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261. Selection Criteria and Honorarium Information | PSNet
     psnet.ahrq.gov/Webmm/submit-case-info
     August 10, 2025 - Selection Criteria and Honorarium Information How it works Health care professionals may submit de-identified cases that highlight medical errors or other patient safety/quality issues. Note that you can choose to submit cases either …

262. In Conversation With… Leah Binder, MA, MGA | PSNet
     psnet.ahrq.gov/perspective/conversation-leah-binder-ma-mga
     February 26, 2025 - In both of those cities, starting with LA, the Public Health Department inspects a restaurant and assigns

263. Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. | PSNet
     psnet.ahrq.gov/issue/three-new-best-practices-2022-2023-targeted-medication-safety-best-practices-hospitals
     March 15, 2022 - Newspaper/Magazine Article Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. Citation Text: Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. ISMP Medication Safety Alert! Acute care edition…

264. Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime. | PSNet
     psnet.ahrq.gov/issue/emergency-preparedness-be-ready-unanticipated-electronic-health-record-ehr-downtime
     April 20, 2022 - Newspaper/Magazine Article Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime. Citation Text: Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime. ISMP Medication Safety Alert! Acute care edition! August 25, 2…

265. Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. | PSNet
     psnet.ahrq.gov/issue/criminalization-human-error-and-guilty-verdict-travesty-justice-threatens-patient-safety
     September 07, 2022 - Newspaper/Magazine Article Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. Citation Text: Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. ISMP Medication Safety Alert! Acut…

266. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50392/psn-pdf
     September 01, 2019 - In Conversation With… Shantanu Agrawal, MD, MPhil September 1, 2019 In Conversation With… Shantanu Agrawal, MD, MPhil. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil Editor's note: Dr. Agrawal is president and CEO of the National Quality Forum (NQF). He is the form…

267. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33636/psn-pdf
     July 01, 2006 - What other important issues should you consider when starting a safety program?

268. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33637/psn-pdf
     August 01, 2006 - Starting with the great work that you all did a few years ago identifying those practices with good

269. In Conversation With… Jane Brice, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-jane-brice-md-mph
     May 01, 2019 - But it's very encouraging that people are starting to look at EMS as a potential triage system for getting … We think that addressing the opportunities noted above, starting with a new emphasis on local organizational

270. Safety in the Prehospital Emergency Medical Services Setting | PSNet
     psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting
     May 01, 2019 - We think that addressing the opportunities noted above, starting with a new emphasis on local organizational … But it's very encouraging that people are starting to look at EMS as a potential triage system for getting

271. Patient Advocacy in Patient Safety: Have Things Changed? | PSNet
     psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
     June 01, 2014 - We're starting to get people involved.

272. High-alert medications: the safeguards that you should put in place to reduce risks. | PSNet
     psnet.ahrq.gov/issue/high-alert-medications-safeguards-you-should-put-place-reduce-risks
     May 20, 2020 - Newspaper/Magazine Article High-alert medications: the safeguards that you should put in place to reduce risks. Citation Text: High-alert medications: the safeguards that you should put in place to reduce risks. Blank C. Drug Topics. October 13, 2017. Copy Citation Save…

273. Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event. | PSNet
     psnet.ahrq.gov/issue/safety-enhancements-every-hospital-must-consider-wake-another-tragic-neuromuscular-blocker
     June 19, 2019 - Newspaper/Magazine Article Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event. Citation Text: Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event. ISMP Medication Safety Alert! Acute Ca…

274. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33809/psn-pdf
     June 01, 2016 - You're starting to see a nursing curriculum, a medical school curriculum that patient safety is moving

275. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33822/psn-pdf
     January 01, 2017 - It's amazing if you look at the number of medication errors in the country—starting with the wrong meds

276. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73906/psn-pdf
     October 06, 2021 - Now that you are starting to have these data, what are you going to do with it?

277. In Conversation With… Shantanu Agrawal, MD, MPhil | PSNet
     psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil
     February 26, 2025 - In Conversation With… Shantanu Agrawal, MD, MPhil September 1, 2019  Citation Text: In Conversation With… Shantanu Agrawal, MD, MPhil. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Co…

278. In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety | PSNet
     psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
     February 26, 2025 - And is it mature, or is it just starting? … Within the network, some health systems were just starting out, some were on the curve and working harder … Sarah Mossburg: For organizations that are just starting, what advice would you have for them to move

279. Learning Health Systems for Patient Safety | PSNet
     psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
     February 26, 2025 - And is it mature, or is it just starting? … Within the network, some health systems were just starting out, some were on the curve and working harder … Sarah Mossburg: For organizations that are just starting, what advice would you have for them to move

280. A Double “Never Event”: Wrong Patient and Wrong Side. | PSNet
     psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
     August 20, 2018 - The SBAR or Situation, Background, Assessment, and Recommendation/Request tool represents a useful starting … All team members should participate and give their agreement, prior to starting the procedure.