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  1. The Gift of Failure: New Approaches to Analyzing and Learning from Events and Near-Misses. | PSNet

    psnet.ahrq.gov/issue/gift-failure-new-approaches-analyzing-and-learning-events-and-near-misses
    August 07, 2019 - Special or Theme Issue The Gift of Failure: New Approaches to Analyzing and Learning from Events and Near-Misses. Citation Text: The Gift of Failure: New Approaches to Analyzing and Learning from Events and Near-Misses. Fahlbruch B, Carroll JS, eds. Safety Sci. 2011;49(1):1-106  …

  2. The National Medical Error Disclosure and Compensation (MEDiC) Act. | PSNet

    psnet.ahrq.gov/issue/national-medical-error-disclosure-and-compensation-medic-act
    December 06, 2011 - Legislation/Case Law The National Medical Error Disclosure and Compensation (MEDiC) Act. Citation Text: The National Medical Error Disclosure and Compensation (MEDiC) Act. Rodham-Clinton H; Obama B. 109th Congress. 1st Session. S. 1784. September 28, 2005. Copy Citation …

  3. 2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine.  | PSNet

    psnet.ahrq.gov/issue/2011-annual-benchmarking-report-malpractice-risks-emergency-medicine
    July 18, 2018 - Book/Report 2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine.  Citation Text: 2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine.  Ruoff G, ed. Cambridge, MA: CRICO Strategies; 2012. Copy Citation Save Save to you…

  4. Resilient Health Care Series. | PSNet

    psnet.ahrq.gov/issue/resilient-health-care-series
    October 25, 2018 - Book/Report Resilient Health Care Series. Citation Text: Resilient Health Care Series. Hollnagel E, Braithwaite J, Wears RL, eds. Aldershot, UK: Ashgate Publishing; 2013-2016; Boca Raton: Taylor & Francis; 2018; New York, NY: Routledge; 2019. Copy Citation Save Sa…

  5. Organisational Failure: An Exploratory Study in the Steel Industry and Medical Domain. | PSNet

    psnet.ahrq.gov/issue/organisational-failure-exploratory-study-steel-industry-and-medical-domain
    June 02, 2010 - Book/Report Organisational Failure: An Exploratory Study in the Steel Industry and Medical Domain. Citation Text: Organisational Failure: An Exploratory Study in the Steel Industry and Medical Domain. van Vuuren W. Eindhoven, NL; Eindhoven University of Technology: 1998. ISBN 9038605…

  6. The Field Guide to Human Error Investigations, Third Edition. | PSNet

    psnet.ahrq.gov/issue/field-guide-human-error-investigations-third-edition
    April 13, 2018 - Book/Report Classic The Field Guide to Human Error Investigations, Third Edition. Citation Text: The Field Guide to Human Error Investigations, Third Edition. Dekker S. Boca Baton, FL: CRC Press; 2017. Copy Citation Save Save to your libr…

  7. Challenge Competition: Impact of Patient Safety Tools. | PSNet

    psnet.ahrq.gov/issue/challenge-competition-impact-patient-safety-tools
    December 24, 2008 - Grant Recipient Challenge Competition: Impact of Patient Safety Tools. Citation Text: Challenge Competition: Impact of Patient Safety Tools. Rockville, MD: Agency for Healthcare Research and Quality; 2023. Copy Citation Save Save to your library Print…

  8. Patient safety and quality improvement. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-quality-improvement
    December 21, 2022 - Legislation/Regulation Patient safety and quality improvement. Citation Text: Patient safety and quality improvement. Agency for Healthcare Research and Quality. Fed Register. February 12, 2008;73(29):8112-8183. Copy Citation Save Save to your library …

  9. National Patient Safety Alerting System. | PSNet

    psnet.ahrq.gov/issue/national-patient-safety-alerting-system
    April 15, 2020 - Government Resource National Patient Safety Alerting System. Citation Text: National Patient Safety Alerting System. National Health Service England Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  10. Opening the Door to Change. NHS Safety Culture and the Need for Transformation. | PSNet

    psnet.ahrq.gov/issue/opening-door-change-nhs-safety-culture-and-need-transformation
    February 08, 2017 - Book/Report Opening the Door to Change. NHS Safety Culture and the Need for Transformation. Citation Text: Opening the Door to Change. NHS Safety Culture and the Need for Transformation. Newcastle upon Tyne, UK: Care Quality Commission; December 2018. Copy Citation Save…

