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psnet.ahrq.gov/node/854985/psn-pdf
November 01, 2023 - A systematic narrative review of coroners’ Prevention of
Future Deaths reports (PFDs): a tool for patient safety in
hospitals.
November 1, 2023
Bremner BT, Heneghan CJ, Aronson JK, et al. A systematic narrative review of coroners’ Prevention of
Future Deaths reports (PFDs): a tool for patient safety in hospitals. …
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psnet.ahrq.gov/node/867044/psn-pdf
October 30, 2024 - "Near miss": a mixed-methods analysis of medical
student assignments in patient safety.
October 30, 2024
Plugge T, Breviu A, Lappé K, et al. "Near miss": a mixed-methods analysis of medical student assignments
in patient safety. Am J Med Qual. 2024;39(4):168-173. doi:10.1097/jmq.0000000000000196.
https://psnet.ahr…
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psnet.ahrq.gov/node/837890/psn-pdf
August 24, 2022 - Accuracy of pressure ulcer events in US nursing home
ratings.
August 24, 2022
Chen Z, Gleason LJ, Sanghavi P. Accuracy of pressure ulcer events in US nursing home ratings. Med
Care. 2022;60(10):775-783. doi:10.1097/mlr.0000000000001763.
https://psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ra…
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psnet.ahrq.gov/issue/2022-american-hospital-association-mckesson-quest-quality-prize
October 21, 2015 - Award Recipient
2022 American Hospital Association–McKesson Quest for Quality Prize.
Citation Text:
American Hospital Association.
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psnet.ahrq.gov/node/41573/psn-pdf
October 30, 2013 - The medical student as a patient: attitudes towards
involvement in the quality and safety of health care.
October 30, 2013
Davis R, Joshi D, Patel K, et al. The medical student as a patient: attitudes towards involvement in the
quality and safety of health care. J Eval Clin Pract. 2013;19(5):812-8. doi:10.1111/j.13…
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psnet.ahrq.gov/web-mm/failure-report
July 01, 2008 - For example, in the 2 years following addition of a 24-hour call center, incident reports submitted to … In the first 5 years since its inception, more than 140,000 incident reports were submitted.( 20 ) Availability
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psnet.ahrq.gov/node/867082/psn-pdf
November 06, 2024 - Learning in radiation oncology: 12-month experience with
a new incident learning system.
November 6, 2024
Crouch K, Adamson L, Beldham?Collins R, et al. Learning in radiation oncology: 12?month experience with
a new incident learning system. J Med Radiat Sci. 2024;Epub Sep 15. doi:10.1002/jmrs.823.
https://psnet.a…
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psnet.ahrq.gov/node/866315/psn-pdf
July 17, 2024 - Physician specialty differences in unprofessional
behaviors observed and reported by coworkers.
July 17, 2024
Cooper WO, Hickson GB, Dmochowski RR, et al. Physician specialty differences in unprofessional
behaviors observed and reported by coworkers. JAMA Netw Open. 2024;7(6):e2415331.
doi:10.1001/jamanetworkopen.…
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psnet.ahrq.gov/issue/award-excellence-medication-use-safety
March 14, 2007 - Award Recipient
Award for Excellence in Medication-Use Safety.
Citation Text:
American Society of Health-system Pharmacists; ASHP
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March 6,…
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psnet.ahrq.gov/node/60361/psn-pdf
May 20, 2020 - Novel, High-Impact Studies Evaluating Health System and
Healthcare Professional Responsiveness to COVID-19
(R01).
May 20, 2020
Rockville, MD: Agency for Healthcare Research and Quality; May 14, 2020.
https://psnet.ahrq.gov/issue/novel-high-impact-studies-evaluating-health-system-and-healthcare-
professional-respo…
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psnet.ahrq.gov/node/49531/psn-pdf
March 01, 2007 - For example, in the 2 years following addition of a 24-hour call center, incident reports submitted … In the first 5 years since its inception, more than
140,000 incident reports were submitted.(20) Availability
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psnet.ahrq.gov/issue/aacn-standards-establishing-and-sustaining-healthy-work-environments-journey-excellence
January 27, 2021 - Organizational Policy/Guidelines
AACN Standards for Establishing and Sustaining Healthy Work Environments: A Journey to Excellence.
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psnet.ahrq.gov/node/44351/psn-pdf
October 21, 2015 - Heparin-containing medical devices and combination
products: recommendations for labeling and safety
testing. Draft guidance for industry and Food and Drug
Administration staff.
October 21, 2015
Federal Register. Washington, DC: US Department of Health and Human Services. Baltimore, MD: Food
and Drug Administrati…
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psnet.ahrq.gov/node/47002/psn-pdf
April 25, 2018 - Making Health Care Safer in Ambulatory Care Settings
and Long Term Care Facilities (R18).
April 25, 2018
Rockville, MD: Agency for Healthcare Research and Quality; April 10, 2018. PA-18-750.
https://psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care-
facilities-r18
Research …
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psnet.ahrq.gov/node/46455/psn-pdf
April 24, 2018 - ISMP Medication Safety Self Assessment for High-Alert
Medications.
April 24, 2018
Horsham, PA: Institute for Safe Medication Practices; 2017.
https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-high-alert-medications
High-alert medications have the potential to cause substantial patient harm if adm…
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psnet.ahrq.gov/node/33657/psn-pdf
September 01, 2007 - Here's how it works:
Cases are submitted to and are screened by a dedicated Matrix moderator.
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psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-diagnostic-safety-10
October 06, 2021 - Press Release/Announcement
Common Formats for Patient Safety Data Collection: Diagnostic Safety 1.0.
Citation Text:
The Agency for Healthcare Research and Quality. Fed Register. 2021;86(103): 29263-29264.
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psnet.ahrq.gov/node/45458/psn-pdf
November 30, 2016 - Request for comments on the proposed measures and
2020 targets for the National Action Plan for Adverse Drug
Event Prevention: inpatient and outpatient measures for
reduction of adverse drug events from anticoagulants,
diabetes agents, and opioid analgesics.
November 30, 2016
Office of Disease Prevention and Heal…
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psnet.ahrq.gov/node/44338/psn-pdf
November 23, 2015 - Medicare and Medicaid programs; reform of requirements
for long-term care facilities; proposed rule.
November 23, 2015
Washington, DC: US Department of Health and Human Services. Baltimore, MD: Centers for Medicare &
Medicaid Services. Fed Register. July 16, 2015;80:42167-42269.
https://psnet.ahrq.gov/issue/medica…
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psnet.ahrq.gov/node/841469/psn-pdf
December 14, 2022 - Strongyloides: A Hidden Traveler and Potentially Lethal
Missed Diagnosis.
December 14, 2022
Carlile N, Smith CL, Maguire JH, et al. Strongyloides: A Hidden Traveler and Potentially Lethal Missed
Diagnosis. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-mi…