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  1. Getting the Board on Board: What Your Board Needs to Know About Quality and Safety, Third Edition. | PSNet

    psnet.ahrq.gov/issue/getting-board-board-what-your-board-needs-know-about-quality-and-safety-third-edition
    February 28, 2018 - Book/Report Getting the Board on Board: What Your Board Needs to Know About Quality and Safety, Third Edition. Citation Text: Getting the Board on Board: What Your Board Needs to Know About Quality and Safety, Third Edition. Oak Brook, IL; Joint Commission; 2016. ISBN: 9781599409412. C…

  2. Meltdown: Why Our Systems Fail and What We Can Do About It. | PSNet

    psnet.ahrq.gov/issue/meltdown-why-our-systems-fail-and-what-we-can-do-about-it
    March 09, 2016 - Book/Report Meltdown: Why Our Systems Fail and What We Can Do About It. Citation Text: Meltdown: Why Our Systems Fail and What We Can Do About It. Clearfield C, Tilcsik A. New York, NY: Penguin Press; 2018. ISBN: 978-0735222632. Copy Citation Save Save to your lib…

  3. Before mea culpa, Children’s was confident its air systems weren’t source of infection | PSNet

    psnet.ahrq.gov/issue/mea-culpa-childrens-was-confident-its-air-systems-werent-source-infection
    July 19, 2010 - Newspaper/Magazine Article Before mea culpa, Children’s was confident its air systems weren’t source of infection Citation Text: Before mea culpa, Children’s was confident its air systems weren’t source of infection Gilbert D, Gutman D. Seattle Times. November 26, 2019. Copy Citation …

  4. Investigating Clinical Incidents in the NHS. | PSNet

    psnet.ahrq.gov/issue/investigating-clinical-incidents-nhs
    February 04, 2015 - Book/Report Investigating Clinical Incidents in the NHS. Citation Text: Investigating Clinical Incidents in the NHS. Sixth Report of Session 2014–15. House of Commons Public Administration Select Committee. London, England: The Stationery Office; March 27, 2015. Publication HC 886. Cop…

  5. Positive Patient Identification. | PSNet

    psnet.ahrq.gov/issue/positive-patient-identification
    June 19, 2024 - Book/Report Positive Patient Identification. Citation Text: Positive Patient Identification. Healthcare Safety Investigation Branch (HSIB), Dorset, UK:  Health Services Safety Investigations Body; February 2024. Copy Citation Save Save to your library …

  6. The Role of Hospitalists in Patient Safety. | PSNet

    psnet.ahrq.gov/issue/role-hospitalists-patient-safety
    July 12, 2006 - Book/Report The Role of Hospitalists in Patient Safety. Citation Text: The Role of Hospitalists in Patient Safety. Scheurer D, ed. Oakbrook Terrace, IL: Joint Commission Resources; 2009. ISBN: 9781599403045. Copy Citation Save Save to your library Print …

  7. Some doctors questioning whether shorter shifts for interns are endangering patients. | PSNet

    psnet.ahrq.gov/issue/some-doctors-questioning-whether-shorter-shifts-interns-are-endangering-patients
    July 26, 2017 - Newspaper/Magazine Article Some doctors questioning whether shorter shifts for interns are endangering patients. Citation Text: Some doctors questioning whether shorter shifts for interns are endangering patients. Boodman SG. Kaiser Health News. July 9, 2013. Copy Citation …

  8. Patient Safety Improvement Corps: An AHRQ/VA partnership. | PSNet

    psnet.ahrq.gov/issue/patient-safety-improvement-corps-ahrqva-partnership
    December 24, 2008 - Government Resource Patient Safety Improvement Corps: An AHRQ/VA partnership. Citation Text: Patient Safety Improvement Corps: An AHRQ/VA partnership. AHRQ; Agency for Healthcare Research and Quality. Copy Citation Save Save to your library Print Downloa…

  9. Information Design for Patient Safety: A Guide to the Graphic Design of Medication Packaging. 2nd edition. | PSNet

    psnet.ahrq.gov/issue/information-design-patient-safety-guide-graphic-design-medication-packaging-2nd-edition
    April 06, 2016 - Book/Report Information Design for Patient Safety: A Guide to the Graphic Design of Medication Packaging. 2nd edition. Citation Text: Information Design for Patient Safety: A Guide to the Graphic Design of Medication Packaging. 2nd edition. Swayne T. London, UK: National Patient S…

  10. Implementing Closing the Loop. Safe Practices for Diagnostic Results | PSNet

    psnet.ahrq.gov/issue/implementing-closing-loop-safe-practices-diagnostic-results
    March 10, 2021 - Book/Report Implementing Closing the Loop. Safe Practices for Diagnostic Results Citation Text: Implementing Closing the Loop. Safe Practices for Diagnostic Results Partnership for HIT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2020. Copy Citation Save …