  11. Understanding models of error and how they apply in clinical practice. | PSNet

    psnet.ahrq.gov/issue/understanding-models-error-and-how-they-apply-clinical-practice
    October 11, 2016 - Commentary Understanding models of error and how they apply in clinical practice. Citation Text: Understanding models of error and how they apply in clinical practice. Garfield S, Franklin BD. Pharm J. June 14, 2016. Copy Citation Save Save to your library P…

  12. Advances in Patient Safety: From Research to Implementation. | PSNet

    psnet.ahrq.gov/issue/advances-patient-safety-research-implementation
    December 24, 2008 - Government Resource Classic Advances in Patient Safety: From Research to Implementation. Citation Text: Advances in Patient Safety: From Research to Implementation. Henriksen K, Battles JB, Marks ES, et al, eds. Rockville, MD: Agency for Healthcare Research and …

  13. Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care. | PSNet

    psnet.ahrq.gov/issue/achieving-exceptional-patient-and-family-experience-inpatient-hospital-care
    August 09, 2017 - Book/Report Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care. Citation Text: Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care. Balik B, Conway J, Zipperer L, Watson J. Cambridge, MA: Institute for Healthcare Improvement; 2…

  14. IHI Framework for Improving Joy in Work. | PSNet

    psnet.ahrq.gov/issue/ihi-framework-improving-joy-work
    September 06, 2017 - Book/Report Classic IHI Framework for Improving Joy in Work. Citation Text: IHI Framework for Improving Joy in Work. Perlo J, Balik B, Swensen S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017. Copy Citation Save Save to…

  15. Addressing the Opioid Crisis in the United States. | PSNet

    psnet.ahrq.gov/issue/addressing-opioid-crisis-united-states
    November 18, 2011 - Book/Report Addressing the Opioid Crisis in the United States. Citation Text: Addressing the Opioid Crisis in the United States. Martin L, Laderman M, Hyatt J, Krueger J. Cambridge, MA: Institute for Healthcare Improvement; April 2016. Copy Citation Save Save to y…

  16. Sentinel Event Data Summary. | PSNet

    psnet.ahrq.gov/issue/sentinel-event-statistics-1995-2019
    February 28, 2018 - Measurement Tool/Indicator Sentinel Event Data Summary. Citation Text: Sentinel Event Data Summary. Joint Commission. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  17. Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement, Third Edition. | PSNet

    psnet.ahrq.gov/issue/lean-hospitals-improving-quality-patient-safety-and-employee-engagement-third-edition
    May 04, 2016 - Book/Report Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement, Third Edition. Citation Text: Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement, Third Edition. Graban M. Boca Raton, FL: Productivity Press; 2016. ISBN: 9781498743259. Copy…

  18. 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. Citation Text: The Future of Nursing: Leading Change, Advancing Health. Institute of Medicine. Washington, DC: The National Academies Press: 2011. Copy Citation Save Save to your library …

  19. Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy. | PSNet

    psnet.ahrq.gov/issue/teaming-how-organizations-learn-innovate-and-compete-knowledge-economy
    May 06, 2016 - Book/Report Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy. Citation Text: Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy. Edmondson AC, Schein EH. San Franscisco, CA: Jossey-Bass; 2012. ISBN: 9780787970932. Copy…

  20. Targeted Medication Safety Best Practices for Hospitals. | PSNet

    psnet.ahrq.gov/issue/targeted-medication-safety-best-practices-hospitals
    January 26, 2023 - Organizational Policy/Guidelines Targeted Medication Safety Best Practices for Hospitals. Citation Text: Targeted Medication Safety Best Practices for Hospitals. Plymouth Meeting, PA: Institute for Safe Medication Practices; 2024. Copy Citation Save Save to your …
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