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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50758/psn-pdf
    December 18, 2019 - Still Not Safe: Patient Safety and the Middle-Managing of American Medicine. December 18, 2019 Wears R, Sutcliffe K. New York, NY: Oxford University Press; 2019. ISBN: 9780190271268. https://psnet.ahrq.gov/issue/still-not-safe-patient-safety-and-middle-managing-american-medicine The modern patient safety movement …
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39835/psn-pdf
    December 27, 2018 - Advancement toward High Reliability in Healthcare Awards. December 27, 2018 Department of Defense Patient Safety Program; DoD PSP; DoD https://psnet.ahrq.gov/issue/advancement-toward-high-reliability-healthcare-awards This award recognizes outstanding high reliability improvement work in the Military Health System…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865874/psn-pdf
    May 15, 2024 - Perceptions of U.S. and U.K. incident reporting systems: a scoping review. May 15, 2024 Gampetro PJ, Nickum A, Schultz CM. Perceptions of U.S. and U.K. incident reporting systems: a scoping review. J Patient Saf. 2024;20(5):360-365. doi:10.1097/pts.0000000000001231. https://psnet.ahrq.gov/issue/perceptions-us-and-…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865681/psn-pdf
    April 24, 2024 - DOD Should Improve Its Process for Clinical Adverse Actions against Providers. April 24, 2024 Washington, DC: United States Government Accounting Office; April 11, 2024. Publication GAO-24- 106107. https://psnet.ahrq.gov/issue/dod-should-improve-its-process-clinical-adverse-actions-against-providers Health care o…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863765/psn-pdf
    March 06, 2024 - Patient safety and artificial intelligence in clinical care. March 6, 2024 Ratwani RM, Bates DW, Classen DC. Patient safety and artificial intelligence in clinical care. JAMA Health Forum. 2024;5(2):e235514. doi:10.1001/jamahealthforum.2023.5514. https://psnet.ahrq.gov/issue/patient-safety-and-artificial-intelligen…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34011/psn-pdf
    April 03, 2009 - AACN Standards for Establishing and Sustaining Healthy Work Environments: A Journey to Excellence. April 3, 2009 https://psnet.ahrq.gov/issue/aacn-standards-establishing-and-sustaining-healthy-work-environments- journey-excellence In the face of evidence that outlines the impact work environments play on providing…
  7. psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
    August 29, 2021 - The submitted case highlights how a variety of factors and quality gaps may contribute to errors during … with regulatory requirements while also employing the above-mentioned safety strategies. 15 In our submitted
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73407/psn-pdf
    June 16, 2021 - Common Formats for Patient Safety Data Collection: Diagnostic Safety 0.1. June 16, 2021 The Agency for Healthcare Research and Quality. Fed Register. 2021;86(103): 29263-29264. https://psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-diagnostic-safety-01 Measurement of diagnostic errors is an imp…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866529/psn-pdf
    October 08, 2024 - HHS seeks input on Medical Office Survey on Patient Safety Culture Database information collection. October 8, 2024 HHS seeks input on Medical Office Survey on Patient Safety Culture Database information collection. Agency for Healthcare Quality and Research. Fed Register. October 02, 2024;89:80247-80249. https://…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34972/psn-pdf
    May 11, 2017 - 2017 ISMP Medication Safety Self Assessment® for Antithrombotic Therapy in Hospitals. May 11, 2017 Horsham, PA: Institute for Safe Medication Practices; March 2017. https://psnet.ahrq.gov/issue/2017-ismp-medication-safety-self-assessmentr-antithrombotic-therapy- hospitals This tool provides institutions with the …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33795/psn-pdf
    November 01, 2015 - The idea was to post anonymously submitted cases of medical errors or near misses, with those cases
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841785/psn-pdf
    December 21, 2022 - Request for Information: Creating a National Healthcare System Action Alliance to Advance Patient Safety. December 21, 2022 Agency for Healthcare Research and Quality. Fed Register. December 12, 2022;87:76046-76048. https://psnet.ahrq.gov/issue/request-information-creating-national-healthcare-system-action-alliance…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837513/psn-pdf
    June 22, 2022 - Agency Information Collection Activities: Proposed Collection; Comment Request, "Hospital Survey on Patient Safety Culture Comparative Database.'' June 22, 2022 Agency for Healthcare Quality and Research. Fed Register. June 3, 2022;87: 33795-33796.  https://psnet.ahrq.gov/issue/agency-information-collection-a…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35595/psn-pdf
    January 04, 2009 - Patient Safety: Achieving a New Standard of Care. January 4, 2009 Institute of Medicine (US) Committee on Data Standards for Patient Safety, Aspden P, Corrigan JM, Wolcott J, Erickson SM, eds. Washington (DC): National Academies Press (US); 2004. https://psnet.ahrq.gov/issue/patient-safety-achieving-new-standa…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35091/psn-pdf
    November 04, 2015 - Development of an expert system for classification of medical errors. November 4, 2015 Kopec D, Levy K, Kabir M, et al. Development of an expert system for classification of medical errors. Stud Health Technol Inform. 2005;114:110-6. https://psnet.ahrq.gov/issue/development-expert-system-classification-medical-err…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47318/psn-pdf
    October 12, 2018 - ISMP Survey on IV Push Medication Practices. October 12, 2018 Institute for Safe Medication Practices; ISMP. https://psnet.ahrq.gov/issue/ismp-survey-iv-push-medication-practices Errors in IV push medication use can cause patient harm. This survey seeks to gather data on how clinicians administer IV push medicatio…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47652/psn-pdf
    February 20, 2019 - Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. February 20, 2019 Washington, DC: Office of the National Coordinator for Health Information Technology; November 28, 2018. https://psnet.ahrq.gov/issue/strategy-reducing-regulatory-and-administrative-burden-relatin…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73296/psn-pdf
    May 19, 2021 - AHRQ Safety Program for Methicillin-Resistant Staphylococcus Aureus Prevention. Request for Proposal Comment. May 19, 2021 Agency for Healthcare Research and Quality. May 3, 2021. Fed Register. 2021;86(83):23366-23369. https://psnet.ahrq.gov/issue/ahrq-safety-program-methicillin-resistant-staphylococcus-aureus-pre…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36085/psn-pdf
    September 28, 2010 - VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileging Process Needs Improvement. September 28, 2010 Washington, DC: Government Accountability Office; May 2006. Report no GAO-06-648. https://psnet.ahrq.gov/issue/va-health-care-selected-credentialing-requir…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856641/psn-pdf
    January 01, 2009 - WebAIRS Anesthesia Incident Reporting System. January 1, 2009 Australian and New Zealand Tripartite Anaesthetic Data Committee. https://psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system Reporting errors in anesthesiology practice can motivate and inform safety improvement work. This website serves …

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