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  1. psnet.ahrq.gov/issue/free-harm-accelerating-patient-safety-improvement-fifteen-years-after-err-human
    November 15, 2016 - Book/Report Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human. Citation Text: Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human. Boston, MA: National Patient Safety Foundation; 2015. Copy Citation …
  2. psnet.ahrq.gov/issue/evidence-brief-implementation-high-reliability-organization-principles
    November 11, 2020 - Book/Report Evidence Brief: Implementation of High Reliability Organization Principles. Citation Text: Evidence Brief: Implementation of High Reliability Organization Principles. Veazie S, Peterson K, Bourne D. Washington DC: United States Department of Veterans Affairs; May 2019. …
  3. psnet.ahrq.gov/issue/identification-and-prioritization-health-it-patient-safety-measures
    September 29, 2017 - Book/Report Classic Identification and Prioritization of Health IT Patient Safety Measures. Citation Text: Identification and Prioritization of Health IT Patient Safety Measures. Washington, DC: National Quality Forum; February 2016. Copy Citation …
  4. psnet.ahrq.gov/issue/best-care-lower-cost-path-continuously-learning-health-care-america
    July 08, 2016 - Book/Report Classic Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. Citation Text: Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. Smith M, Saunders R, Stuckhardt L, McGinnis JM, eds. Committe…
  5. psnet.ahrq.gov/issue/elimination-emergency-department-medication-errors-due-estimated-weights
    July 08, 2020 - Commentary Elimination of emergency department medication errors due to estimated weights. Citation Text: Greenwalt M, Griffen D, Wilkerson J. Elimination of Emergency Department Medication Errors Due To Estimated Weights. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u214416.w5…
  6. psnet.ahrq.gov/issue/surveys-patient-safety-culture-nursing-home-survey-user-database-report
    February 28, 2024 - Book/Report Surveys on Patient Safety Culture Nursing Home Survey: User Database Report. Citation Text: Surveys on Patient Safety Culture Nursing Home Survey: User Database Report. Agency for Healthcare Research and Quality; 2011-2025. Copy Citation Save Save to y…
  7. psnet.ahrq.gov/issue/our-pharmacy-meeting-patients-needs-pharmacy-health-literacy-assessment-tool-users-guide
    December 24, 2008 - Measurement Tool/Indicator Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide. Citation Text: Is Our Pharmacy Meeting Patients' Needs? A Pharmacy Health Literacy Assessment Tool User's Guide. Jacobson KL, Gazmararian JA, Kripalani S, et a…
  8. psnet.ahrq.gov/issue/preventing-unintended-retained-foreign-objects
    January 25, 2023 - Sentinel Event Alerts Preventing unintended retained foreign objects. Citation Text: Preventing unintended retained foreign objects. Sentinel event alert. 2013;(51):1-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
  9. psnet.ahrq.gov/issue/priority-patient-safety-issues-identified-perioperative-nurses
    June 19, 2013 - Study Priority patient safety issues identified by perioperative nurses. Citation Text: Steelman VM, Graling PR, Perkhounkova Y. Priority patient safety issues identified by perioperative nurses. AORN J. 2013;97(4):402-18. doi:10.1016/j.aorn.2012.06.016. Copy Citation Format: …
  10. psnet.ahrq.gov/issue/understanding-and-preventing-vaccination-errors
    April 15, 2016 - Study Understanding and preventing vaccination errors. Citation Text: Poiraud C, Réthoré L, Bourdon O, et al. Understanding and preventing vaccination errors. Infect Dis Now. 2023;53(2):104641. doi:10.1016/j.idnow.2023.01.001. Copy Citation Format: DOI Google Scholar BibTeX…
  11. psnet.ahrq.gov/issue/environmental-cleaning-prevention-healthcare-associated-infections-hais
