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psnet.ahrq.gov/training-catalog/anesthesiology-2023
January 01, 2023 - Anesthesiology 2023
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Organization:
Organization
American Society of Anesthesiologists
Event Description: The American So…
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psnet.ahrq.gov/node/60162/psn-pdf
March 25, 2020 - Patient Safety Improvement Act of 2020.
March 25, 2020
SB 3380. 116th Congress (2020).
https://psnet.ahrq.gov/issue/patient-safety-improvement-act-2020
This bill submits amendments to existing US federal law to strengthen state-organized efforts to improve
health care-associated infection control efforts, pediatri…
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psnet.ahrq.gov/node/46708/psn-pdf
February 08, 2023 - FDA/ISMP Safe Medication Management Fellowship
Program.
February 8, 2023
Food and Drug Administration, Institute for Safe Medication Practices.
https://psnet.ahrq.gov/issue/fdaismp-safe-medication-management-fellowship-program
This fellowship program provides clinicians with learning opportunities at the Institute…
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psnet.ahrq.gov/node/72862/psn-pdf
March 17, 2021 - Cutaneous Procedures Adverse Events Reporting
(CAPER).
March 17, 2021
The American Society for Dermatologic Surgery Association and the Northwestern University Department
of Dermatology.
https://psnet.ahrq.gov/issue/cutaneous-procedures-adverse-events-reporting-caper
Voluntary reporting systems collect adverse ev…
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psnet.ahrq.gov/periodic-issue/periodic-issue-309
September 29, 2021 - Based on analysis of four years of data submitted to the Child Health Patient Safety Organization (CHILDPSO … Based on analysis of four years of data submitted to the Child Health Patient Safety Organization (CHILDPSO
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psnet.ahrq.gov/periodic-issue/periodic-issue-328
February 23, 2022 - The number of reports submitted increased, as did the number of unique residents submitting reports. … This newsletter article analyzes events submitted to the Institute for Safe Medication Practices in 2021
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psnet.ahrq.gov/periodic-issue/periodic-issue-380
March 15, 2023 - This study describes the quality of reports submitted during the first three years of England’s mandatory … While up to half of National Health Service (NHS) hospital trusts submitted data for all six regulatory
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psnet.ahrq.gov/node/60745/psn-pdf
October 01, 2020 - 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/38788/psn-pdf
July 15, 2009 - Breaking the mould in patient safety.
July 15, 2009
Degos L, Amalberti R, Bacou J, et al. Breaking the mould in patient safety. BMJ. 2009;338:b2585.
doi:10.1136/bmj.b2585.
https://psnet.ahrq.gov/issue/breaking-mould-patient-safety
The authors submit that a broader approach to patient safety would better improve th…
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psnet.ahrq.gov/node/40833/psn-pdf
October 05, 2011 - Personal best.
October 5, 2011
Gawande A. New Yorker. October 3, 2011.
https://psnet.ahrq.gov/issue/personal-best
This magazine article explores the role of coaches in helping high-performing professionals, such as
musicians and athletes, improve their performance. By submitting to observation in the operating roo…
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psnet.ahrq.gov/node/866169/psn-pdf
June 19, 2024 - Safe and equitable pediatric clinical use of AI.
June 19, 2024
Handley JL, Lehmann CU, Ratwani RM. Safe and equitable pediatric clinical use of AI. JAMA Pediatr.
2024;178(7):637-638. doi:10.1001/jamapediatrics.2024.0897.
https://psnet.ahrq.gov/issue/safe-and-equitable-pediatric-clinical-use-ai
Accepting shared res…
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psnet.ahrq.gov/node/864385/psn-pdf
April 05, 2024 - Common Formats for Patient Safety Data Collection.
March 13, 2024
Agency for Healthcare Research and Quality. Fed Register. Mar 6, 2024;89(45);15992.
https://psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection
A standard system for voluntary reporting to patient safety organizations improves measurem…
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psnet.ahrq.gov/node/864352/psn-pdf
March 13, 2024 - Creating a just culture in the perioperative setting.
March 13, 2024
Hooven K, Altmiller G. Creating a just culture in the perioperative setting. AORN J. 2024;119(2):152-160.
doi:10.1002/aorn.14074.
https://psnet.ahrq.gov/issue/creating-just-culture-perioperative-setting
Fear of retaliation by leaders or colleague…
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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/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/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/periodic-issue/periodic-issue-344
May 16, 2022 - This study used reports submitted to the internal patient safety reporting system to explore potential … This study used reports submitted to the internal patient safety reporting system to explore potential
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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/toolkits
March 01, 2025 - Falls, wrong surgery and unintended retained foreign bodies were among the most frequently submitted