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psnet.ahrq.gov/node/845358/psn-pdf
March 29, 2023 - Implementation of a medication reconciliation risk
stratification tool integrated within an electronic health
record: a case series of three academic medical centers.
March 29, 2023
Chu ES, El-Kareh R, Biondo A, et al. Implementation of a medication reconciliation risk stratification tool
integrated within an elec…
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psnet.ahrq.gov/issue/doctors-learn-say-im-sorry
August 17, 2016 - Newspaper/Magazine Article
Doctors learn to say 'I'm Sorry.'
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May 4, 2015
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psnet.ahrq.gov/node/47575/psn-pdf
December 19, 2018 - Effects of a communication-and-resolution program on
hospitals' malpractice claims and costs.
December 19, 2018
Kachalia A, Sands K, Van Niel M, et al. Effects Of A Communication-And-Resolution Program On
Hospitals' Malpractice Claims And Costs. Health Aff (Millwood). 2018;37(11):1836-1844.
doi:10.1377/hlthaff.201…
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psnet.ahrq.gov/issue/universal-icu-decolonization-enhanced-protocl
October 01, 2024 - Toolkit
Universal ICU Decolonization: An Enhanced Protocl.
Citation Text:
Agency for Healthcare Research and Quality. Universal ICU Decolonization: An Enhanced Protocol.
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psnet.ahrq.gov/node/44026/psn-pdf
November 03, 2015 - Effect of a postdischarge virtual ward on readmission or
death for high-risk patients: a randomized clinical trial.
November 3, 2015
Dhalla IA, O'Brien T, Morra D, et al. Effect of a postdischarge virtual ward on readmission or death for high-
risk patients: a randomized clinical trial. JAMA. 2014;312(13):1305-12. …
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psnet.ahrq.gov/perspective/conversation-maureen-bisognano
February 26, 2025 - MB : We have five major strategies going forward. The first is patient safety.
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psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
September 28, 2022 - Strategies such as judicious application of technology, like clinical decision support tools, can be … In my research, I've worked on identifying new strategies to deliver services to address health disparities … JW: Yeah, this was called Applied Strategies for Interventions for Patient Safety (ASIPS) , and it
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psnet.ahrq.gov/issue/what-return-investment-implementation-crew-resource-management-program-academic-medical-0
October 09, 2019 - Journal Article
Published October 9, 2019
What Is the Return on Investment for Implementation of a Crew Resource Management Program at an Academic Medical Center?
Moffatt-Bruce SD, Hefner JL, Mekhjian H, et al. American journal of medical quality : the official journal of the American College of Medical Quality . 20…
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psnet.ahrq.gov/issue/talking-pill-bottle-aims-curb-medical-errors
March 03, 2021 - Audiovisual
Talking pill bottle aims to curb medical errors.
Citation Text:
Cohen B.
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August 17, 2005
Cohen B.
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psnet.ahrq.gov/issue/learning-words-they-rarely-teach-medical-school-im-sorry
February 07, 2019 - Newspaper/Magazine Article
Learning words they rarely teach in medical school: 'I'm Sorry.'
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Learning words they rarely teach in medical school: 'I'm Sorry.' Freidman RA.
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psnet.ahrq.gov/issue/how-avoid-falling-victim-hospital-mistake
April 06, 2016 - Newspaper/Magazine Article
How to avoid falling victim to a hospital mistake.
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How to avoid falling victim to a hospital mistake. Cohen E.
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psnet.ahrq.gov/submit-your-toolkit-landing
April 20, 2025 - Breadcrumb
Home
Improvement Resources
Toolkits
Toolkit Submissions
PSNet encourages healthcare-related organizations to help make care safer by submitting a Patient Safety Toolkit to support the implementation of products, services, processes, systems, policies, organizational stru…
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-4
October 25, 2023 - Commentary
ISMP medication error report analysis.
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ISMP medication error report analysis. Cohen M.
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psnet.ahrq.gov/issue/antimicrobial-stewardship
October 24, 2018 - Special or Theme Issue
Antimicrobial Stewardship.
Citation Text:
Antimicrobial Stewardship. Cunha CB, ed. Med Clin North Am. 2018;102(5):797-976.
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psnet.ahrq.gov/issue/nhs-resolution
June 12, 2019 - Government Resource
NHS Resolution.
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NHS Resolution. NHS Resolution.
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March 7, 2018
NHS Res…
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psnet.ahrq.gov/primer/patient-engagement-and-safety
August 30, 2023 - Patient Engagement and Safety
Citation Text:
Patient Engagement and Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/primer/checklists
September 15, 2024 - Checklists
Citation Text:
Checklists. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/web-mm/one-ace-too-many
June 21, 2016 - One ACE Too Many
Citation Text:
Juurlink DN. One ACE Too Many. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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psnet.ahrq.gov/perspective/conversation-derek-feeley
April 10, 2024 - Group Administrators
Medicine
Epidemiology of Errors and Adverse Events
Quality Improvement Strategies
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psnet.ahrq.gov/node/33833/psn-pdf
May 01, 2017 - We spoke with
him about the opioid epidemic and strategies to address this growing patient safety concern