M. Possible net harms of breast cancer screening: updated modelling of Forrest
report. BMJ. 2011;343(dec08 2):d7627. doi:10.1136/bmj.d7627.
https://psnet.ahrq.gov/issue/possible-net-harms-br…
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psnet.ahrq.gov/node/867350/psn-pdf
December 11, 2024 - Surveys on Patient Safety Culture (SOPS) Hospital Survey
2.0: User Database Report.
December 11, 2024
Tyler ER, Yalden O, Fan L, et al. Surveys On Patient Safety Culture (Sops) Hospital Survey 2.0: User
Database Report. Rockville, MD: Agency for Healthcare Research and Quality; November 2024. AHRQ
Publication No. …
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psnet.ahrq.gov/node/41010/psn-pdf
November 26, 2014 - Preventing hospital-acquired infections: a national survey
of practices reported by U.S. hospitals in 2005 and 2009.
November 26, 2014
Krein SL, Kowalski CP, Hofer TP, et al. Preventing hospital-acquired infections: a national survey of
practices reported by U.S. hospitals in 2005 and 2009. J Gen Intern Med. 2012;2…
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psnet.ahrq.gov/node/41478/psn-pdf
June 20, 2014 - 2012 User Comparative Database Report: Medical Office
Survey on Patient Safety Culture.
June 20, 2014
Sorra J, Famolaro T, Dyer N, Smith S, Liu H, Ragan M. Rockville, MD: Agency for Healthcare Research
and Quality; May 2012. AHRQ Publication No. 12-0052.
https://psnet.ahrq.gov/issue/2012-user-comparative-database-…
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psnet.ahrq.gov/node/40038/psn-pdf
December 23, 2016 - A follow-up report on preventing suicide: focus on
medical/surgical units and the emergency department.
December 23, 2016
A follow-up report on preventing suicide: focus on medical/surgical units and the emergency department.
Sentinel Event Alert. 2010;46(46):1-4.
https://psnet.ahrq.gov/issue/follow-report-prevent…
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psnet.ahrq.gov/node/45994/psn-pdf
January 01, 2019 - Common predictors of nurse-reported quality of care and
patient safety.
December 21, 2018
Stimpfel AW, Djukic M, Brewer CS, et al. Common predictors of nurse-reported quality of care and patient
safety. Health Care Manage Rev. 2019;44(1):57-66. doi:10.1097/HMR.0000000000000155.
https://psnet.ahrq.gov/issue/common-…
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psnet.ahrq.gov/node/47847/psn-pdf
July 10, 2024 - CHPSO Annual Reports.
July 10, 2024
California Hospital Patient Safety Organization: Sacramento, CA; 2024.
https://psnet.ahrq.gov/issue/chpso-2019-annual-report
Patient Safety Organizations (PSOs) capture and analyze local data to inform learning among their 490
members. This report highlights 2023 trends, activit…
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psnet.ahrq.gov/node/42435/psn-pdf
July 24, 2013 - Cost of illness of patient-reported adverse drug events: a
population-based cross-sectional survey.
July 24, 2013
Gyllensten H, Rehnberg C, Jönsson AK, et al. Cost of illness of patient-reported adverse drug events: a
population-based cross-sectional survey. BMJ Open. 2013;3(6). doi:10.1136/bmjopen-2013-002574.
ht…
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psnet.ahrq.gov/node/42531/psn-pdf
December 06, 2013 - Is evidence guiding practice? Reported versus observed
adherence to contact precautions: a pilot study.
December 6, 2013
Jessee MA, Mion LC. Is evidence guiding practice? Reported versus observed adherence to contact
precautions: a pilot study. Am J Infect Control. 2013;41(11):965-70. doi:10.1016/j.ajic.2013.05.005…
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psnet.ahrq.gov/node/42109/psn-pdf
March 13, 2013 - Nursing crew resource management: a follow-up report
from the Veterans Health Administration.
March 13, 2013
Sculli GL, Fore AM, West P, et al. Nursing crew resource management: a follow-up report from the
Veterans Health Administration. J Nurs Adm. 2013;43(3):122-6. doi:10.1097/NNA.0b013e318283dafa.
https://psnet…
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psnet.ahrq.gov/node/42205/psn-pdf
April 24, 2013 - Reported medication errors after introducing an
electronic medication management system.
April 24, 2013
Redley B, Botti M. Reported medication errors after introducing an electronic medication management
system. J Clin Nurs. 2013;22(3-4):579-89. doi:10.1111/j.1365-2702.2012.04326.x.
https://psnet.ahrq.gov/issue/re…
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psnet.ahrq.gov/node/45236/psn-pdf
June 15, 2016 - Advancing Patient Safety in Cataract Surgery: A Betsy
Lehman Center Expert Panel Report.
June 15, 2016
Boston, MA: Betsy Lehman Center for Patient Safety and Medical Error Reduction; 2016.
https://psnet.ahrq.gov/issue/advancing-patient-safety-cataract-surgery-betsy-lehman-center-expert-panel-
report
Cataract surg…
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psnet.ahrq.gov/node/39541/psn-pdf
June 02, 2010 - Structured communication for patient safety in
emergency medical services: a legal case report.
June 2, 2010
Greenwood MJ, Heninger JR. Structured communication for patient safety in emergency medical services:
a legal case report. Prehosp Emerg Care. 2010;14(3):345-8. doi:10.3109/10903121003760788.
https://psnet.…