  11. 2006 Update on Consumers' Views of Patient Safety and Quality Information.  | PSNet

    psnet.ahrq.gov/issue/2006-update-consumers-views-patient-safety-and-quality-information
    July 28, 2013 - Multi-use Website 2006 Update on Consumers' Views of Patient Safety and Quality Information.  Citation Text: 2006 Update on Consumers' Views of Patient Safety and Quality Information.  Washington DC: Kaiser Family Foundation; 2006. Copy Citation Save Save to y…

  12. Proactive prevention of maternal death from maternal hemorrhage. | PSNet

    psnet.ahrq.gov/issue/proactive-prevention-maternal-death-maternal-hemorrhage
    January 15, 2020 - Newspaper/Magazine Article Proactive prevention of maternal death from maternal hemorrhage. Citation Text: Proactive prevention of maternal death from maternal hemorrhage. Quick Safety. October 29, 2019;(51):1-3. Copy Citation Save Save to your library Prin…

  13. Latest heparin fatality speaks loudly—what have you done to stop the bleeding? | PSNet

    psnet.ahrq.gov/issue/latest-heparin-fatality-speaks-loudly-what-have-you-done-stop-bleeding
    May 03, 2023 - Newspaper/Magazine Article Latest heparin fatality speaks loudly—what have you done to stop the bleeding? Citation Text: Latest heparin fatality speaks loudly—what have you done to stop the bleeding? ISMP Medication Safety Alert! Acute Care Edition. April 8, 2010;15:1-3. Copy Citation …

  14. 20 years later: to err is a leadership failure. | PSNet

    psnet.ahrq.gov/issue/20-years-later-err-leadership-failure
    November 30, 2016 - Special or Theme Issue 20 years later: to err is a leadership failure. Citation Text: 20 years later: to err is a leadership failure. Castellucci M, Meyer H. Modern Healthcare: November 11, 2019;49:18-22;28-30;32-34. Copy Citation Save Save to your library P…

  15. Technological methods used to prevent errors aren't infallible. | PSNet

    psnet.ahrq.gov/issue/technological-methods-used-prevent-errors-arent-infallible
    January 05, 2017 - Newspaper/Magazine Article Technological methods used to prevent errors aren't infallible. Citation Text: Santell JP. Technological methods used to prevent errors aren't infallible. Mater Manag Health Care. 2006;15(12):26-30. Copy Citation Format: Google Scholar PubMed Bi…

  16. Diagnostic Safety Toolkit. | PSNet

    psnet.ahrq.gov/issue/diagnostic-safety-toolkit-0
    January 01, 2019 - Toolkit Diagnostic Safety Toolkit. Citation Text: Diagnostic Safety Toolkit. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to your library Print Down…

  17. Fragmented: A Doctor's Quest to Piece Together American Health Care. | PSNet

    psnet.ahrq.gov/issue/doctors-quest-piece-together-american-health-care
    October 05, 2022 - Book/Report Fragmented: A Doctor's Quest to Piece Together American Health Care. Citation Text: Fragmented: A Doctor's Quest to Piece Together American Health Care. Yurkiewicz I. New York, NY: WW Norton & Company, Inc; 2023. ISBN: 9780393881196. Copy Citation Save…

  18. Interruptions and multitasking in nursing care. | PSNet

    psnet.ahrq.gov/issue/interruptions-and-multitasking-nursing-care
    September 28, 2010 - Study Interruptions and multitasking in nursing care. Citation Text: Kalisch BJ, Aebersold M. Interruptions and multitasking in nursing care. Jt Comm J Qual Patient Saf. 2010;36(3):126-132. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endn…

  19. Communicating Radiation Risks in Paediatric Imaging: Information to Support Healthcare Discussions About Benefit and Risk. | PSNet

    psnet.ahrq.gov/issue/communicating-radiation-risks-paediatric-imaging-information-support-healthcare-discussions
    July 14, 2021 - Book/Report Communicating Radiation Risks in Paediatric Imaging: Information to Support Healthcare Discussions About Benefit and Risk. Citation Text: Communicating Radiation Risks in Paediatric Imaging: Information to Support Healthcare Discussions About Benefit and Risk. Geneva, Switzer…

  20. Iowans' Views on Medical Errors: Iowa Patient Safety Study. | PSNet

    psnet.ahrq.gov/issue/iowans-views-medical-errors-iowa-patient-safety-study
    October 23, 2019 - Book/Report Iowans' Views on Medical Errors: Iowa Patient Safety Study. Citation Text: Iowans' Views on Medical Errors: Iowa Patient Safety Study. Clive, IA: Heartland Health Research Institute; January 7, 2018. Copy Citation Save Save to your library Print …
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