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  1. Opioid Overdose as a Patient Safety Problem | PSNet

    psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
    May 01, 2017 - RW : When do you think things started to change in terms of opioid prescribing patterns, and what were

  2. Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm. | PSNet

    psnet.ahrq.gov/issue/toward-zero-harm-mackenzie-healths-journey-toward-becoming-high-reliability-organization-and
    September 14, 2022 - Study Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm. Citation Text: Wilson M-A, Sinno M, Hacker Teper M, et al. Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and e…

  3. Nursing home error and level of staff credentials. | PSNet

    psnet.ahrq.gov/issue/nursing-home-error-and-level-staff-credentials
    September 24, 2010 - Study Nursing home error and level of staff credentials. Citation Text: Scott-Cawiezell J, Pepper GA, Madsen RW, et al. Nursing home error and level of staff credentials. Clin Nurs Res. 2007;16(1):72-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

  4. Prioritizing Patient Safety Through Quality Measurement. | PSNet

    psnet.ahrq.gov/issue/prioritizing-patient-safety-through-quality-measurement
    November 14, 2011 - Webinar Prioritizing Patient Safety Through Quality Measurement. Citation Text: Prioritizing Patient Safety Through Quality Measurement. Centers for Medicare & Medicaid Services, March 6 and 21, 2024.  Copy Citation Save Save to your library Print …

  5. Dying for Care. | PSNet

    psnet.ahrq.gov/issue/dying-care
    January 18, 2023 - Special or Theme Issue Dying for Care. Citation Text: Dying for Care. Stein L, Fraser J, Penzenstadler N et al. USA Today. March 10, 2022. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linked…

  6. Diagnostic Error | PSNet

    psnet.ahrq.gov/curated-library/diagnostic-error
    April 17, 2025 - diagnostic errors—primarily in the outpatient setting—were both the most common and the most costly (in terms

  7. The Media’s Role in Patient Safety | PSNet

    psnet.ahrq.gov/perspective/medias-role-patient-safety
    April 27, 2022 - And part of the problem is that the hospitals I admire that have truly gone toward zero harm in terms … Media coverage affects us in a deep way, in terms of how we want to be seen by others.

  8. COVID-19 and the Built Environment | PSNet

    psnet.ahrq.gov/perspective/covid-19-and-built-environment
    June 30, 2021 - In terms of the clinics, they are seeing less of the very sick patients primarily because many of these … some other conversations I've been having about the use of technology in the future in hospitals in terms

  9. Nurse aides' ratings of the resident safety culture in nursing homes. | PSNet

    psnet.ahrq.gov/issue/nurse-aides-ratings-resident-safety-culture-nursing-homes
    November 27, 2012 - Study Nurse aides' ratings of the resident safety culture in nursing homes. Citation Text: Castle NG. Nurse Aides' ratings of the resident safety culture in nursing homes. Int J Qual Health Care. 2006;18(5):370-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote…

  10. Resident Safety Practices in Nursing Home Settings. | PSNet

    psnet.ahrq.gov/issue/resident-safety-practices-nursing-home-settings
    July 27, 2018 - Book/Report Resident Safety Practices in Nursing Home Settings. Citation Text: Resident Safety Practices in Nursing Home Settings. Simmons S, Schnelle J, Slagle J, et al. Technical Brief No. 24. Rockville, MD: Agency for Healthcare Research and Quality; May 2016. AHRQ Publication No. 16-…

  11. In Conversation With... Heidi Wald, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-heidi-wald-md
    November 26, 2019 - but I feel that it is incredibly meaningful work to help this system be the best that it can be in terms

  12. Medication reconciliation: reducing risk for medication misadventure during transition from hospital to assisted living. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-reducing-risk-medication-misadventure-during-transition-hospital
    April 24, 2018 - Study Medication reconciliation: reducing risk for medication misadventure during transition from hospital to assisted living. Citation Text: Fitzgibbon M, Lorenz R, Lach H. Medication reconciliation: reducing risk for medication misadventure during transition from hospital to assisted…

  13. Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. | PSNet

    psnet.ahrq.gov/issue/adverse-events-skilled-nursing-facilities-national-incidence-among-medicare-beneficiaries
    February 15, 2017 - Book/Report Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. Citation Text: Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. Levinson DR. Washington, DC: US Department of Health and Human Services…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847934/psn-pdf
    April 26, 2023 - Patient Safety Indicators April 26, 2023 Tokareva I, Romano P. Patient Safety Indicators. PSNet [internet]. 2023. https://psnet.ahrq.gov/primer/patient-safety-indicators Background Over the past 25 years, policymakers and providers, payers, and purchasers of health care have increasingly focused attention on pati…

  15. Effect of warning symbols in combination with education on the frequency of erroneously crushing medication in nursing homes: an uncontrolled before and after study. | PSNet

    psnet.ahrq.gov/issue/effect-warning-symbols-combination-education-frequency-erroneously-crushing-medication
    March 04, 2011 - Study Effect of warning symbols in combination with education on the frequency of erroneously crushing medication in nursing homes: an uncontrolled before and after study. Citation Text: van Welie S, Wijma L, Beerden T, et al. Effect of warning symbols in combination with education on th…

  16. Challenges with implementing the Centers for Disease Control and Prevention opioid guideline: a consensus panel report. | PSNet

    psnet.ahrq.gov/issue/challenges-implementing-centers-disease-control-and-prevention-opioid-guideline-consensus
    January 25, 2017 - Commentary Challenges with implementing the Centers for Disease Control and Prevention opioid guideline: a consensus panel report. Citation Text: Kroenke K, Alford DP, Argoff C, et al. Challenges with Implementing the Centers for Disease Control and Prevention Opioid Guideline: A Consens…

  17. AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report. | PSNet

    psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-safety-culture-2016-user-comparative-database-report
    June 08, 2016 - Government Resource AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report. Citation Text: AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report. Famolaro T, Yount ND, Greene, K, Hare R, Thorton S, Sorra J. Rockville,…

  18. A human right-based approach to dealing with adverse events in residential care facilities. | PSNet

    psnet.ahrq.gov/issue/human-right-based-approach-dealing-adverse-events-residential-care-facilities
    May 27, 2011 - Study A human right-based approach to dealing with adverse events in residential care facilities. Citation Text: McGrane N, Behan L, Keyes LM. A human right-based approach to dealing with adverse events in residential care facilities. Health Hum Rights. 2024;26(1):115-128. Copy Citatio…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33588/psn-pdf
    March 15, 2025 - Second Victims: Support for Clinicians Involved in Errors and Adverse Events March 15, 2025 Second Victims: Support for Clinicians Involved in Errors and Adverse Events. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events PSNet primers are regu…

  20. Rapid Response Systems | PSNet

    psnet.ahrq.gov/primer/rapid-response-systems
    July 18, 2024 - Rapid Response Systems Citation Text: Rapid Response Systems. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
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