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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 …
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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…
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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-…
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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…
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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…
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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…
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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
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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…
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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://…
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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 …
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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
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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 …