    October 02, 2013 - Government Resource Environmental Cleaning for the Prevention of Healthcare-Associated Infections (HAIs). Citation Text: Environmental Cleaning for the Prevention of Healthcare-Associated Infections (HAIs). Leas BF, Sullivan N, Han JH, Pegues DA, Kaczmarek JL, Umscheid CA. Rockville, MD:…
  12. psnet.ahrq.gov/issue/cdc-grand-rounds-preventing-unsafe-injection-practices-us-health-care-system
    February 27, 2019 - Government Resource CDC Grand Rounds: preventing unsafe injection practices in the U.S. health-care system. Citation Text: Prevention C for DC and. CDC grand rounds: preventing unsafe injection practices in the U.S. health-care system. MMWR Morb Mortal Wkly Rep. 2013;62(21):423-5. Cop…
  13. psnet.ahrq.gov/issue/ethical-challenges-child-abuse-what-harm-misdiagnosis
    September 01, 2021 - Commentary Ethical challenges in child abuse: what is the harm of a misdiagnosis? Citation Text: Brown SD. Ethical challenges in child abuse: what is the harm of a misdiagnosis? Pediatr Radiol. 2021;51(6):1070-1075. doi:10.1007/s00247-020-04845-4. Copy Citation Format: DOI …
  14. psnet.ahrq.gov/issue/ongoing-quality-improvement-journey-next-stop-high-reliability
    January 23, 2012 - Commentary The ongoing quality improvement journey: next stop, high reliability. Citation Text: Chassin MR, Loeb JM. The ongoing quality improvement journey: next stop, high reliability. Health Aff (Millwood). 2011;30(4):559-68. doi:10.1377/hlthaff.2011.0076. Copy Citation Format…
  15. psnet.ahrq.gov/issue/professionalism-lapses-and-adverse-childhood-experiences-reflections-island-last-resort
    October 14, 2015 - Commentary Professionalism lapses and adverse childhood experiences: reflections from the island of last resort. Citation Text: Williams BW. Professionalism Lapses and Adverse Childhood Experiences: Reflections From the Island of Last Resort. Acad Med. 2019;94(8):1081-1083. doi:10.1097/A…
  16. psnet.ahrq.gov/issue/learning-how-learn-compliance-patient-safety-alerts-nhs
    September 01, 2021 - Government Resource Learning how to learn: compliance with patient safety alerts in the NHS. Citation Text: Learning how to learn: compliance with patient safety alerts in the NHS. Donaldson L. Chapter in: On the State of Public Health: Annual Report of the Chief Medical Officer. L…
  17. psnet.ahrq.gov/issue/hospital-performance-trends-national-quality-measures-and-association-joint-commission
    September 20, 2011 - Study Hospital performance trends on national quality measures and the association with Joint Commission accreditation. Citation Text: Schmaltz SP, Williams SC, Chassin MR, et al. Hospital performance trends on national quality measures and the association with joint commission accre…
  18. psnet.ahrq.gov/issue/adverse-events-hospitals-quarter-medicare-patients-experienced-harm-october-2018
    February 01, 2023 - Book/Report Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. Citation Text: Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. Grimm CA. Washington DC: Office of the Inspector General; May 2022. Repor…
  19. psnet.ahrq.gov/issue/aiming-higher-enhance-professionalism-beyond-accreditation-and-certification
    February 03, 2011 - Commentary Aiming higher to enhance professionalism: beyond accreditation and certification. Citation Text: Chassin MR, Baker DW. Aiming higher to enhance professionalism: beyond accreditation and certification. JAMA. 2015;313(18):1795-6. doi:10.1001/jama.2015.3818. Copy Citation F…
  20. psnet.ahrq.gov/issue/culture-cure-assessments-patient-safety-culture-oecd-countries
    October 07, 2020 - Book/Report Culture as a Cure: Assessments of Patient Safety Culture in OECD Countries. Citation Text: Culture as a Cure: Assessments of Patient Safety Culture in OECD Countries. de Bienassisi K, Kristensenii S, Burtscheri M, et al for the Organisation for Economic Co-operation and …

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